Trauma Services BC a Service of the Provincial Health Services Authority Contents

2015 ANNUAL REPORT Trauma Services BC A service of the Provincial Health Services Authority Contents 3 Foreword 4 Overview 5 BC’s system of organized trauma care 6 Trauma Services BC 7 Vision for BC’s trauma system 8 Governance 9 Trauma Services BC council 10 Strategic plan (2014-2016) 11 Partnerships & collaborations 12 BC Trauma Registry 13 Overview 14 Registry data quality monitoring 15 BC Trauma Registry operations 16 Key achievements 17 Future plans 18 Mechanism of Injury – Provincial overview 19 Regional health authority and partners trauma program report 20 Fraser Health 22 Interior Health 24 Island Health 26 Northern Health 28 Vancouver Coastal Health 30 BC Children’s Hospital 32 Special initiatives 33 Specialist Services Committee Project 34 Performance monitoring & evaluation plan 36 Accreditation Canada Trauma Distinction program 38 Looking forward 40 References and photo credits 42 Appendices 43 Appendix 1 – Inclusion/exclusion criteria for the BC Trauma Registry 44 Appendix 2 – Data quality 46 Appendix 3 – BC trauma program membership Foreword The 2015 annual report describes events and activities Our editor “in-situ” Mr. Beide Bekele, Trauma Services that took place within the calendar year supported by BC’s project manager, who discretely pushed us data from 2013/14. 2015 has been an exciting year of on timelines, content and continuity while working acquisition and building infrastructure for Trauma Services with our graphic artist, Mr. Ernest Stelzer, and PHSA BC with a strategic focus on advancing: communications, all of whom contributed to the look • Optimal service delivery for BC residents reflected in and tone of the report. Significant thanks goes to the the development of provincial performance indicators. BC Trauma Registry and Trauma Services BC office staff, BC Trauma Registry manager Mr. Jaimini Thakore • Better integration of data sources and analytic capacity and Trauma Services BC executive assistant/project of the data collected for a meaningful reflection of our coordinator, Ms. Viktoria Lichtenwald. Finally we are performance and outcome of our patients. thankful for the leadership of our medical director, • Data sharing agreements with partners that impact Dr. David Evans, whose vision drives our team towards patient care along the care continuum. a vision for trauma care that is realized in yearly achievements. These specific initiatives highlight select Trauma Services BC achievements over the past year, but other areas of I close by acknowledging our patients and providers progress are highlighted in the subsequent pages and in who drive us to improve, innovate and excel in the the progress of our select partners. delivery and performance of trauma care, and ultimately aspire to the vision of reducing overall trauma / injury No document is the effort of a single person, but that of events for the people of British Columbia. a team, all of whom contribute to the tone, texture, style and content to reflect what we believe to be the collective work effort of our own Trauma Services BC council and office. Our sincere thanks to all the Trauma Services BC council members, health authority trauma leadership, and Catherine Jones stakeholders from BC Emergency Health Services who Executive Director, Trauma Services BC worked with us to represent their own individual growth over this past year. 2015 Annual Report | 3 Overview 4 | Trauma Services BC BC’s system of organized trauma care Major trauma is the principal cause of death for people These practices include field triage and destination under age 45 in Canada, accounting for more potential protocols, trauma centre designation and accreditation, years of life lost than ischemic heart disease and lung development of regional trauma programs with strategies cancer combined. Over 400,000 people are injured yearly for coordinated care across the continuum, quality in BC. Of these, approximately 1,700 die, 9,000 suffer assurance, education and research. The BC Trauma permanent disability, 32,000 are hospitalized and an Registry was established in 1992 to support these efforts estimated 41,000 potential years of life are lost. The yearly with operational funding provided by the Ministry of cost of injury exceeds $2.8 billion in BC and is close to Health and administrative oversight headquartered at the $19.8 billion nationally. Vancouver General Hospital. Over the past 20 years, BC has invested heavily in BC has an inclusive trauma structure, wherein all acute building systems of trauma care. As in comparable care hospitals are part of the system with an expectation jurisdictions, BC’s system of organized trauma care can of readiness to receive and redirect major trauma be described as a collaboration