trauma room

Resource Files & Links

Administration/Board

PTSF Strategic Plan
2022 – 2024 Strategic Goals
332.27K
188.89K

Annual Reports

2020 ~ PTSF Annual Report
Annual Report, Digital Edition
9.79M
2019 ~ PTSF Annual Report
Annual Report, Digital Edition
2.61M

Board of Directors Updates

Board of Directors Update — December 2023
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on December 15, 2023, and announcements from the 2023 PTSF Annual Fall Conference. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—PTSF President.
774.16K
Board of Directors Update — October 2023
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on September 29, 2023, technology/trauma registry updates, software transition information, committee updates, and announcements from the PTSF. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—PTSF President.
383.95K
Board of Directors Update — July 2023
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on July 10-11, 2023, technology/trauma registry updates, software transition information, committee updates, and announcements from the PTSF. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—PTSF President.
569.97K
Board of Directors Update — June 2023
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on May 22, 2023, technology/trauma registry updates, software transition information, and announcements from the PTSF. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
1.22M
Board of Directors Update — March 2023
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on February 24, 2023, software transition information, and announcements from the PTSF. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
1.41M
Board of Directors Update — December 2022
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on December 8, 2022, and announcements from the PTSF. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
603.85K
Board of Directors Update — October 2022
The following communication highlights news from the PTSF office, recent approvals from the PTSF Board of Directors meeting on September 15 and 16, 2022, and announcements from the PTSF Annual Fall Conference. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
502.63K
Memorandum – September 07, 2022
The following communication discusses the PTSF Board's difficult decision to increase fees for both accredited trauma centers and hospitals pursuing accreditation. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
147.29K
Board of Directors Update — August 2022
The following communication highlights news from the PTSF office and recent approvals from the PTSF Board of Directors meeting on July 18th and 19th , 2022. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
293.89K
Board of Directors Update — May 2022
The following communication highlights news from the PTSF office and recent approvals from the PTSF Board of Directors meeting on May 20, 2022. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
309.64K
Board of Directors Update — April 2022
The following communication highlights news from the PTSF office and recent approvals from the PTSF Board of Directors meeting on Friday, March 25, 2022. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
545.24K
Board of Directors Update — January 2022
The following communication highlights recent approvals from the PTSF Board of Directors meeting on Thursday, December 9, 2021. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
329.70K
Board of Directors Update — November 2021
This publication highlights our recent Virtual Fall Conference as well as a future PTSF Trauma Education opportunity and State, National and International Conference/Meeting dates.
200.88K
Board of Directors Update — October 2021
The following communication highlights recent approvals from the PTSF Board of Directors meeting held on Thursday, September 16, 2021. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
286.85K
Board of Directors Update — August 2021
The following communication highlights recent approvals from the PTSF Board of Directors meeting on Thursday, July 15, 2021. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
283.17K
Board of Directors Update — April 2021
The following communication highlights recent approvals from the PTSF Board of Directors meeting on Tuesday, March 16, 2021. If you have questions related to the content of this update, please contact Juliet Altenburg, MSN, RN—Executive Director.
207.93K
Board of Directors Update — January 2021
the following update highlights board action items and approval from the recent board of directors meeting, held on December 11, 2020.
699.10K
Memorandum December 07, 2020
This memo clarifies PTOS and Outcomes Central Site Data Distribution through February 2021, as well as Standards compliance clarification through the ongoing pandemic.
162.35K
Board of Directors Update — October 2020
this publication highlights our recent Virtual Fall Conference as well as Committee updates.
496.24K
Board of Directors Update — August 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.
310.43K
Board of Directors Update — April 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.
99.50K
Board of Directors Update — March 2020
COVID-19 response related to Site Survey, Education/Conferences, Standards of Accreditation and more!
90.77K
Board of Directors Update — January 2020
This update highlights additional information/action from the December 2019 Board of Directors meeting.
139.31K

Committees

2024 PTSF Non-Board Committee Rosters
2024 PTSF Non-Board Committee Rosters and Committee Descriptions
230.30K
2024 Committee Descriptions
PTSF Committee Descriptions
129.83K

