This document addresses some of the frequently asked questions regarding trauma center operations, Standards compliance, accreditation and site survey implications as a result of the COVID-19 global pandemic
AHA interim guidelines for ACLS, BLS and PALS patients with confirmed or suspected COVID-19.
A list of frequently asked questions and answers to offer guidance for responses within the AFS to best demonstrate the effects of the pandemic within the trauma program.
Additional Resources for the surgical community.
Basic Trauma Care “Just in Time” education material
American College of Surgeons Committee on Trauma Guidance for ATLS Course Directors and Participants
July 24, 2020--Trauma Center return to operational compliance update.
March 19, 2020--COVID-19 response related to Site Survey, Education/Conferences, Standards of Accreditation and more!
Source: PaDOH Infographic
Additional information regarding COVID-19
Maintaining Trauma Center Access & Care during the COVID-19 Pandemic: Guidance Document for Trauma Medical Directors
Presented by Betsy Seislove, MSN, RN
Senior Regional Care Director
Presented by:
Lyndsey Diehl, RHIA, CHDA, CSTR
Stephanie Radzevick, CPC
Moderated by Niels Martin, MD, FACS
Presented by:
Kelly Donatelli, BSN, RN, CEN
Kathryn Hayes, RN
Rebecca Wilde-Onia, BSN, RN, CCRN
Presented by Juliet Altenburg, MSN, RN
Presented by Erin L. Hall, PsyD
Presented by the Coalition of Trauma Centers for Firearm Injury Prevention (CTCFIP)
Zoë Maher, MD, FACS
Presented by:
Darlene Gondell, MSN, RN, CRNP, ACNP-BC, CCRN, TCRN
Amy Krichten, MSN, RN, CEN, TCRN
Presented by Avery Nathens, MD, PhD, FRCS(C)
Presented by PTSF Staff & HAP Staff Memebers
View the schedule of events and individual session descriptions
This link is for the conference sessions that were held on October 19, 2020. If prompted, enter the password (case-sensitive) PTSF
This link if for the conference sessions that were held on October 20, 2020. If prompted, enter the password (case-sensitive) PTSF
This link is for the conference sessions that were held on October 21, 2020. If prompted, enter the password (case-sensitive) PTSF
Select from numerous research topics. If prompted enter the password (case-sensitive) PTSF
Agenda & abstracts
Presented By:
David B. Simmons, DMin, MHA, BCC
Kelly Holder, Ph.D.
Michael Hayes, Ph.D.
Presented By:
Kimberly Shoff
Gabrielle Wenger
Presented By:
Erin L. Hall, PsyD
Clinical Psychologist
Departments of Trauma Surgery & Critical Care Medicine
Presented By:
Barbara A. Gaines, MD
Presented By:
Robbie Dumond MHA, BSN, TCRN, AEMT
Sr. Director of Trauma Services
University of Colorado Hospital
Presented By:
Peter Thomas, DO
Rebecca Wilde-Onia, MSN, RN, CCRN
Stephanie Noll, MSN, RN, CNL
Presented By:
George Koenig, DO, MS, FACS
Presented By:
Lyndsey Diehl
Stephanie Radzevick
Presented By:
Lyndsey Diehl
Gabrielle Wenger
Presented By:
Gabrielle Wenger
Presented By:
Sarah Mattocks
UPMC Hamot
2020 PTSF Research Award Winners
NOTE: This checklist was written based on the current (2020) VAP definition. The checklist will need updated as changes are made to the VAP definition.
24th Annual PTSF Fall Conference Logistics Document
This document will highlight how to access videos, complete evaluations, and receive contiuing education credit
Handout regarding ACCME details.
Available for on-demand viewing.
Register in advance for each day of the conference.
2020 Fall Conference - Monday Session
Needs assessment for new trauma center development (2014 version)
White Paper Summary, Needs Assessment for New Trauma Center Devlpt. (2014)
PTSF Bylaws
2018 – 2020 Strategic Goals
Annual Report, Digital Edition
January 16, 2019--this publication highlights the 2019 board of directors and officers, as well as action items from the December board meeting. Committee updates, technology updates and educational events are also included.
March 22, 2019--the following update highlights board action items and approval from the recent board of directors meeting, held on March 8, 2019.
August 6, 2019--the following publication includes action items from the July Board of Directors meeting, as well as additional information/updates from our trauma partners and stakeholders.
November 5, 2019--this publication highlights recent board action, PTSF updates, as well as Fall Conference highlights.
December 11, 2019--this update includes information regarding new board leadership for 2020, new board members for 2020, technology and accreditation updates.
January 17, 2020--this update highlights additional information/action from the December 2019 Board of Directors meeting.
March 19, 2020--COVID-19 response related to Site Survey, Education/Conferences, Standards of Accreditation and more!
April 20, 2020--the following communication highlights recent approvals from the PTSF Board of Directors meeting on Tuesday, April 14, 2020. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
August 8, 2020--the following publication includes action items from the July Board of Directors meeting, as well as additional information/updates from our trauma partners and stakeholders.
October 26, 2020--this publication highlights our recent Virtual Fall Conference as well as Committee updates.
