902 KAR 28:010 - Definitions for 902 KAR Chapter 28
RELATES TO: KRS 211.490, 211.492, 211.494, 211.496, 311A.010, 45 C.F.R. Parts 160, 162, 164
NECESSITY, FUNCTION, AND CONFORMITY: KRS 211.494(8) authorizes the Department for Public Health to promulgate administrative regulations in accordance with KRS Chapter 13A to implement a statewide trauma care system. This administrative regulation establishes the definitions for 902 KAR Chapter 28 pertaining to the statewide trauma care system.
Section 1. Definitions.
(1) "ABEM" means the American Board of
Emergency Medicine.
(2) "ACS COT"
means the American College of Surgeons Committee on Trauma.
(3) "Adult" means an individual who has
attained eighteen (18) years of age.
(4) "AOBEM" means the American Osteopathic
Board of Emergency Medicine.
(5)
"ATCN" means the Advanced Trauma Care for Nurses course for registered nurses
of the American College of Surgeons Society of Trauma Nurses.
(6) "ATLS" means the Advanced Trauma Life
Support course of the American College of Surgeons.
(7) "Board certified" means the physician has
been certified by the appropriate specialty board recognized by the American
Board of Medical Specialties.
(8)
"Commissioner" means the commissioner of the Kentucky Department for Public
Health.
(9) "Consultation" means
the peer review process that:
(a) A hospital
may request prior to verification to assess the hospital's system of trauma
care, institutional capabilities, and preparedness for verification;
and
(b) Is conducted in accordance
with 902 KAR 28:030, Section
2(1)(a).
(10)
"Department" means the Department for Public Health, Cabinet for Health and
Family Services.
(11) "Designation"
means the process established in
902 KAR 28:020 by which a
hospital is identified by the department as an appropriate facility to receive
traumatically injured patients.
(12) "Emergency medical services" or "EMS" is
defined by KRS 311A.010(9).
(13) "Health Insurance Portability and
Accountability Act of 1996" or "HIPAA" means the federal law codified at 45
C.F.R. Parts 160, 162, and 164 that covers the use of a patient's protected
health information.
(14) "ITLS" or
"International Trauma Life Support" means an international standard training
course for pre-hospital trauma care designed by the American College of
Surgeons.
(15) "Kentucky Trauma
Advisory Committee" or "KyTAC" means the advisory committee established by
KRS 211.494(3).
(16) "Kentucky Trauma Data Bank" or "KTDB"
means a database of information submitted by designated trauma centers on the
operation, quality, and services provided to patients, consistent with the
standards of the National Trauma Data Bank (NTDB) as established by the
American College of Surgeons Committee on Trauma (ASC COT).
(17) "Kentucky Trauma Hospital Reference
Manual" means the detailed reference document that:
(a) Provides guidance, information,
references, and resources to assist hospital facilities:
(b) Is published by the Kentucky Trauma
Advisory Committee and available on the Kentucky Hospital Association Web site
at https://www.kyha.com/kentucky-trauma-system;
and
(c) Is incorporated by
reference in
902 KAR 28:030, Section
3.
(18) "Level I trauma
center" means a regional trauma center that:
(a) Provides total care of every aspect of
injury from prevention through rehabilitation; and
(b) Meets the requirements for a Level I
trauma center established in
902 KAR 28:020.
(19) "Level II trauma center" means a
regional trauma center that:
(a) Provides
screening and initial trauma care of the injured patient regardless of the
severity of injury; and
(b) Meets
the requirements for a Level II trauma center established in
902 KAR 28:020.
(20) "Level III trauma center" means a
regional trauma center that:
(a) Provides
prompt assessment, resuscitation, emergency operations, and
stabilization;
(b) Arranges for
transfer, if warranted, to a facility that can provide trauma care at a higher
level;
(c) Serves communities that
do not have immediate access to a Level I or Level II trauma center;
and
(d) Meets the requirements for
a Level III trauma center established in
902 KAR 28:020.
(21) "Level IV trauma center" means a
regional trauma center that:
(a) Provides
advanced trauma life support before a patient is transferred to a higher level
of care;
(b) Is located in a
hospital emergency department; and
(c) Meets the requirements for a Level IV
trauma center established in
902 KAR 28:030.
(22) "Multidisciplinary trauma review
committee" means a committee composed of the facility's trauma services medical
director and other members of the facility trauma team that reviews trauma
related morbidity and mortality in a hospital.
(23) "NTDB" or "National Trauma Data Bank"
means the national repository of trauma registry data established by the ACS
COT and found at
https://www.facs.org/quality-programs/trauma/quality/national-trauma-data-bank/.
(24) "Prehospital care provider" means an
individual or organization certified or licensed by the Kentucky Board of
Emergency Medical Services to provide out-of-hospital emergency medical
services.
(25) "Process improvement
program" means a quality assurance program established by a trauma center in
accordance with the requirements of the ACS COT or the KyTAC that:
(a) Continually evaluates the performance and
quality of care provided by a trauma center; and
(b) Recommends quality improvements to the
trauma care program of the center.
(26) "Protected health information" means a
patient's information as defined in the Health Insurance Portability and
Accountability Act of 1996, or HIPAA, 45 C.F.R. Parts 160, 162, and
164.
(27) "Response time" means the
interval between notification and arrival of the general surgeon, surgical
specialist, or other medical professional in the emergency department or
operating room.
(28) "RTTDC" or
"Rural Trauma Team Development Course" means a course developed by ACS COT for
rural hospitals to help a rural hospital develop its trauma team.
(29) "TNCC" or "Trauma Nursing Care Course"
means a training course that focuses on trauma care for nurses developed by the
Emergency Nurses Association.
(30)
"Transfer agreement" means the formal, written agreement between hospitals for
the transfer and acceptance of patients that meets the requirements established
in 902 KAR 28:030.
(31) "Trauma" is defined by
KRS 211.492(1) and
311A.010(23).
(32) "Trauma center" is defined by
KRS 211.492(2).
(33) "Trauma center verification" is defined
by KRS 211.492(3).
(34) "Trauma coordinator" or "trauma services
manager" means an individual:
(a) Designated
by the hospital with responsibility for the coordination of all trauma care
activities and who works in collaboration with the trauma services medical
director; and
(b) Responsible for
the requirements established in
902 KAR 28:030.
(35) "Trauma registry" means a database
comprised of trauma center data that is submitted by a hospital designated as a
trauma center consistent with the standards of the National Trauma Data Bank
(NTDB) as established by the American College of Surgeons Committee on Trauma
(ASC COT).
(36) "Trauma services
medical director" means the physician designated by the hospital to coordinate
trauma care.
(37) "Trauma system"
means the integrated network of hospitals and medical services including
transportation that strives to provide the timely and appropriate services
relative to the degree of the patient's injury.
Notes
STATUTORY AUTHORITY: KRS 211.494(8)
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