TAI has provided database management and reporting services for the Sierra Sacramento Valley Emergency Medical Services Agency's (SSV-EMSA) trauma registry since 1996. Since that time, TAI has managed the central trauma database and provided confidential reports every 4 months to 7 participating trauma centers. These reports contrast each center's patient demographics, outcome statistics, measures of care process, and other variables with study-wide data, quantitatively describing care processes to facilitate performance improvement and identify patients with certain unexpected outcomes (survival/death, or length of stay in hospital or ICU). TAI also provides the SSV-EMSA with a report summarizing data from all participants.
Reports to participating hospitals support self-evaluations, CQI initiatives using the latest
- outcome evaluation techniques
- methods for identifying patients worthy of peer review (example reports identifying patients with unexpectedly long stays in hospital or in ICU)
- longitudinal summaries and statistical methods
- comparisons of data with that from other participants providing an independent basis for self-evaluation to stimulate improvement
County/EMS Agency reports
- provide a basis for Agency-wide assessments of outcomes, lengths of stay, EMS variables, and longitudinal trends
- support self-assessments (e.g., into county triage practices, treatment of pediatric patients, and the volume/acuity of trauma center patients)