Board and Non-Board Committee Roster
September 6, 2017--The following communication provides clarification on items that were discussed during the TQIP Collaborative Leadership meeting. If you have questions, or seek further clarification, please contact Lyndsey Diehl, RHIA—Trauma Data Quality Specialist at ldiehl@ptsf.org.
September 26, 2017--The following communication provides clarification on items that were discussed during the June 2017 TQIP Collaborative meeting. If you have questions, or seek further clarification, please contact Lyndsey Diehl, RHIA—Trauma Data Quality Specialist at ldiehl@ptsf.org.
Pennsylvania Statewide Advanced Life Support Protocols
Pennsylvania Statewide Basic Life Support Protocols
Pennsylvania Statewide Critical Care Transport Protocols
Guidelines for Field Triage of Injured Patients
June 2018, developed in collaboration by Pennsylvania College of Emergency Physicians & Pennsylvania Emergency Health Services Council
EMS Handoff Report
Standardizing the EMS to Trauma Team Patient Hand-off in Pennsylvania
NASEMSO ~ March 8, 2017
Revised 02.07.2020
This document provides detail/clarification related to the annual education fee for hospitals pursuing trauma accreditation (Revised: December 6, 2019)
Trauma fees are guaranteed through December 31, 2022.
trauma registry-specific training sessions
The cast of CBS's "Code Black" provide this "YouTube" PSA for you
Funded with the Pa Department of Health
Having a party? Follow these simple rules.
The Dangers of Bounce Houses
Manager of Trauma Performance Improvement, revised November 17, 2020
June 19, 2018--Dr. Nathens' recorded session from the PA-TQIP Collaborative meeting
PTSF Involvement in TQIP: This memo serves to clarify the position of the PTSF Board of Directors regarding use of TQIP reports as part of the accreditation process. It also addresses the role of PTSF staff members supporting TQIP activities with PA trauma centers.
PA-TQIP Collaborative Staff & Board Involvement: PTSF legal counsel's input was requested in order to review concerns raised by trauma centers related to PTSF staff and board member involvement in Pennsylvania TQIP Collaborative meetings. Those concerns (and PTSF calrification) are oulined in this memo.
VTE Prophylaxis, posted July 15, 2020
Confidentiality Statement
TQIP Data Publication Policy Statement
ACS Resouces for Optimal Care of the Injured Patient, 6th Edition
Action Plan Template
Submitting Death Reviews to a Central Site (revised December 2016)
DI Report Writere Training - New centers for new staff can register for web-based training sessions. Offered for Modules 1-6 once a month each. Modules 1 & 2 are free!
Located in the Support section of the Central Site Portal with detailed instructions on how to use Pa v5 Outcomes and how to submit PA v5 Outcomes Death records.
Posted April 20, 2017
The Society of Trauma Nurses "Trauma Outcomes and Performance Improvement Course" program information and registration
Timeliness of Submission to the Outcomes Central Site (revised September 24, 2020). This NEW policy is effective January 1, 2021.
Appeals & Procedures on Appeals (Rev. 07.01.2019)
Comment Period for New or Revised Standards of Accreditation (Rev. 07.01.2019)
Applying for a Variance from a Standard (Rev. 07.01.2019)
Transition Period for the Implementation of New or Revised Standards of Accreditation (Rev. 07.01.2019)
Certificates of Accreditation (Rev. 07.01.2019)
Surveyor Selection Criteria (Rev. 07.01.2019)
Trauma Center Diversion--Level 1, 2 & 3 Trauma Centers (Rev. 07.01.2019)
*REVISED POLICY*
Revised by the Board of Directors on September 27, 2019, effective immediately -- Notification of PTSF Regarding Changes in Trauma Center Operations
Approval Process for use of Non-Board Cert Physicians: Alternate Pathway (PTSF Board of Directors Revised, 07.11.2019)
Process for Becoming an Accredited Trauma Center--revised September 24, 2020
Use of Trauma Program Consultants (Rev. 07.01.2019)
Media Notification Regarding Trauma Center Status (Rev. 07.01.2019)
Team Member Attendance/Cancellation for Site Visits (Rev. 07.01.2019)
Request for Reconsideration of Accreditation Deliberation Decision--revised July 23, 2020
Accreditation Guidelines & Continuum for Board Members--revised July 23, 2020
Process for Elevating Trauma Center Accreditation Level (Rev. 08.20.2019)
Level Four Trauma Center Mid-Cycle Panel Review--updated July 23, 2020
Level I, II & III Trauma Center Accreditation Extension--this new policy was adopted by the PTSF Board of Directors on July 23, 2020. Trauma centers surveyed in 2020 that meet the criteria outlined in this policy will be eligible to apply for the one-year extension beginning in spring of 2022. Specific date(s) will be outlined in Accreditation Reports moving forward for eligible trauma centers.
