Trauma Statistics April June 2017 Total Registry Patients for the Quarter: 476 Trauma Program
Registry Volume by Month 250 2016 2017 Linear (2016) 200 150 136 180 160 186 170 173 170 189 182 147 129 100 104 50 0 Jan Feb March April May June July Aug Sept Oct Nov Dec Trauma Program
315 (66%) 300 250 200 267 (56%) 190 (40%) RACE 150 100 161 (34%) 50 0 18 (4%) White Black Other > 85 75-84 65-74 55-64 45-54 35-44 25-34 20-24 15-19 10-14 Age Scene Transfer 118 (25%) 358 (75%) 0 20 40 60 80 100 April - June 2017
Penetrating 88 (19%) Injury Etiology 160 150 (32%) Blunt 387 (81%) 140 120 136 (29%) Injury Severity Score 100 250 200 211 (44%) 80 60 150 142 (30%) 40 28 (6%) 28 (6%) 100 20 10 (2%) 50 63 (13%) 59 (12%) 0 MVC Fall Assault MCC Ped 0 ISS 1-8 ISS 9-15 ISS 16-24 ISS >25 April June 2017
Arrival by Day of the Week 47% arrive Friday Sunday Arrival by Hour Sat 91 250 64% arrive between 4pm and 8am Fri 56 206 200 172 Thurs 67 150 Wed 55 100 98 Tues 54 50 Mon 75 0 00:00-07:59 08:00-15:59 16:00-23:59 Sun 78 0 20 40 60 80 100 April - June 2017
ED Disposition Hospital Disposition DEATH 3 (<1%) DEATH 26 (5%) HOME 39 (8%) LTACH 1 ( < 1%) FLOOR 182 (38%) REHAB 57 (12%) ICU 131 (28%) AMA 4 (< 1%) OR 81 (17%) HOME 320 (67%) 0 50 100 150 200 0 100 200 300 400 Home represents transfers d/c from the ED April - June 2017
OTHER SURG Admitting Service NEURO ORTHO NON-SUG TRAUMA 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% April - June 2017
Non- Surgical Admission by ISS Non-Surgical Admissions (NSA) ISS 0-9 10-15 16-24 >=25 Number of patients admitted to a non-surgical service Percent of total NSA Total NSA w/ trauma consult Total NSA w/any surgical consult (including trauma) Total NSA secondary to single level falls Total mortality (for each ISS category) 56 3 1 0 93% 5% 2% 0 10 0 0 0 51 2 1 0 0 0 0 0 2 0 0 0 April - June 2017
Hospital Length of Stay (days) ICU Length of Stay (days) >8 7 >8 6 5 Average LOS: 6.7 days Median: 3 days (SD 11.6) 7 6 5 Average LOS: 6.9 days 4 4 Median: 3 days (SD 12.3) 3 3 2 2 1 1 0 20 40 60 80 100 120 0 10 20 30 40 50 60 April - June 2017
Hospital LOS (days) by Arrival Month Average Median Linear (Average ) 9 8 7 6 5 4 3 2 1 0 JAN FEB MARCH A PRIL MAY JUNE JULY A UG S EPT OCT NOV D EC CY 2017
ICU LOS (days) by Arrival Month Average Median Linear (Average ) 9 8 7 6 5 4 3 2 1 0 JAN FEB MARCH A PRIL MAY JUNE JULY A UG SEPT OCT NOV D EC CY 2017
Trauma Surgeon Response (Highest Level Activation) 2017 Holsten Hawkins Ferdinand O'Malley White Young Abuzeid January 100 100 75 100 83.3 66.6 100 February 100 100 100 100 100 100 100 March 100 75 100 100 100 85.7 100 April 100 100 100 100 100 100 86 May 100 86 N/A 100 50 100 100 June 100 100 100 100 100 100 100 July August September October November December Service Response Rate: April: 97% May: 87 % June: 100 % ACS Verification Physician Timely Report (% within 15 min) Threshold: 80% Reported quarterly to the state for compliance monitoring of readiness Ref: CD 2-8
Average Surgeon Response Time 105% 100% 95% 90% 85% 80% Threshold 75% Jan Feb March April May June July Aug Sept Oct Nov Dec Target: 15 min response 80% of the time CY 2017
Over and Under Triage April - June 2017 ISS 1 to 15 ISS 16 to 75 Total with ISS Level 1 Level 2 No Activation 53 52 105 139 64 203 161 7 168 Over Triaged Percentage: 50.0 % (Target < 35%) Under Triaged Percentage: 19.0% (Target < 10%) Ref: CD 16-7
Percentage Over and Under Triage 2017 80% 70% 60% 50% 40% 35 % Target 30% 20% 10% 0% 5% Target Jan Feb March April May June July Aug Sept Over Triage Under Triage
