Division of Emergency Medical Operations
RULE NO.:RULE TITLE:
64J-2.010Apportionment of Trauma Centers within a Trauma Service Area (TSA)
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 40, No. 22, February 3, 2014 issue of the Florida Administrative Register.
64J-2.010 Allocation of Trauma Centers Aamong the Trauma Service Areas (TSAs).
(1) Level I and Level II trauma centers shall be allocated among the trauma service areas (TSAs) based upon the following:
(a) The following criteria shall be used to determine a total score for each TSA. Points shall be determined based upon data in the Trauma Service Area Assessment.
1. Population
a. A total population of less than 0 to 600,000 receives 2 points.
b. A total population of 600,001 to 1,200,000 receives 4 points.
c. A total population of 1,200,001 to 1,800,000 1,700,000 receives 6 points.
d. A total population of 1,800,000 1,700,001 to 2,400,000 2,300,000 receives 8 points.
e. A total population greater than 2,400,000 2,300,000 receives 10 points.
2. Median Transport Times
a. Median transport time of less than 0 to 10 minutes receives 0 points.
b. Median transport time of 101 to 20 minutes receives 1 point.
c. Median transport time of 21 to 30 minutes receives 2 points.
d. Median transport time of 31 to 40 minutes receives 3 points.
e. Median transport time of greater than 41 minutes receives 4 points.
3. Community Support
a. Letters of support for an additional trauma center from 250 to 50 percent of the city and county commissions located within the TSA receive 1 point. Letters of support must be received by the Department on or before April 1 annually.
b. Letters of support for an additional trauma center from more than 50 percent of the city or county commissions located within the TSA receive 2 points. Letters of support must be received by the Department on or before April 1 annually.
4. Severely Iinjured Patients Discharged from Acute Care Hospitals Not Treated In Trauma Centers
a. Discharge of 0 to 200 patients with an International Classification Injury Severity Score (“ICISS”) score of less than 0.85 (“severely injured patients”) from hospitals other than trauma centers receives 0 points.
b. Discharge of 201 to 400 severely injured patients from hospitals other than trauma centers receives 1 point.
c. Discharge of 401 to 600 severely injured patients from hospitals other than trauma centers receives 2 points.
d. Discharge of 601 to 800 severely injured patients from hospitals other than trauma centers receives 3 points.
e. Discharge of more than 800 severely injured patients from hospitals other than trauma centers receives 4 points.
5. Level I Trauma Centers
a. The existence of a verified Level I trauma center receives one negative point.
b. The existence of two verified Level I trauma centers receives two negative points.
c. The existence of three verified Level I trauma centers receives three negative points.
6. Number of Severely Injured Patients
a. If the annual number of severely injured patients exceeds the statutory trauma center patient volumes identified in Section 395.402(1), F.S., by more than 500 patients, the TSA receives 2 points.
b. If the annual number of severely injured patients exceeds the statutory trauma center patient volumes identified in Section 395.402(1), F.S., by 0 to 500 patients, the TSA receives 1 point.
c. If the annual number of severely injured patients is less than the statutory trauma center patient volumes identified in Section 395.402(1), F.S., by 0 to 500 patients, the TSA receives one negative point.
d. If the annual number of severely injured patients is less than the statutory trauma center patient volumes identified in Section 395.402(1), F.S., by more than 500 patients, the TSA receives two negative points.
(b) The following scoring system shall be used to allocate trauma centers within the TSAs:
1. TSAs with a score of 5 points or less shall be allocated 1 trauma center.
2. TSAs with a score of 6 to 10 points shall be allocated 2 trauma centers.
3. TSAs with a score of 11 to 15 points shall be allocated 3 trauma centers.
4. TSAs with a score of more than 15 points shall be allocated 4 trauma centers.
(2) An assessment and scoring shall be conducted by the Department annually on or before August 30th, beginning August 30, 2015.
(3) The number of trauma centers allocated for each TSA based upon the Amended Trauma Service Area Assessment, dated March 24, 2014 January 31, 2014, which can be found at www.FLHealth.gov/licensing-and-regulation/trauma-system/_documents/trauma-area-service-assessment.pdf, is as follows:
TSA
Counties
Trauma Centers
1
Escambia, Okaloosa, Santa Rosa, Walton
1
2
Bay, Gulf, Holmes, Washington
1
3
Calhoun, Franklin, Gadsden, Jackson, Jefferson, Leon,
Liberty, Madison, Taylor, Wakulla
1
4
Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Putnam, Suwannee, Union
1
5
Baker, Clay, Duval, Nassau, St. Johns
12
6
Citrus, Hernando, Marion
2
7
Flagler, Volusia
1
8
Lake, Orange, Osceola, Seminole, Sumter
3
9
Pasco, Pinellas
23
10
Hillsborough
1
11
Hardee, Highlands, Polk
1
12
Brevard, Indian River
1
13
DeSoto, Manatee, Sarasota
2
14
Martin, Okeechobee, St. Lucie
1
15
Charlotte, Glades, Hendry, Lee
12
16
Palm Beach
1
17
Collier
1
18
Broward
2
19
Dade, Monroe
3
Rulemaking Authority 395.402, 395.405 FS. Law Implemented 395.402 FS. History–New 12-10-92, Formerly 10D-66.1075, Amended 6-9-05, 12-18-06,Formerly 64E-2.022, Amended_________.
