Title 7 . Health and Social Services

Chapter 26 . Embalming and Other Post-Mortem Services

Section 745. Trauma registry

7 AAC 26.745. Trauma registry

(a) The department will establish a trauma registry review committee in accordance with AS 18.23.070 (5)(A).

(b) The trauma registry review committee shall keep trauma registry data confidential in accordance with AS 18.23.030 , except that reports on

(1) trauma patients admitted to the hospital, declared dead in the emergency department, or transferred to another acute care hospital for treatment will be provided to that hospital; these reports include a patient log, a trauma service summary, a quality assurance summary, and a survival probability summary;

(2) patients treated by a state certified emergency medical service will be provided to that service, including a summary of activity, a quality assessment summary, a quality assurance summary, and a documentation compliance summary; and

(3) trauma registry data, not including patient identifiers, physician identifiers, or hospital identifiers, may be provided to epidemiologists, health planners, medical researchers, or other interested persons to study causes, severity, demographics and outcomes of injuries, or for other purposes of studying the epidemiology of injuries or emergency medical services and trauma system issues.

(c) An acute care hospital in this state certified as a level I, level II, level III, or level IV trauma center under 7 AAC 26.710 - 7 AAC 26.745 must participate in the statewide trauma registry administered by the department. A hospital not certified as a trauma center under 7 AAC 26.710 - 7 AAC 26.745 may participate in the statewide trauma registry administered by the department. A hospital that participates in the statewide trauma registry shall make available to the department abstracts in the form prescribed by the department of the medical records of all trauma patients who were admitted to the hospital, declared dead in the emergency department, or transferred to another hospital for treatment.

(d) The department will, in its discretion, delegate the responsibility for collecting data under this section to a hospital, other public agencies, or to private persons or agencies, if the person or agency agrees to maintain confidentiality of the data in accordance with 7 AAC 26.790(b).

(e) A trauma center certified under 7 AAC 26.710 - 7 AAC 26.745 must provide trauma registry data to the department at least quarterly of each year on March 31, June 30, September 30, and December 31 of that year. Data on all trauma patients discharged between January 1 and March 31 must be submitted to the department by June 30. Data on all trauma patients discharged between April 1 and June 30 must be submitted to the department by September 30. Data on all trauma patients discharged between July 1 and September 30 must be submitted to the department by December 31. Data on all trauma patients discharged between October 1 and December 31 must be submitted to the department by March 31 of the following year.

(f) A hospital not certified as a trauma center under 7 AAC 26.710 - 7 AAC 26.745 may provide trauma registry data to the department at least semi-annually each year on June 30 and December 31. Data on all trauma patients discharged between July 1 and December 31 may be submitted to the department by June 30 of the following year. Data on all trauma patients discharged between January 1 and June 30 may be submitted to the department by December 31 of the same year.

(g) The department will provide reports for quality review of trauma care under (b)(1) of this section to each acute care hospital or state certified emergency medical service within 30 days following the receipt of trauma registry data from that hospital or state certified emergency medical service.

History: Eff. 4/7/96, Register 138

Authority: AS 18.08.015

AS 18.08.080