Mich. Admin. Code R. 325.129

Current through Vol. 24-10, June 15, 2024

Section R. 325.129 - Powers and duties of department

Rule 5.

(1) The department, with the advice of the emergency medical services coordination committee and statewide trauma care advisory subcommittee, shall do all of the following:

(a) Implement an "all-inclusive" trauma system throughout the state. This type of system allows for the care of all injured or potentially injured patients in an integrated system of health care in the pre-hospital and health care facility environments by personnel that are well trained and equipped to care for injured patients of any severity. The system allows for a health care facility to participate in the system to the extent or level that it is willing to commit the resources necessary for the appropriate management of the trauma patients and prohibits the department from limiting the number of health care facilities that seek to qualify for any given level of trauma designation under this system. It also ensures that all trauma patients are served by a system of coordinated care, based on the degree of injury and care required.

(b) Perform all of the following:

(i) Establish a statewide trauma quality improvement process using a statewide database.

(ii) Monitor the statewide trauma system.

(iii) Ensure the coordination and performance of the regional trauma networks.

(iv) Set minimum standards for system performance and trauma patient care.

(c) Develop a statewide process to establish regional trauma networks comprised of local medical control authorities in a manner that integrates into existing regional emergency preparedness, EMS, or medical control systems.

(d) Implement and maintain a statewide trauma systems plan.

(e) Develop a statewide process for the verification of trauma resources based on criteria as defined in the "American College of Surgeons-Resources for Optimal Care of the Injured Patient; 2014," including any subsequent amendments and editions of this publication. This document is available online at the ACS website or from ACS, P.O. Box 92425, Chicago, IL 60675.

(f) Develop a statewide process for the designation of trauma facilities.

(g) Develop an appeals process for facilities contesting their designation.

(h) Establish state trauma recommendations and approve regional trauma triage protocols which are established and adopted by the local medical control authority.

(i) Maintain the established regional trauma networks to provide system oversight of the trauma care provided in each region of the state. Regional trauma networks shall be comprised of collaborating local medical control authorities (MCAs) in a region. The collaborating MCAs in a region shall apply to the department for approval and recognition as a regional trauma network. The department, with the statewide trauma care advisory subcommittee and emergency medical services coordination committee, shall review the regional trauma network application for approval every 3 years. The establishment of the regional trauma networks shall not limit the transfer or transport of trauma patients between regional trauma networks.

(j) Require field triage protocols which are established and adopted by local medical control and regional trauma networks, and shall be developed based on triage criteria prescribed by the department upon the recommendation of the STAC and emergency medical services coordination committee, and following the procedures established by the department under MCL 333.20919(3).

(k) Verify the trauma care resources of designated trauma facilities or health care facilities seeking designation in this state for a 3-year period.

(l) Establish a mechanism for periodic redesignation of all health care trauma care facilities.

(m) Develop a comprehensive statewide data collection system.

(n) Formulate recommendations for the development of performance improvement plans by the regional trauma networks, consistent with those in R 325.135.

(o) Develop a process for trauma system performance improvement, which will include responsibility for monitoring compliance with standards, maintaining confidentiality, and providing periodic review of trauma facility standards. The standards as specified in R 325.129(2)(1)(e) and R 325.135 are incorporated by reference in these rules.

(p) Develop a process for the evaluation of trauma system effectiveness based on standards that are incorporated by reference in these rules, as specified in subdivision (b) of this subrule and R 325.135.

(q) Coordinate and integrate appropriate injury prevention initiatives and programs.

(r) Support the state trauma system and provide resources to carry out its responsibilities and functions.

(s) Support the training and education needs and resources of trauma care personnel throughout the state.

(2) The department may deny, suspend, or revoke designation of a trauma facility upon a finding including, but not limited to, any of the following:

(a) Failure to comply with the administrative rules and/or health care facility rules and regulations.

(b) Willful preparation or filing of false reports or records.

(c) Fraud or deceit in obtaining or maintaining designation status.

(d) Failure to meet designation criteria established in these rules.

(e) Unauthorized disclosure of medical or other confidential information.

(f) Alteration or inappropriate destruction of medical records.

(g) The facility no longer has the resources required to comply with the current level of designation conferred.

(h) The facility no longer cares for trauma patients.

(i) A department-approved trauma care verification body has determined that the facility no longer meets its trauma facility verification criteria.

(j) Identified deficiencies are not remediated in the allowable timeframe.

(3) The department shall provide notice of intent to deny, suspend, or revoke trauma facility designation and shall provide for an appeals process in accordance with the code and the sections 71 to 87 of the administrative procedures act of 1969, MCL 24.271 to 24.287.

(4) In developing a statewide trauma system, the department shall consider all of the following factors:

(a) Efficient implementation and operation.

(b) Decrease in morbidity and mortality.

(c) Cost effective implementation.

(d) Incorporation of national standards.

(e) Availability of funds for implementation.

Mich. Admin. Code R. 325.129

2007 AACS; 2017 MR 10, Eff. 5/31/2017