Reviewing Complaints
Conflicts of Interest
Endorsement
Non-Board Committee Membership--revised July 23, 2020
Payments & Refunds of Fees--revised September 24, 2020
PTSF Board Recognition of Committees
Process for Board Approval of Waiver Requests from Hospitals Pursuing Level I, II, or III Trauma Center Accreditation--revised July 23, 2020
Discussion from December Board Meeting in reference to Level III Centers
Timeliness of Submission to the Outcomes Central Site (revised September 24, 2020). This NEW policy is effective January 1, 2021.
Timeliness of Submissions to the Central Site--revised September 24, 2020
Accreditation of Trauma Centers, Submission of list, Funding, Notification of Trauma Center Closure, Reporting and Certification, Financial Support
Application for PTOS data
Integrating Military and Civilian Trauma Systems to Achieve Zero . . .
Guidelines for Field Triage of Injured Patients
Coalition of Trauma Centers for Firearm Injury Prevention – Mission Statement
The Commonwealth of Pennsylvania
Accredited Trauma Center Map
Hospitals Pursuing Trauma Center Accreditation
Resource for Emergency Department Care of Pediatric Patients
Needs assessment for new trauma center development (2014 version)
White Paper Summary, Needs Assessment for New Trauma Center Devlpt. (2014)
2019 Membership Listing
PTSF Pediatric Trauma Committee
This report describes ped trauma cases in rural counties 1996 through 2001.
PTOS Non-Research Data Request form
Details of the Risk Adjusted Mortality modeling using 2011-2013 PTOS data
This report describes trauma cases in rural counties 1996 through 2001
Developed by the Research Committee of the PTSF
J. Geiger, September 5, 2012
Clarification of trauma nurse course delivery
This document addresses some of the frequently asked questions regarding trauma center operations, Standards compliance, accreditation and site survey implications as a result of the COVID-19 global pandemic
Certificates of Accreditation (Rev. 07.01.2019)
Process for Becoming an Accredited Trauma Center--revised September 24, 2020
Media Notification Regarding Trauma Center Status (Rev. 07.01.2019)
Request for Reconsideration of Accreditation Deliberation Decision--revised July 23, 2020
Process for Elevating Trauma Center Accreditation Level (Rev. 08.20.2019)
Click to access the electronic application
Guide to Understanding the Accreditation Report
This Guidebook was developed for Site Surveyors to use as a tool when completing consultative visits and/or site survey accreditation visits.
Action Plan Template
A list of reports, data and attachments that will be needed for the completion of the Application for Survey
A list of frequently asked questions and answers to offer guidance for responses within the AFS to best demonstrate the effects of the pandemic within the trauma program.
To be signed by hospital administration
This Manual was developed to assist trauma program staff with their preparation for completing the Application for Survey. Includes answers to FAQ. Located in the Support section of the Central Site Portal
Institutions with Alternate Pathway providers: Submit one week prior to survey
Template for tracking Multidisciplinary Peer Review PI Meeting attendance, and Required for AFS
*NEW* Education & Credentialing Site Survey Report Template in Excel format with automatic calculations and non-compliant areas turning red to alert non-compliance and the need for a comment to explain
Education & Credentialing Site Survey Report Template in Word format
This Guidebook was developed to assist trauma program staff with their preparation for accreditation site visits. This document is written for all trauma levels, including both pursuing and accredited trauma centers.
Submit to PTSF 3-weeks prior to site survey. This form has now been combined with the contact form. You will only need to complete this form.
Submit to PTSF 3-weeks prior to site survey. This form has now been combined with the contact form. You will only need to complete this form.
Screen shots of the questions answered by the Site Surveyors during Medical Record Review. These documents were developed to assist trauma program staff, specifically useful for Chart Navigators, in preparation for the accreditation survey. Located in the Support section of the Central Site Portal.
Optional attachment for the AFS. Located in the Support section of the Central Site Portal.
Optional attachment for the AFS. Located in the Support section of the Central Site Portal
ACS Resouces for Optimal Care of the Injured Patient, 6th Edition
This document addresses some of the frequently asked questions regarding trauma center operations, Standards compliance, accreditation and site survey implications as a result of the COVID-19 global pandemic
2020 Standards Comparison by Trauma Level
Pennsylvania Trauma Nursing Core Curriculum compliance expected 1.01.2020
Pennsylvania Trauma Nursing Core Curriculum 2014-2019
Letter of Intent (LOI) to Pursue Trauma Center accreditation, and Letter of Request (LOR) for Site Survey
Version 08.15.2020
Version 08.15.2020
Version 08.15.2020
Clarification of trauma nurse course delivery
Provided by Conemaugh Health System
Version 4
June 22, 2017--By clicking here you'll find clarification regarding the Trauma Vendor Alliance (TVA) and a recent ACS communication regarding the NTDB Data Center
January 10, 2018--By clicking here you'll find a memorandum from Juliet Altenburg, PTSF Executive Director clarifying communications related to Digital Innovations, Inc. (PAv5) software
June 7, 2018--this update provides information regarding trauma center registration for the TVA Trauma Cloud.
September 18, 2018--PaV5 & Trauma Cloud Update
March 18, 2020--this update highlights AIS 2015 in PA, as well as a DRILLER update
References and examples for developing evidenced-based Practice Management Guidelines