15 Miss. Code. R. 3-1-4.1.8

Current through September 24, 2024
Rule 15-3-1-4.1.8 - Multidisciplinary Trauma Committee
1. The purpose of the committee is to provide oversight and leadership to the entire trauma program. The exact format will be hospital specific and may be accomplished by collaboration with another designated trauma center in the region. Each trauma center may choose to have one or more committees to accomplish the tasks necessary. One committee should be multidisciplinary and focus on program oversight and leadership. The major focus will be on PI activities, policy development, communication among all team members, establishment of standards of care, education and outreach programs, and injury prevention. The committee has administrative and systematic control and oversees implementation of all program related services, meets regularly, takes attendance, maintains minutes and works to correct overall program deficiencies to optimize patient care. Membership for the committee includes representatives from:
a. Trauma Medical Director (Chairman; must be present greater than 50% of the meetings)
b. Emergency Medicine
c. General Surgery
d. Orthopedics
e. Neurosurgery
f. Anesthesia
g. Operating Room
h. Intensive Care
i. Respiratory Therapy
j. Radiology
k. Laboratory
l. Rehabilitation
m. Pre-hospital Care Providers
n. Administration
o. Pediatrics
p. Nursing
q. Trauma Program Manager
2. The clinical managers (or designees) of the departments involved with trauma care should play an active role with the committee.
3. The trauma center may wish to accomplish performance improvement activities at this same committee or develop a separate peer review committee. This committee should handle peer review independent from department based review. This committee must be multidisciplinary, meet regularly, and maintain attendance and minutes. This committee must report findings to the overall hospital performance improvement program.

15 Miss. Code. R. 3-1-4.1.8

Miss. Code Ann. § 41-59-5
Adopted 8/30/2017
Amended 3/1/2018