Kan. Admin. Regs. § 28-54-1 - Definitions

Each of the following terms used in this article shall have the meaning specified in this regulation:

(a) "ACS" means American college of surgeons.

(b) "Department" means Kansas department of health and environment.

(c) "Designation" means a determination by the secretary that a hospital shall provide the trauma care required of a level I trauma center, level II trauma center, level III trauma center, or level IV trauma center.

(d) "Level I trauma center" means a hospital that has the capability to provide the highest level of trauma care for every aspect of injury, from prevention through rehabilitation.

(e) "Level II trauma center" means a hospital that meets the following conditions:

(1) Provides initial trauma care, regardless of the severity of the injury;

(2) is not necessarily able to provide the same comprehensive care as that provided by a level I trauma center; and

(3) does not have trauma research as a primary objective.

(f) "Level III trauma center" means a hospital that provides initial trauma care or arranges for the appropriate transfer of trauma patients to a level I trauma center or a level II trauma center.

(g) "Level IV trauma center" means a hospital that provides urgent care for injured persons and the timely transfer of the seriously injured to a trauma facility capable of providing care necessary for the treatment of the patients' injuries.

(h)

(1) "On-site survey" means the secretary's evaluation of a hospital's compliance with the following:

(A) The level IV trauma center type I designation criteria and type II designation criteria identified in the department's document titled "Kansas level IV criteria quick reference," dated November 4,2015, which is hereby adopted by reference; and

(B) all standards specified on pages eight through 31 in the department's document titled "pre-review questionnaire (PRQ) guidance for Kansas level IV trauma center designation," dated November 4, 2015. Pages eight through 33 of this document are hereby adopted by reference, excluding all sections titled "reference" or "rationale."

(2) Each hospital's successful completion of the on-site survey shall require compliance with the following:

(A) All type I designation criteria;

(B) all type II designation criteria, except that a hospital may have no more than three type II critical deficiencies; and

(C) reporting trauma registry data and information pursuant to K.S.A. 75-5666, and amendments thereto.

(i) "Regional trauma council" means one of the six councils, as defined in K.S.A. 75-5663 and amendments thereto, in the state established to address trauma and emergency medical care issues within a specific geo-graphic area and to coordinate services to meet the needs of trauma patients injured within that area,

(j) "Trauma" means any of the following:

(1) Any injury to a person that results from acute exposure to mechanical, thermal, electrical, or chemical energy;

(2) any injury to a person that is caused by the absence of heat or oxygen and that requires immediate medical intervention; or

(3) any injury to a person that requires surgical intervention or treatment to prevent death or permanent disability.

(k) "Trauma facility" means a hospital distinguished by the availability of surgeons, physician specialists, anesthesiology services, nurses, and resuscitation and life-support equipment on a 24-hour basis to care for persons with trauma. This term shall include the following:

(1) Level I trauma centers;

(2) level II trauma centers;

(3) level III trauma centers; and

(4) level IV trauma centers.

(l) "Trauma registry" means the database maintained and operated by the department to collect and analyze reportable patient data on the incidence, severity, and causes of trauma.

(m) "Verification" means the evaluation and confirmation by the ACS of a hospital's trauma care capability to operate as a level I trauma center, level II trauma center, or level III trauma center.

Notes

Kan. Admin. Regs. § 28-54-1

Authorized by K.S.A. 2016 Supp. 75-5665; implementing K.S.A. 2016 Supp. 75-5665 and K.S.A. 2016 Supp. 75-5666; effective Nov. 2, 2007; amended March 16, 2012; amended by Kansas Register Volume 36, No. 32; effective 8/25/2017.