COVID19 - Coronavirus Resources & Information

Memorandum December 07, 2020
This memo clarifies PTOS and Outcomes Central Site Data Distribution through February 2021, as well as Standards compliance clarification through the ongoing pandemic.
162.35K
The Committee on Trauma – Quality Programs of the American College of Surgeons
Maintaining Trauma Center Access & Care during the COVID-19 Pandemic: Guidance Document for Trauma Medical Directors
207.47K
Society of Trauma Nurses COVID-19 Resources
Additional information regarding COVID-19
 
Board of Directors Update — March 2020
March 19, 2020--COVID-19 response related to Site Survey, Education/Conferences, Standards of Accreditation and more!
90.77K
Board Expectations for Return to Operational Compliance
July 24, 2020--Trauma Center return to operational compliance update.
84.30K
ATLS Guidance Regarding COVID-19
American College of Surgeons Committee on Trauma Guidance for ATLS Course Directors and Participants
107.88K
ATLS COVID-19 Trauma Education Resources
Basic Trauma Care “Just in Time” education material
 
American College of Surgeons Site
Additional Resources for the surgical community.
 
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.
128.93K
ACLS-BLS-PALS Guidelines
AHA interim guidelines for ACLS, BLS and PALS patients with confirmed or suspected COVID-19.
 

EMS & Pre-Hospital Information

Pennsylvania ALS Protocols
Pennsylvania Department of Health Bureau of Emergency Medical Services Advanced Life Support Protocols - Updated 5.8.20
2.75M
Pennsylvania BLS Protocols
Pennsylvania Department of Health Bureau of Emergency Medical Service Basic Life Support Protocols - Updated 3.16.20
2.27M
Pennsylvania CCT Protocols
Pennsylvania Department of Health Bureau of Emergency Medical Services Critical Care Transport Protocols - Updated 9.2019
401.36K
CDC: Guidelines for Field Triage of Injured Patients
Guidelines for Field Triage of Injured Patients
590.60K
Pennsylvania DMIST Powerpoint
Standardizing the EMS to Trauma Team Patient Hand-off in Pennsylvania
263.18K
Pennsylvania DMIST Poster
EMS Handoff Report
148.37K
EMS Committee: Interfacility Resource Document
June 2018, developed in collaboration by Pennsylvania College of Emergency Physicians & Pennsylvania Emergency Health Services Council
149.23K

Events & Conferences

2024 Annual Pennsylvania Trauma Systems Foundation Conference
Save the Date for the Annual Pennsylvania Trauma Systems Foundation Conference — Tuesday, October 15 to Wednesday, October 16, 2024, at the Sheraton Harrisburg/Hershey!
236.21K
Super User Education Registration — Monday, August 05, 2024
To register, please visit: https://forms.office.com/r/FPt6WX9qbc
182.03K
Super User Education Registration — Tuesday, August 06, 2024
To register, please visit: https://forms.office.com/r/83d07xJGT9
182.16K
Super User Education Registration — Wednesday, August 07, 2024
To register, please visit: https://forms.office.com/r/0KKUkG5WVN
182.83K
Super User Education Registration — Thursday, August 08, 2024
To register, please visit: https://forms.office.com/r/uHD5KiLKfF
182.50K
Super User Education Registration — Friday, August 09, 2024
This session is recommended for pursuing trauma centers, currently accredited trauma centers are encouraged to register Monday through Thursday. To register, please visit: https://forms.office.com/r/D7d1FmYJb3
182.93K
Register Now! New Trauma Program Nurse Leader Orientation – Spring 2024
Tuesday, April 16, 2024, from 1000 to 1500 via Microsoft Teams
183.37K

Fee Schedule(s)

2025 PTSF Fee Schedule
Trauma fees are effective — January 1, 2025 through December 31, 2025
145.83K
2024 PTSF Fee Schedule
Trauma fees are effective — January 1, 2024 through December 31, 2024
146.08K
2024 PTSF Educational Offerings
This document provides detail/clarification related to the annual education fee for hospitals pursuing trauma accreditation.
244.69K

ICD-10 & Trauma Registry Education

Trauma Registry Education ~ Rates & Customization
Trauma registry-specific training sessions
69.08K

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
 

Job Announcements & Ads

Performance Improvement Specialist – Employment Opportunity
The PTSF encourages interested candidates to express their interest in the Performance Improvement Specialist position here: https://forms.office.com/r/dJsNuVba7V
241.93K

PA TQIP Collaborative

PA-TQIP Collaborative – Best Practice Management Guideline
VTE Prophylaxis, posted July 15, 2020
0.00P
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
PA v5 Outcomes Registry User Guide
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.
 
