Common use of Services Program Clause in Contracts

Services Program. The Trauma Center agrees readiness services costs covered by this agreement are for the period 1) Maintain “Trauma Center” designation by the Department of Public Health (DPH) throughout the duration of this Agreement. 2) Ensure that at least 25 percent of “Readiness Services Program” funds will be or has been paid to eligible physicians providing trauma related services to trauma patients receiving such services at Trauma Center’s facility during covered period. 3) Provide to Commission a final report at end of agreement period documenting the use of Readiness Services Program funding provided through Agreement. For FY 2021, the Commission has determined sixty percent (60%) of Readiness Services Program funding available to Level III Trauma Centers will be linked to the Performance Based Program Services (PBP). Total Readiness Services Program funding awarded to Trauma Center will include the PBP funding determined by the satisfaction of PBP criteria. The PBP Scorecard included in the contract must be submitted to the Commission office on or before 1 April 2021. Trauma Centers will be notified in May 2021 of compliance to PBP criteria, and total amount of Readiness Services Program funding to be awarded for FY 2021. Performance Based Program Service Criteria for Level III Trauma Centers are: 1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five percent (75%) call attendance by TMD or another designated physician representative is required to satisfy this criterion. (5% value) 2) Participation by trauma program manager or other designated representative in Georgia Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%) attendance by trauma program manager or other designated representative at GCTE meetings is required to satisfy this criterion. Meeting attendance rosters will be used to verify attendance. (5% value) 3) Attendance at the 2021 Spring Symposium, COT & TQIP Collaborative meeting at Chateau Elan by both the Trauma Medical Director (or designated physician) and the Trauma Program Manager (or designee). Meeting sign-in roster will be used to verify attendance. (5% value) 4) Participation in Trauma Administrators Group by senior executive accountable for the trauma program or designated executive that is not the Trauma Program Manager equivalent. Seventy-five (75%) call attendance by Trauma Administrator or designated executive representative is required to satisfy this criterion. Meeting attendance roster will be used to verify attendance. (0% value) 5) Each member of the Multidisciplinary Trauma Peer Review Committee must attend at least 50% of the Trauma Center Peer Review Committee meetings. Multidisciplinary Trauma Peer Review Committee membership is defined by most recent publication of the Resources for Optimal Care of the Injured Patient. Member attendance is tracked by the trauma center monthly or quarterly, depending on meeting frequency. The compliance timeframe is defined as a continuous twelve-month period between Janu 1, 2020 and March 31, 2021. Compliance will be self-reported by the trauma center. (5% value) 6) The trauma registry must be concurrent. At a minimum, 80 percent of trauma registry records must be closed within 60 days of discharge to be in compliance with this criterion. State Office of EMS and Trauma records will determine compliance to this criterion. (10% value). Compliance is based on average record closure rate over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 7) Submit all FY 2021 State Quarterly Trauma Program Reports within 30 calendar days of required date. State Office of EMS and Trauma records will determine compliance to this criterion. (5% value) 8) Participation by trauma program staff member in Rural, Level III/Level IV workgroup. Meeting rosters will be used to verify attendance (5% value). 9) Trauma Center’s current Trauma Medical Director to be a member of the Georgia Chapter Committee on Trauma (COT). Membership will be assessed in April 2021. (5% value) 10) Surgeon response time will be tracked from patient arrival, the maximum acceptable response time is thirty (30) minutes. An Eighty percent (80%) threshold must be met for highest level activations. Surgeon response times are to be reviewed by the Trauma Center monthly and reported quarterly as part of the Ongoing Trauma Center Performance Evaluation (OTCPE) report. State Office of EMS and Trauma records will determine compliance to this criterion. Compliance is based on average over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 11) Participation in American College of Surgeons Trauma Quality Improvement Program. Compliance with be formal receipt from ACS TQIP that TQIP contract executed. (5% value) 12) One full-time equivalent employee dedicated to the registry must be available to process the data capturing the NTDS data set for each 500–750 admitted patients annually (CD 15– 9). (5% value) 13) Achieve and maintain ACS Verification by June 30, 2024. (0% value) 14) Schedule an American College of Surgeons Consultative Visit by June 30, 2021 for visit to occur within the FY 2022 timeframe (July 1, 2021 to June 30, 2022). (5% of value) 1) Funding provided to assist Trauma Center in maintaining trauma registry services during the course of this Agreement. 2) Trauma Center will submit trauma registry data and trauma program reports as required by the Georgia Department of Public Health.

