3701-3-16 Reporting requirements-trauma centers.

(A) As used in this rule "trauma center" as specified in section 4765.01 of the Revised Code means all of the following:

(1) Any hospital that is verified by the American college of surgeons as an adult or pediatric trauma center;

(2) Any hospital that is operating as an adult or pediatric trauma center under provisional status pursuant to section 3727.101 of the Revised Code;

(3) Until December 31, 2004, any hospital in this state that is designated by the director as a level II pediatric trauma center under section 3727.081 of the Revised Code;

(4) Any hospital in another state that is licensed or designated under the laws of that state as capable of providing specialized trauma care appropriate to the needs of the trauma patient.

(B) Beginning March 1, 2007, and at least once every two years thereafter or upon request by the director, trauma centers shall confidentially, as provided by division (B) of section 3701.072 of the Revised Code, report an evaluation of its preparedness to respond to disasters, mass casualties, and bioterrorism to the director. To the extent that adequate information required by this rule is available and provided to the director to comply with this rule, trauma centers are not required to create the information again. Trauma centers may report information required by this rule on a regional basis with prior approval of the director. If trauma centers report as a region, all trauma centers in the region must maintain and individually provide information required by this rule to the director upon request if the director determines the information provide by the regional report is inadequate. Trauma centers may use information and reports from regional medical response systems (RMRS), metropolitan medical response systems (MMRS), or regional physician's advisory board (RPAB), or other regional information available to trauma centers to assist in preparation of the report required by this rule. The report shall include at least the following:

(1) The population and geographic area served by the trauma center including a list of the counties served;

(2) A copy of any existing emergency response plans developed by the trauma center that specify how the trauma center will respond to disasters, acts of bioterrorism, and the receipt of mass casualties;

(3) Copies of any existing memorandums of understanding, contracts, or other similar documents that provide for how the trauma center will manage patients that exceed the capacity of their respective center due to a bioterrorism or disaster event;

(4) Copies of trauma center confirmed verification/consultative documents provided to the "American College of Surgeons" regarding the trauma center's capacity, preparedness, and effectiveness to respond to disasters, mass casualties, and bioterrorism and the trauma center's response either before or after verification is granted. A trauma center may provide a written summary of the information required by this paragraph;

(5) Evidence of participation in exercises sponsored by state or local emergency management agencies or local health departments designed to test local emergency response plans including any existing available after-action reports prepared in response to exercises and provided to trauma centers by state or local emergency management agencies or local health departments;

(6) The trauma center's assessment of their ability to provide routine care and services and to project their ability to provide identified surge capacity to respond to disasters, mass casualties, and bioterrorism through providing the following information for the trauma center on high utilization dates and low utilization dates specified by the director to each trauma center prior to the director requesting the report:

(a) The number ofregistered beds;

(b) The number of staffed beds on the dates specified by the director;

(c) The number of critical care beds by category including adult, pediatric, and neonatal intensive care beds;

(d) The minimum and maximum number of staffed critical care beds by category including adult, pediatric, and neonatal intensive care beds on the dates specified by the director;

(e) The number of operating room beds;

(f) The minimum and maximum number of staffed operating room beds on the dates specified by the director;

(g) The minimum and maximum number of staffed emergency department beds on the dates specified by the director;

(h) The number of ambulatory and non-ambulatory patients that can be decontaminated per hour;

(i) The minimum and maximum number of staffed burn beds on the dates specified by the director;

(j) The number of mechanical ventilation devices on site; and

(k) The number of staffed negative air flow rooms available for the entire hospital and the emergency department of the hospital.

(7) Additional information the director determines is necessary to evaluate the trauma center's preparedness and capacity to respond to disasters, mass casualties, and acts of bioterrorism.

R.C. 119.032 review dates: 04/27/2010 and 04/01/2015
Promulgated Under: 119.03
Statutory Authority: 3701.072
Rule Amplifies: 3701.072
Prior Effective Dates: 5/20/2005, 2/6/06