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Readiness Costs for a Statewide Trauma System.

Amy A Howk1, Robert Seesholtz2, Jessica Story3

  • 1The University of Tennessee Health Science Center, Knoxville, TN, USA.

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|May 13, 2025
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Summary
This summary is machine-generated.

Trauma center readiness in Tennessee costs approximately $20 million for Level I/II centers, $3.76 million for Level III, and $4.35 million for Comprehensive Regional Pediatric Centers. These costs have doubled, highlighting the need for increased support for trauma care funding.

Keywords:
acute care surgerytrauma

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Area of Science:

  • Health Policy
  • Trauma Surgery
  • Healthcare Economics

Background:

  • Tennessee's statewide trauma system requires funding for trauma center readiness.
  • The American College of Surgeons (ACS) outlines specific readiness components.
  • Legislative challenge to determine the exact cost of trauma center readiness in Tennessee.

Purpose of the Study:

  • To accurately determine the statewide costs associated with trauma center readiness in Tennessee.
  • To provide data for legislative and healthcare funding allocation decisions.

Main Methods:

  • Readiness components defined using the 2014 Optimal Resources Document and state guidelines.
  • Cost data collected from financial leadership of participating hospitals for 2022.
  • Data deidentified and costs vetted by an independent accounting firm.

Main Results:

  • Total statewide costs reached $171,000,000.
  • Average costs: Level I/II ($20.6M), Level III ($3.6M), CRPC ($4.4M).
  • Operating Room (OR) availability averaged $2.4M for Level I/II, with anesthesia being the highest provider cost ($2.3M).

Conclusions:

  • Trauma readiness is a significant financial commitment, averaging $20M (Level I/II), $3.76M (Level III), and $4.35M (CRPC).
  • Costs have doubled compared to previous estimates from a neighboring state.
  • State and national leaders must consider these substantial costs when allocating healthcare funding and supporting trauma care.