Services Program. The Trauma Center agrees readiness services costs covered by this agreement are for the period 1) Maintain “Trauma Center” designation by the Department of Public Health (DPH) throughout the duration of this Agreement. 2) Ensure that at least 25 percent of “Readiness Services Program” funds will be or has been paid to eligible physicians providing trauma related services to trauma patients receiving such services at Trauma Center’s facility during covered period. 3) Provide to Commission a final report at end of agreement period documenting the use of Readiness Services Program funding provided through Agreement. For FY 2021, the Commission has determined sixty eighty percent (6080%) of Readiness Services Program funding available to Level III I and Level II Trauma Centers will be linked to the Performance Based Program Services (PBP). Total Readiness Services Program funding awarded to the Trauma Center will include the PBP funding determined by the satisfaction of PBP criteria. The PBP Scorecard included in the contract must be submitted to the Commission office on or before 1 April 2021. Trauma Centers will be notified in May 2021 of compliance to PBP criteria, and total amount of Readiness Services Program funding to be awarded for FY 2021. FY 2021 Performance Based Program Service Criteria for Level III I and Level II Trauma Centers areCenters: 1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five percent (75%) call attendance by TMD or another designated physician representative is required to satisfy this criterion. (5% value) 2) Participation by trauma program manager or other designated representative in Georgia Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%) attendance by trauma program manager or other designated representative at GCTE meetings is required to satisfy this criterion. Meeting attendance rosters will be used to verify attendance. (5% value) 3) Attendance at the 2021 Spring Symposium, COT & TQIP Collaborative meeting at Chateau Elan by both the Trauma Medical Director (or designated physician) and the Trauma Program Manager (or designee). Meeting sign-in roster will be used to verify attendance. (5% value) 4) Participation in Trauma Administrators Group by senior executive accountable for the trauma program or designated executive (c-suite executive) that is not the Trauma Program Manager equivalent. Seventy-five (75%) call attendance by Trauma Administrator or designated executive representative is required to satisfy this criterion. Meeting attendance roster will be used to verify attendance. (0% value) 5) Each member of the Multidisciplinary Trauma Peer Review Committee must attend at least 50% of the Trauma Center Peer Review Committee meetings. Multidisciplinary Trauma Peer Review Committee membership is defined by most recent publication of the Resources for Optimal Care of the Injured Patient. Member attendance is tracked by the trauma center monthly or quarterly, depending on meeting frequency. The compliance timeframe is defined as a continuous twelve-month period between Janu 1, 2020 and March 31, 2021. Compliance will be self-reported by the trauma center. (5% value) 6) The trauma registry must be concurrent. At a minimum, 80 percent of trauma registry records must be closed within 60 days of discharge to be in compliance with this criterion. State Office of EMS and Trauma records will determine compliance to this criterion. (10% value). Compliance is based on average record closure rate over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (510% value) 7) Submit all FY 2021 State Quarterly Trauma Program OTCPE Reports (Ongoing Trauma Center Performance Evaluation) within 30 calendar days of required date. State Office of EMS and Trauma records will determine compliance to this criterion. (5% value) 8) Participation by trauma program staff member in RuralONE Georgia Committee for Trauma Excellence (GCTE) official subcommittee: Injury Prevention, Level IIIRegistry, Resource Development/Level IV workgroupSpecial Projects/Specialty Care, Education and Performance Improvement. Meeting rosters GCTE chair will be used to verify attendance satisfaction of this criterion. (5% value). 