No. 14-01
WHEREAS, the City and County of San Francisco is committed to maintaining a high quality system of trauma care for the people of San Francisco; and,
WHEREAS, the City and County of San Francisco is committed to maintaining San Francisco General Hospital as the designated Level 1 Trauma Center; and,
WHEREAS, the first San Francisco Trauma Care System Plan was approved by the Health Commission of the City and County of San Francisco in 1990; and,
WHEREAS, the Emergency Medical Services (EMS) Section of the City and County of San Francisco Department of Public Health has been designated as the Local EMS Agency for the City and County of San Francisco, pursuant to California Health and Safety Code, Section 1797.200; and,
WHEREAS, San Francisco General Hospital was designated by the EMS Section of the City and County of San Francisco Department of Public Health as the Trauma Center for the City and County of San Francisco in 1991; and,
WHEREAS, through its Level I services, San Francisco General Hospital provides advanced trauma care and professional trauma education and training that is not available in communities in the North and East Bay and Northern California Coastal regions; and,
WHEREAS, the Health Commission of the City and County of San Francisco resolved in 1998 to support the regionalization of the Level I Trauma Program at San Francisco General Hospital to counties in need of advanced trauma care, as long as there is no negative impact on the delivery of emergency and trauma services to the people in the City and County of San Francisco; and,
WHEREAS, since 1998, the regionalization of San Francisco General Hospital trauma services into the northern portion of San Mateo County has succeeded without negative impact on the delivery of emergency and trauma services to the people in the City and County of San Francisco; and,
WHEREAS, the use of regional trauma resources can be maximized if rapid emergency medical transportation is available to the Level I trauma services of San Francisco General Hospital from local and remote Northern California Coastal regions, and from San Francisco to the advanced pediatric and adult trauma services of other designated trauma centers in the Bay Area; and,
WHEREAS, optimal care for critically injured young children requires timely access to advanced pediatric trauma care; and,
WHEREAS, systematic, standardized data collection, analysis and reporting from trauma system participants, including the EMS Section, primary injury prevention programs, pre-hospital care providers, the Trauma Center at San Francisco General Hospital, community hospitals that treat injured patients, and rehabilitative care providers, support ongoing evaluation and improvement of the San Francisco Trauma Care System; and,
WHEREAS, the EMS Section of the City and County of San Francisco Department of Public Health revised and updated the 1990 San Francisco Trauma Care System Plan with input from the San Francisco healthcare professional community; and,
WHEREAS, the 2001 San Francisco Trauma Care System Plan objectives modify the San Francisco Trauma Care System organizational structure to provide better oversight of the system, guidelines for the assessment of trauma system vulnerabilities and a structure for implementation of solutions developed after careful, systematic evaluations; now, therefore, be it
RESOLVED, that the Health Commission of the City and County of San Francisco approves the 2001 San Francisco Trauma Care System Plan and specifically supports the following actions:
1) The establishment of the multi-disciplinary, multi-departmental Trauma System Audit Committee and Regional Trauma Medical Audit Committee,
2) The establishment of a standardized trauma system data collection, analysis and reporting process that will be used to develop injury prevention efforts, ongoing trauma system improvements and systematic evaluation of the Trauma Care System Plan implementation,
3) A thorough, objective evaluation of the need for and feasibility of consistently available air medical access at the San Francisco General Hospital,
4) The establishment of policies to ensure consistently available comprehensive care for pediatric trauma patients, and
5) The ongoing pursuit of regional trauma system relationships to maximize the use of trauma research, education, prevention, and patient care resources.
I hereby certify that the Health Commission at its meeting of August 7, 2001 adopted the foregoing resolution.
Michele M. Olson, Health Commission Secretary