1. (1) Purpose. Each RTAC shall use the trauma registry data collected under s. DHS 118.09 to improve trauma care, reduce death and disability and correct local and regional injury problems.

   Note: The RTAC should include in its performance improvement activities for all patient ages a surgeon involved in trauma care, an emergency department physician, an EMS representative, an EMS medical director, a person who coordinates the trauma program or the performance improvement process in a trauma facility, and other trauma care and prevention professionals the RTAC determines appropriate.

2. (2) Data confidentiality. Each RTAC shall observe the confidentiality provisions of the Health Insurance Portability and Accountability Act under 45 CFR 164.

3. (3) Process. The performance improvement process shall include all of the following for both pediatrics and adults:

   1. (a) Data collection and analysis.
   2. (b) Adult and pediatric-specific quality indicators for evaluating the trauma system and its components.
   3. (c) A system for case referral.
   4. (d) A process for indicator review and audit.
   5. (e) A mechanism for loop-closure.
   6. (f) A mechanism for feedback to executive council.
   7. (g) An evaluation of system performance.
   8. (h) A procedure for ensuring that all parties having access to information associated with individuals and entities with respect to a trauma care system problem or issue keep the information confidential throughout the performance improvement process.

History

History: CR 04-055: cr. Register December 2004 No. 588, eff. 1-1-05.