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Trauma designation process

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Organizational profile

All trauma facilities must submit an updated profile at least once a year. Before your designation application can be started, the organizational profile must be updated by your profile gatekeeper. Starting on July 1, 2024, the profile will require the Trauma Program Leadership role to be added as a facility contact. If your organization does not have a profile gatekeeper, a person must be designated in this role. The designated gatekeeper must follow the instructions found on our organizational profiles page.

Steps to apply for designation

This process should be started at least six months before your next proposed trauma review.

  1. Update the required profile in OATH. See the guidance above.
  2. Find your facility's proposed review date on the trauma designation review schedule.
  3. Submit a trauma designation letter of intent form to request a designation review date. EMTS staff will contact the facility to confirm a trauma designation review date. Written notice of the review date and review team members will be sent to the facility.
  4. Download and review the appropriate scoring tool and other materials below before applying.
  5. Log into your OATH account to begin the "Trauma Facility Designation" application using the Trauma Application Guidance document.
  6. Click ‘Apply Now’ for the desired trauma designation type and prepare documents for upload via your OATH account.
  7. Download the application for the desired trauma designation level below.
  8. Submit and attest to the completed application. Please allow EMTS staff 10 days for processing.
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After the review, findings will be presented to either the Designation Review Committee for levels III-V or the State Emergency Medical and Trauma Services Advisory Council for levels I, II, and RPTC. The Scope and Severity Rubric may be used to determine a designation recommendation. The department then notifies the facility in writing of the designation decision within 30 days of receiving the scheduled committee recommendation.