RTAC Objectives

RTAC OBJECTIVE (2016-2017)


The purpose of a Regional Trauma Advisory Council is to develop, implement, monitor and improve the regional trauma system. The functions and responsibility of the RTAC are delineated in DHS 118.06. RTAC programming efforts are funded through state tax dollars (GPR) by the State Trauma Program through Appropriation 101.  This document also serves as Exhibit I to the 2016-2017 RTAC Contract.  

Objective/Strategy
Supporting Documentation
Measure(s) of Success
Contract Completion
1. Maintain RTAC infrastructure in a manner that supports participation by all representative members and is consistent with DHS 118.06.

This objective is intended to demonstrate compliance with the Administrative Rule for the Trauma Care System related to the structure of the RTAC.
Meetings are held at least 4 times per year.  There is an Executive Council, a fiscal agent, a coordinating facility, etc. Agendas and minutes are communicated in a timely manner (ie, posted on RTAC web site, or by email, etc). An archived copy is maintained by the RTAC.

 RTAC minutes provide the supporting documentation of the presence of an Executive Council, regular meetings (a minimum of 4 per fiscal year/contract) and that the membership is consistent with DHS 118.06.
Target for contract completion is 100% compliance.
Response of yes/no if attained the identified measure of success.

 If for some reason the target is not met – an explanation of extenuating circumstances must be attached to the year-end Certificate of Compliance.
2. RTAC reviews regional trauma registry data collected under DHS 118.09.

This objective is intended to demonstrate the intent for compliance with the Administrative Rules for the Trauma Care System found in DHS 118.06 and 118.10. 
Hospitals in the RTAC review and submit data to the Trauma Registry.

 Evidence that Regional data is being reviewed and used will be demonstrated through identified process improvement and injury prevention projects.  This will be documented in the RTAC minutes.
Target for contract completion is 100% compliance.
Response of yes/no if attained the identified measure of success.

 If for some reason the target is not met – an explanation of extenuating circumstances must be attached to the year-end Certificate of Compliance.
3. RTAC has a functional Performance Improvement Program.

 This objective is intended to demonstrate the effort to meet the intent for compliance with the Administrative Rules for the Trauma Care System found in DHS 118.06 and 118.10. The objective is to work through the PI process on a trauma related issue/concern and working towards loop closure.

RTAC minutes or subcommittee minutes provide documentation related to a performance improvement process/activity for at least one specific issue or process within the region.


Project accomplishments will be presented in a report to the region.

Target for contract completion is 100% compliance.
Response of yes/no if attained the identified measure of success.

 If for some reason the target is not met – an explanation of extenuating circumstances must be attached to the year-end Certificate of Compliance.

4. Develop and Revise Regional Trauma Plan

This objective is intended to demonstrate compliance with the Administrative Rule for the Trauma Care System DHS 118.06                                                                             (3)(L)2..

RTAC minutes provide the supporting documentation of the discussion or revision of the Regional Trauma Plan.  The Plan will be filed with the state and updated annually.Target for contract completion is 100% compliance.
Response of yes/no if attained the identified measure of success.

 If for some reason the target is not met – an explanation of extenuating circumstances must be attached to the year-end Certificate of Compliance.

5. RTAC maintains/supports injury prevention related education and training in the region (may include hospitals and other organizations).


This objective is intended to demonstrate compliance with the Administrative Rule for the Trauma Care System DHS 118.06   (3)(k).

Injury prevention offerings and information is discussed at RTAC meetings.

 RTAC minutes provide the supporting documentation of the presence of information sharing related to injury prevention activities in the region.
Target for contract completion is 100% compliance.
Response of yes/no if attained the identified measure of success.

 If for some reason the target is not met – an explanation of extenuating circumstances must be attached to the year-end Certificate of Compliance.
6. RTAC participates in the regional Healthcare Coalition
RTAC and HCC minutes provide documentation of RTAC participation in HCC activities.
Target for contract completion is 100% compliance.

Response of yes/no if attained the identified measure of success.


If for some reason the target is not met – an explanation of extenuating circumstances must be attached to the year-end Certificate of Compliance.