Rochester General Hospital Edition
May 2017

New York State adopted the American College of Surgeon’s Committee on Trauma (ACS-COT) standards and verification process for the state’s trauma system in 2013. The ACS-COT standards allow for four levels of trauma center. Level 3 and 4 trauma centers are community hospitals that dedicate their resources to receiving and stabilizing severely injured patients and then transfer those patients to level 1 or 2 centers. Steps in the New York State process include announcing an intention in becoming a trauma center, seeking a consultative visit from ACS-CT, and scheduling a verification visit from ACS-COT. In addition, there are other requirements such as the appointment of a trauma medical director and the submission of trauma data to both the New York State Trauma Registry and the National Trauma Data Bank. Once a hospital receives verification from the ACS-COT, it is required to undergo a verification visit every three years.

To suggest a topic, please email wellness@rochesterregional.org. To read the full article, click the linked title or contact the Werner Medical Library. Additional links to material from the NYS Department of Health, ACS-COT and other sources may be found in Library News.

• Bailey J, et al. (2012). Verification and regionalization of trauma systems: The impact of these efforts on trauma care in the United States. Surgical Clinics of North America, 92(4), 1009-1024.

• Barringer ML, et al. (2006). Improving outcomes in a regional trauma system: Impact of a level III trauma center. American Journal of Surgery, 192(5), 685-689.

• Daniel CO, et al. (2010). Full time trauma service leads to improved level III trauma center outcomes. American Journal of Surgery, 200(6), 734-739.

• Evans T, et al. (2014). Magnet hospitals are a magnet for higher survival rates at adult trauma centers. The Journal of Trauma and Acute Care Surgery, 77(1), 89-94.

• Khalil M, et al. (2015). Certified acute care surgery programs improve outcomes in patients undergoing emergency surgery: A nationwide analysis. The Journal of Trauma and Acute Care Surgery, 79(1), 60-63.

Bibliography compiled by Tami Hartzell, M.L.S.

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