Trauma Performance Improvement Projects

Trauma Performance Improvement Projects

Trauma Reimbursement

The Trauma Reimbursement project is a joint collaboration between MT Flex/PIN and the Department of Public Health and Human Services, EMS and Trauma Systems.  The project is primarily focused on improving trauma reimbursement for Trauma Designated MT CAHs through the use of lean performance improvement methodologies and networking opportunities with subject matter experts.

The goals of the project are:

  • Assist facilities with Trauma Team Activation (TTA) fee and reimbursement from cases meeting appropriate criteria (i.e. pre-hospital activation).
  • Assist facilities with reimbursement for critical care provided to trauma team activation that arrived by private vehicle (POV) or walk-in and and/or any trauma patient that meets appropriate critical care billing requirements.

RESOURCES & TOOLS FOR IMPROVEMENT

2018 Critical Care Documentation & Billing Resources created through MT Trauma Systems and MT Flex program collaboration:

Critical Care Documentation for Providers

Critical Care Documentation & Billing for Facilities

 

Additional Resources:

Trauma Activation & Critical Care

Developing a Trauma Team Activation Fee [MT DPHHS]

Trauma Response (068x) [MT DPHHS]

Demonstrating Fiscal Viability of Trauma Designation [The Hospital & Healthsystem Association of PA]

Critical Care Fact Sheet [CGS/CMS]

Critical Care Frequently Asked Questions [American College of Emergency Physicians]

Critical Care Time Frames

Charge Sheets [Wheatland Memorial Healthcare]

Pilot Project (2016)

Project Summary Report

Participants:
Liberty Medical Center – Chester, MT
Marias Medical Center – Shelby, MT
Mountainview Medical Center – White Sulphur Springs, MT

2017 Project

Project Summary Report

Participants:

Beartooth Billings Clinic – Red Lodge, MT
Central Montana Medical Center – Lewistown, MT
Clark Fork Valley Hospital – Plains, MT
Mineral Community Hospital – Superior, MT
Northeast MT Health Services – Wolf Point & Poplar, MT
Pioneer Medical Center – Big Timber, MT
Prairie Community Hospital – Terry, MT
Roosevelt Medical Center – Culbertson, MT
Ruby Valley Hospital – Sheridan, MT
Sheridan Memorial Hospital – Plentywood, MT
Stillwater Billings Clinic – Columbus, MT
Wheatland Memorial Hospital – Harlowton, MT