15 Miss. Code. R. 3-1-2.5.3
An organized structure that facilitates performance improvement. (Multidisciplinary Trauma Committee)
1. Clearly defines authority and
accountability for the program.
2.
Clearly stated goals and objectives one of which should be reduction of
inappropriate variations in care.
3. Development of expectations (criteria)
from evidence based guidelines, pathways and protocols.
4. These should be appropriate, objectively
defined standards to determine quality of care.
5. Explicit definitions of outcomes derived
from institutional standards.
6.
Documentation system to monitor performance, corrective action, and the result
of the actions taken.
7. A process
to delineate credentialing of all trauma service physicians.
8. An informed peer review process utilizing
a multidisciplinary method.
9. A
method of comparing patient outcomes with computed survival probability.
10. Autopsy information on all
deaths when available.
11. Review
of pre-hospital care.
12. Review of
times and reasons for trauma bypass.
13. Review of times and reasons for trauma
transfers.
14. Morbidity and
mortality review.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.