of the regional health commensurate with resources. Led by the province’s authorities and the pre-hospital system to streamline tertiary trauma facilities, all designated centres have acute management of major trauma anywhere in continued to build their trauma programs. According to the province. The creation of the BC Trauma Advisory Accreditation Canada’s Trauma Distinction standards, Committee in 1998 brought organizational representatives BC currently has three level one provincial referral trauma together to recommend and oversee the implementation centres, four regional level two centres, five level three of standard practices for optimized patient care. centres, two level four centres and 61 level five centres that are able to admit patients overnight. Health authority trauma centres Level 1 – 2 Level 3 – 5 Fraser Health Interior Health Island Health Northern Health Vancouver Coastal Health PHSA – BC Children's Hospital 2015 Annual Report | 5 Trauma Services BC BC’s organized approach to major trauma care has evolved as an ad-hoc integration of organizations and agencies aligned in their commitment to provide effective Trauma Services BC (TSBC) was care for major trauma patients. Twenty-two years of data formed in 2012 as a publicly-funded collected by the BC Trauma Registry demonstrates a clinical program of the Provincial mature system with a caseload profile comparable to other Canadian provinces. However trauma performance Health Services Authority (PHSA) expectations remain largely undefined and unevaluated. to provide high-level system While the advisory capacity of the BC Trauma Advisory oversight, strategic leadership, Committee was invaluable in launching an integrated and pre-planned system of organized major trauma care for and performance evaluation for BC, it had no operational mandate to assure performance major trauma care in BC. standards, no fiscal control and no reporting obligation. In 2007, recognizing the need for more authoritative and accountable stewardship of the trauma system as a unified whole, the BC Trauma Advisory Committee proposed the establishment of a provincial trauma coordinating office to BC’s Ministry of Health. This proposal eventually established the ground work for the creation of Trauma Services BC. In 2012/13, following the consolidation of the BC Ambulance Service and the BC Patient Transfer Network into BC Emergency Health Services (BCEHS), and the positioning of BCEHS within the PHSA, the BC Trauma Advisory Committee was dissolved and Trauma Services BC was established under PHSA. Trauma Services BC has been accorded operational oversight of the provincial trauma registry and administers a budget reconstituted from historical monies as well as an operational budget for start-up from PHSA. BC is now in a position to work towards a consolidated and fully integrated trauma system that is truly performance driven, aligned with organizational priorities and accountable under centralized leadership and shared governance. Because trauma can affect people of all ages, the impact on life years lost is equal to the life years lost from cancer, heart disease and HIV combined.1 6 | Trauma Services BC Vision for BC’s trauma system Trauma Services BC’s long-term vision is that – Trauma Services BC’s mission is to develop and support through an integrated system of injury care, control optimal performance of an integrated trauma system for and prevention strategies – British Columbians enjoy BC. This directive requires clear definition of the system, the lowest burden of injury in North America. While its collective performance objectives, and an evaluative aspirational, we believe that this is ultimately achievable methodology and infrastructure to gauge how well these through wide engagement of key partners in injury care are accomplished. and public health across BC. A well-functioning provincial trauma system is an absolutely critical element in this vision. Res pon siv ue e al & V E l f ia fe c c n t a iv n Mission e i F Trauma Services BC is responsible S y for ensuring optimal performance s t of the BC Trauma System e m s Trauma Services BC Vision Through effective injury care, control and g W n i o prevention, British Columbians will enjoy e r B k the lowest burden of injury in p ll la North America e c e W E & xc th e al lle e n t H ce en Pati 2015 Annual Report | 7 Governance The BC government indirectly influences the system of Trauma Services BC’s operational model ensures trauma care and injury management through the Ministry engagement and participation of regional trauma of Health by engagement and fiscal support of the health programs in setting provincial priorities through Trauma authorities, and the Ministry of Justice through oversight Services BC’s council. In addition to the council, it

Load more