Senate Bill sb1818
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Florida Senate - 2004 SB 1818
By the Committee on Home Defense, Public Security, and Ports
318-1423-04
1 A bill to be entitled
2 An act relating to trauma regions; amending s.
3 395.4015, F.S.; requiring that the boundaries
4 of the trauma regions administered by the
5 Department of Health be coterminous with the
6 boundaries of the regional domestic security
7 task forces established within the Department
8 of Law Enforcement; amending s. 395.402, F.S.;
9 providing requirements for the regional trauma
10 system plan when a trauma service area is
11 located within the boundaries of more than one
12 trauma region; providing an effective date.
13
14 Be It Enacted by the Legislature of the State of Florida:
15
16 Section 1. Section 395.4015, Florida Statutes, is
17 amended to read:
18 395.4015 State regional trauma planning; trauma
19 regions.--
20 (1) The department shall establish a state trauma
21 system plan. As part of the state trauma system plan, the
22 department shall establish trauma regions that which cover all
23 geographical areas of the state and have boundaries that are
24 coterminous with the boundaries of the regional domestic
25 security task forces established under s. 943.0312. These
26 regions may serve as the basis for the development of
27 department-approved local or regional trauma plans. The
28 department shall base its definition of the regions upon:
29 (a) Geographical considerations so as to ensure rapid
30 access to trauma care by patients;
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Florida Senate - 2004 SB 1818
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1 (b) Historical patterns of patient referral and
2 transfer in an area;
3 (c) Inventories of available trauma care resources;
4 (d) Predicted population growth characteristics;
5 (e) Transportation capabilities, including ground and
6 air transport;
7 (f) Medically appropriate ground and air travel times;
8 and
9 (g) Other appropriate criteria.
10 (2) The department shall develop trauma systems plans
11 for the department-defined trauma regions which include at a
12 minimum the following components:
13 (a) An assessment of current and future trauma care
14 needs of the population, based upon incidence rates and acuity
15 indicators developed by the department, as well as other
16 relevant characteristics of the region.
17 (b) The organizational structure of the regional
18 trauma system, including the identification of local trauma
19 agency service areas within the region.
20 (c) Prehospital care management guidelines for triage
21 and transportation of trauma cases.
22 (d) Flow patterns of trauma cases and transportation
23 system design and resources, including air transportation
24 services, provision for interfacility trauma transfer, and the
25 prehospital transportation of trauma victims. The department
26 shall plan for the development of a system of transportation
27 of trauma alert victims to trauma centers where the distance
28 or time to a trauma center or transportation resources
29 diminish access by trauma alert victims.
30 (e) The current and projected number, acuity level,
31 and geographic location of trauma cases expected so as to
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Florida Senate - 2004 SB 1818
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1 assure that the assessed current and future trauma care needs
2 of the population are adequately met and that state-sponsored
3 trauma centers will maintain the volume of cases sufficient to
4 provide quality care to trauma cases referred to them.
5 (f) The availability of qualified health
6 professionals, including physicians and surgeons, capable of
7 staffing trauma centers to the level of current and future
8 assessed needs.
9 (g) Data collection regarding system operation and
10 patient outcome, as well as the number, type, and generalized
11 locations of state-sponsored trauma centers needed to meet the
12 needs of the population.
13 (h) Periodic performance evaluation of the trauma
14 system and its components.
15 (i) The type and extent of air transport services
16 available and needed in each region.
17 (j) Public information and education about the trauma
18 system.
19 (k) Emergency medical services communication system
20 usage and dispatching.
21 (l) The coordination and integration between the
22 trauma centers and other health care facilities which may
23 provide services to trauma victims.
24 (m) Medical control and accountability.
25 (n) Quality management and system evaluation.
26 (2)(3) The department shall consider the advice and
27 recommendations of any affected local or regional trauma
28 agency in developing the state trauma systems plan. The
29 department may, in lieu of specific regional components of its
30 own plan, accept components developed by local or regional
31 trauma agencies.
