Criteria Highlight 14(b)

DHS Logo Original 07/11/2018

Wisconsin Trauma Care System

Introduction to Criteria Highlights

These highlights are intended to provide clarification to frequently asked questions or recently cited deficiencies. These criteria highlights are applicable to Wisconsin Department of Health Services classified level III and level IV trauma care facilities. For suggested future editions, please email DHS Trauma Team at DHSTrauma@dhs.wisconsin.gov.

Criteria 14(b)

Applicable to level III and IV facilities, type 2 deficiency

Criteria: The TCF must submit the required data elements, defined by the Wisconsin Trauma Data Dictionary to the Wisconsin trauma registry. Note: The Wisconsin Trauma Data Dictionary is prepared, maintained, and updated by the Wisconsin Department of Health Services and is published on DHS' trauma webpage

Education and clarification: 

Facilities may periodically observe times when hospital inpatient beds are unavailable for trauma patients. As a result, a patient may be boarded in the emergency department throughout a portion or the entire length of their stay. This can lead to questions regarding specific required data elements within the Wisconsin Data Dictionary. To properly enter these patients into the trauma registry, please use the information below.  

The spirit of the definitions and the phase of care of the patient should be considered, rather than the physical location of the patient. 

It is recommended to involve these patients in the PI process of the facility.  

Data elements involved: 

  • TR17.27 ED discharge disposition: disposition unit the order was written and the unit where the patient should be treated 
  • TR17.41, TR17.42 ED discharge date and time: date and time the ED discharge order is written 
  • TR17.25, TR17.26 ED physical discharge date and time: date and time the patient should be discharged from the ED and transitioned to inpatient care 
  • TR18.99 Admitting service: service the patient should be admitted to in the facility 
  • TR25.93, TR25.94 Hospital discharge date and time: date and time the hospital discharge order is written 
  • TR25.34, TR25.48 Hospital physical discharge date and time: date and time the patient expired or is physically discharged from the hospital 

Resources