16 Del. Admin. Code § 4305-9.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 4305-9.0 - Delaware State Trauma Registry

9.1 Facility Participation

9.1.1 All acute care inpatient facilities in Delaware which receive traumatically injured patients shall be required to contribute to the State Trauma Registry program by collecting and recording electronic data into the facility registry system, following the patient criteria described in the Delaware System Trauma Plan, July 2023 Version, and any subsequent revisions.

9.1.2 See Appendix B, Delaware System Trauma Plan, July 2023 Version, and any subsequent revisions for patient inclusion requirements.

9.1.3 Each contributing facility shall designate an individual with the authority, responsibility, and accountability for directing and maintaining the facility trauma registry and its data submission to the State Trauma Registry.

9.1.4 Each contributing facility shall identify a primary data entry individual and allow adequate time and resources for this individual to perform their tasks. (Time commitment is estimated to be 60 minutes for a complete form and an additional 60 minutes for quality improvement activities per patient.) This individual shall be required to participate in a Delaware Trauma Registrars Network, which shall facilitate communications among Registrars and provide educational information to improve data quality. All Registrars must attend scheduled Network meetings and workshops.

9.1.5 Both the individual contributing facilities and the State shall be responsible for data integrity and confidentiality.

9.2 To ensure consistent data collection across Delaware, data is entered into the National Trauma Data Bank according to the National Trauma Data Standards. See the Delaware Trauma System Data Dictionary, Delaware System Trauma Plan, July 2023 Version, and any subsequent revisions for required data fields.

9.3 Data Set

9.3.1 The Trauma Registry software to be used by facilities shall be specified by the Division of Public Health in conjunction with the Trauma System Quality Evaluation Committee, with input from all data-contributing facilities. Technical support shall be provided to all Delaware acute care facilities by the Division or its designee. Facilities shall collect the required data and submit it to the System Trauma Registry Coordinator as soon as possible, but no more than 90 days after the close of each quarter.

9.3.2 Data collected from contributing acute care facilities shall form the State's Trauma System Registry. Registry data shall be used in the process of formulating Trauma System reports for the purposes of quality improvement, data linkage, and research and prevention activities. Researchers may request data for analysis by completing the Trauma System Registry Data Use Agreement.

9.3.3 The Trauma Registry data set shall be reviewed annually by the Trauma System Quality Evaluation Committee and the Division of Public Health for any necessary additions, deletions, or modifications.

16 Del. Admin. Code § 4305-9.0

27 DE Reg. 529( 1/1/2024) (Final)