What We Do

Clinical

MTS operates with clinical teams in each of the five Midland DHBs which consist of a Trauma Clinical Nurse Specialist and Trauma Medical Director. This network of specialised clinical personnel is committed to ensuring application of best practice in trauma care across the Midland region.

  • monitor and provide complex patient management
  • perform clinical risk assessment and mitigation
  • conduct patient and system reviews
  • provide multi service co-ordination
  • local trauma governance collect trauma data
  • participate and facilitiate in local and regional research
  • and facilitate local trauma committees to enable quality improvement initiatives.

Data

The MTS registry can collect and report on over 200 data points related to a single trauma event. The Hub team based at Waikato manages this data ensuring rigorous data quality standards are applied so that reporting is comprehensive and robust.

Midland Trauma Snapshots

2018

Roadmap

In 2018, over 6000 patients were admitted to hospital as a result of injury. Over 7000 hospital admissions resulted in almost 28,000 total bed days of treatment.

2018

Ethnicity

The incidence of trauma among Māori in the Midland Region has been rising slowly over the past five years. An equity gap has also continued to persist over this time.

2018

Older Persons

Across the Midland Region as a whole, older persons trauma has been somewhat variable but has been declining over the past two financial years.

2018

Paediatric

Falls remain an overwhelming cause of injury related admission among children in all age groups. 50% of these occur in the home and are spread relatively evenly throughout all ages.

Trauma Quality Improvement

TQIP supports a systems approach to quality improvement. A systems approach is necessary due to the complexities involved with working across organisations, agencies and subsystems.

This approach allows a multifaceted approach to quality improvement by involving all necessary stakeholders in project design, development and conclusion. This includes trauma patients and their support networks who receive delivered services within the system. These people are at the core of quality improvement in the MTS TQIP program.

TQIP

Themes

Clinical

  1. About

    The trauma patient is central to the TQIP program. MTS aims to achieve a high standard of care delivery to trauma patients across the Midland region that aligns with international best practice. This will achieve optimal patient outcomes, reduced costs, consistent clinical practice and fewer adverse events.

  2. Objectives
    • Implement and monitor the patient experience in order to improve care delivery where appropriate
    • Revision and monitoring of regional clinical guidelines, pre hospital matrix and inter hospital transfer matrix
    • Improve the patient flow through the hospital, particularly within the critical phase to definitive care
    • Establish regional case reviews for training, education and monitoring of progress
    • Auditing practices of clinical trauma processes such as the implementation of RACS Binational Process Indicators to improve decision making
    • Establish an Optimal Recovery After Trauma program within Midland hospitals to optimize the patient journey
    • Undergo regular RACS Trauma Verification reviews to apply accreditation to the MTS
    • Support Co-Design projects that enable our trauma patients to participate in the improvement of the patient experience

Population

  1. About

    The MTS registry data is utilized to provide opportunities for promoting injury awareness as well as prevention. These opportunities allow for strategies to be formed to work towards the reduction of health inequality to targeted at risk groups.

  2. Objectives
    • Raise awareness of common injury mechanisms within each area of the Midland region and encouragement of each Midland DHB to implement strategic plans to address these
    • Identification and highlight at risk groups within the Midland region

Infrastructure

  1. About

    Trauma education is essential within a highly functioning trauma system as it ensures up to date knowledge is applied to trauma management and a consistent approach is delivered. Trauma education across the spectrum of staff (from pre hospital to rehabilitation) is vital as it ensures not only survival, but optimum function. Quality registry data is equally important and rigour needs to be applied to data collection and injury coding to ensure data reliability that persuades protocols, trauma management, research and statistics.

  2. Objectives
    • Establish and implement a regional trauma education program
    • Establish an annual Trauma Symposium that reflects the needs across the Midland region
    • Encourage and support opportunities for Midland DHBs to host internationally recognised trauma courses such as EMST/TNCC/DTSC or equivalent
    • Implement a data quality review within each DHB to monitor collection and injury coding rigour consistent with trauma registry inclusion/exclusion criteria and Abbreviated Injury Scale (AIS) coding standards
TQIP

Achievements

  1. Accreditation
    • Midland regional RACS Trauma Verification (Waikato DHB achieving Level 1 status)
  2. Clinical Guidelines
    • Implementation and revision of Midland Region Trauma Clinical Guidelines, Pre-Hospital Matrix, Inter-Hospital Transfer Matrix

  3. Education
    • Implementation of annual Trauma Symposium
    • Initiation of Regional Trauma Education working group to review Midland trauma education
    • Provided seed funding for TNCC course establishment in the Midland region.
  4. Trauma Patient Experience
    • Commenced a Co-Design project with former major trauma patients to improve patient experience.
    • Established an ORAT program at Waikato DHB with intention to implement across the Midland region
    • Commenced RACS Binational Process Indicator monitoring to improve service delivery
    • Commenced a QI sector within the registry to document and resolve incidences with the aim of improving trauma management
    • Developed a T-30 protocol to improve patient flow and management within the time critical resuscitative phase of care
  5. Midland Community
    • Continuous identification of risk groups.
    • Involvement in community injury prevention strategies such as Right Track and Safe Driving Expo.

    Etiam magna arcu, ullamcorper ut pulvinar et, ornare sit amet ligula. Aliquam vitae bibendum lorem. Cras id dui lectus. Pellentesque nec felis tristique urna lacinia sollicitudin ac ac ex. Maecenas mattis faucibus condimentum. Curabitur imperdiet felis at est posuere bibendum. Sed quis nulla tellus.

    ADDRESS

    63739 street lorem ipsum City, Country

    PHONE

    +12 (0) 345 678 9

    EMAIL

    info@company.com

    X