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Trauma Regional Advisory Council, or TRAC, are regional trauma systems that help drive state wide system development of trauma care. There are 10 districts in Indiana. Each district has unique obstacles and must work as a team with area hospitals, EMS agencies, and community agencies to improve trauma care within their region.

Memorial Hospital is part of District 2 in north central Indiana. This district is comprised of 7 counties: St. Joseph, Elkhart, Starke, Marshall, Kosciusko, Pulaski, and Fulton. Demographics in these counties vary from rural to urban.

D2TRAC Team Goals:

• Standardize practice among agencies/facilities

• Decrease length of stay for trauma patients

• Disseminate trauma information to agencies/facilities

• Enhance regional pediatric care

• Provide trauma education to providers and outreach injury prevention to the community

• Develop new initiatives aimed at reducing death and disability for traumatic injuries

History of Trauma Care in Indiana:

Indiana is a rural state.

2004 Trauma care task force was organized

2006 Governor signed Public Law 135 ordering ISBH to develop, implement and oversee a statewide comprehensive trauma care system

2007 Federal funding for a state wide trauma registry

2008 Senate Bill 249 passed giving Department of Homeland Security authority to adopt EMS triage and transportation goals

2009 American College of Surgeons issued their consultation visit recommendations

2010 17,000 records in trauma registry nearing goal of 20,000

2011 ISDH hired additional staff dedicated to trauma and started state “trauma tours”

2012 Triage and Transport Rule signed into law dictating “those patients that are critically injured should be taken to the closest trauma center unless the nearest trauma center is more than 45 minutes away”

2014 IU Health Arnett and IU Health Ball Memorial became the state’s first ACS verified level III trauma centers

2016 ISBH received 3.2 million from the CDC to analyze the Indiana drug prescribing practices