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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

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Evaluating trauma center process performance in an integrated trauma system with registry data.

Lynne Moore¹, André Lavoie, Marie-Josée Sirois

¹Department of Social and Preventative Medicine, Québec (Qc), Canada ; Unité de traumatologie-urgence-soins intensifs, Centre de Recherche du CHA (Hôpital de l'Enfant-Jésus), Québec (Qc), Canada.

Journal of Emergencies, Trauma, and Shock

|June 1, 2013

Summary

This study identified 15 process performance indicators (PPI) from trauma registry data to evaluate trauma center performance. These indicators demonstrate variability, supporting their use in integrated trauma systems for quality improvement.

Keywords:

Clinical processes performance indicators quality of care trauma system

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Area of Science:

Trauma Care
Healthcare Quality Improvement
Health Services Research

Background:

Trauma center performance evaluation traditionally relies on clinical process indicators.
Routinely collected trauma registry data is underutilized for quality improvement, often focusing on adverse outcomes.

Purpose of the Study:

To identify and assess process performance indicators (PPI) calculable from routine trauma registry data.
To evaluate the utility of these PPI for assessing trauma center performance.

Main Methods:

Literature review, system documentation, and expert consensus identified potential PPI.
Data from 99,444 patients across 59 trauma centers (Quebec, 1999-2006) were used.
PPI were evaluated for discrimination, construct validity, and forecasting properties.

Main Results:

Fifteen PPI were selected, with conformity ranging from 6% to 97%.
Statistically significant between-center variance was found for 13 PPI.
Eleven PPI showed significant correlation over time, indicating forecasting potential.

Conclusions:

A set of 15 PPI can be reliably calculated from routine trauma registry data.
These PPI possess discrimination, construct validity, and forecasting capabilities.
Observed between-center variance underscores the value of process performance evaluation in integrated trauma systems.