Monthly Report for May 2014 Indiana Trauma Registry

On May 2nd, Katie Gatz, Interim Director of the Trauma and Injury Prevention Division, at-

tended the Parkview Trauma Symposium in Fort Wayne.

On May 13th, Katie Gatz presented a Trauma System Update presentation at the Cardiovascu-

lar and Diabetes Coalition of Indiana (CADI) Systems of Care Committee meeting.

Murray Lawry, EMS Registry Manager, and Katie Gatz hosted a Trauma Registry Training

event at the ISDH on May 16th. They had 18 attendees from 11 different hospitals and 5 at-

tendees from 4 different prehospital services.

On May 16th, Camry Hess, Database Analyst Epidemiologist, and Jessica Skiba, Injury Pre-

vention Epidemiologist, attended and participated in the St. Vincent Trauma Symposium in

northeast Indianapolis.

Jessica Skiba attended the Safe States Conference from May 19th through May 22nd. The con-

ference was funded through the Preventive Health Block Grant.

On May 21st Katie Gatz attended and presented at the Porter Health—EMS Symposium in

Valparaiso.

Art Logsdon, Assistant Commissioner of Health and Human Services Commission, announced

that Katie Gatz is the new Director of the Trauma and Injury Prevention Division, effective

Tuesday, May 27.

The 2013 data presented in this report is now complete.

Monthly Report for May 2014

Completeness

Indiana Trauma Registry

Timeliness

The Hospital Discharge database, also maintained by the ISDH, contains all records of patients cared for in Indiana hospitals. We

compared patient records from the ITR with the Hospital Discharge database to know how complete is the ITR’s data.

The Indiana Trauma Registry (ITR) monthly report is a dashboard style report for the Indiana Criminal Justice Institute (ICJI) and

any other party concerned about trauma in Indiana. This report highlights the three data quality measures for the ICJI grant: com-

pleteness, timeliness, and uniformity. This report uses data within the ITR, with an emphasis on motor vehicle collisions (MVC).

Timeliness increases as facilities wait until the data submission deadline to submit data to the ITR. Hospitals are asked to report

data on the national trauma (TQIP) reporting schedule.

The decrease in timeliness from October 2013 until May 2014 is due to only timely reports being provided to the ITR during this

time frame, typically from non-trauma hospitals and early reporting trauma centers.

0

20

40

60

80

100

120

140

Avg. # of days from incident to

date report to ITR

Timeliness (In Days)

0

500

1000

1500

2000

2500

3000

3500

2012 Hospital

Discharge

Database

2013 Hospital

Discharge

Database

ITR 2012

ITR 2013

Uniformity In May we sent out the fourth monthly quiz for the inter-rater reliability study. Forty-nine registrars complet-

ed the quiz from 40 hospitals. The percent of correct answers was 59.6% for the entire quiz and the average

free-marginal Kappa (measure of consistency) 0.28. We plan to collect data for four months and track trends

in percent of correct answers by individuals and as a group over time as well as their consistency. Other ac-

tivities to improve the uniformity of data includes investigating integration of trauma and EMS data by ex-

ploring options to link trauma and EMS data and working with EMS providers to submit valid Hospital Facil-

ity ID codes.

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Question1

Question2

Question3

Question4

Question5

Overall

Pe

rce

nt

Percent Correct

Integration The percent of linked trauma cases that were transported by EMS services was 25%. This percentage is part

of the baseline measurement from which we will track changes over the next year.

January 2012 to May 2014 47293 Incidents 1

Cause of Injury (COI)January 2012 to May 2014 47293 Incidents 1

Cause of Injury (COI)

<1% of COI: Pedestrian (Other), Natural/Environmental, Overexertion, Fire/Burn, and Bites/Stings

COI-Motor Vehicle Collision (MVC)

COI-MVC Nonfatal Incidents and Fatal Incidents

May 2013 to May 2014 3781 Incidents 2

Motor Vehicle Collision

Race Age

Gender Drug & Alcohol Use

Injury Severity Score

Injury Severity Score (ISS) is a measure of how bad the injuryis. Scores over 15 are considered major trauma. A score of 75

is considered not survivable.

Protective Devices

January 2012 to May 2014 10678 Incidents 3

Race- Motor Vehicle CollisionJanuary 2012 to May 2014 10678 Incidents 3

Race- Motor Vehicle Collision

2012 2013-2014

Motorcycle2012-2014

Automobile2012-2014

Bicyclist2012-2014

Pedestrian2012-2014

January 2012 to May 2014 10678 Incidents 4

Age- Motor Vehicle CollisionJanuary 2012 to May 2014 10678 Incidents 4

Age- Motor Vehicle Collision

2012 2013-2014

Motorcycle2012-2014

Automobile2012-2014

Bicyclist2012-2014

Pedestrian2012-2014

January 2012 to May 2014 10678 Incidents 5

Gender- Motor Vehicle CollisionJanuary 2012 to May 2014 10678 Incidents 5

Gender- Motor Vehicle Collision

2012 2013-2014

Motorcycle2012-2014

Automobile2012-2014

Bicyclist2012-2014

Pedestrian2012-2014

January 2012 to May 2014 10678 Incidents 6

Drug & Alcohol Use- Motor Vehicle CollisionJanuary 2012 to May 2014 10678 Incidents 6

Drug & Alcohol Use- Motor Vehicle Collision

2012 2013-2014

Motorcycle2012-2014

Automobile2012-2014

Bicyclist2012-2014

Pedestrian2012-2014

January 2012 to May 2014 10678 Incidents 7

Injury Severity Score- Motor Vehicle CollisionJanuary 2012 to May 2014 10678 Incidents 7

Injury Severity Score- Motor Vehicle Collision

2012 2013-2014

Motorcycle2012-2014

Automobile2012-2014

Bicyclist2012-2014

Pedestrian2012-2014

January 2012 to May 2014 10678 Incidents 8

Protective Devices- Motor Vehicle CollisionJanuary 2012 to May 2014 10678 Incidents 8

Protective Devices- Motor Vehicle Collision

2012 2013-2014

Motorcycle2012-2014

Automobile2012-2014

Bicyclist2012-2014

Pedestrian2012-2014

9999