To develop an inclusive, sustainable trauma system that allocates trauma centers throughout the state.

 

DEPARTMENT OF HEALTH

Division of Emergency Preparedness and Community Support

RULE NO.:RULE TITLE:

64J-2.010Apportionment of Trauma Centers Among the Trauma Service Areas (TSA)

PURPOSE AND EFFECT: To develop an inclusive, sustainable trauma system that allocates trauma centers throughout the state.

SUMMARY: This proposed rule will allocate the number of trauma centers needed for each trauma service area based on an assessment of the trauma service areas and a review of the assignment of Florida's 67 counties to trauma service areas.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: Through its analysis of regulatory costs required as a part of the SERC analysis, the Department has determined this rule will not require legislative ratification pursuant to Section 120.541(3), F.S. Therefore this rulemaking will not have an adverse impact or regulatory costs in excess of $1 million within five years as established in s.120.541(2)(a), F.S.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 395.402, 395.405, FS.

LAW IMPLEMENTED: 395.402, FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Susan Bulecza, Administrator, Trauma Program, 4052 Bald Cypress Way, Bin #A20, Tallahassee, Florida 32399-1722.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

64J-2.010 Allocation Apportionment of Trauma Centers Among 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. through 2. No change

3. Community Support

a. Letters of support for an additional trauma center from 25 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 July 1 April 1 annually.

b. Letters of support for an additional trauma center from more than 50 percent of the city and or county commissions located within the TSA receive 2 points. Letters of support must be received by the Department on or before July 1 April 1 annually.

4. through 6. No change

(1) (b) through (2) No change

(3) The number of trauma centers allocated for each TSA based upon the Amended Trauma Service Area Assessment, dated April 23, 2015, March 24, 2014 which can be found at www.FLHealth.gov/licensing-and-regulation/trauma-system/_documents/trauma-area-service-assessment.pdf http://www.floridahealth.gov/licensing-and-regulation/trauma-system/_documents/TSA-2015-FINAL.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	2 1
6	Citrus, Hernando, Marion	1 2
7	Flagler, Volusia	1
8	Lake, Orange, Osceola, Seminole, Sumter	3
9	Pasco, Pinellas	2
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	1
16	Palm Beach	1
17	Collier	1
18	Broward	1 2
19	Dade, Monroe	2 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 7-29-14, _________ .

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Susan Bulecza, Trauma Program Administrator

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: John H. Armstrong, MD, FACS, Surgeon General and Secretary of Health

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: August 31, 2015

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: May 13, 2015