Health Outcomes and 1 more...less...

G3O5. Decrease those struggling with substance abuse

Reduce the number of accidental deaths per 100,000

60.22020

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Story Behind the Curve

Unintentional (accidental) deaths are defined as the following: cut/piercing, drowning, falls, fire/burn, firearm, non-firearm/machinery, natural/environmental. overexertion, poisoning (drug or non-drug), struck by/against, suffocation, terrorism, and transportation-related (motor vehicle, pedal cyclist, pedestrian, water-transport). 

CDC WISQARS, https://wisqars.cdc.gov/cgi-bin/broker.exe

Key highlights of trauma and injury prevention for the state of Indiana are:

  • Injury is the leading cause of death for Hoosiers under the age of 45 and the fifth leading cause of death for Hoosiers of all ages.
  • Problems posed by injury are most acute in our rural areas.
  • A major way that states address the problem of trauma is through the design, implementation and oversight of a statewide trauma system. The IDOH has that statutory responsibility in Indiana.
  • Indiana has in place several elements of a statewide trauma system, but we don’t yet have what can honestly be described as a “system.” Other challenges with our current approach to trauma include:
    • We don’t have enough EMS providers, especially in rural areas.
    • There aren’t enough trauma centers.
    • At the state level, not all components of the trauma system are located in the same state agency.

https://www.in.gov/health/trauma-system/trauma-centers/
 

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What Works

A trauma system is an organized, coordinated effort in a geographic area that delivers the full range of care to all injured patients. Until March 2006, Indiana was among a handful of states with no laws or regulations granting oversight authority for trauma care. Proper oversight is a necessary element of any trauma system. Public Law 155, enacted in 2006 with support from resolutions by the Indiana State Medical Association and the Indiana Emergency Nurses Association, changed that. This legislation designated the Indiana Department of Health (IDOH) as the lead agency for a state trauma care system with goals of preventing injuries and coordinating care for injured patients in order to reduce death and disability.

https://www.in.gov/health/trauma-system/indianas-trauma-system/history-of-trauma-in-indiana/

On January 9, 2017, Governor Holcomb re-issued Governor Daniels' original Executive Order creating the Indiana State Trauma Care Committee.  A link to the full text of the re-issued order can be found here.

Membership of the Indiana State Trauma Care Committee:

Role/Representing Member Representing
Chair Kristina Box, MD IDOH
Vice Chair Stephen Cox IDHS
Level III Trauma Center Physician Justin Koenig, DO Elkhart General Hospital
Level I Trauma Center Physician Erik Streib, MD Eskenazi Health
Level I Trauma Center Physician Peter M. Hammer, MD IU Health – Methodist Hospital
Level I Trauma Center Physician Matthew Landman, MD IU Health - Riley Hospital for Children
Level I Trauma Center Physician Lewis E. Jacobson, MD Ascension St. Vincent Indianapolis Hospital
Level II Trauma Center Physician Jay Woodland, MD Deaconess Hospital
Level II Trauma Center Physician Keith Clancy, MD Lutheran Hospital
Level II Trauma Center Physician Scott Thomas, MD Memorial Hospital of South Bend
Level II Trauma Center Physician Raymond Cava, MD Parkview Regional Medical Center
Level II Trauma Center Physician Kevin McConnell, MD Ascension St. Vincent Evansville Hospital
Level III Trauma Center Physician Allison Thomas, MD Good Samaritan Hospital
Level III Trauma Center Physician Ruban Nirmalan, MD IU Health – Arnett
Level III Trauma Center Physician TBD IU Health – Ball Memorial
Level III Trauma Center Physician Andrew Ritchison, MD Ascension St. Vincent Anderson Regional Hospital
Emergency Medicine Physician Chris Hartman, MD Franciscan Health - Indianapolis
Emergency Medical Services for Children Elizabeth Weinstein, MD Indiana Emergency Medical Services for Children
Emergency Medical Services Provider Ryan E. Williams, MSN, MBA, RN, CEN, CFRN, CHEP, EMT-P Reid Health
Fire Rescue Services Representative Douglas Randell, Division Chief of EMS Plainfield Fire Territory
Nurse Kelly Blanton, BSN, RN, CNRN Ascension St. Vincent Indianapolis Hospital
Nurse Lisa Hollister, DNP, MSN, RN, LSSBB Parkview Regional Medical Center
Physician – Rural David J. Welsh, MD General Surgeon
Physician – Gary Michael A. McGee, MD Methodist Hospital Northlake 
IHA Representative Andrew VanZee Indiana Hospital Association
Ex-Officio Tony Murray Professional Fire Fighters’ Union of Indiana
Challenges

Of all the states, Indiana appropriates the lowest per capita funding for public health programs. This lack of focus on public health programs is one reason Indiana lags behind many states in trauma system development.  The IDOH has successfully acquired and used federal funding to development and implementation of a statewide trauma system. Trauma system development is currently funded by grants from the Indiana Criminal Justice Institute (ICJI), which administers the NHTSA 408 traffic records grant, monies from the federal Centers for Disease Control and Prevention (CDC) Preventive Health and Health Services block grant, CDC National Violent Death Reporting System (NVDRS) grant, CDC Overdose Data 2 Action (OD2A) grant, the Substance Abuse and Mental Health Services Administration (SAMHSA) First Responder Comprehensive Addiction and Recovery Act (FR CARA) grant, Bureau of Justice Administration (BJA) Comprehensive Opioid Abuse Program (COAP) grant and BJA Student, Teachers and Officers Preventing (STOP) School Violence and Prevention grant.

https://www.in.gov/health/trauma-system/indianas-trauma-system/history-of-trauma-in-indiana/

Corrective Action
PoE

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