Background

Foundation History 2

History of Trauma Center/System Development in Pennsylvania

January 1989	Fourth accreditation cycle begins: 1989-90 Standards for Trauma Center Accreditation, including standards for combined trauma centers, and Applications for Survey available. Combined trauma centers are those institutions that actively maintain resources meeting both the adult and pediatric standards simultaneously. There are specific areas which may be shared as stipulated in the Standards. These combined standards are over and above the minimum pediatric standards which are mandated for all accredited trauma centers.
March 1989	Trauma Program Coordinators Conference - The first statewide nursing peer review of trauma cases is held.
May - July 1989	Fourteen (14) hospitals are surveyed by survey teams of experts from outside of Pennsylvania.
August - October 1989	Quality Assurance consultations are provided for 14 two-year accredited trauma centers.
October 1989	Board announces accredited trauma centers for the period October 1, 1989 through September 30, 1990: Eleven (11) Regional Resource Trauma Centers Twelve (12) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
December 1989	One hospital voluntarily withdraws as an accredited Regional Trauma Center.
January 1990	Fifth accreditation cycle begins: Applications for Survey available.
March 1990	Quality Assurance consultations are provided for three (3) two-year accredited trauma centers.
May - July 1990	Seventeen (17) hospitals are surveyed by survey teams of experts from outside of Pennsylvania.
July 1990	1991-95 Standards for Trauma Center Accreditation are available and are circulated to the current accredited trauma centers.
October 1990	Board announces accredited trauma centers for the period October 1, 1990 through September 30, 1991: Twelve (12) Regional Resource Trauma Centers Ten (10) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
January 1991	1991-95 Pediatric Standards for Trauma Center Accreditation and Standards for Additional Qualifications in Pediatric Trauma are available and are circulated to all current accredited trauma centers. The Standards for Additional Qualifications in Pediatric Trauma are for Regional Resource and Regional Trauma Centers which have full commitment to pediatric trauma -- beyond the minimum pediatric specific standards required for all Regional Resource and Regional Trauma Centers. Sixth accreditation cycle begins: Applications for Survey available.
April 1991	Automobile Insurance Reform Act includes payment for accredited trauma centers at the usual and customary rate for trauma patients who are triaged using the pre-hospital triage criteria.
May - July 1991	Sixteen hospitals are surveyed by survey teams of experts from outside of Pennsylvania.
October 1991	Board announces accredited trauma centers for the period October 1, 1991 through September 30, 1992: Eleven (11) Regional Resource Trauma Centers One (1) Regional Resource Trauma Center with Additional Qualifications in Pediatric Trauma Ten (10) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
October 1992	Board announces accredited trauma centers for the period October 1, 1992 through September 30, 1993: Nine (9) Regional Resource Trauma Centers Three (3) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Eleven (11) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
December 1992	Governor Robert P. Casey signs a bill into law that extends the maximum accreditation period for certificates granted to trauma centers from two to three years.
June 1993	Workers' Compensation Reform bill provides an exemption for accredited trauma centers (the same as the Automobile Insurance Reform bill).
January 1994 - August 1997	Accreditation site survey process undergoes refinements including computerization of site survey process. Pennsylvania Trauma Outcome Study database used for: Research efforts Public policy information including bicycle helmet legislation Public education including violence and gun management As of August 1997, there are 26 hospitals accredited as trauma centers in Pennsylvania.
October 1998	Board announces accredited trauma centers for the period October 1, 1998 through September 30, 1999: Eight (8) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Thirteen (13) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
October 1999	Board announces accredited trauma centers for the period October 1, 1999 through September 30, 2000: Eight (8) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Thirteen (13) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
October 2000	Board announces accredited trauma centers for the period October 1, 2000 through September 30, 2001: Eight (8) Regional Resource Trauma Centers Five (5) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Thirteen (13) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