9) Trauma Center’s current Trauma Medical Director to be a member of the Georgia Chapter Committee on Trauma (COT). Membership will be assessed in April 2021. (5% value) 10) Participation in Trauma Medical Director & GQIP Conference Calls. Seventy-five percent (75%) call attendance by TMD or another designated physician representative is required to satisfy this criterion. Meeting attendance roster will be used to verify attendance. (5% value) 11) Surgeon response time will be tracked from patient arrival, the maximum acceptable response time is thirty fifteen (3015) minutes. An Eighty percent (80%) threshold must be met for highest level activationsactivation response within 15 minutes to be in compliance with this criterion. Average response threshold over a calendar year, beginning January 1, 2020 through December 31, 2020 determines compliance. Surgeon response times are to be reviewed by the Trauma Center monthly and reported quarterly as part of the Ongoing Trauma Center Performance Evaluation (OTCPE) report. State Office of EMS and Trauma records will determine compliance to this criterion. Compliance is based on average over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 11) Participation in American College of Surgeons Trauma Quality Improvement Program. Compliance with be formal receipt from ACS TQIP that TQIP contract executed. (5% value) 12) In Level I and II trauma centers, the TPM must be full-time and dedicated to the trauma program (CD 5-23) (10% value) 13) One full-time equivalent employee dedicated to the registry must be available to process the data capturing the NTDS data set for each 500–750 admitted patients annually (CD 15– 9). (510% value) 1314) Achieve and maintain ACS continuous Level I or Level II Trauma Center Verification by on or before June 30, 20242023. (0% value) 1415) Schedule an American College Participation by registrar or equivalent role in one external data validation visit to be conducted during the FY 2021 under the coordination of Surgeons Consultative Visit the TQIP Program Manager. The criterion is satisfied after the visit is completed and the required materials (validation tool) are submitted to the TQIP Program Manager. (0% value) 16) Timely email submission of facility-specific TQIP performance matrix and drill-down exercises for 2020 summer and 2021 spring GQIP meetings. This criterion is met when the submission is received by June 30the TQIP program manager by August 1, 2020 for the summer meeting and March 1, 2021 for visit the spring meeting. TQIP Program Manager to occur within the FY 2022 timeframe (July 1, 2021 to June 30, 2022)determine compliance with this criterion. (5% of value) 117) Funding provided Attendance at the 2020 Summer “Day of Trauma” meeting in St. ▇▇▇▇▇▇ by both the Trauma Medical Director (or designated physician) and the Trauma Program Manager (or designee). Meeting sign-in roster will be used to assist verify attendance. (0% value) 18) Attendance at the 2020 Trauma Center in maintaining trauma registry services during the course of this Agreement. 2Quality Improvement Program (TQIP) Trauma Center will submit trauma registry data Annual Scientific Meeting and trauma program reports as required Training by the Georgia Department of Public HealthTrauma Program Manager (or designee) and Trauma Medical Director (or designee) with strong consideration to support for Performance Improvement Coordinator and Registrar attendance. (0% value).

