trauma room

Resource Files & Links

*Staff Change Notification to PTSF (Accredited and Pursuing Trauma Centers)

Accredited and Pursuing Trauma Center Staff Change Notification
Please complete the Accredited and Pursuing Trauma Center Staff Change Notification Form for all applicable trauma center or pursuing trauma center staff changes. Thank you for your assistance.
 
Accreditation Policy (AC-128)
Notification Regarding Changes in Trauma Center Operations for Pursuing and Accredited Trauma Centers
153.50K

Administration/Board

PTSF Strategic Plan
2022 – 2024 Strategic Goals
332.27K
198.26K

Board of Directors Updates

Board of Directors Update — December 2024
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on December 12, 2024, technology/trauma registry updates, committee updates, and announcements from the PTSF. If you have questions related to the content of this update, please contact Amy Kempinski, MSN, RN, CEN, TCRN—PTSF President.
908.24K
PTSF Conference Newsletter — October 2024
The following communication highlights announcements from the 2024 PTSF Annual Statewide Conference. If you have questions related to the content of this update, please contact Amy Kempinski, MSN, RN, CEN, TCRN—PTSF President.
1.54M
Board of Directors Update — September 2024
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on September 19 - 20, 2024, technology/trauma registry updates, committee updates, and announcements from the PTSF. If you have questions related to the content of this update, please contact Amy Kempinski, MSN, RN, CEN, TCRN—PTSF President.
471.95K
Board of Directors Update — July 2024
The following communication highlights news from the PTSF office and recent approvals from the PTSF Board of Directors meeting on July 18, 2024. If you have questions related to the content of this update, please contact Amy Kempinski, MSN, RN, CEN, TCRN—PTSF President.
314.33K
Board of Directors Update — June 2024
The following communication highlights news from the PTSF office and recent approvals from the PTSF Board of Directors meeting on May 22, 2024. If you have questions related to the content of this update, please contact Amy Kempinski, MSN, RN, CEN, TCRN—PTSF President.
655.89K
Board of Directors Update — March 2024
The following communication highlights news from the PTSF office and recent approvals from the PTSF Board of Directors meeting on February 23, 2024. If you have questions related to the content of this update, please contact Amy Kempinski, MSN, RN, CEN, TCRN—PTSF President.
4.00M

Committees

2025 PTSF Non-Board Committee Rosters
2025 PTSF Non-Board Committee Rosters and Committee Descriptions
228.48K
2025 Committee Descriptions
PTSF Committee Descriptions
130.84K

EMS & Pre-Hospital Information

Pennsylvania DMIST Poster
EMS Handoff Report
148.37K

Fee Schedule(s)

2025 PTSF Educational Offerings
This document provides details related to PTSF's educational offerings for 2025.
253.66K
2025 PTSF Fee Schedule
Trauma fees are effective — January 1, 2025 through December 31, 2025
145.83K
2026 PTSF Fee Schedule
Trauma fees are effective — January 1, 2026 through December 31, 2026
142.53K

Injury Prevention

 
PA DOH
Quick Link
 
PennDOT
Quick Link
 
Safe Kids PA
Quick Link
 
 
Stop the Bleed ™
Quick Link
 
Safe Kids Worldwide
Quick Link
 
 
 
Safe States Alliance Injury Prevention Inventory
A Compendium of Injury Prevention Strategies, Sample Measures & Resources
 
Safe States Alliance IVP Orientation Toolkit
Safe States Alliance Training
 
ATS Injury Prevention Coordinator Course
Comprehensive Education for the Injury Prevention Professional
 
Coalition of Trauma Centers for Firearm Injury Prevention
Presented by Zoe Maher, MD, FACS - Assistant Professor of Surgery Lewis Katz School of Medicine at Temple University
2.57M

Job Announcements & Ads

Accreditation Specialist – Employment Opportunity
The PTSF encourages interested candidates to express their interest in the Accreditation Specialist position here: https://forms.office.com/r/auDHi3EhZd
328.74K

