No. 32084 (Amendment): R426-5-4. Trauma Review Committee

DAR File No.: 32084
Filed: 10/27/2008, 05:17
Received by: NL

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this amendment is to update the method used to designate trauma centers in Utah.

Summary of the rule or change:

The change eliminates the formal Trauma Review Committee and establishes the role of clinical and administrative consultants that the department uses to evaluate compliance with standards set forth in Section R426-5-2.

State statutory or constitutional authorization for this rule:

Title 26, Chapter 8a

Anticipated cost or savings to:

the state budget:

Fees paid by those who voluntarily seek designation as a trauma facility will not change and the cost of using consultants will be covered by the existing fees.

local governments:

This rule will not increase the cost for facilities that are operated by local government. The designation process will remain the same for facilities.

small businesses and persons other than businesses:

This rule will not increase the cost for facilities that are operated by private business. The designation process will remain the same for facilities.

Compliance costs for affected persons:

There is no change in compliance costs. Fees associated with designation will neither increase or decrease. The amendment will eliminate the committee and establish guidelines for the use of consultants and their recommendations for trauma designation.

Comments by the department head on the fiscal impact the rule may have on businesses:

Use of consultants to review compliance with existing guidelines will not have a fiscal impact on regulated business. David N. Sundwall, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Health Systems Improvement, Emergency Medical Services
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY UT 84116-3231

Direct questions regarding this rule to:

Jolene Whitney at the above address, by phone at 801-538-6290, by FAX at 801-538-6808, or by Internet E-mail at [e-mail]

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

12/15/2008

This rule may become effective on:

12/22/2008

Authorized by:

David N. Sundwall, Executive Director

RULE TEXT

R426. Health, Health Systems Improvement, Emergency Medical Services.

R426-5. Statewide Trauma System Standards.

R426-5-4. Trauma Review[ Committee].

(1) The Department shall[ appoint a Trauma Review Committee. The committee shall annually] evaluate trauma centers and applicants [for]to verify compliance [to]with standards set in R426-5-2[ for verification. The committee shall report results to the Department. The committee shall be composed of the following persons]. In conducting each evaluation, the Department shall consult with experts from the following disciplines:

(a) [one surgeon, knowledgeable in ]trauma surgery;

(b) [one ]emergency [physician]medicine;

(c) [one nurse;]emergency or critical care nursing; and

(d) [one ]hospital [administrator; and]administration.[

(e) one Department representative.]

(2) [With the exception of the Department representative, tenure shall be three years. Initial appointments for the physicians, nurse and hospital administrator shall be for three, two and one year(s), respectively. Committee members may be reappointed. A physician representative shall serve as committee chair.

(3) Trauma Review Committee members ]A consultant shall not [review their own hospitals]assist the Department in evaluating a facility in which the consultant is employed, practices, or has any financial interest.[ When this situation arises, the Department shall appoint a temporary alternate member.]

 

KEY: emergency medical services, trauma, reporting

Date of Enactment or Last Substantive Amendment: [June 4], 2008

Notice of Continuation: July 18, 2007

Authorizing, and Implemented or Interpreted Law: 26-8a