Trauma continues to have a major impact of Midland communities, resulting in 5400 admissions in 2014 and 24,000 hospital bed days. The cost if this to the hospitals alone is estimated at over $55m – the intangible costs to patients and families is enormous.
After 5 years of sustained clinical effort, data collection, and data platform building, MTS is now entering its output phase wherein we can use our clinical network and the information we have gathered to reduce the burden of trauma on the community, both in prevention, and in improving our responses at the point where prevention fails. As part of this we have fine-tuned our branding and communications platform to get our messages to where they need to be.
There has been significant progress in the high-level support for MTS in 2015: The MTS business case for 2015-2017 was endorsed by the Midland DHBs, enabling us to optimise our staffing levels and technical data solutions until July 2017; MTS has been given priority status in the Midland RSP along with cardiac and cancer networks, and we have developed and implemented a state-of–the art web-based trauma registry.
The MTS registry is hosting the National Major Trauma Minimum Dataset from most DHBs in New Zealand. We have a central role in helping other services and systems in New Zealand to get up and running as the Major Trauma Network Clinical Network (MTNCN) develops. The Midland Trauma Guidelines and Matrices are in use and will be continuously assessed and fine-tuned as we track process indicators in the registry. MTS held its first symposium in May 2016; titled Understanding Trauma: Bridging the gaps.
As part of our transition into “output” mode we have implemented data visualisation tools giving the MTS teams direct access to their own data in user-friendly formats that can translate directly into knowledge sharing and action. We are developing an innovative relational data warehouse linked with the registry that will have real-time access and data-matching capability. This will provide exciting opportunities for MTS to supply key information to service providers and community health groups that will enable them to accurately target and resolve issues in prevention and care. Partnerships of groups with MTS will ensure appropriate and targeted in information use.
The Midland Trauma Research Centre (MTRC) maintains our “Patients First” ethos and will prioritise work to address problems we identify from the registry data, tempered by the needs of our community. The centre will be the touchpoint for a wide range of organisations to access and analyse data toward our ultimate goal of reducing the burden of trauma in our communities.
As always, our most important function is to maintain our consistent contact and support for our trauma patients and families as they move through their clinical journeys. This is our core business, and one that MTS staff perform with determination, commitment and skill; work that is often unobserved and challenging but remains critically important. We acknowledge the hard work and commitment of our staff in achieving our goals.