23-01.2 Trauma and Emergency Medical System
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comprehensive trauma system for the state. The trauma system may include standards for the
following components:1.A system plan.2.Prehospital emergency medical services.3.Hospitals, for which the standards must include:a.Standards for designation, redesignation, and dedesignation of trauma centers.b.Standards for evaluation and quality improvement programs for designated
trauma centers.The standards must require each trauma center to collectquality improvement data and to provide specified portions to the department
for use in state and regional trauma quality improvement programs.c.Qualifications for trauma center personnel.4.A trauma registry.Data in the trauma registry is not subject to subpoena ordiscovery or introduction into evidence in any civil action.Designated traumacenters must participate in the trauma registry.A hospital not designated as atrauma center must provide to the registry a minimum set of data elements for all
trauma patients as determined by the health council.5.A trauma quality improvement program to monitor the performance of the trauma
system. The proceedings and records of the program are not subject to subpoena
or discovery or introduction into evidence in any civil action arising out of any matter
that is the subject of consideration by the program.23-01.2-02.Physician immunity for voluntary medical direction.A physician isimmune from liability while providing voluntary medical direction.23-01.2-03. Trauma center designation.1.Effective January 1, 2011, a hospital that offers emergency services to the public
shall meet trauma center designation standards and participate in the trauma
system.2.The state health council shall adopt rules that allow provisional trauma designation
status for a hospital that is partially compliant with trauma designation standards.
When issuing a provisional trauma designation, the state health council shall allow a
reasonable amount of time, determined by the department, for a hospital to fully
meet all trauma designation standards.Page No. 1Document Outlinechapter 23-01.2 trauma and emergency medical system