Services Program. The Trauma Burn Center agrees readiness services costs covered by this agreement are for the period 1) Maintain “Trauma Burn Center” designation by the Department of Public Health American Burn Association (DPHABA) throughout the duration of this Agreement. 2) Ensure that at least 25 percent of “Readiness Services Program” funds will be or has been paid to eligible physicians providing trauma related services to trauma patients receiving such services at Trauma Burn Center’s facility during covered period. 3) Provide to Commission a final report at end of agreement period documenting the use of Readiness Services Program funding provided through Agreement. For FY 2021, the Commission has determined sixty fifty percent (6050%) of Readiness Services Program funding available to Level III Trauma Burn Centers will be linked to the Performance Based Program Services (PBP). Total Readiness Services Program funding awarded to Trauma the Burn Center will include the PBP funding determined by the satisfaction of PBP criteria. The PBP Scorecard included in the contract must be submitted to the Commission office on or before 1 April 2021. Trauma Burn Centers will be notified in May 2021 of compliance to PBP criteria, and total amount of Readiness Services Program funding to be awarded for FY 2021. Performance Based Program Service Criteria for Level III Trauma Centers are:. 1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five percent (75%) call attendance by TMD Burn Center Medical Director or another designated physician representative is required to satisfy this criterion. Meeting attendance rosters will be used to verify attendance. (5% value). 2) Participation by trauma program manager Burn Program Manager or other designated representative in Georgia Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%) attendance by trauma burn program manager or other another designated representative at GCTE meetings is required to satisfy this criterion. Meeting attendance rosters will be used to verify attendance. (5% value) 3) Attendance at the 2021 Spring Symposium, COT & TQIP Collaborative meeting at Chateau Elan by both the Trauma Burn Center Medical Director (or designated physician) and the Trauma Burn Program Manager (or designee). Meeting sign-in roster will be used to verify attendance. (5% value) 4) Participation in Trauma Administrators Group by senior executive accountable for the trauma Burn program or designated executive that is not the Trauma Burn Program Manager equivalent. Seventy-five (75%) call attendance by Trauma Burn Center Administrator or designated executive representative is required to satisfy this criterion. Meeting attendance roster will be used to verify attendance. (0% value) 5) Each member of the Multidisciplinary Trauma Peer Review Committee must attend at least 50% of the Trauma Center Multidisciplinary Peer Review Committee meetings. Multidisciplinary Trauma Peer Review Committee membership is defined by most recent publication of the Resources for Optimal Care of the Injured Patient. Member attendance is tracked by the trauma center monthly or quarterly, depending on meeting frequency. The compliance timeframe is defined as a continuous twelve-month period between Janu 1, 2020 and March 31, 2021. Compliance will be self-reported by the trauma center. (5% value) 6) The trauma registry must be concurrentIdentify two quality metrics, with associated registry-generated reporting for tracking and sharing as part of the GQIP statewide quality collaborative. At a minimum, 80 percent of trauma registry records must be closed within 60 days of discharge Metrics to be in compliance with this criterion. State Office of EMS validated and Trauma records will determine compliance to this criterion. approved by GQIP Program Manager & Medical Director (10% valueCD 9.13). Compliance is based on average record closure rate over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 7) Regular participation by the burn program in regional education related to burn care as described in CD 17.2. Participation validated by Office of EMS and Trauma as part of OBCPE. (5% value) 8) Attendance at regional, national or international burn continuing education meetings by burn surgeon, burn nursing leader & burn therapists (CD 3.11, 6.7, 7.8). (5% value) 9) Submit all FY 2021 State Quarterly Trauma Program Reports within 30 calendar days of required date. State Office of EMS and Trauma records will determine compliance to this criterion. (5% value) 8) 10) Participation by trauma burn program staff member in Rural, Level III/Level IV workgroupBurn Center Workgroup. Meeting attendance rosters will be used to verify attendance attendance. (56.25% value). 911) Trauma Center’s current Trauma Current Burn Center Medical Director to be a member of the Georgia Chapter Committee on Trauma (COT). Membership will be assessed in April 2021. (56.25% value) 10) Surgeon response time will be tracked from patient arrival, the maximum acceptable response time is thirty (30) minutes. An Eighty percent (80%) threshold must be met for highest level activations. Surgeon response times are to be reviewed by the Trauma Center monthly and reported quarterly as part of the Ongoing Trauma Center Performance Evaluation (OTCPE) report. State Office of EMS and Trauma records will determine compliance to this criterion. Compliance is based on average over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 11) Participation in American College of Surgeons Trauma Quality Improvement Program. Compliance with be formal receipt from ACS TQIP that TQIP contract executed. (5% value) 12) One full-time equivalent employee dedicated to the registry must be available to process the data capturing the NTDS data set for each 500–750 admitted patients annually (CD 15– 9). (5% value) 13) Achieve and maintain ACS Verification by June 30, 2024. (0% value) 14) Schedule an American College of Surgeons Consultative Visit by June 30, 2021 for visit to occur within the FY 2022 timeframe (July 1, 2021 to June 30, 2022). (5% of value) 1) Funding provided to assist Trauma Center in maintaining trauma registry services during the course of this Agreement. 2) Trauma Center will submit trauma registry data and trauma program reports as required by the Georgia Department of Public Health.