PA TQIP Collaborative

June 2018 ~ PA TQIP Collaborative meeting
June 19, 2018--Dr. Nathens' recorded session from the PA-TQIP Collaborative meeting
 

Performance Improvement

PI for Inter-Facility Transfers: Intra-Network & Out-of-Network
Presentation from 2018 PTSF Annual Conference. Presented by St. Luke's Hospital Miners Campus Trauma Program
917.97K
Whole Blood in Trauma: Developing a LTOWB Program at Your Center
Presentation at the 2020 PTSF Annual Conference. Presented By: George Koenig, DO, MS, FACS
2.61M
2021 VAP Checklist
NOTE: This checklist was written based on the current (2021) VAP definition. The checklist will need updated as changes are made to the VAP definition.
179.87K
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"
 
Trauma Outcomes Policy (TO-100)
Timeliness of Submission to TraumaHQ PIPS Central Site
177.65K
TOPIC Information & Registration
The Society of Trauma Nurses "Trauma Outcomes and Performance Improvement Course" program information and registration
 
Protected: Central Site Standardization Work Group
Submitting Death Reviews to a Central Site (revised December 2016)
247.73K
Action Plan Template
Template for developing PI corrective action plans. Must be used for Significant Issues identified in the accreditation process.
64.23K
Scenarios for Hospital Event V-A-P Easy as 1-2-3
Presentation at the 2020 PTSF Annual Conference - Monday Session
151.57K
Hospital Events VAP and Pneumonia
Presentation at the 2020 PTSF Annual Conference - Monday Session
503.06K
90-Day Submission-Maximizing the Loop Closure Process
Presentation at the 2019 PTSF Annual Conference. Presented by: Kelly Donatelli, BSN, RN, CEN, Kathryn Hayes, RN, and Rebecca Wilde-Onia, BSN, RN, CCRN
 
Billing for Level IV Trauma Activations
Presentation at the 2018 PTSF Annual Conference. Presented by St. Luke's Hospital Miners Campus Trauma Program
503.15K
Just Say Yes! A Plan & Process for Rapid Transfer Out
Presentation at the 2018 PTSF Annual Conference. Presented by: Alexandra Evans, RN, BSN, Trauma Program Manager at Lehigh Valley Hospital-Hazleton
1.23M

