(a) OEMS shall: - (i) Collect and compile information concerning:
- (A) Clinical components of the Trauma System:
- (I) Public information, education, and prevention;
- (B) Evaluation components of the Trauma System:
- (II) Trauma center quality improvement.
- (III) Standards of care and facility standards which include the designation of hospitals or health care facilities.
- (ii) Establish a system for:
- (A) Verification and designation of trauma facilities; and
- (B) A mechanism for statewide trauma system evaluation.
(b) Wyoming Trauma Coalition. - (i) The WTC shall consist of:
- (A) The Trauma Program Coordinator;
- (B) The medical director of the trauma program;
- (C) OEMS Program Manager;
- (D) A representative from the American College of Surgeons Committee on Trauma;
- (E) A representative from the Wyoming Nurses Association and/or the Wyoming Emergency Nurses Association;
- (F) A certified EMT-Basic, EMT-Intermediate, and an EMT-Paramedic;
- (G) A representative from the Wyoming Chapter of American College of Emergency Physicians;
- (H) A representative from the Wyoming Chapter of American Academy of Family Physicians;
- (I) At least one (1) medical director and one (1) trauma nurse coordinator from each of the Regional Trauma Centers and at least one (1) medical director or physician from an Area Trauma Hospital, Community Trauma Hospital, or Trauma Receiving Facility selected so as to include as many different regions of the state as possible;
- (J) A representative from the Wyoming Hospital Association; and
- (K) A representative from the Wyoming State Medical Society.
- (ii) The WTC shall provide a consultation, education, and quality review role. The Committee shall review regional trauma care delivery, patient care outcomes, and compliance with the requirements of these Chapters. The Committee will provide the following:
- (A) Communication with:
- (I) Regional Advisory Councils (RACs) of each TSA;
- (II) Participating facilities;
- (III) Wyoming Department of Health;
- (IV) Prehospital providers;
- (V) Professional organizations; and
- (B) Education of all constituents and organizations in the delivery of trauma and emergency medical care;
- (C) Public education coordination;
- (D) Recommendations to RACs and participating facilities for regional trauma planning;
- (E) Recommendations to RACs and participating facilities for policy development; and
- (F) Injury prevention recommendations.
- (iii) The WTC shall provide for quality improvement (QI) in the statewide trauma system.
- (iv) The WTC shall have a written plan for implementation that will describe:
- (A) Scope of trauma and emergency services offered in the regions;
- (B) Ongoing assessment of performance of the regional EMS and trauma care system, based on data supplied by the trauma registry and other sources including, but not necessarily limited to:
- (I) Trauma care delivery;
- (II) Patient care outcomes, including pediatric and adult patient outcomes;
- (III) Unexpected deaths; and
- (IV) Compliance with the requirements of W.S. 35-1-801, et. seq., and this Chapter.
- (C) Identification and analysis of trends and other information, based on trauma registry data;
- (D) Periodic assessment of data concerning aspects of patient care;
- (E) Policies regarding confidentiality of data elements related to identification of provider's and facility's care outcomes, in accordance with applicable state and federal laws and regulations;
- (F) Policies regarding confidentiality and release of patient care quality assurance committee minutes, records, and reports in accordance with applicable state and federal laws and regulations, including a requirement that each attendee of a RAC meeting is informed in writing of the confidentiality requirement. Information identifying individual patients shall not be publicly disclosed without the patient's consent or by court order;
- (G) Policies regarding confidentiality of documentation of the results of inquires involving patient care issues; and
- (H) Provision for feedback to the OEMS and the RAC on identified EMS and trauma system issues and concerns.
- (v) It is desirable that the Committee meet on a quarterly basis, with meetings held in rotating locations or utilizing compressed video to assure easy access for Committee members.
(c) Advertising / Marketing. Only a facility which has been designated and continues to maintain designation by the Wyoming Office of Emergency Medical Services may use the terms "designated trauma center, service, unit, facility, program, hospital," or any similar terms in advertising or marketing materials, or in any other way hold itself out to the public as providing trauma treatment or services of the type offered by the designated facilities listed above and described in these rules.