• What is TS, LLP
   
• Purpose
   
• TS, LLP Board of Directors
   
• Officers of the Corporation
   
• Participants in Each Specialty Group of the Managing Partners
   
• Sub-Specialty Surgeons as Independent Contractors to TS, LLP
   
• Medical Guidelines for the Trauma Program
   
• Medical Directors of Key Trauma Programs
   
• Why TS, LLP
   

Medical Guidelines for the Trauma Program

The American College of Surgeons Committee on Trauma (ACSCOT) has periodically published Guidelines For The Optimal Care of the Multiply Injured Patient. These guidelines include involvement and commitment by trauma surgeons and specialists in every specialty. The Trauma Program and the Trauma System and Emergency Medical System for this city, country, state, and region. To satisfy the ACSCOT guidelines for involvement and commitment requires a trauma surgeon/leader to spend 1000 hours per year (minimum) and a specialist leader to spend 600 hours/year apart from patient care and routine medical staff obligations, and professional licensing and certifications.

Example of medical director commitment:

TRAUMA MEDICAL DIRECTOR

• Overall Director of Trauma Program
• Director of Trauma Clinic
• Strategic Planner
• Day to day operations
• Performance Improvement
• State Trauma leadership
• Physician Contracting
• Trauma Program Budget

ASSOCIATE TRAUMA MEDICAL DIRECTOR

Director of Prehospital Care

• Representation on State EMS Committee
• Aeromedical Transport Registrative Rules
• Protocols for EMT’s and Aeromedical Transport Care Providers
• CQI for EMT’s and Aeromedical Transport Providers
• Medical Director and Oversight of EMT’s and Aeromedical Transport Providers
• Education and training course for EMT's and Aeromedical personnel
• Research for prehospital care

Director of Resuscitation and ATLS Courses

• Monitoring and CQI for all team members participating in Trauma resuscitation (Staff, Residents, PA’s, RN’s, Fellows)
• Advanced Trauma Life Support (ATLS) Courses, sponsored by the ACSCOT (at least four courses per year)
• Didactic Educational Programs for Residents, PA’s, and Fellows
• Evaluation of Fellows, Residents, and PA’s
• Participation in National ATLS Committees for new ATLS courses and standards

Director of Surgical Critical Care

• Oversight for the trauma and surgical ICU’s
• Participation and leadership in Critical Care Committees for Hospitals and Region
• ICU Policies and Procedures
• ICU CQI/PI
• Critical Care Education for Nurses, PA’s, Therapists. Example: Fundamentals of Critical Care Courses
• Research in Critical Care
• Evaluation of the technology

Director of Outreach to Rural and Suburban Hospitals

• Education (CME’s) in Trauma and Acute Care
• CQI for Patient Management
• Regional Conferences
• Trouble-shoot problems in Patient transfer/care

Director of Trauma Registry/Informatics

• CQI of Data Elements, Data Entry, and Data Analyses
• Trends and Periodic Reports
• Trauma Surgeons/Specialists Performance
• Promptness to STAT calls
• Outcome Compared to Peers
• Trauma Center Performance Compared to Peers
• Transfer of data to State Registries (Oregon and Washington) and National Trauma Data Bank
• Trend Research

PUBLIC POLICY ROLES

Director of Trauma Prevention and Research

• Uses of Trends in Accidental Death and Disability
• Publication of Research based on data
• Evaluation of Public Policy for Legislators
• Analyzing outcomes of effect of Public Policies related to Trauma

Director of Disaster Response and Management

• Planning with Public Health Agencies, Hospitals, Law Enforcement, National Guard and pre-hospital providers to meet challenges poised by disasters
• Liaison with Coast Guard
• Trauma Center Response to disaster

ADDITIONAL ASSOCIATE MEDICAL DIRECTOR ROLES

1. Trauma Acute Care Unit (TRACU)
   • Multidisciplinary approach to discharge planning
   • Coordination of Care between specialists
2. Trauma Multidisciplinary Clinic
• 100% follow up of Trauma Patients
• Coordination of care among specialists
• Outcome data/follow up letters to referring MD’s/Disability Evaluation
3. Educational Trauma/Surgery skills courses
• Development/Accreditation Skills Courses
• Skin Suturing/Selection of Suture Material
• Wound Management
• Extensor Tendon Repair

Specialty Medical Directors provide leadership for their specialty, organization, call schedules, attend organizational meetings at Trauma Center and participate in State and Regional Trauma Policy Meeting Boards and Committees.