The Process Improvement Committee is charged with evaluating regional trauma registry
data to identify trends and opportunities for improvement.
The make-up of the committee is defined in HFS Rule 118 and the committee can convene
in closed session to review protected case information.
NCRTAC Performance Improvement Confidentiality Statement (Please complete annually)
American College of Surgeons PI Manual
Wisconsin Regional PI Guideline Document
The Wisconsin Trauma Registry has been overhauled over the last few years and hospitals
are busy entering data. The RTACs can now get regional reports about trauma trends and
issues in their area as well.
Performance Improvement Committee current review areas include:
Scroll down for information on our current projects.
The Emergency Department Length of Stay greater than 3 hours project monitors the percentage of seriously injured trauma patients that stay at the referring hospital for more than 3 hours prior to transfer to one of the Level II trauma centers in our region. Referring hospitals are asked to do process improvement case reviews for these cases. The information is forwarded to the NCRTAC PI committee to identify trends. The information is also entered into the State PI committee database.
When patients are transferred between hospitals while still immobilized on a backboard it is critical to pad the backboard to prevent pain and skin breakdown. This project monitors the percentage of patients transferred on a backboard with padding in place.
The NCRTAC has purchased Back Rafts and distributed them to area hospitals to support the project.
Click here for an educational video about application of the Back Raft in the hospital setting.