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Florida Senate - 2004 SB 1818
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1 (3)(4) The department shall use the state trauma
2 system plan as the basis for establishing a statewide
3 inclusive trauma system.
4 Section 2. Subsection (3) of section 395.402, Florida
5 Statutes, is amended to read:
6 395.402 Trauma service areas; number and location of
7 trauma centers.--
8 (3) Trauma service areas are to be used. The
9 department shall periodically review the assignment of the 67
10 counties to trauma service areas. These assignments are made
11 for the purpose of developing a system of trauma centers.
12 Revisions made by the department should take into
13 consideration the recommendations made as part of the regional
14 trauma system plans approved by the department, as well as the
15 recommendations made as part of the state trauma system plan.
16 In cases where a trauma service area is located within the
17 boundaries of more than one trauma region, the trauma service
18 area's needs, response capability, and system requirements
19 shall be considered by each trauma region served by that
20 trauma service area in its regional system plan. These areas
21 must, at a minimum, be reviewed in the year 2000 and every 5
22 years thereafter. Until the department completes its initial
23 review, the assignment of counties shall remain as established
24 pursuant to chapter 90-284, Laws of Florida.
25 (a) The following trauma service areas are hereby
26 established:
27 1. Trauma service area 1 shall consist of Escambia,
28 Okaloosa, Santa Rosa, and Walton Counties.
29 2. Trauma service area 2 shall consist of Bay, Gulf,
30 Holmes, and Washington Counties.
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Florida Senate - 2004 SB 1818
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1 3. Trauma service area 3 shall consist of Calhoun,
2 Franklin, Gadsden, Jackson, Jefferson, Leon, Liberty, Madison,
3 Taylor, and Wakulla Counties.
4 4. Trauma service area 4 shall consist of Alachua,
5 Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette,
6 Levy, Putnam, Suwannee, and Union Counties.
7 5. Trauma service area 5 shall consist of Baker, Clay,
8 Duval, Nassau, and St. Johns Counties.
9 6. Trauma service area 6 shall consist of Citrus,
10 Hernando, and Marion Counties.
11 7. Trauma service area 7 shall consist of Flagler and
12 Volusia Counties.
13 8. Trauma service area 8 shall consist of Lake,
14 Orange, Osceola, Seminole, and Sumter Counties.
15 9. Trauma service area 9 shall consist of Pasco and
16 Pinellas Counties.
17 10. Trauma service area 10 shall consist of
18 Hillsborough County.
19 11. Trauma service area 11 shall consist of Hardee,
20 Highlands, and Polk Counties.
21 12. Trauma service area 12 shall consist of Brevard
22 and Indian River Counties.
23 13. Trauma service area 13 shall consist of DeSoto,
24 Manatee, and Sarasota Counties.
25 14. Trauma service area 14 shall consist of Martin,
26 Okeechobee, and St. Lucie Counties.
27 15. Trauma service area 15 shall consist of Charlotte,
28 Glades, Hendry, and Lee Counties.
29 16. Trauma service area 16 shall consist of Palm Beach
30 County.
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Florida Senate - 2004 SB 1818
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1 17. Trauma service area 17 shall consist of Collier
2 County.
3 18. Trauma service area 18 shall consist of Broward
4 County.
5 19. Trauma service area 19 shall consist of Dade and
6 Monroe Counties.
7 (b) Each trauma service area should have at least one
8 Level I or Level II trauma center. The department shall
9 allocate, by rule, the number of trauma centers needed for
10 each trauma service area.
11 (c) There shall be no more than a total of 44
12 state-sponsored trauma centers in the state.
13 Section 3. This act shall take effect July 1, 2004.
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16 SENATE SUMMARY
17 Provides for the trauma regions within the Department of
Health to have coterminous boundaries with the regional
18 domestic security task forces. Requires each trauma
region to consider certain requirements of the trauma
19 service areas within its boundaries.
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