Meeting Attendance YTD by percent Ref: CD 6-8, 7-11, 8-13, 9-16, 11-13, 11-39, 11-62, and 16-14 Required Attendee Peer Review Meeting Attendance YTD, by percent Operations Meeting Attendance YTD, by Percent Trauma Panel Member 1 (CF) 100 100 Trauma Panel Member 2 (AA) 100 66 Trauma Panel Member 3 (MH) 66 33 Trauma Panel Member 4 (SH) 83 66 Trauma Panel Member 5 (KO)) 83 100 Trauma Panel Member 6 (CW) 100 100 Trauma Panel Member 7 (LY) 100 100 Emergency Medicine Liaison (MH/SS) 66 100 Orthopedic Liaison (WR) 100 100 Neurosurgery Liaison (JV) 100 33 Anesthesia Liaison (VK) 83 100 Critical Care Liaison (KO) 75 100 Radiology (JM) 100 66 Threshold for meeting attendance: 50% January September 2017
Mortality Quarterly Summary
NAME TRAUMA # ISS ADMIT DATE DIED IN ED IN-HOSPITAL DEATH DOA Walker, Nigel 0676 1 4/17/2017 X Lilly, Theodore 0973 4 5/31/2017 X November, Trauma 0906 9 5/22/2017 X Mattison III, James 0911 9 5/23/2017 X Joseph Stiles 0566 17 4/1/2017 X Watson Jr, Nolan 0865 17 5/16/2017 X Norris, Joel 0944 22 5/27/2017 X Quebec, TraumaTullis,Travi0609 25 4/8/2017 X William Stewart 0742 25 4/26/2017 X Cooke, Gregory 1070 25 6/15/2017 X Rodney Johnson, Papa Tra0596 26 4/6/2017 X Braddy, William 0658 26 4/15/2017 X Whitaker, Carlton 0682 26 4/18/2017 X Ready, Emma 0848 26 5/13/2017 X Quebec, Trauma/Bay,Kaei0940 26 5/26/2017 X Glaze, Marvin 0665 27 4/16/2017 X Goodin, Marvin 0671 27 4/17/2017 X Jorgenson, Walter 0896 29 5/21/2017 X Blount, Eddie 1076 29 6/16/2017 X Griffin, Nicholas 1111 29 6/23/2017 X Green, Devonte 0868 32 5/16/2017 X Foxtrot, Trauma 1141 32 6/30/2017 X niform, Trauma Lopez, Jair0622 34 4/10/2017 X Prevette, Myrtis 0857 34 5/14/2017 X Snead, Henry 0774 35 4/30/2017 X Gordon, Brian 0839 38 5/11/2017 X Royer, John 1104 38 6/22/2017 X Duplisea, Mathew 1042 50 6/11/2017 X Total Trauma Mortality 21/ 3 with f/u Closed in 2nd Review tracking and trending Referred to Peer Review 6-1 for Nov OPS issue identified 1 April June 2017
Mortality Injury Severity Scale (ISS) Summary Table ISS Total Admitted Patients Admitted to the Trauma Service Total Mortalities Total Trauma Service Mortalies Percentage Trauma Mortalities Admitted to Other Service Number Other Percentage Service Mortalities Mortality DOA or ED Death 0-9 239 109 5 1 20% 128 2 40% 2 10-15 72 54 0 n/a n/a 18 n/a n/a 0 16-24 63 61 3 3 100% 2 0 n/a 0 >/= 25 60 54 20 18 90% 5 1 5% 1 TOTAL 434 278 28 22 80% 171 3 10% 3 April June 2017
Benchmark Reporting
SBIRT Benchmark Tracking: SBIRT Screen for all admissions Benchmark: 80% Month # Admitted Patients # SBIRT Completions % Completion July* 78 76 97% August 117 114 97% April June 2017
MTP: Blood products given within 10 minutes of activation Benchmark: 80% Month # Activations Location Trauma Activation Level % Time Blood started within 10 min % Appropriate MTP Activation # Mortalities in this subset Apr-17 5 ED-4 OR-1 Level I-3 Level II- 2 80% 100% 1 May-17 9 ED-7 OR- 2 Level I- 8 78% 100% 2 Jun-17 8 ED-8 Level I- 7 Level II- 1 75% 100% 4 April June 2017
Neurosurgery Benchmark Tracking: GCS < 8 with Neurosurgery ED Consult 37 of the 476 (8%) registry patients had and ED GCS < 8 Of the 37 cases 100% had a Neurosurgery consult in the ED No of Cases % with NS Consult Av. ISS AV LOS ICU AV LOS Hosp # death % Death 37 100 26 12 days 17 days 17 46% April June 2017
Orthopedic Benchmark Tracking: % patients with open Tibia Fx who receive abx within 1hr 11 of the 476 registry patients had an open Tibia fracture Of the 11 cases 7 received antibiotics within one hour of arrival Benchmark 80% Quarter report 64% April June 2017
IR Benchmark Tracking: Time of Notification to Time of IR Team Arrival Benchmark: 30 minute arrival 80% of the time 8 IR requests for reporting period ( July 20 Sept 29) Team arrival within 30 minute: 88% Case Time IR Notified Time IR Team Arrived Timely Time Patient Arrived to IR Precedure Start Time 1 23:15 23:45 Y 0:15 0:27 2 18:40 19:05 Y 19:30 19:55 3 13:31 13:31 Y 13:45 14:30 4 22:35 23:00 Y 23:30 23:45 5 6 7 8 21:06 21:36 Y 22:28 22:49 16:29 16:49 Y 17:15 17:29 8:17 8:17 Y 3:48 4:20 N 4:45 5:00