Community Budget Issue Requests - Tracking Id #279FY0001 Level 1 Trauma Centers
Requester:		Jan Gorrie			Organization:		Statutory Teaching Hospitals Council
Project Title:		Level 1 Trauma Centers			Date Submitted:		2/5/01 4:32:13 PM
Sponsors:		Sandra Murman
Statewide Interest:		Improve statewide Trauma System.
Recipient:		Statutory Teaching Hospitals Council			Contact:		Jan Gorrie
		P.O. Box 10095			Contact Phone:		(850) 222-3533
		Tallahassee 32302
Counties:		{Statewide}
Service Area:		Private Organization
Project Description:
Due to the high cost associated with being a Level I Trauma Center, a high volume of uninsured/underinsured trauma patients, and overall poor reimbursement for trauma care, Level I Trauma Centers are requesting additional funding to help support the financial responsibility of being a trauma center. Too often, trauma centers consider ?dropping out? of maintaining their Trauma Center designation due to heavy financial losses incurred with trauma care. With this additional funding, trauma centers will have the financial support required to maintain all services required to be Level I Trauma Centers. At TGH, additional trauma funding will help finance a much needed Trauma Resuscitation Bay renovation project, purchase upgraded trauma medical equipment, and offset costs incurred with the addition of a third helicopter. With this requested funding, all trauma patients to TGH will benefit from improvements of the Trauma Resuscitation Bay and new upgraded medical equipment. And patients in the northern counties of Tampa will benefit from more expeditious transport to Trauma Centers, hopefully, realizing improved survival rates. Project description: Additional funding for Shands Jacksonville will assist in supporting the second helicopter located in Lake City. Dollars would be used to purchase new and/or replace existing essential medical equipment for trauma patients such as trauma stretchers, pediatric bronchoscope, help stretcher and apnea monitors. Expansion is anticipated due to the significant increase in volume and additional helicopter. The requested funding will allow Shands Jacksonville to be able to secure the necessary capital for support of program infra-structure growth in development of a regional trauma system. Patients will greatly benefit from the coordination of trauma care in the area, enabling them to return to a productive life contributing to the welfare of the State.
Measurable Outcome Anticipated:
All Trauma centers, including the four teaching Level I Trauma Centers as well as the two community hospitals are mandated to provide statistical data, quality indicators, and outcome data for all trauma patients treated within their trauma centers. This data is downloaded from the trauma center?s trauma registry to the State Trauma Registry. Data is cumulated for all trauma centers within the state, and compares how the trauma centers in Florida are doing in comparison to one another, as well as in comparison to other trauma centers in the National TRAC?s Trauma Registry. From this data, national studies and publications have evolved, supporting allegations that survival rates and outcomes are vastly improved for seriously injured trauma patients who receive immediate access to the expertise of the trauma teams within designated trauma centers. Additionally, within Florida, regional Trauma Audit Committees (TAC?s), comprised of both trauma centers and non-designated trauma centers meet monthly to review outcome data and issues surrounding the care of patients at trauma versus non-trauma centers. At Tampa General Hospital, as well as Shands/Jacksonville, Orlando Regional, and Jackson Memorial, efforts continue to determine the true cost of trauma care, and any losses incurred through the trauma programs. We continue to benchmark for best practices in cost containment initiatives, as well as quality improvement initiatives.
Amount requested from the State for this project this year:						$12,000,000
Identify item(s) in the Appropriations Bill to be reduced:
Specific Appropriation #:
Specific Appropriation Title:
Amount to be reduced:			$
Fund Source:
Total cost of the project:			$15,500,000
Request has been made to fund:				Operations
Type of funding match:		Local
	Total Cash Amount:		$3,500,000
Was this project previously funded by the State?							Yes
	Fiscal Year:		2000-2001		Amount:		$4,800,000
Is future-year funding likely to be requested?							Yes
	Amount:		$12,000,000
	Purpose for future year funding:					Recurring Operations
	Will this be an annual request?						Yes
Was this project included in an Agency's Budget Request?							No
Was this project included in the Governor's Recommended Budget?							No
Is there a documented need for this project?							Yes
	Documentation:		SEE ATTACHED
Was this project request heard before a publicly noticed meeting of a body of elected officials (municipal, county, or state)?							Yes
	Hearing Body:		Hillsborough County Legislative Delegation
	Meeting Date:		1/5/01