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.


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

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

2017 Project

The project will expand to two regional (East/West RTACs) approaches, involving 14 MT CAHs!  There are 10 CAHs from the Eastern MT Trauma region and 4 from the Western MT Trauma region.The project will run from May 2017-August 2017.

Data Collection Tool

Project Timeline:

May 2017: Data Collection
June 2017: Site Visits
June/July 2017: Regional RTAC Meetings and Trainings
August 2017: Project Wrap Up
September-December 2017: Remeasurement Period
April 2018: Remeasurement data due
June 2018: Remeasurement report published


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