Senate Bill sb1818c1
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Florida Senate - 2004 CS for SB 1818
By the Committee on Home Defense, Public Security, and Ports
318-2178-04
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; authorizing the
9 continuation of trauma services by certain
10 agencies in accordance with established
11 agreements and procedures; amending s. 395.402,
12 F.S.; providing requirements for the regional
13 trauma system plan when a trauma service area
14 is located within the boundaries of more than
15 one trauma region; providing an effective date.
16
17 Be It Enacted by the Legislature of the State of Florida:
18
19 Section 1. Section 395.4015, Florida Statutes, is
20 amended to read:
21 395.4015 State regional trauma planning; trauma
22 regions.--
23 (1) The department shall establish a state trauma
24 system plan. As part of the state trauma system plan, the
25 department shall establish trauma regions that which cover all
26 geographical areas of the state and have boundaries that are
27 coterminous with the boundaries of the regional domestic
28 security task forces established under s. 943.0312. However,
29 the delivery of trauma services by or in coordination with a
30 trauma agency established before July 1, 2004, may continue in
31 accordance with any public or private agreements and
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Florida Senate - 2004 CS for SB 1818
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1 operational procedures entered into as provided in s. 395.401.
2 These regions may serve as the basis for the development of
3 department-approved local or regional trauma plans. The
4 department shall base its definition of the regions upon:
5 (a) Geographical considerations so as to ensure rapid
6 access to trauma care by patients;
7 (b) Historical patterns of patient referral and
8 transfer in an area;
9 (c) Inventories of available trauma care resources;
10 (d) Predicted population growth characteristics;
11 (e) Transportation capabilities, including ground and
12 air transport;
13 (f) Medically appropriate ground and air travel times;
14 and
15 (g) Other appropriate criteria.
16 (2) The department shall develop trauma systems plans
17 for the department-defined trauma regions which include at a
18 minimum the following components:
19 (a) An assessment of current and future trauma care
20 needs of the population, based upon incidence rates and acuity
21 indicators developed by the department, as well as other
22 relevant characteristics of the region.
23 (b) The organizational structure of the regional
24 trauma system, including the identification of local trauma
25 agency service areas within the region.
26 (c) Prehospital care management guidelines for triage
27 and transportation of trauma cases.
28 (d) Flow patterns of trauma cases and transportation
29 system design and resources, including air transportation
30 services, provision for interfacility trauma transfer, and the
31 prehospital transportation of trauma victims. The department
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Florida Senate - 2004 CS for SB 1818
318-2178-04
1 shall plan for the development of a system of transportation
2 of trauma alert victims to trauma centers where the distance
3 or time to a trauma center or transportation resources
4 diminish access by trauma alert victims.
5 (e) The current and projected number, acuity level,
6 and geographic location of trauma cases expected so as to
7 assure that the assessed current and future trauma care needs
8 of the population are adequately met and that state-sponsored
9 trauma centers will maintain the volume of cases sufficient to
10 provide quality care to trauma cases referred to them.
11 (f) The availability of qualified health
12 professionals, including physicians and surgeons, capable of
13 staffing trauma centers to the level of current and future
14 assessed needs.
15 (g) Data collection regarding system operation and
16 patient outcome, as well as the number, type, and generalized
17 locations of state-sponsored trauma centers needed to meet the
18 needs of the population.
19 (h) Periodic performance evaluation of the trauma
20 system and its components.
21 (i) The type and extent of air transport services
22 available and needed in each region.
23 (j) Public information and education about the trauma
24 system.
25 (k) Emergency medical services communication system
26 usage and dispatching.
27 (l) The coordination and integration between the
28 trauma centers and other health care facilities which may
29 provide services to trauma victims.
30 (m) Medical control and accountability.
31 (n) Quality management and system evaluation.
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Florida Senate - 2004 CS for SB 1818
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1 (2)(3) The department shall consider the advice and
2 recommendations of any affected local or regional trauma
3 agency in developing the state trauma systems plan. The
4 department may, in lieu of specific regional components of its
5 own plan, accept components developed by local or regional
6 trauma agencies.
