W. Va. Code R. § 64-27-5 - [Effective 7/1/2025] Types of Designation

5.1. General. The Department shall use the following general categories when granting trauma center designation status to facilities:
5.1.1. Permanent, when a facility meets all the requirements as referenced in this rule. Permanent designation may be granted for a maximum of three years.
5.1.2. Provisional, when a facility substantially meets the requirements and has outlined in writing clear plans and progress toward full compliance with all requirements. Provisional designations may be granted for not less than six months nor longer than two years with a possible extension of six months.
5.1.3. Probational, when the Secretary determines that it is in the best interest of the public health and safety for a permanently designated facility to remain designated while identified non- compliance issues are being corrected. The facility shall provide written evidence of active progress in correction of non-compliance areas. Probational designation may be granted for not less than six months nor longer than two years, with a possible extension at the discretion of the Secretary.
5.1.4. Emergency, when the Secretary determines that it is in the best interest of public health and safety to temporarily designate a facility to meet a particular emergency need. Emergency designation shall not exceed six months, with a possible extension of six months at the discretion of the Secretary.
5.2. Levels. The standards and criteria for designation as a West Virginia trauma center are those standards outlined in "Resources for Optimal Care of the Injured Patient", by the ACS-COT with variations as outlined in this subsection. The following levels of care designations will be used when granting trauma center designation status to facilities:
5.2.1. Level I. The facility meets, at a minimum, the ACS-COT standards for a level I center as determined by OEMS.
5.2.2. Level II. The facility meets, at a minimum, the ACS-COT standards for a level II center as determined by OEMS.
5.2.3. Level III. The facility meets, at a minimum, the ACS-COT standards for a level III center as determined by OEMS.
5.2.4. Level IV. The facility meets, at a minimum, the ACS-COT standards for a level IV center as determined by OEMS.

Notes

W. Va. Code R. § 64-27-5

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