Trauma Center Designation Process 

Designation Process: Hospital Listing | Hospital Documents | Trauma Reviewer Documents 

Hospital Listing

Below is a listing of hospitals by regions with designation intent levels reflected.  This listing includes contact information for the ADH Trauma Nurse Coordinator for each region.  As hospitals go through the process and are designated, they will be added to the Designated Trauma Centers listing.

Downloads
Hospital listing (by Region with Trauma Nurse Coordinators)

Documents

Below are documents which outline the trauma center designation process.  Some are designed specifically for hospitals, some for Trauma Reviewers, and some are applicable to both.  The intent of these documents is not only to establish the designation process, but to make clear the roles and responsibilities of both hospitals and Trauma Reviewers within the overall process.  This information is useful not only immediately before and during hospital designation site surveys, but also as a learning tool for hospitals and Trauma Reviewers as they prepare for the surveys.   

Hospital Documents

Downloads
TS-01 Designation Process 
TS-02 Designation Criteria
TS-03 Site Survey Guidelines for Hospitals (Levels I and II) 
TS-03 Site Survey Guidelines for Hospitals (Level III)
TS-03 Site Survey Guidelines for Hospitals (Level IV)
TS-07 FAQs Regarding Rules 
TS-07-2 FAQs Affecting Multiple Sections
TS-08 Instructions for Completion of the Hospital PRQ
TS-09 Hospital PRQ (Levels I and II) | Word
TS-09 Hospital PRQ (Level III) | Word
TS-09 Hospital PRQ (Level IV) | Word
TS-11 Expense Report
TS-13 Hospital Confirmation Letter
TS-15 Hospital Intent Application | Word
TS-16 Process for Re-Designation of Arkansas Trauma Centers
TS-17 Re-Designation Dates for Arkansas Trauma Centers
TS-18 Hospital Administration/Trauma Staff Change Notification Form

Trauma Reviewer Documents

Downloads
TS-01 Designation Process 
TS-02 Designation Criteria
TS-04 Site Survey Guidelines for Reviewers (Levels I and II)
TS-04 Site Survey Guidelines for Reviewers (Level III)
TS-04 Site Survey Guidelines for Reviewers (Level IV)
TS-05 Trauma Reviewer Credentialing 
TS-06 Trauma Reviewer Affidavit 
TS-07 FAQs Regarding Rules
TS-10 Reviewers Checklist (Levels I and II) | Word
TS-10 Reviewers Checklist (Level III) | Word
TS-10 Reviewers Checklist (Level IV) |Word
TS-11 Expense Report
TS-12 Reviewer Statements
TS-14 Reviewer Confirmation Letter (Levels I and II)
TS-16 Chart Review Template | Word
TS-17 Reviewers Executive Summary  | Word

Rules and Regulations