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National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Health System Infrastructure: Trauma Centers

 

Measures

Levels I and II trauma center utilization
Level III trauma center utilization
 

 

Measure Title

Levels I and II trauma center utilization

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP)

Table Description

Geographic Representation

National

Years Available

2009, 2010

Population Subgroups

Age, geographic location (residence), income, region, sex

Data Sources

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Emergency Department Sample (NEDS)

Denominator

Emergency department visits related to severe injuries

Numerator

Subset of the denominator who utilized level I and II trauma centers

Comments

Trauma centers treat both adults and children. Designation of trauma center levels I, II, and III is based on criteria developed by the American College of Surgeons' Committee on Trauma (ACS/COT). In the 2006-2010 NEDS, a collapsed stratification of levels I and II or levels I, II, and III was employed. Injury severity score is assigned by ICDPIC Stata program, with ranges from 1 to 75 (with 75 being the most severe). Values of 99 mean severity of injury could not be determined.

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Measure Title

Level III trauma center utilization

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP)

Table Description

Geographic Representation

National

Years Available

2009, 2010

Population Subgroups

Age, geographic location (residence), income, region, sex

Data Sources

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Emergency Department Sample (NEDS)

Denominator

Emergency department visits related to severe injuries

Numerator

Subset of the denominator who utilized trauma level III centers

Comments

Trauma centers treat both adults and children. Designation of trauma center levels I, II, and III is based on criteria developed by the American College of Surgeons' Committee on Trauma (ACS/COT). In the 2006-2010 NEDS, a collapsed stratification of levels I and II or levels I, II, and III was employed. Injury severity score is assigned by ICDPIC Stata program, with ranges from 1 to 75 (with 75 being the most severe). Values of 99 mean severity of injury could not be determined.

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Page last reviewed July 2014
Page originally created July 2014
Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/hsi-trauma.html

 

The information on this page is archived and provided for reference purposes only.

 
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