PA v5 Outcomes Data Submission User Guide
A step-by-step guide to submitting death records from the Pa v5 Outcomes software. Located in the Support section of the Central Site Portal.
 
Driller® Demo
Presentation at the 2020 PTSF Annual Conference. Presented by Kathleen Yetter from DI by ESO. If prompted enter password (case-sensitive) PTSF
 
DI Driller® User Guide
A resource for Trauma Program staff on utilizing DI Driller®. Driller® is available in the Central Site Portal, the DI Driller® User Guide is available in the Support section of the Central Site Portal.
 
PA v5 Outcomes Presentation
Presentation from DI by ESO at the 2017 PTSF Annual Conference. Located in the Support section of the Central Site Portal.
 
PA v5 Outcomes Training Video
Basic training for Trauma Program staff that will utilize PA v5 Outcomes to document trauma PI. Located in the Support section of the Central Site Portal.
 
PA v5 Outcomes Template Letters Training Video
Training on how to use Template Letters in PA v5 Outcomes to efficiently create letters for referral, feedback and follow-up. Located in the Support section of the Central Site Portal
 
PA v5 Outcomes Over and Undertriage Reporting
Training on how to run reports on over and undertriage from PA v5 Outcomes Report Writer. Located in the Support section of the Central Site Portal.
 
PA v5 Outcomes Batch Auto-Trigger Training Video
Training on how to batch auto-trigger within the PA v5 Outcomes software. Located in the Support section of the Central Site Portal.
 
PA v5 Outcomes Timeliness Reporting
Training on running reports on provider timeliness from the PA v5 Outcomes Report Writer. Located in the Support section of the Central Site Portal.
 
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
Identifying and Addressing Delirium: Confusion Assessment Measure-ICU
Presentation at the 2020 PTSF Annual Conference. Presented By: Erin L. Hall, PsyD, Clinical Psychologist, Departments of Trauma Surgery & Critical Care Medicine
2.39M
Pediatric Imaging Update
Presentation at the 2020 PTSF Annual Conference. Presented By: Barbara A. Gaines, MD
2.68M
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 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
1.17M
Trauma Outcomes Policy (TO-100)
Timeliness of Submission to the Outcomes Central Site
182.46K
TOPIC Information & Registration
The Society of Trauma Nurses "Trauma Outcomes and Performance Improvement Course" program information and registration
 
DI by ESO Training Opportunities
Report Writer Training – PA Trauma Center staff can register for various training sessions. Modules 1 & 2 of the Self-Paced Report Writer trainings are free!
 
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
Protected: PA v5 Outcomes Report Formatting in Excel
Presentation at the 2018 PTSF Annual Conference. Presented by Digital Innovations, Inc. Staff
802.03K

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
171.08K
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 the Outcomes Central Site
182.46K
Trauma Registry Policy (TR-106)
Trauma Registry Educational Visits Policy
175.01K
Trauma Registry Policy (TR-110)
Timeliness of Submission to the Central Site
150.70K
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
126.69K
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
179.43K
Accreditation Policy (AC-127)
Trauma Center Diversion — Level I, II & III Trauma Centers
125.09K
Accreditation Policy (AC-128)
Notification Regarding Changes in Trauma Center Operations for Pursuing and Accredited Trauma Centers
153.05K
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
183.74K
Accreditation Policy (AC-131)
Use of Trauma Program Consultants
139.43K
Accreditation Policy (AC-132)
Media Notification Regarding Trauma Center Status
538.83K
Accreditation Policy (AC-133)
Survey Team Member Attendance/Cancellation for Surveys
173.26K
Accreditation Policy (AC-136)
Request for Reconsideration of Accreditation Deliberation Decision
147.67K
Accreditation Policy (AC-137)
Accreditation Guidelines for Board Members
159.36K
Accreditation Policy (AC-138)
Process for Elevating Trauma Center Accreditation Level
146.98K
Accreditation Policy (AC-139)
Level Four Trauma Center Mid-Cycle Panel Review
153.46K
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
October 2019 – 11th Annual Major John P. Pryor, MD, FACS Memorial Lecture; Born to Serve: I AM ALL IN
Presented by Betsy Seislove, MSN, RN Senior Regional Care Director
 

