Region 2 South - Michigan

Michigan Department of Community Health

Michigan Regional Trauma Resources

Region 2 South

Report Prepared by Wayne Snyder Region 2 South Trauma Coordinator

August 2013

Contents

Introduction to Region 2 South..................................................................................................................... 1 Traumatic Injuries and Fatalities................................................................................................................... 1 Regional Trauma System Infrastructure ....................................................................................................... 6

EMS Medical Control Authorities and Emergency Medical Services........................................................ 6 Governance............................................................................................................................................... 6 Regional Trauma Network and Trauma Advisory Council ........................................................................ 7 MDCH 2013 Trauma Needs Assessment..................................................................................................... 10 Summary ..................................................................................................................................................... 15

List of Figures

Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 Figure 11 Figure 12 Figure 13 Figure 14 Figure 15 Figure 16 Figure 17 Figure 18 Figure 19

Region 2 South Injury Related Fatalities

2

Region 2 South Injury Related Hospitalizations

2

Michigan Homicide Statistics

3

Leading Causes of Death and Injury in Michigan

3

Comparison of Region 2 South and Michigan Crash Injuries and Fatalities

4

Region 2 South Injury Hospital Admissions

5

Region 2 South Hospitals and MCA Affiliation

6

Region 2 South Trauma Network Organizational Chart

8

Region 2 South Population and Pediatric Hospital Beds

9

Region 2 South Hospital ACS Verification Level and Considered Level

10

Region 2 South Specialty Bed Resources

10

Region 2 South Specialty Service Resources

11

Region 2 South Inpatient Rehabilitation Service Resources

11

Region 2 South Outpatient Rehabilitation Service Resources

12

Region 2 South Surgical and Anesthesia Service Resources

12

Region 2 South Adult Patient Written Transfer Agreements and Guidelines 13

Region 2 South Emergency Department Trauma Education Requirements

13

Region 2 South Hospitals Injury Prevention and Trauma Meeting Participation 14

Region 2 South Hospitals State Trauma Data Base Submissions

14

Introduction to Region 2 South

Region 2 South (R2S) is the most populous region in the state with more than 2.2 million residents. The region is comprised of Monroe, Washtenaw and Wayne counties and includes the city of Detroit. The region has two international border crossings with Canada and shares a border with northwestern Ohio. In addition to its renown as an industrial and manufacturing center, the region is also home for major corporate headquarters and several universities including the University of Michigan, Eastern Michigan University, University of Detroit Mercy, Concordia University, Madonna University, and Wayne State University.

Region 2 South is served by 35 hospitals, 92 EMS agencies, 4 EMS Medical Control Authorities and 4 local Health Departments. The region is home to eleven (13) American College of Surgeons (ACS) verified trauma centers, including three (3) Level I, five (5) Level II and two (2) Level III facilities; the region's children are served by two (2) Level I and one (1) Level II pediatric trauma centers.

The region hosts numerous major sporting and cultural events that challenge the resources of the regional trauma system, including concerts, festivals, the Detroit Grand Prix, the Ann Arbor Art Fair and several marathons. The region is home to four professional sport teams including the Detroit Tigers, Detroit Lions, Detroit Red Wings and Detroit Pistons and has hosted many major national sporting events including the Superbowl, World Series of Baseball, Stanley Cup Playoffs and National Basketball Association Finals. In addition, the University of Michigan football stadium is filled with 107,501 spectators on seven weekends each fall.

Traumatic Injuries and Fatalities

In order to address a systematic, regionalized approach to injury, it is necessary to assess regional data. Accurate assessment of data provides the means for policy development organized to address the goals of injury prevention, incident response and post-injury rehabilitation.

This data, along with other data sets including the Michigan trauma registry, will be used to enhance system performance and to drive change. The injury and fatality information that follows was abstracted from a variety of sources to provide a general sense of the current trauma problem within the region and state.

The graphs below describe the three (3) leading causes of injury related deaths and injury related hospitalizations for Region 2 South in 2010.

1

Final 1.6

Leading Causes of Injury Related Deaths in Region 2S

400

350

300

250

200

150

100

50

0

Homicide

Unintentional

Poisoning

Suicide

Deaths Number

Figure 1 Region 2 South Injury Related Fatalities. Source: Tom Largo Injury Epidemiologist, MDCH Division Environmental Health, 2010 data.

Leading Causes of Injury Related Hospitalizations in Region 2S

7,000 6,000 5,000 4,000 3,000 2,000 1,000

0

Unintentional Fall

Motor Vehicle Traffic Crash

Assault*

Hospitalizations Number

Figure 2 Region 2 South Injury Related Hospitalizations. Source: Tom Largo Injury Epidemiologist, MDCH Division Environmental Health, 2010 data.

2

Final 1.6

Homicide Rates by Age and Gender in Michigan from 2007-2009

80 70 60 50 40 30 20 10

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