Mich. Admin. Code R. 325.130

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

Section R. 325.130 - Trauma facility verification; designation and redesignation

Rule 6.

(1) A health care facility, which intends to provide trauma care, shall obtain designation as a trauma facility. A health care facility shall not self-designate itself as a trauma facility.

(2) A health care facility shall not use the word "trauma" to describe its facility, or in its advertising, unless it obtains and maintains a designation as a "trauma facility" from the department.

(3) The department shall redesignate the trauma capabilities of each health care facility on the basis of verification and designation requirements in effect at the time of redesignation.

(4) To obtain a designation as a "trauma facility," the institution shall apply to the department. An applicant health care facility has a right to an administrative hearing if denied a specific trauma facility level designation.

(5) The department shall designate the existing trauma resources of all participating health care facilities in the state, based upon the following categories:

(a) A level I regional trauma research center shall comply with the standards that are incorporated by reference and verification criteria developed by ACS-COT for Level I trauma facilities pursuant to R 325.129(1)(e), and all of the following:

(i) Comply with data submission requirements in R 325.133 and R 325.134.

(ii) Participate in coordinating and implementing regional injury prevention plans.

(iii) Provide staff assistance to the department in the designation and verification process of community trauma facilities and trauma support facilities.

(iv) Participate in the regional performance improvement process.

(b) A level II regional trauma center shall comply with the standards that are incorporated by reference and verification criteria established by the ACSCOT or level II trauma facilities, pursuant to R 325.129(1)(e), and all of the following:

(i) Comply with data submission requirements in R 325.133 and R 325.134.

(ii) Participate in coordinating and implementing regional injury prevention plans.

(iii) Provide staff assistance to the department in the designation and verification process of community trauma facilities and trauma support facilities.

(iv) Participate in the regional performance improvement process.

(c) For a level III, community trauma facility, verification criteria shall be established by the department, with the advice and recommendations of the state trauma advisory subcommittee and emergency medical services coordination committee. The standards are incorporated by reference in these rules, based upon verification criteria established by ACS-COT for level III facilities, pursuant to R 325.129(1)(e), and all of the following:

(i) Comply with data submission requirements in R 325.133 and R 325.134.

(ii) Participate in coordinating and implementing regional injury prevention plans.

(iii) Participate in the regional performance improvement process.

(d) For a Level IV trauma support facility, verification shall be completed using an "in-state" process, and criteria shall be established by the department, with the advice and recommendations of the state trauma advisory subcommittee and emergency medical services coordination committee. The verification standards incorporated by reference in these rules, are based upon criteria recommended by ACS-COT for level IV facilities, pursuant to R 325.129(1)(e) and Michigan level IV verification criteria and all of the following:

(i) Comply with data submission requirements in R 325.133 and R 325.134.

(ii) Participate in coordinating and implementing regional injury prevention plans.

(iii) Participate in the regional performance improvement process.

(e) The Michigan level III and IV verification criteria document is available from the department or online at the Michigan trauma system website.

(6) The resources of health care facilities applying for level I regional trauma research facility or level II regional trauma facility designation status shall be verified by the ACS-COT and shall do all of the following:

(a) Comply with data submission requirements in R 325.133 and R 325.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Provide staff assistance to the department in the designation and verification process of community trauma facilities and trauma support facilities.

(d) Participate in the regional performance improvement process.

(7) Health care facilities seeking designation as a level III, community trauma facility shall be verified using either an in-state process established by the department, with the advice of the state trauma advisory subcommittee, or by the ACS-COT and shall do all of the following:

(a) Comply with data submission requirements in R 325.133 and R 325.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Participate in the regional performance improvement process.

(8) Health care facilities seeking designation as a level IV, trauma upport facility shall be verified using an in-state process established by the department, with the advice of the state trauma advisory subcommittee, and shall do all of the following:

(a) Comply with data submission requirements in R 325.133 and R 325.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Participate in the regional performance improvement process.

(9) Health care facilities wishing to be redesignated as a level I regional trauma research facility must independently obtain ACS-COT verification at that level, and shall comply with the standards that are incorporated by reference pursuant to R 325.129(1)(e), and all of the following:

(a) Comply with data submission requirements in R 325.133 and R 325.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Provide staff assistance to the department in the designation and verification process of community trauma facilities and trauma support facilities.

(d) Participate in the regional performance improvement process.

(10) Health care facilities wishing to be redesignated as a Level II regional trauma facility must independently obtain ACS-COT verification at that level, and shall comply with the standards that are incorporated by reference pursuant to R 325.129(1)(e), and all of the following:

(a) Comply with data submission requirements as set forth in R 325.133 and R 325.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Provide staff assistance to the department in the designation and verification process of community trauma facilities and trauma support facilities.

(d) Participate in the regional performance improvement process.

(11) Health care facilities wishing to be re-designated as a level III community trauma facility must obtain verification at that level using either in-state resources, or the ACS-COT, and shall comply with the standards that are incorporated by reference pursuant to R 325.129(1)(e), and all of the following:

(a) Comply with data submission requirements in R 325.133 and R 325.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Participate in the regional performance improvement process.

(12) Health care facilities wishing to be redesignated as a level IV trauma support facility must obtain verification at that level using an in-state process. Level IV verification criteria shall be established by the department, with the advice and recommendations of the state trauma advisory subcommittee and emergency medical services coordination committee. The verification standards incorporated by reference in these rules are based upon criteria recommended by ACS-COT for level IV facilities, pursuant to R 325.129(1)(e), R 325.130, and Michigan level IV verification criteria, including all of the following:

(a) Comply with data submission requirements in R 325.133 and R 324.134.

(b) Participate in coordinating and implementing regional injury prevention plans.

(c) Participate in the regional performance improvement process.

(13) The department may, with the advice and recommendations of the state trauma advisory committee and emergency medical services coordination committee, modify the criteria or establish additional levels of trauma care resources as appropriate to maintain an effective state trauma system, and protect the public welfare, except that the department shall not establish any criteria for the purpose of limiting the number of health care facilities that qualify for a particular trauma level under these rules.

Mich. Admin. Code R. 325.130

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