October 2001	Board announces accredited trauma centers for the period October 1, 2001 through September 30, 2002: Eight (8) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Thirteen (13) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
October 2002	Board announces accredited trauma centers for the period October 1, 2002 through September 30, 2003: Ten (10) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Ten (10) Regional Trauma Centers Two (2) Pediatric Regional Resource Trauma Centers
March 2003	Board announces accreditation status has been granted to St. Christopher's Hospital for Children, a Pediatric Regional Resource Trauma Center, for the period from March 17, 2003 through September 30, 2004.
October 2003	Board announces accredited trauma centers for the period October 1, 2003 through September 30, 2004: Ten (10) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Ten (10) Regional Trauma Centers Three (3) Pediatric Regional Resource Trauma Centers
November 2003	Tenet Health System suspends trauma services at Medical College of Pennsylvania Hospital due to nursing strike. Tenet Health System temporarily suspends trauma services at Hahnemann University Hospital due to lack of trauma physician coverage.
December 2003	Tenet Health System announces closure of Medical College of Pennsylvania Hospital effective March 31, 2004.
January 2004	Hahnemann University Hospital resumes trauma services.
March 2004	Governor Rendell signs HB 100 into law providing funding for trauma centers and mandating that PTSF develop standards for trauma center accreditation for Level III trauma centers.
October 2004	Board announces 26 accredited trauma centers for the period October 1, 2004 through September 30, 2005: Nine (9) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Ten (10) Regional Trauma Centers Three (3) Pediatric Regional Resource Trauma Centers
January 2005	Level III Standards for trauma center accreditation finalized.
October 2005	Board announces 26 accredited trauma centers for the period October 1, 2005 through September 30, 2006: Nine (9) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Ten (10) Regional Trauma Centers Three (3) Pediatric Regional Resource Trauma Centers
October 2006	Board announces 26 accredited trauma centers for the period October 1, 2006 through September 30, 2007: Nine (9) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Ten (10) Regional Trauma Centers Three (3) Pediatric Regional Resource Trauma Centers
October 2007	Board announces 27 accredited trauma centers for the period October 1, 2007 through September 30, 2008: Nine (9) Regional Resource Trauma Centers Four (4) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Eleven (11) Regional Trauma Centers Three (3) Pediatric Regional Resource Trauma Centers
October 2007	Board announces accreditation of one Level III trauma center for the period November 1, 2007 through September 30, 2008. This is the first accredited Level III trauma center in Pennsylvania.
November 2007	Board announces 28 accredited trauma centers for the period November 1, 2007 through September 30, 2008: Ten (10) Regional Resource Trauma Centers Three (3) Regional Resource Trauma Centers with Additional Qualifications in Pediatric Trauma Eleven (11) Regional Trauma Centers Three (3) Pediatric Regional Resource Trauma Centers One (1) Level III Trauma Center
October 2008	Trauma center titles change from Regional Resource and Regional language to Level I and Level II language. In addition Level I and Level II centers are identified as either Adult or Pediatric. Board announces 28 Level I and Level II accredited trauma centers for the period October 1, 2008 through September 30, 2009: Ten (10) Adult Level I Trauma Centers One (1) Adult Level I/Pediatric Level I Trauma Center Two (2) Adult Level I/Pediatric Level II Trauma Centers Twelve (12) Adult Level II Trauma Centers Three (3) Peditric Level I Trauma Centers
November 2008	Board announces accreditation of two Level III trauma centers for the period November 1, 2008 through September 30, 2009.
July 2009	Board approves development of Level IV standards for trauma center accreditation. Three year timeline developed.
November 2009	Board announces accreditation of 32 trauma centers, 4 of which are Level III trauma centers for the period November 1, 2009 through September 30, 2010.
October 2010	Board announces accreditation of 31 trauma centers, 1 of which is a new Level II trauma center for the period October 1, 2010 through September 30, 2011.
March 2011	Board approves Standards of Trauma Center Accreditation for Level IV Trauma Centers.