Section 515

Section 515.2090 Trauma Center Fund

a) The Department shall distribute 97.5% of 50% of the moneys deposited into the Trauma Center Fund, a special fund in the State Treasury, to Illinois hospitals that are currently designated as trauma centers. (Section 3.225(a) of the Act) The distribution to individual hospitals shall be based on the number of trauma cases, including cases where the hospital provides initial trauma care only, and the average length of stay for trauma cases at each hospital, according to data for the most recently completed State fiscal year.

b) The moneys in the fund shall be allocated proportionally to each EMS Region so that the EMS Region receives the moneys collected from within its Region for violations of laws or ordinances regulating the movement of traffic. Under no circumstances shall money collected within one EMS Region be redirected to another EMS region. (Section 3.225(b)(2) of the Act)

c) No moneys may be distributed to a trauma center located outside of the State. (Section 3.225(b)(3) of the Act)

d) If money collected from an EMS region cannot be distributed to any trauma center in that EMS region because the trauma center is located outside of the State, then the Department shall distribute the money to hospitals in the EMS region for the provision of emergency services related to care of injured patients. (Section 3.225(b)(4) of the Act)

e) The total amount of funds per EMS Region will be based on the moneys received from the counties in that Region.

1) If a county has more than one EMS Region, the moneys received from that county shall be divided among the Regions based on each Region's share of the county's trauma cases.

2) EMS Regions that have developed joint EMS Region Plans to enable them to function as one Region shall be treated as one Region in the calculation.

f) At the beginning of each State fiscal year, the Department shall calculate a per trauma case allocation for each Region, which shall be used to determine each trauma center's share of the funds collected during the previous State fiscal year.

g) To determine the percent of the Trauma Center Fund to be received by each hospital, divide the Hospital Distribution Factor for each trauma center by the Region Distribution Factor.

1) To determine the Region Distribution Factor, add all of the Hospital Distribution Factors for the trauma centers in the Region.

2) To determine the Hospital Distribution Factor, add the hospital's total admission score to the total case value score for the initial trauma care patients treated at the hospital.

A) To determine the hospital's Total Admission Score, multiply the total case value score for admissions by the average length of stay.

i) To determine the total case value score for admissions, assign case values for each patient (one patient may have more than one value, i.e., a person who has an ICU stay after an OR procedure) admitted to the hospital according to the following:

Admission	2
Intensive Care Unit Stay	2
Operating Room Procedure	2
Mechanical Ventilation	3
Discharged to a Rehabilitation
Facility	1

The sum of all of the values is the total case value score for the patients admitted to the hospital.

ii) To determine the average length of stay, divide the total length of stay for all patients admitted to the hospital by the total number of patients admitted to the hospital.

B) To determine the total case value score for the initial trauma care patients, assign the case values for each initial trauma care patient treated by the hospital according to the following:

Assigned observation status and had length of stay > 12 hours from time of arrival in ED	2
Dead on arrival	0
Dying in emergency (DIE) with a trauma surgeon evaluation (TSE)	1.25
DIE without a TSE	.25
Against medical advice (AMA) with a TSE	1.25
AMA without TSE	.25
Transfer with TSE	1.25
Transfer without TSE	.25

The sum of all of the values is the total case value score for the initial trauma care patients treated by the hospital.

h) In Regions where there are no designated trauma centers within the State boundaries, the monies collected within the Region will be equally distributed to Illinois hospitals providing emergency services. All non-trauma center hospitals receiving equal distribution of trauma center funds shall report all patients meeting inclusion criteria for the Head and Spinal Violent Injury (HSVI) Registry, per 77 Ill. Adm. Code 550.120(d) (Head and Spinal Cord Injury Code), prior to receiving any funds. Hospitals not reporting all such patients shall be precluded from receiving any funds.

i) Hospitals receiving trauma center funds shall demonstrate within the hospital's budget how monies received from the Trauma Center Fund are being used to provide emergency services related to care of injured patients.

j) The Department may request and the hospital shall supply hospital financial records to substantiate that funds are used appropriately for emergency services related to care of injured patients.

k) The hospital shall allocate funds for expenditure within 12 months after funds are received.

l) All funds remaining at the end of the period of time in which trauma center funds are available for expenditure (June 30 of the fiscal year in which the funds were awarded) shall be returned to the State within 45 days.

m) The Department will distribute funds from the Trauma Center Fund within 90 days after July 1 of each year.

(Source: Amended at 36 Ill. Reg. 11196, effective July 3, 2012)