Trauma Accreditation Resources
Educational resources compiled by the Pennsylvania Trauma Systems Foundation to assist Pennsylvania hospitals and medical centers’ pursuits of trauma accreditation are listed below.
Information about how to apply for a site survey, updated copies of the PTSF Standards of Accreditation, and ACS Accreditation Guidelines are listed as well.
If the information that you are looking for is not found here, please contact a member of the PTSF staff—they are always happy to help.
**NEW PENNSYLVANIA TRAUMA PROGRAM NURSE LEADERS**
Save-The-Date for the next Trauma Program Nurse Leader Orientation on Wednesday, October 4, 2023, from 10 am-3:00 pm.
Trauma Program Nurse Leader Orientation Registration
Educational Videos
Site Survey Information
Significant Issue Action Plan Template
Required template for submitting an action plan for each Significant Issue identified during the accreditation process. Submit to PTSF Accreditation Staff by the due date listed on the accreditation report cover letter.
Required template for submitting an action plan for each Significant Issue identified during the accreditation process. Submit to PTSF Accreditation Staff by the due date listed on the accreditation report cover letter.
64.23K
Accreditation Policy (AC-106)
Transition Period for the Implementation of New or Revised Standards of Accreditation
Transition Period for the Implementation of New or Revised Standards of Accreditation
137.39K
139.62K
Site Survey Toolkit
Site Survey Guidebook
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.
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.
1.08M
Site Survey Screen Shots
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.
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.
Application for Survey (AFS) User Manual
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
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
AFS Attachment and Report List
A list of reports, data and attachments that will be needed for the completion of the Application for Survey
A list of reports, data and attachments that will be needed for the completion of the Application for Survey
178.93K
AFS Responses in the Setting of COVID-19 FAQ
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.
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.
128.93K
Committee Attendance Log Template
Template for tracking Multidisciplinary Peer Review PI Meeting attendance, and Required for AFS
Template for tracking Multidisciplinary Peer Review PI Meeting attendance, and Required for AFS
86.58K
Education & Credentialing Site Survey Report Template
Education & Credentialing Site Survey Report Template in Word format
Education & Credentialing Site Survey Report Template in Word format
37.79K
Education & Credentialing Site Survey Report Template
*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
*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
25.82K
Alternate Pathway Provider Medical Record Form
Institutions with Alternate Pathway providers: Submit one week prior to survey
Institutions with Alternate Pathway providers: Submit one week prior to survey
77.50K
Trauma Program Medical Director Continuing Education Template
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
Trauma Program Manager Continuing Education Template
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.
Standards of Accreditation
Alternate Pathway Request
Approval Process for use of Non-Board Certified Physicians: Alternate Pathway
Approval Process for use of Non-Board Certified Physicians: Alternate Pathway
270.91K
Letter of Intent and Letter of Request Templates
Letter of Intent (LOI) to Pursue Trauma Center accreditation, and Letter of Request (LOR) for Site Survey
Letter of Intent (LOI) to Pursue Trauma Center accreditation, and Letter of Request (LOR) for Site Survey
80.70K
Resources for Optimal Care of the Injured Patient
American College of Surgeons Committee on Trauma Resources for Optimal Care of the Injured Patient, 7th Edition "The Gray Book"
American College of Surgeons Committee on Trauma Resources for Optimal Care of the Injured Patient, 7th Edition "The Gray Book"
Trauma Center Mentor & Mentee Collaboration: How to Make it Work
Presentation at the 2020 PTSF Annual Conference. Presented By: Peter Thomas, DO, Rebecca Wilde-Onia, MSN, RN, CCRN, & Stephanie Noll, MSN, RN, CNL
Presentation at the 2020 PTSF Annual Conference. Presented By: Peter Thomas, DO, Rebecca Wilde-Onia, MSN, RN, CCRN, & Stephanie Noll, MSN, RN, CNL
1.17M