PTSF Board of Directors

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
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
171.08K
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
Level III Board Memo 12-15-2015
Discussion from December Board Meeting in reference to Level III Centers
82.43K

PTSF Fall Conference 2021

Hospital Event: Delirium-Is it Delirium or Am I Delirious
Presented by Kimberly Shoff, BSN, RN, CCRN-K and Gabrielle Wenger, RHIT, CPC, CAISS, CSTR
 
Performance Improvement in Level 4 Trauma Centers
Presented by Kathleen Martin, MSN, RN
 
 
How Do We Continue PI During a Global Pandemic
Rebecca Geyer, Darlene Gondell, Gabrielle Wenger
 
13th Annual Major John P. Pryor Memorial Lecture
Presented by Mark Gestring, MD
 
Performance Improvement Updates – Outcomes, PIPS & PA-TQIP
Presented by Denise Torres, MD, Richard Lopez, MD and Kim Shoff, RN
 
Firearm Injury in PA
Presented by Zoe Maher
 
Board of Directors Update — November 2021
This publication highlights our recent Virtual Fall Conference as well as a future PTSF Trauma Education opportunity and State, National and International Conference/Meeting dates.
200.88K
202.07K
162.57K
2021 PTSF Fall Conference Schedule of Events
Check back often as events are updated!
263.45K
 

PTSF Fall Conference 2022

Research & References

MAP: Accredited and Pursuing Trauma Centers
Accredited and Pursuing Trauma Center Map - Effective 11.01.2023
514.86K
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
2022 PTSF Research Award Opportunities
2022 PTSF Fall Conference - Call for Research
133.50K
Senate Bill No. 922
Section of the Bill that applies to PTSF and Level 3 Funding
190.54K
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
PTOS Non-Research Data Request form
PTOS Non-Research Data Request form
64.58K
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
290.38K
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
203.23K
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
CDC: Guidelines for Field Triage of Injured Patients
Guidelines for Field Triage of Injured Patients
590.60K

Site Survey Information

Application for Survey
Sign in to access the PTSF Application for Survey
 
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
183.74K
Accreditation Policy (AC-132)
Media Notification Regarding Trauma Center Status
538.83K
Accreditation Policy (AC-136)
Request for Reconsideration of Accreditation Deliberation Decision
147.67K
Accreditation Policy (AC-138)
Process for Elevating Trauma Center Accreditation Level
146.98K
Accreditation Policy (AC-139)
Level Four Trauma Center Mid-Cycle Panel Review
153.46K
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

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.
604.87K
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.
 
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
 
AFS Attachment and Report List
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.
128.93K
AFS Survey Eligibility Requirements
To be signed by hospital administration
91.99K
Committee Attendance Log Template
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
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
25.82K
Alternate Pathway Provider Medical Record Form
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
 
Trauma Program Manager Continuing Education Template
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
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
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"
 
Senate Bill No. 922
Section of the Bill that applies to PTSF and Level 3 Funding
190.54K
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
1.17M
Web-Based Online Trauma Nurse Course
Provided by Conemaugh Health System
373.94K

Technology Update

PTSF-Technology Memo 6.03.2021
This memo is an update to the previous PTSF memo sent on April 23, 2021, which served to inform trauma centers that PTSF was working diligently to reinforce with ESO the critical nature of quickly diagnosing and resolving issues involving corrupt and missing files within the V5 Outcomes software that hospitals were experiencing.
208.29K
Technology Update
March 18, 2020--this update highlights AIS 2015 in PA, as well as a DRILLER update
73.51K
3.13M

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
150.70K