Policies & Guidelines

Board of Directors Policy (BD-101)
Travel Expense Reimbursement
147.40K
Board of Directors Policy (BD-105)
Reviewing Complaints
160.24K
Board of Directors Policy (BD-106)
Conflict of Interest
161.98K
Board of Directors Policy (BD-108)
Investment Guidelines for Operating Funds
204.42K
Board of Directors Policy (BD-109)
Non-Board Committee Membership
179.05K
Board of Directors Policy (BD-113)
Payments and Refunds of Fees
167.86K
Board of Directors Policy (BD-114)
Recognition of Committees
141.32K
Board of Directors Policy (BD-115)
Process for Board Approval of Waiver Requests from Hospitals Pursuing Adult Level I, II, or III Trauma Center Accreditation
153.76K
Trauma Outcomes Policy (TO-100)
Timeliness of Submission to TraumaHQ PIPS Central Site
177.65K
Trauma Registry Policy (TR-106)
Trauma Registry Educational Visits Policy
175.01K
Trauma Registry Policy (TR-110)
Timeliness of Submission to the Central Site
137.12K
146.24K
Accreditation Policy (AC-104)
Comment Period for New or Revised Standards of Accreditation
136.16K
Accreditation Policy (AC-105)
Applying for a Variance from a Standard
130.48K
Accreditation Policy (AC-106)
Transition Period for the Implementation of New or Revised Standards of Accreditation
137.39K
Accreditation Policy (AC-107)
Surveyor Travel Reimbursement
126.00K
Accreditation Policy (AC-114)
Certificates of Accreditation
148.19K
Accreditation Policy (AC-119)
Surveyor Selection Criteria
181.24K
Accreditation Policy (AC-127)
Trauma Center Diversion — Level I, II & III Trauma Centers
126.32K
Accreditation Policy (AC-128)
Notification Regarding Changes in Trauma Center Operations for Pursuing and Accredited Trauma Centers
153.50K
Accreditation Policy (AC-129)
Process for use of Non-Board Cert Physicians: Alternate Pathway
225.66K
Accreditation Policy (AC-130)
Process for Becoming an Accredited Trauma Center
217.34K
Accreditation Policy (AC-131)
Use of Trauma Program Consultants
139.43K
Accreditation Policy (AC-132)
Media Notification Regarding Trauma Center Status
143.58K
Accreditation Policy (AC-133)
Survey Team Member Attendance/Cancellation for Surveys
173.26K
Accreditation Policy (AC-136)
Request for Reconsideration of Board of Directors Decision
148.04K
Accreditation Policy (AC-137)
Accreditation Guidelines for Board Members
168.09K
Accreditation Policy (AC-138)
Process for Trauma Center Accreditation Level Change
173.00K
Accreditation Policy (AC-139)
Level Four Trauma Center Mid-Cycle Panel Review
164.26K
Accreditation Policy (AC-140)
Level I, II & III Trauma Center Accreditation Extension
145.20K
Accreditation Policy (AC-141)
Level I, II & III Virtual Survey Process
139.38K
Accreditation Policy (AC-142)
Level I, II and III Survey Process for Exemplary Trauma Centers
189.03K

PTSF Archive

2014 Needs Assessment Executive Summary
White Paper Summary, Needs Assessment for New Trauma Center Devlpt. (2014)
272.15K
2014 Needs Assessment
Needs assessment for new trauma center development (2014 version)
651.71K
2014 Needs Assessment Executive Summary
White Paper Summary, Needs Assessment for New Trauma Center Devlpt. (2014)
272.15K
2014 Needs Assessment
Needs assessment for new trauma center development (2014 version)
651.71K

PTSF Board of Directors

Board of Directors Policy (BD-101)
Travel Expense Reimbursement
147.40K
Board of Directors Policy (BD-105)
Reviewing Complaints
160.24K
Board of Directors Policy (BD-106)
Conflict of Interest
161.98K
Board of Directors Policy (BD-108)
Investment Guidelines for Operating Funds
204.42K
Board of Directors Policy (BD-109)
Non-Board Committee Membership
179.05K
Board of Directors Policy (BD-113)
Payments and Refunds of Fees
167.86K
Board of Directors Policy (BD-114)
Recognition of Committees
141.32K
Board of Directors Policy (BD-115)
Process for Board Approval of Waiver Requests from Hospitals Pursuing Adult Level I, II, or III Trauma Center Accreditation
153.76K

Research & References

MAP: Accredited and Pursuing Trauma Centers
Accredited and Pursuing Trauma Center Map - Effective November 08, 2024
1.77M
PTSF Support of STN TPM Position Statement
Approved by the PTSF Board of Directors September 2023
144.71K
PTSF Position Statement on Prevention of Firearm Injury
Approved July 10, 2023, by the PTSF Board of Directors
128.89K
Statement in support of universal motorcycle helmet law
Developed by the Research Committee of the PTSF
10.72K
PTSF Risk Adjusted Mortality Modeling Report Blinded 2015
Details of the Risk Adjusted Mortality modeling using 2011-2013 PTOS data
629.98K
Pediatric Trauma Care in Pennsylvania 1996-2001
This report describes ped trauma cases in rural counties 1996 through 2001.
3.51M
Pediatric Imaging Statement
PTSF Pediatric Trauma Committee
132.75K
National Pediatric Readiness Project
Resource for Emergency Department Care of Pediatric Patients
 
Emergency Medical Services Act of 1985
The Commonwealth of Pennsylvania
195.51K
Coalition Mission Brief
Coalition of Trauma Centers for Firearm Injury Prevention – Mission Statement
121.72K
A National Trauma Care System
Integrating Military and Civilian Trauma Systems to Achieve Zero . . .
 
