Article 2.5. Regional Trauma Systems of California Health And Safety Code >> Division 2.5. >> Chapter 6. >> Article 2.5.
Except where the context otherwise requires, the
following definitions govern the construction of this article:
(a) "Trauma case" means any injured person who has been evaluated
by prehospital personnel according to policies and procedures
established by the local EMS agency pursuant to Section 1798.163 and
who has been found to require transportation to a trauma facility.
(b) "Trauma facility" means a health facility, as defined by
regulation, which is capable of treating one or more types of
potentially seriously injured persons and which has been designated
as part of the regional trauma care system by the local EMS agency. A
facility may be a trauma facility for one or more services, as
designated by the local EMS agency.
(c) "Trauma care system" means an arrangement under which trauma
cases are transported to, and treated by, the appropriate trauma
(a) The authority shall submit draft regulations
specifying minimum standards for the implementation of trauma care
systems to the commission on or before July 1, 1984, and shall adopt
the regulations on or before July 1, 1985. These regulations shall
provide specific requirements for the care of trauma cases and shall
ensure that the trauma care system is fully coordinated with all
elements of the existing emergency medical services system. The
regulations shall be adopted as provided in Section 1799.50, and
shall include, but not be limited to, all of the following:
(1) Prehospital care management guidelines for triage and
transportation of trauma cases.
(2) Flow patterns of trauma cases and geographic boundaries
regarding trauma and nontrauma cases.
(3) The number and type of trauma cases necessary to assure that
trauma facilities will provide quality care to trauma cases referred
(4) The resources and equipment needed by trauma facilities to
treat trauma cases.
(5) The availability and qualifications of the health care
personnel, including physicians and surgeons, treating trauma cases
within a trauma facility.
(6) Data collection regarding system operation and patient
(7) Periodic performance evaluation of the trauma system and its
(b) The authority may grant an exception to a portion of the
regulations adopted pursuant to subdivision (a) upon substantiation
of need by a local EMS agency that, as defined in the regulations,
compliance with that requirement would not be in the best interests
of the persons served within the affected local EMS area.
(a) A local emergency medical services agency may
implement a trauma care system only if the system meets the minimum
standards set forth in the regulations for implementation established
by the authority and the plan required by Section 1797.257 has been
submitted to, and approved by, the authority. Prior to submitting the
plan for the trauma care system to the authority, a local emergency
medical services agency shall hold a public hearing and shall give
adequate notice of the public hearing to all hospitals and other
interested parties in the area proposed to be included in the system.
This subdivision does not preclude a local EMS agency from adopting
trauma care system standards which are more stringent than those
established by the regulations.
(b) Notwithstanding subdivision (a) or any other provision of this
article, the Santa Clara County Emergency Medical Services Agency
may implement a trauma care system prior to the adoption of
regulations by the authority pursuant to Section 1798.161. If the
Santa Clara County Emergency Medical Services Agency implements a
trauma care system pursuant to this subdivision prior to the adoption
of those regulations by the authority, the agency shall prepare and
submit to the authority a trauma care system plan which conforms to
any regulations subsequently adopted by the authority.
A local emergency medical services agency implementing a
trauma care system shall establish policies and procedures which are
concordant and consistent with the minimum standards set forth in the
regulations adopted by the authority. This section does not preclude
a local EMS agency from adopting trauma care system standards which
are more stringent than those established by the regulations.
(a) A local emergency medical services agency may charge
a fee to an applicant seeking initial or continuing designation as a
trauma facility in an amount sufficient to cover the costs directly
related to the designation of trauma facilities pursuant to Section
1798.165 and to the development of the plans prepared pursuant to
Sections 1797.257 and 1797.258, and subdivision (b) of Section
(b) Each local emergency medical services agency charging fees
pursuant to subdivision (a) shall annually provide a report to the
authority and to each trauma facility having paid a fee to the
agency. The report shall contain sufficient detail to apprise
facilities of the specific application of fees collected and to
assure the authority that fees collected were expended in compliance
with subdivision (a).
(c) The authority may establish a prescribed format for the report
required in subdivision (b).
(a) Local emergency medical services agencies may
designate trauma facilities as part of their trauma care system
pursuant to the regulations promulgated by the authority.
(b) The health facility shall only be designated to provide the
level of trauma care and service for which it is qualified and which
is included within the system implemented by the agency.
(c) No health care provider shall use the terms "trauma facility,"
"trauma hospital," "trauma center," "trauma care provider," "trauma
vehicle," or similar terminology in its signs or advertisements, or
in printed materials and information it furnishes to the general
public, unless the use is authorized by the local EMS agency.
A local emergency medical services agency which elects to
implement a trauma care system on or after January 1, 1984, shall
develop and submit a plan to the authority according to the
regulations established prior to the implementation.
Nothing in this article shall be construed to restrict
the authority of a health care facility to provide a service for
which it has received a license pursuant to Chapter 2 (commencing
with Section 1250) of Division 2.
Nothing in this article shall be construed as changing
the boundaries of any local emergency medical services agency in
existence on January 1, 1984.
Nothing in this article shall be construed as restricting
the use of a helicopter of the Department of the California Highway
Patrol from performing missions which the department determines are
in the best interests of the people of the State of California.