Mich. Admin. Code R. 325.127 - Definitions; P to T
Rule 3.
As used in this part:
(a) "Pediatric trauma facility" means a
facility that has obtained a level of verification as a pediatric trauma
facility, as provided by the ACS-COT, as well as those requirements to be
designated as a trauma facility in Michigan, as set forth in R 325.127 to
R 325.138.
(b) "Pediatric trauma patient" means an
injured or potentially injured individual that is, or reasonably appears to be,
under 15 years of age.
(c)
"Physician" means a doctor of medicine (MD) or a doctor of osteopathy (DO) who
possesses a valid current license to practice medicine in the state of
Michigan.
(d) "Protocol" means a
patient care standard, standing orders, policy, or procedure for providing
emergency medical services that is established by a medical control authority
and approved by the department under MCL
333.20919.
(e) "Professional standards review
organization" means a committee established by a life support agency or a
medical control authority for the purpose of improving the quality of medical
care, as provided in MCL
331.531.
(f) "Quality improvement program" means
actions taken by a life support agency, medical control authority, trauma
facility, or jointly between a life support agency, medical control authority,
or trauma facility with a goal of continuous improvement of medical care in
accordance with the code. Actions shall take place under a professional
standards review organization, as provided in MCL
331.531
to
331.533.
(g) "Regional Professional Standards Review
Organization or RPSRO" means a committee established by the regional trauma
network for the purpose of improving the quality of trauma care within a
recognized trauma region as provided in MCL
331.531
to
331.533.
(h) "Regional trauma advisory council or
"RTAC" means a committee established by a regional trauma network and comprised
of MCA personnel, emergency medical services (EMS) personnel, life support
agency representatives, health care facility representatives, physicians,
nurses, and consumers. The functions of the RTAC are to provide leadership and
direction in matters related to trauma systems development in their region, and
monitor the performance of the trauma agencies and health care facilities
within the region, including, but not limited to, the review of trauma deaths
and preventable complications.
(i)
"Regional trauma network" means an organized group comprised of the local MCAs
within a region, which integrates into existing regional emergency
preparedness, and is responsible for appointing a regional trauma advisory
council and creating a regional trauma plan.
(j) "Regional trauma plan" means a written
plan prepared by a RTAC, and submitted by the regional trauma network and
approved by the department, that is based on minimum criteria established by
the department.
(k) "Statewide
Trauma Care Advisory Subcommittee or "STAC," as used in these
rules, means the statewide trauma care advisory subcommittee as
defined in MCL
333.20917a,
333.20908,
and
333.20910,
that acts as the department's subject matter experts with regard to the
clinical and operational components of trauma care.
(l) "Statewide trauma care system" means a
comprehensive and integrated arrangement of emergency services personnel,
facilities, equipment, services, communications, medical control authorities,
and organizations necessary to provide trauma care to all patients within a
particular geographic region.
(m)
"Statewide trauma registry" means a system for collecting data which the
department manages and analyzes the data and disseminates results.
(n) "Trauma" means bodily injury caused by
the application of external forces.
(o) "Trauma bypass" means to forego delivery
of a patient to the nearest health care facility for another health care
facility whose resources are more appropriate to the patient's injury pursuant
to direction given to a pre-hospital emergency medical service by online
medical direction or predetermined triage criteria as established by
department-approved protocols. However, trauma care still must be provided to
patients as necessary pursuant to
42
USC 1395dd or other applicable
laws.
(p) "Trauma diversion" means
the re-routing of a trauma patient from a trauma care facility that has 1 or
more of its essential resources currently functioning at maximum capacity, or
is otherwise unavailable, to an alternate trauma care facility in order to
serve the best interests of the trauma patient.
(q) "Trauma facility" means a health care
facility designated by the department as having met the criteria set forth in
the code as being either a level I regional trauma research facility, level II
regional trauma facility, level III community trauma facility, or level IV
trauma support facility.
(r)
"Trauma response" means a patient who has been injured or potentially injured
as a result of the application of external forces and requires the utilization
of the trauma care system.
"Trauma team" means a team of multidisciplinary health care providers established and defined by a health care facility or emergency care facility that provides trauma care.
"Triage" means classifying patients according to the severity of their medical conditions.
Notes
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