NORTH CENTRAL FLORIDA TRAUMA AGENCY NORTH CENTRAL FLORIDA TRAUMA AGENCY TRAUMA PLAN 2017-2022 NORTH CENTRAL FLORIDA TRAUMA AGENCY This page intentionally left blank. NORTH CENTRAL FLORIDA TRAUMA AGENCY Table of Contents Introduction ______________________________________________________________________________________________ 7 Population and Geographic Areas Served ______________________________________________________________ 9 Population Characteristics ________________________________________________________________________________________ 9 Economic Characteristics ________________________________________________________________________________________ 16 Geographic Area __________________________________________________________________________________________________ 21 Area Hospitals ____________________________________________________________________________________________________ 22 Nursing Homes/Rehabilitation Centers _________________________________________________________________________ 24 Pre-Hospital Providers ___________________________________________________________________________________________ 27 Leading Causes of Trauma _______________________________________________________________________________________ 28 Historical Patient Flow Patterns _________________________________________________________________________________ 29 Agency Organizational Structure ______________________________________________________________________ 31 North Central Florida Trauma Agency History _________________________________________________________________ 31 Organization ______________________________________________________________________________________________________ 32 Membership ____________________________________________________________________________________________________ 33 Responsibility of the Board of Directors _____________________________________________________________________ 34 Compensation __________________________________________________________________________________________________ 35 Committees _____________________________________________________________________________________________________ 35 Organizational Chart __________________________________________________________________________________________ 35 Role of WellFlorida Council ___________________________________________________________________________________ 36 Trauma System Structure ______________________________________________________________________________ 37 Quality Control and Systems Evaluation ______________________________________________________________ 38 Traumatic Deaths ______________________________________________________________________________________________ 40 Over and Under Triage Data __________________________________________________________________________________ 40 Appropriateness of Helicopter Utilization ___________________________________________________________________ 40 Scene Time _____________________________________________________________________________________________________ 41 Other Identified Issues ________________________________________________________________________________________ 41 Transportation System Design ________________________________________________________________________ 43 EMS Ground Transportation __________________________________________________________________________________ 43 PAGE 1 NORTH CENTRAL FLORIDA TRAUMA AGENCY EMS Air Transportation _______________________________________________________________________________________ 43 EMS Water Transportation ____________________________________________________________________________________ 43 Patient Flow _______________________________________________________________________________________________________ 43 Inter-facility Transfer Agreements ______________________________________________________________________________ 44 Pre-Hospital Provider Profile __________________________________________________________________________ 45 Hospital Services Profile _______________________________________________________________________________ 50 Current Need for Level I and Level II Trauma Centers in the Region _______________________________ 66 Trauma Transport Protocols __________________________________________________________________________ 67 Medical Control and Accountability ___________________________________________________________________ 68 Emergency Medical Services Communications ______________________________________________________ 69 EMS Communications Design Criteria General Provisions of an EMS Communications System ____________ 69 Citizen Access __________________________________________________________________________________________________ 69 Vehicle Dispatch and Response (VDR) _______________________________________________________________________ 69 Local Medical Coordination (LMC) ___________________________________________________________________________ 70 Statewide Medical Coordination ______________________________________________________________________________ 70 Medical Resource Coordination (MRC)_______________________________________________________________________ 70 Mutual Aid Agreement ___________________________________________________________________________________________ 70 Mass Casualty and Disaster Plan ________________________________________________________________________________ 71 Data Collection __________________________________________________________________________________________ 72 Trauma System Evaluation ____________________________________________________________________________ 73 Public Information and Education ____________________________________________________________________ 87 Appendix A ______________________________________________________________________________________________ 88 Inter-local Agreement ____________________________________________________________________________________________ 88 Appendix B ______________________________________________________________________________________________ 89 Recommended Trauma Transport Protocols (RTTPS) _________________________________________________________ 89 Appendix C ______________________________________________________________________________________________ 90 General Members, Board Members, and Active Agencies ______________________________________________________ 90 Appendix D ______________________________________________________________________________________________ 91 Agreements with WellFlorida Council __________________________________________________________________________ 91 PAGE 2 NORTH CENTRAL FLORIDA TRAUMA AGENCY Appendix E ______________________________________________________________________________________________ 92 Trauma Triage Score and Assessment __________________________________________________________________________ 92 Appendix F ______________________________________________________________________________________________ 93 Inter-facility Transfer Guidelines ________________________________________________________________________________ 93 Appendix G ______________________________________________________________________________________________ 94 Public Hearing Notices and Minutes ____________________________________________________________________________ 94 Appendix H _____________________________________________________________________________________________ 95 Correspondence with Boards of County Commissioners regarding BOCC Appointments to NCFTA _______ 95 PAGE 3 NORTH CENTRAL FLORIDA TRAUMA AGENCY List of Tables Table 1. Total Estimated Population, Land Area and Density Per Square Mile by County and Florida, 2015. 10 Table 2. Total Estimated Population by Age Group, By County and Florida, 2011-2015. ........................................ 11 Table 3. Total Estimated Population by Selected Races, by County and Florida, 2011-2015. ................................ 12 Table 4. Total Estimated Population by Ethnicity, by County and Florida, 2011-2015. ............................................ 13 Table 5. Total Estimated Population by Gender, by County and Florida, 2011-2015. ................................................ 14 Table 6. Total Estimated Veteran Population, by County and Florida, 2011-2015. ..................................................... 15 Table 7. Number and Percent of Persons in Poverty, by County and Florida, 2010-2015. ...................................... 16 Table 8. Per Capita Income, Median Household Income, by County and Florida, 2011-2015. .............................. 17 Table 9. Unemployment Rates by Year, by County and Florida, 2011-2015. .................................................................. 18 Table 10. Estimated Number and Percent of the Population 25+ Years of Age That Have a Bachelor’s Degree or Higher, by County and Florida, 2011-2015. ............................................................................................................................. 19 Table 11. Estimated Number and Percent of the Civilian Noninstitutionalized Population That are Uninsured, by County and Florida, 2011-2015. ........................................................................................................................... 20 Table 12. Acute Care Hospitals by county, 2017. ......................................................................................................................... 23 Table 13. Nursing Homes and Rehabilitation Centers, 2017................................................................................................