Services Program. The Trauma Center agrees readiness services costs covered by this agreement are for the period 1) Maintain “Trauma Center” designation by the Department of Public Health (DPH) throughout the duration of this Agreement. 2) Ensure that at least 25 percent of “Readiness Services Program” funds will be or has been paid to eligible physicians providing trauma related services to trauma patients receiving such services at Trauma Center’s facility during covered period. 3) Provide to Commission a final report at end of agreement period documenting the use of Readiness Services Program funding provided through Agreement. For FY 2021, the Commission has determined sixty nineteen percent (6019%) of Readiness Services Program funding available to Level III IV Trauma Centers will be linked to the Performance Based Program Services (PBP). Total Readiness Services Program funding awarded to Trauma Center will include the PBP funding determined by the satisfaction of PBP criteria. The PBP Scorecard included in the contract must be submitted to the Commission office on or before 1 April 2021. Trauma Centers will be notified in May 2021 of compliance to PBP criteria, and total amount of Readiness Services Program funding to be awarded for FY 2021. Performance Based Program Service Criteria for Level III Trauma Centers are:. 1) Participation by Physician Leader responsible for the Trauma Program in Trauma Medical Directors (TMD) Conference Calls. Seventy-five percent (75%) call attendance by TMD physician responsible for the trauma program or another other designated physician representative is required to satisfy this criterion. (5% value) 2) Participation by trauma program coordinator/manager or other designated representative in Georgia Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%) attendance by trauma program manager or other designated representative at GCTE meetings is required to satisfy this criterion. Meeting attendance rosters will be used to verify attendance. (5% value) 3) Attendance at the 2021 Spring Symposium, COT & TQIP Collaborative meeting Symposium at Chateau Elan by both the Trauma Medical Director (or designated physician) and Physician Leader responsible for the Trauma Program or other designated physician AND Trauma Program Coordinator/Manager (or designee). Meeting sign-in roster will be used to verify attendance. (5% value) 4) Participation in Trauma Administrators Group by senior executive accountable for the trauma program or designated executive that is not the Trauma Program Manager equivalent. Seventy-five (75%) call attendance by Trauma Administrator or designated executive representative is required to satisfy this criterion. Meeting attendance roster will be used to verify attendance. (0% value) 5) Each member of the Multidisciplinary Trauma Peer Review Committee must attend at least 50% of the Trauma Center Peer Review Committee meetings. Multidisciplinary Trauma Peer Review Committee membership is defined by most recent publication of the Resources for Optimal Care of the Injured Patient. Member attendance is tracked by the trauma center monthly or quarterly, depending on meeting frequency. The compliance timeframe is defined as a continuous twelve-month period between Janu 1, 2020 and March 31, 2021. Compliance will be self-reported by the trauma center. (5% value) 6) The trauma registry must be concurrent. At a minimum, 80 percent of trauma registry records must be closed within 60 days of discharge to be in compliance with this criterion. State Office of EMS and Trauma records will determine compliance to this criterion. (10% value). Compliance is based on average record closure rate over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 7) Submit all FY 2021 State Quarterly Trauma Program Reports within 30 calendar days of required date. State Office of EMS and Trauma records will determine compliance to this criterion. (5% value) 8) Participation by trauma program staff member in Rural, Level III/Level IV workgroup. Meeting rosters will be used to verify attendance (5% value). 