7 (3)(4) The department shall use the state trauma
8 system plan as the basis for establishing a statewide
9 inclusive trauma system.
10 Section 2. Subsection (3) of section 395.402, Florida
11 Statutes, is amended to read:
12 395.402 Trauma service areas; number and location of
13 trauma centers.--
14 (3) Trauma service areas are to be used. The
15 department shall periodically review the assignment of the 67
16 counties to trauma service areas. These assignments are made
17 for the purpose of developing a system of trauma centers.
18 Revisions made by the department should take into
19 consideration the recommendations made as part of the regional
20 trauma system plans approved by the department, as well as the
21 recommendations made as part of the state trauma system plan.
22 In cases where a trauma service area is located within the
23 boundaries of more than one trauma region, the trauma service
24 area's needs, response capability, and system requirements
25 shall be considered by each trauma region served by that
26 trauma service area in its regional system plan. These areas
27 must, at a minimum, be reviewed in the year 2000 and every 5
28 years thereafter. Until the department completes its initial
29 review, the assignment of counties shall remain as established
30 pursuant to chapter 90-284, Laws of Florida.
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Florida Senate - 2004 CS for SB 1818
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1 (a) The following trauma service areas are hereby
2 established:
3 1. Trauma service area 1 shall consist of Escambia,
4 Okaloosa, Santa Rosa, and Walton Counties.
5 2. Trauma service area 2 shall consist of Bay, Gulf,
6 Holmes, and Washington Counties.
7 3. Trauma service area 3 shall consist of Calhoun,
8 Franklin, Gadsden, Jackson, Jefferson, Leon, Liberty, Madison,
9 Taylor, and Wakulla Counties.
10 4. Trauma service area 4 shall consist of Alachua,
11 Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette,
12 Levy, Putnam, Suwannee, and Union Counties.
13 5. Trauma service area 5 shall consist of Baker, Clay,
14 Duval, Nassau, and St. Johns Counties.
15 6. Trauma service area 6 shall consist of Citrus,
16 Hernando, and Marion Counties.
17 7. Trauma service area 7 shall consist of Flagler and
18 Volusia Counties.
19 8. Trauma service area 8 shall consist of Lake,
20 Orange, Osceola, Seminole, and Sumter Counties.
21 9. Trauma service area 9 shall consist of Pasco and
22 Pinellas Counties.
23 10. Trauma service area 10 shall consist of
24 Hillsborough County.
25 11. Trauma service area 11 shall consist of Hardee,
26 Highlands, and Polk Counties.
27 12. Trauma service area 12 shall consist of Brevard
28 and Indian River Counties.
29 13. Trauma service area 13 shall consist of DeSoto,
30 Manatee, and Sarasota Counties.
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Florida Senate - 2004 CS for SB 1818
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1 14. Trauma service area 14 shall consist of Martin,
2 Okeechobee, and St. Lucie Counties.
3 15. Trauma service area 15 shall consist of Charlotte,
4 Glades, Hendry, and Lee Counties.
5 16. Trauma service area 16 shall consist of Palm Beach
6 County.
7 17. Trauma service area 17 shall consist of Collier
8 County.
9 18. Trauma service area 18 shall consist of Broward
10 County.
11 19. Trauma service area 19 shall consist of Dade and
12 Monroe Counties.
13 (b) Each trauma service area should have at least one
14 Level I or Level II trauma center. The department shall
15 allocate, by rule, the number of trauma centers needed for
16 each trauma service area.
17 (c) There shall be no more than a total of 44
18 state-sponsored trauma centers in the state.
19 Section 3. This act shall take effect July 1, 2004.
20
21 STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
COMMITTEE SUBSTITUTE FOR
22 Senate Bill 1818
23
24 The Committee Substitute authorizes the continuation of trauma
services by or in coordination with a trauma agency
25 established before July 1, 2004, in accordance with any public
or private agreements and operational procedures entered into
26 as provided in s. 395.401
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