Ginger Floerchinger-Franks, Dr.P.HDirector, Idaho Trauma Registry

The Idaho Datasetand the

National Trauma Data Standards

Idaho Trauma Registry Background

• Established by Idaho Code §57-2003

• All acute care hospitals• All patients meeting inclusion criteria

• Injury surveillance system

• At minimum identify

• Access to care issues• Performance of emergency medical systems• Costs of trauma care• Outcomes for trauma victims

Inclusion Criteria• Include:

• Dislocations, sprains, strains, fractures• Open wounds / Crushing injuries• Internal injuries / Intracranial injuries• Drowning / nonfatal submersions• Asphyxiation / strangulation• Electric current

• Additionally:

• Admission as in-patient

• Transfer between acute care hospitals by EMS

• Death

ITR Dataset and Data Dictionary

• Developed by TRAC

• Minimum dataset (147 items)

• Hospitals – NTR (all common elements), TRAC (Idaho-specific elements)

• EMS – PCR / NEMSIS

• Transportation – VCR

• Vital Statistics – death certificate

Standardized Hospital Data Entry

• Idaho Data Dictionary • NTR – for common data items• TRAC / other standard definitions for Idaho-

specific data items• www.idahotrauma.org

• Menu choices / reporting options• Injury coding software

• Text• ICD-9 codes

• ITR data entry QC

Hospital Data Subset

• Patient demographics

• Injury demographics

• Initial hospital assessment

• Injury description

• Patient outcomes

Patient Demographics

• Age

• Gender

• Race / ethnicity

• Linking elements

• Personal identifiers

Injury Demographics

• When

• Where (county, type of location)

• Cause (E-codes)

• Safety equipment use

• Linking elements

• EMS agency

• Injury county

• Injury date and time

• Transfer hospital(s)

Initial Patient Assessment

• In-hospital vital signs / time taken

• GCS (all patients) to calculate RTS, P(s)

• Procedures

• Initial diagnostic radiology

• Invasive procedures

• FAQ

Injury Description

• Text description (detailed)

• ICD-9 codes

• Complications (ACS)

• Co-morbidities (ACS)

Outcomes

• Proxy measures

• Discharge location

• Discharge GCS (all patients)

• Disabilities scores

For More Information

• ITR Data Dictionary

• www.idahotrauma.org

• ITR FAQs

• www.idahotrauma.org

• Idaho Trauma Registry

• 338-5100 extension 221 • gfranks@teamiha.org

• National Trauma Data Standards• www.ntdsdictionary.org/dataElements/

datasetDictionary.html