PTOS Data Agreement Application
Application for PTOS data
203.50K
2019 Act 54 – Pennsylvania General Assembly
Accreditation of Trauma Centers, Submission of list, Funding, Notification of Trauma Center Closure, Reporting and Certification, Financial Support
127.24K

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.
64.23K
Accreditation Policy (AC-106)
Transition Period for the Implementation of New or Revised Standards of Accreditation
137.39K
Accreditation Policy (AC-114)
Certificates of Accreditation
148.19K
Accreditation Policy (AC-130)
Process for Becoming an Accredited Trauma Center
217.34K
Accreditation Policy (AC-132)
Media Notification Regarding Trauma Center Status
143.58K
Accreditation Policy (AC-136)
Request for Reconsideration of Board of Directors Decision
148.04K
Accreditation Policy (AC-138)
Process for Trauma Center Accreditation Level Change
173.00K
Accreditation Policy (AC-139)
Level Four Trauma Center Mid-Cycle Panel Review
164.26K
Accreditation Policy (AC-140)
Level I, II & III Trauma Center Accreditation Extension
145.20K
Accreditation Policy (AC-142)
Level I, II and III Survey Process for Exemplary Trauma Centers
189.03K

Site Survey Toolkit

Anesthesiologists Template
List the Anesthesiologists who provide coverage for the survey cycle.
36.79K
Emergency Medicine Template
List the Emergency Medicine Physicians who provide coverage for the survey cycle.
37.11K
Injury Prevention Activities
List the public injury prevention activities for the reporting period.
36.26K
Significant Issues Template
List the Significant Issues for the survey cycle.
23.79K
Trauma Program Manager Continuing Education Template
List the Trauma Program Manager’s continuing education for the survey cycle.
36.15K
Trauma Program Medical Director Continuing Education Template
List the Trauma Program Medical Director's continuing education for the survey cycle.
0.00P
Alternate Pathway Request
Approval Process for use of Non-Board Certified Physicians: Alternate Pathway
270.91K
Applying for a Variance from a Standard
Accreditation Policy (AC-105)
126.69K
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
80.70K
Pennsylvania Trauma Nursing Core Curriculum
Pennsylvania Trauma Nursing Core Curriculum
363.51K
Site Survey Guidebook (Coming Soon)
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.
0.00P
AFS Survey Eligibility Requirements
To be signed by hospital administration
140.85K
Committee Attendance Log Template
Tracking Template for Multidisciplinary Peer Review PI Meeting Attendance — Required for AFS
92.33K
Education and Credentialing Site Survey Report Template
Education and Credentialing Site Survey Report Template (Word Format)
39.06K
Education and Credentialing Site Survey Report Template
*NEW* Education and Credentialing Site Survey Report Template (Excel Format). Automatic calculations and non-compliant areas turn red to alert non-compliance and the need for a comment to explain.
24.51K
Alternate Pathway Provider Medical Record Form
Institutions with Alternate Pathway providers: Submit one week prior to survey
77.50K
Web-Based Online Trauma Nurse Course
Provided by Conemaugh Health System
373.94K

Standards of Accreditation

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"
 

Trauma Registry

Example Registry Timeliness of Submission Control Chart
This example can be used to help you interpret your timeliness of submission control chart and determine if your facility is in compliance with TR-110.
130.90K
Scores Packet
AIS, ISS, TRISS, etc.
2.31M
Trauma Registry Policy (TR-106)
Trauma Registry Educational Visits Policy
175.01K
Trauma Registry Policy (TR-110)
Timeliness of Submission to the Central Site
137.12K