<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 30.08.04.02" title_num="30" subtitle_num="08" chapter_num="04" heading="Trauma and Specialty Care Quality Management Plan.">
  <paragraph num="A.">
    <text>MIEMSS shall design a trauma and specialty care quality management plan for continued monitoring and evaluation of the State trauma and specialty care systems.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The trauma and specialty care quality management plan shall include the establishment, publication, and periodic review of the data required to be submitted to provide information regarding injury, trauma and specialty care, and system operation in the following categories:</text>
    <paragraph num="(1)">
      <text>Demography;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Anatomy;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Physiology;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Severity;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Epidemiology;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Resource utilization;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Quality improvement;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Outcomes; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Finance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>MIEMSS shall establish committees for trauma and specialty care quality management as structural units of the Maryland EMS Quality Leadership Council to coordinate the trauma and specialty care systems quality management and quality improvement activities set forth in this subtitle.</text>
  </paragraph>
  <paragraph num="D.">
    <text>MIEMSS shall develop a system and reporting mechanism for quality improvement by:</text>
    <paragraph num="(1)">
      <text>Determining the data standards for the State trauma registry;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Setting forth the data standards for the State trauma registry in:</text>
      <paragraph num="(a)">
        <text>The Maryland State Trauma Registry Data Dictionary for Adult Patients for patients 15 years old and older; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Maryland State Trauma Registry Data Dictionary for Pediatric Patients for patients younger than 15 years old.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Establishing protocols for quality monitoring, consistent with MIEMSS' most current data quality guidelines;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Conducting studies to assess the completeness and accuracy of case identification and data collection; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ensuring that the data entered in the State trauma registry is complete and accurate.</text>
    </paragraph>
  </paragraph>
</regulation>