9) Center host and participate in, including Physician Leader responsible for the Trauma Center’s current Program and Trauma Medical Director Program Coordinator/Manager or designee, in one Rural Trauma Team Development Course to be a member of the Georgia Chapter Committee on Trauma held during FY 2021 (COT). Membership will be assessed in April 2021. (5% value) 10) Surgeon response time will be tracked from patient arrival, the maximum acceptable response time is thirty (30) minutes. An Eighty percent (80%) threshold must be met for highest level activations. Surgeon response times are to be reviewed by the Trauma Center monthly and reported quarterly as part of the Ongoing Trauma Center Performance Evaluation (OTCPE) report. State Office of EMS and Trauma records will determine compliance to this criterion. Compliance is based on average over a twelve-month calendar year beginning January July 1, 2020 through December 31June 30, 2020. (5% value) 11) Participation in American College of Surgeons Trauma Quality Improvement Program. Compliance with be formal receipt from ACS TQIP that TQIP contract executed. (5% value) 12) One full-time equivalent employee dedicated to the registry must be available to process the data capturing the NTDS data set for each 500–750 admitted patients annually (CD 15– 92021). (5% value) 13) Achieve and maintain ACS Verification by June 30, 2024. (0% value) 14) Schedule an American College of Surgeons Consultative Visit by June 30, 2021 for visit to occur within the FY 2022 timeframe (July 1, 2021 to June 30, 2022). (5% of value) 1) Funding provided to assist Trauma Center in maintaining trauma registry services during the course of this Agreement. 2) Trauma Center will submit trauma registry data and trauma program reports as required by the Georgia Department of Public Health.

Services Program. The Trauma Center agrees that readiness services costs covered by this agreement are for the periodperiod 01 July 2023 through 30 June 2024 and include the following requirements for funding: 1) Maintain “Trauma Center” designation by the Department of Public Health (DPH) throughout the duration of this Agreement. 2) Ensure that at least 25 percent of “Readiness Services Program” funds will be or has have been paid to eligible physicians providing trauma trauma-related services to trauma patients receiving such services at Trauma Center’s facility during the covered period.. SAMPLE 3) Provide to Commission a final report at the end of the agreement period documenting the use of Readiness Services Program funding provided through the Agreement. Starting with FY 2024, the Trauma Center Performance-Based Program Services is prospective. Consistent with Centers for Medicare and Medicaid Services (CMS) principles, the current PBP performance impacts future PBP readiness payments. The FY 2024 portion of the PBP funding is based on the results of the Trauma Center’s performance on the FY 2023 PBP criteria, as validated in the FY 2023 Scorecard. For FY 20212024, the Commission has determined sixty that nineteen percent (6019%) of Readiness Services Program funding available to Level III IV Trauma Centers will be linked to the Performance Based Program Services (PBP). Total Readiness Services Program funding awarded to Trauma Center will include the PBP funding determined by the satisfaction of satisfying PBP criteria. The PBP Scorecard included in the contract must be submitted to the Commission office on or before 1 15 April 20212024. Trauma Centers will be notified in May 2021 June 2024 of compliance to PBP criteria, and the total amount of Readiness Services Program funding to will be awarded for FY 2021. Performance Based Program Service Criteria for Level III Trauma Centers are:2025. 1) Participation by Physician Leader responsible for the Trauma Program in Trauma Medical Directors (TMD) TMD)/GA COT/GQIP Conference Calls. Seventy-five percent (75%) call attendance by TMD a physician responsible for the trauma program or another other designated physician representative is required to satisfy this criterion. (50% value) 2) Participation by trauma program manager Trauma Program Manager (TPM, or equivalent role) or other designated representative in Georgia Committee for Trauma Excellence (GCTE) meetings. Seventy-Seventy- five percent (75%) attendance by the trauma program manager or other designated representative at GCTE meetings is required to satisfy this criterion. Meeting attendance rosters will be used to verify attendance. (52% value) 3) Attendance at the 2021 Spring Symposium, COT & TQIP Collaborative Summer 2023 Day of Trauma GQIP meeting at Chateau Elan by both the Trauma Medical Director (or designated physician) and the Trauma Program Manager (or designee). Meeting The meeting sign-in roster will be used to verify attendance. (52% value) 4) Attendance at the 2024 Spring Symposium, COT & TQIP Collaborative meeting by both the Trauma Medical Director (or designated physician), the Trauma Program Manager (or designee), and Senior Executive (or designee). The meeting sign-in roster will be used to verify attendance. (2% value) 5) Participation in the Trauma Administrators Group by a senior executive accountable for the trauma program or a designated executive that is not the Trauma Program Manager equivalent. Seventy-five (75%) call attendance by Trauma Administrator or designated executive representative is required to satisfy this criterion. Meeting The meeting attendance roster will be used to verify attendance. (02% value)) SAMPLE 56) Each member of the Multidisciplinary Trauma Peer Review Committee member must attend at least 50% of the Trauma Center Peer Review Committee meetings. Multidisciplinary Trauma Peer Review Committee membership is defined by the most recent publication of the Resources for Optimal Care of the Injured Patient. Member attendance is tracked by the trauma center monthly or quarterly, depending on meeting frequency. The compliance timeframe is defined as a continuous twelve-month period between Janu January 1, 2020 2023, and March December 31, 20212023. Compliance will be self-reported by the trauma center. (5% value) 6) The trauma registry must be concurrent. At a minimum, 80 percent of trauma registry records must be closed within 60 days of discharge to be in compliance with this criterion. State Office of EMS and Trauma records will determine compliance to this criterion. (10% value). Compliance is based on average record closure rate over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (50% value) 7) Submit all FY 2021 State Quarterly Timely NTDB data submissions. NTDB data submissions must be completed by the dates set forth by the National Trauma Program Reports within 30 calendar days of required dateData Bank. State Office of EMS and Trauma records The compliance timeframe is defined as January 1, 2023, through December 31, 2023. Download dates will determine compliance to this criterionbe self-reported by the trauma center. (57% value) 8) Participation by trauma program staff member in Rural, Level III/Level IV workgroup. Meeting rosters will be used to verify attendance (5% value). 9) Trauma Center’s current Trauma Medical Director to be a member of the Georgia Chapter Committee on Trauma (COT). Membership will be assessed in April 2021attendance. (52% value) 109) Surgeon response time will be tracked from patient arrival, Multidisciplinary participation in “March Paws” rural trauma educational initiative by hosting the maximum acceptable response time is thirty (30) minutes. An Eighty percent (80%) threshold must be met for highest level activations. Surgeon response times are to be reviewed by course at the Trauma Center monthly and reported quarterly as part of the Ongoing Trauma Center Performance Evaluation (OTCPE) report. State Office of EMS and Trauma records will determine compliance to this criterion. Compliance is based on average over a twelve-month calendar year beginning January 1, 2020 through December 31, 2020. (5% value) 11) Participation in American College of Surgeons Trauma Quality Improvement Program. Compliance with be formal receipt from ACS TQIP that TQIP contract executed. (5% value) 12) One full-time equivalent employee dedicated to the registry must be available to process the data capturing the NTDS data set for each 500–750 admitted patients annually (CD 15– 9). (5% value) 13) Achieve and maintain ACS Verification by June 30, 2024Level IV trauma center. (0% value) 1410) Schedule an American College Submit aggregate report of Surgeons Consultative Visit by June 30, 2021 ED LOS for visit trauma transfer patients to occur within the FY 2022 timeframe (July 1, 2021 to June 30, 2022)GQIP Collaborative. (52% of value). 1) Funding provided to assist Trauma Center in maintaining trauma registry services during the course of this Agreement. 2) Trauma Center will submit trauma registry data and trauma program reports as required by the Georgia Department of Public Health. 3) Trauma Center will submit registry data as required by the Georgia Quality Improvement Program (GQIP). 4) Trauma Center will maintain the ESO Trauma Registry.