S.C. Code Regs. § § 61-116.200.211

Current through Register Vol. 48, No. 10, October 25, 2024

Section 61-116.200.211 - Designation Process

A. Prior to completion of the site visit, the team shall meet and develop a draft report and provide feedback to the facility. The format shall be the same as the official written report.

B. On completion of the site visit, the team shall have ninety (90) days to submit a written report of their recommendation to the Department. The report shall include deficiencies listed by criteria number, opportunities (shall not be counted as deficiencies and shall not be used in consideration of designation status), strengths, and recommendations.

C. Within thirty (30) days of receipt of the written report from the site review team, the report shall be forwarded to the TAC, or appropriate subcommittee, to review for the purpose of providing the Department a recommendation. The final report shall also be forward to the facility at the same time. The report shall be sent to the hospital Trauma Program Manager, Trauma Medical Director, and Administrator as identified on the application.

D. As soon as practical, but no later than ninety (90) days after receipt of the onsite report document, the TAC, or subcommittee of the TAC, shall make written recommendations to the Department regarding trauma center designation based on:

1. Evaluation of the pre-review questionnaire;

2. Evaluation of deficiencies, including deficiencies in trauma patient care, and supporting statements from the onsite review team; and

3. The ability of each hospital to demonstrate compliance with the designation criteria at the level of designation they are seeking.

E. The Department shall make the final determination of designation regarding each application and shall consider all pertinent facts, the final survey report, and the recommendation of the TAC.

F. After July 1, 2018, a hospital requesting designation shall submit to the Department a letter of verification from the American College of Surgeons. Any hospital not obtaining ACS verification shall be denied South Carolina designation. Hospitals denied designation or whose designation was suspended or revoked shall wait a period of no less than six (6) months after the written decision prior to resubmitting an application. However, there is no waiting period if the hospital seeks a designation level lower than the denied, suspended, or revoked designation.

G. With the recommendation of the State Trauma Advisory Council, the Department shall notify the hospital of its decision regarding designation at the level requested by the hospital.

H. Prior to July 1, 2018, trauma centers requesting an ACS consultation or verification visit shall include a Department representative to participate in the site visit, as written in this regulation. The Department may utilize the visit and final report to designate the trauma center based on these regulations for state designation.

S.C. Code Regs. § 61-116.200.211

Added by State Register Volume 40, Issue No. 05, eff. 5/27/2016.