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Quality Improvement in Oklahoma Trauma Care

The Trauma Division of the Oklahoma State Department of Health continues to steadily move forward with trauma system development and improvement statewide. Oklahoma statutes at Title 63 § 2530.6 specify periodic reviews of trauma care and continuous quality improvement activities related to trauma care by a state Medical Audit Committee. In accordance with the statute, the Commissioner of Health appointed the members of the Medical Audit Committee (MAC) and the group began meeting regularly in November of 2004. The Medical Audit Committee is composed of nine physicians from both rural and urban areas, representing trauma surgery, emergency medicine, orthopedics, oral-maxillofacial surgery, neurosurgery, pediatric critical care and general surgery. To date, the Medical Audit Committee has received and reviewed a number of cases and provided follow-up, education, and resolution. Additionally, each of the eight Regional Trauma Advisory Boards in Oklahoma is in the process of establishing a Regional Quality Improvement Committee to review trauma systems issues.

The statute provides that the meetings of the Medical Audit Committee and Regional Quality improvement Committees, where patient care reviews are conducted, shall not be public meetings and shall not be subject to the provisions of the Oklahoma Open Meetings Act. Materials generated at such meetings shall also be protected and not subject to the Open Records Act or to disclosure by subpoena or otherwise (O>S> 63 § 1-2530.7)

 

QI Referral Form

For referrals to be review by Medical Audit Committee please call toll free:
1-800-814-8441

 

 

 

 

 

 

 

 

 

 

 

 

 

Information: Gail A. Livengood, RN, BSN, QI Coordinator, Trauma Division gaill@health.ok.gov


Frequently Asked Questions
Q: Who may refer a case?
A: A physician, nurse, or other health care provider, or member of the public

Q: What may be reported?
A: Any situation involving the care of trauma patients, including patient transfer and referral issues, patient care issues, patient transport problems.

Q: What happens after I make a referral?
A: Oklahoma State Department of Health (OSDH) staff will initiate and intake form to capture preliminary information and screen referred cases to determine if the case is to be reviewed by the Medical Audit Committee of by the Regional Quality Improvement Committee. OSDH staff will request appropriate records for evaluation. The case will then be referred to the appropriate Committee for review. Cases referred to the Medical Audit Committee will be sent to members for preliminary review and report to the full Medical Audit Committee (MAC). The MAC will make recommendations and address any identified concerns first through education, provision of information, and system design, as appropriate. If these efforts fail, an enforcement action may be required according to OSDH rules as provided for in the Oklahoma Administrative Code.

Q: Will I know the outcome of my report?
A: You will be notified of receipt of your referral. However, the results of the review are confidential and will not be released to the individual making the referral or to the public.

Q: How do I make a referral?
A: Referrals may be made to the Medical Audit Committee by contacting: Gail A. Livengood, RN, QI Coordinator, Trauma Division, Oklahoma State Department of Health 1000 N.E. 10th Street, Room 1104, Oklahoma City, Ok 73117-1299 Toll Free; 1-800-814-8441(you may leave message) Trauma Division: 405-271-2657 (secure fax line)405-271-1045

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