Mich. Admin. Code R. 325.130 - Trauma facility verification; designation and redesignation
Rule 6.
(1) A
health care facility, which intends to provide trauma care, shall obtain
designation as a trauma facility. A health care facility shall not
self-designate itself as a trauma facility.
(2) A health care facility shall not use the
word "trauma" to describe its facility, or in its advertising, unless it
obtains and maintains a designation as a "trauma facility" from the
department.
(3) The department
shall redesignate the trauma capabilities of each health care facility on the
basis of verification and designation requirements in effect at the time of
redesignation.
(4) To obtain a
designation as a "trauma facility," the institution shall apply to the
department. An applicant health care facility has a right to an administrative
hearing if denied a specific trauma facility level designation.
(5) The department shall designate the
existing trauma resources of all participating health care facilities in the
state, based upon the following categories:
(a) A level I regional trauma research center
shall comply with the standards that are incorporated by reference and
verification criteria developed by ACS-COT for Level I trauma facilities
pursuant to
R
325.129(1)(e), and all of the
following:
(ii) Participate in coordinating and
implementing regional injury prevention plans.
(iii) Provide staff assistance to the
department in the designation and verification process of community trauma
facilities and trauma support facilities.
(iv) Participate in the regional performance
improvement process.
(b)
A level II regional trauma center shall comply with the standards that are
incorporated by reference and verification criteria established by the ACSCOT
or level II trauma facilities, pursuant to
R
325.129(1)(e), and all of the
following:
(ii) Participate in coordinating and
implementing regional injury prevention plans.
(iii) Provide staff assistance to the
department in the designation and verification process of community trauma
facilities and trauma support facilities.
(iv) Participate in the regional performance
improvement process.
(c)
For a level III, community trauma facility, verification criteria shall be
established by the department, with the advice and recommendations of the state
trauma advisory subcommittee and emergency medical services coordination
committee. The standards are incorporated by reference in these rules, based
upon verification criteria established by ACS-COT for level III
facilities, pursuant to
R
325.129(1)(e), and all of the
following:
(ii) Participate in coordinating and
implementing regional injury prevention plans.
(iii) Participate in the regional performance
improvement process.
(d)
For a Level IV trauma support facility, verification shall be completed using
an "in-state" process, and criteria shall be established by the department,
with the advice and recommendations of the state trauma advisory subcommittee
and emergency medical services coordination committee. The verification
standards incorporated by reference in these rules, are based upon criteria
recommended by ACS-COT for level IV facilities, pursuant to
R
325.129(1)(e) and Michigan level IV
verification criteria and all of the following:
(ii) Participate in coordinating and
implementing regional injury prevention plans.
(iii) Participate in the regional performance
improvement process.
(e)
The Michigan level III and IV verification criteria document is available from
the department or online at the Michigan trauma system website.
(6) The resources of health care
facilities applying for level I regional trauma research facility or level II
regional trauma facility designation status shall be verified by the ACS-COT
and shall do all of the following:
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Provide staff assistance to the
department in the designation and verification process of community trauma
facilities and trauma support facilities.
(d) Participate in the regional performance
improvement process.
(7)
Health care facilities seeking designation as a level III, community trauma
facility shall be verified using either an in-state process established by the
department, with the advice of the state trauma advisory subcommittee, or by
the ACS-COT and shall do all of the following:
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Participate in the regional performance
improvement process.
(8)
Health care facilities seeking designation as a level IV, trauma upport
facility shall be verified using an in-state process established by the
department, with the advice of the state trauma advisory subcommittee, and
shall do all of the following:
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Participate in the regional performance
improvement process.
(9)
Health care facilities wishing to be redesignated as a level I regional trauma
research facility must independently obtain ACS-COT verification at that level,
and shall comply with the standards that are incorporated by reference pursuant
to
R
325.129(1)(e), and all of the
following:
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Provide staff assistance to the
department in the designation and verification process of community trauma
facilities and trauma support facilities.
(d) Participate in the regional performance
improvement process.
(10) Health care facilities wishing to be
redesignated as a Level II regional trauma facility must independently obtain
ACS-COT verification at that level, and shall comply with the
standards that are incorporated by reference pursuant to
R
325.129(1)(e), and all of the
following:
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Provide staff assistance to the
department in the designation and verification process of community trauma
facilities and trauma support facilities.
(d) Participate in the regional performance
improvement process.
(11) Health care facilities wishing to be
re-designated as a level III community trauma facility must obtain verification
at that level using either in-state resources, or the ACS-COT, and shall comply
with the standards that are incorporated by reference pursuant to
R
325.129(1)(e), and all of the
following:
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Participate in the regional performance
improvement process.
(12) Health care facilities wishing to be
redesignated as a level IV trauma support facility must obtain verification at
that level using an in-state process. Level IV verification criteria shall be
established by the department, with the advice and recommendations of the state
trauma advisory subcommittee and emergency medical services coordination
committee. The verification standards incorporated by reference in these rules
are based upon criteria recommended by ACS-COT for level IV facilities,
pursuant to
R
325.129(1)(e), R 325.130, and
Michigan level IV verification criteria, including all of the following:
(a) Comply with data submission requirements
in
R
325.133 and R 324.134.
(b) Participate in coordinating and
implementing regional injury prevention plans.
(c) Participate in the regional performance
improvement process.
(13) The department may, with the advice and
recommendations of the state trauma advisory committee and emergency medical
services coordination committee, modify the criteria or establish additional
levels of trauma care resources as appropriate to maintain an effective state
trauma system, and protect the public welfare, except that the
department shall not establish any criteria for the purpose of limiting the
number of health care facilities that qualify for a particular trauma level
under these rules.
Notes
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