902 Kar 28:010 Definitions For 902 Kar Chapter 28

Link to law: http://www.lrc.ky.gov/kar/902/028/010.htm
Published: 2015

      902 KAR 28:010.

Definitions for 902 KAR Chapter 28.

 

      RELATES

TO: KRS 211.490, 211.492, 211.494, 211.496

      STATUTORY

AUTHORITY: 211.494(8)

      NECESSITY,

FUNCTION, AND CONFORMITY: KRS 211.494(8) authorizes the Department for Public

Health to promulgate administrative regulations in accordance with KRS Chapter

13A to implement a statewide trauma care system. This administrative regulation

establishes the definitions for 902 KAR Chapter 28 pertaining to the statewide

trauma care system.

 

      Section

1. Definitions. (1) "ABEM" means the American Board of Emergency

Medicine.

      (2)

"ACS COT" means the American College of Surgeons Committee on Trauma.

      (3)

"Adult" means an individual who has attained eighteen (18) years of

age.

      (4)

"AOBEM" means the American Osteopathic Board of Emergency Medicine.

      (5)

"ATCN" means the Advanced Trauma Care for Nurses course for registered

nurses of the American College of Surgeons Society of Trauma Nurses.

      (6)

"ATLS" means the Advanced Trauma Life Support course of the American

College of Surgeons.

      (7)

"Board certified" means the physician has been certified by the

appropriate specialty board recognized by the American Board of Medical Specialties.

      (8)

"Commissioner" means the commissioner of the Kentucky Department for

Public Health.

      (9)

"Consultation" means the peer review process that:

      (a)

A hospital may request prior to verification to assess the hospital’s system of

trauma care, its institutional capabilities, and preparedness for verification;

and

      (b)

Is conducted in accordance with 902 KAR 28:030, Section 2(1)(a).

      (10)

"Department" means the Department for Public Health, Cabinet for

Health and Family Services.

      (11)

"Designation" means the process established in 902 KAR 28:020 by

which a hospital is identified by the department as an appropriate facility to

receive traumatically injured patients.

      (12)

"Emergency medical services" or "EMS" is defined by KRS

311A.010(5)

      (13)

"Health Insurance Portability and Accountability Act of 1996" or "HIPAA"

means the federal law codified at 45 C.F.R. Parts 160, 162, and 164 that covers

the use of a patient’s protected health information.

      (14) "ITLS" or "International Trauma Life

Support" means an international standard training course for pre-hospital

trauma care designed by the American College of Surgeons.

      (15)

"Kentucky Trauma Advisory Committee" or "KyTAC" means the advisory

committee established by KRS 211.494(3).

      (16)

"Kentucky Trauma Hospital Resource Manual" means the detailed

reference document that:

      (a)

Provides guidance, information, references and resources to assist hospital

facilities:

      1.

Seeking designation as a trauma center pursuant to 902 KAR 28:020 or 28:030; or

      2.

Designated as a trauma center pursuant to 902 KAR 28:020 or 28:030;

      (b)

Is published by the Kentucky Trauma Advisory Committee and available on the

Kentucky Hospital Association Web site at http://www.kyha.com/home/kentucky-trauma-care-system;

and

      (c)

Is incorporated by reference in 902 KAR 28:030, Section 3.

      (17)

"Kentucky Trauma Registry "or "KTR" means a database of

information on the operation, quality, and services provided to patients, consistent

with the standards of the National Trauma Data Bank (NTDB) as established by

the American College of Surgeons Committee on Trauma (ASC COT).

      (18)

"Level I trauma center" means a regional trauma center that:

      (a)

Provides total care of every aspect of injury from prevention through

rehabilitation; and

      (b)

Meets the requirements established in 902 KAR 28:020.

      (19)

"Level II trauma center" means a regional trauma center that:

      (a)

Provides screening and initial trauma care of the injured patient regardless of

the severity of injury; and

      (b)

Meets the requirements established in 902 KAR 28:020.

      (20)

"Level III trauma center" means a regional trauma center that:

      (a)

Provides prompt assessment, resuscitation, emergency operations and

stabilization;

      (b)

Arranges for transfer to a facility that can provide trauma care at a higher

level;

      (c)

Serves communities that do not have immediate access to a Level I or Level II

trauma center; and

      (d)

Meets the requirements established in 902 KAR 28:020.

      (21)

"Level IV trauma center" means a regional trauma center that:

      (a)

Provides advanced trauma life support before a patient is transferred to a

higher level of care;

      (b)

Is located in a hospital emergency department; and

      (c)

Meets the requirements established in 902 KAR 28:030

      (22)

"Multidisciplinary trauma review committee" means a committee composed

of the facility’s trauma services medical director and other members of the facility

trauma team that reviews trauma related morbidity and mortality in a hospital.

      (23)

"NTDB" or "National Trauma Data Bank" means the national

repository of trauma registry data established by the ACS COT and found at http://www.facs.org/trauma/ntdb/index.html.

      (24)

"Prehospital care provider" means an individual or organization

certified or licensed by the Kentucky Board of Emergency Medical Services to

provide out-of-hospital emergency medical services.

      (25)

"Process Improvement Program" means a quality assurance program

established by a trauma center in accordance with the requirements of the ACS

COT or the KyTAC, that:

      (a)

Continually evaluates the performance and quality of care provided by a trauma

center; and

      (b)

Recommends quality improvements to the trauma care program of the center.

      (26)

"Protected Health Information" means a patient’s information as

defined in the Health Insurance Portability and Accountability Act of 1996, or HIPAA,

45 C.F.R. Parts 160, 162, and 164.

      (27)

"Response time" means the interval between notification and arrival

of the general surgeon, surgical specialist, or other medical professional in

the emergency department or operating room.

      (28)

"RTTDC" or "Rural Trauma Team Development Course" means a course

developed by ACS COT for rural hospitals to help a rural hospital develop its

trauma team.

      (29)

"TNCC" or "Trauma Nursing Care Course" means a training

course that focuses on trauma care for nurses developed by the Emergency Nurses

Association.

      (30)

"Transfer agreement" means the formal, written agreement between

hospitals for the transfer and acceptance of patients that meets the

requirements established in 902 KAR 28:030.

      (31)

"Trauma" is defined by KRS 211.492(1) and 311A.010(17).

      (32)

"Trauma center" is defined by KRS 211.492(2).

      (33)

"Trauma center verification" is defined by KRS 211.492(3).

      (34)

"Trauma coordinator" or "trauma services manager" means an

individual:

      (a)

Designated by the hospital with responsibility for the coordination of all trauma

care activities and who works in collaboration with the trauma services medical

director; and

      (b)

Responsible for the requirements established in 902 KAR 28:030.

      (35)

"Trauma registry" means a database comprised of trauma data submitted

by all hospitals designated as a trauma center consistent with the standards of

the National Trauma Data Bank (NTDB) as established by the American College of

Surgeons Committee on Trauma (ASC COT).

      (36)

"Trauma services medical director" means the physician designated by

the hospital to coordinate trauma care.

      (37)

"Trauma system" means the integrated network of hospitals and medical

services including transportation, that strives to provide the timely and

appropriate services relative to the degree of the patient’s injury. (38 Ky.R.

1673; Am. 1859; eff. 6-1-2012.)
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