DHS 118.08(2)(a)1.a.a. All hospitals shall declare their current trauma care capabilities to the department within 180 days of January 1, 2005, according to the criteria specified in this section. DHS 118.08(2)(a)2.a.a. A hospital declaring itself as a Level I or II trauma care facility shall have been verified at that level by the ACS in accordance with the standards and guidelines established by the ACS. DHS 118.08(2)(a)2.b.b. A hospital desiring department approval as a level I or II trauma care facility, but which has not received ACS verification at that level, may only be approved as a level III or IV trauma care facility. DHS 118.08(2)(a)3.a.a. A hospital desiring department approval as a level III or IV trauma care facility shall either submit documentation to the department that it has received ACS verification at level III or IV or complete the department’s assessment and classification criteria application form. DHS 118.08 NoteNote: For a copy of the Department’s assessment and classification criteria application form for approval as a trauma care facility, please write to the Wisconsin Trauma Care System Coordinator, Division of Public Health, P.O. Box 2659, Madison WI 53701–2659 or download the form from the DHS website at: http://www.dhs.wisconsin.gov/forms/F4/F47479.doc. DHS 118.08(2)(a)3.b.b. The department shall review the information in the hospital’s application and base its approval or disapproval of the application on the conformance of the facility with the criteria in appendix A. DHS 118.08(2)(a)3.c.c. If any Type 1 Criteria or more than three Type 2 Criteria are not demonstrated at the time of the initial classification site visit or at the initial site visit for any subsequent renewal of classification, the hospital’s application may not be approved. If all Type 1 Criteria are demonstrated but one to three Type 2 Criteria are not demonstrated at the time of a site visit, then a one-year provisional certificate of classification may be issued and another review shall be required before the hospital’s application may be approved. This second review must occur within one year from the date of notification and may include an onsite re-visit or a review of documents submitted by the hospital to the department. If the trauma care facility successfully corrects the deficiencies, the period of classification will be extended to three years from the date of the initial site visit. DHS 118.08(2)(a)4.4. ‘Pediatric trauma center.’ A hospital may not refer to itself as a pediatric trauma center unless it has received ACS verification as a pediatric trauma center. DHS 118.08(2)(a)5.5. ‘Unclassified hospital.’ A hospital that chooses not to participate in the Wisconsin trauma care system or that has not been approved by the department as a level I, II, III or IV trauma care facility shall be considered an unclassified hospital. DHS 118.08 NoteNote: To obtain a form for selection of trauma care level and application for Department approval of the chosen level, contact the Statewide Trauma Care Coordinator by phone at 608-266-0601 or by writing to the Statewide Trauma Care System Coordinator, Department of Health Services, Bureau of Local Public Health Practice and Emergency Medical Services, Room 118, 1 West Wilson, Madison, WI 53701 or by sending a fax to 608-261-6392.
DHS 118.08(2)(b)1.1. ‘Level I or II trauma care facility.’ If a hospital loses its ACS verification as a level I or II trauma care facility, the following shall occur: DHS 118.08(2)(b)1.a.a. The hospital shall notify the department of that change within 30 calendar days. DHS 118.08(2)(b)1.b.b. The department may no longer recognize the hospital as having the level of trauma care that the ACS previously verified the hospital as having. DHS 118.08(2)(b)1.c.c. The hospital may complete and submit to the department a new application form under par. (a) or choose to be an unclassified hospital. DHS 118.08(2)(b)2.a.a. A level III or IV trauma care facility shall notify the department of the facility’s intent to change its level of trauma care. If the trauma care facility meets the department’s trauma care assessment and classification criteria under sub. (1), or has been verified by the ACS as being another level trauma care facility, the department shall recognize the facility at the level desired. DHS 118.08(2)(b)2.b.b. The department may revoke its approval of a level III or IV trauma care facility if the department determines the facility does not meet the criteria associated with the facility’s existing classification. DHS 118.08(2)(b)2.d.d. If a level III or IV trauma care facility is unable to continue functioning at its current level of trauma care, the facility shall notify the department no more than 30 calendar days after the facility no longer continues to function as a level III or IV trauma care facility. DHS 118.08(2)(c)1.1. At least once every 3 years after initial classification, the department shall provide all level III and IV trauma care facilities an assessment and classification criteria form. DHS 118.08(2)(c)2.2. The trauma care facility shall declare to the department the facility’s level of trauma care capability on the assessment and classification form. DHS 118.08(2)(c)3.3. The trauma care facility shall submit the assessment and classification criteria form to the department at least 6 months before the expiration of the department’s approval of facility’s existing level of trauma care capability. DHS 118.08(2)(c)4.4. A level III or IV trauma care facility’s existing classification shall continue until the department makes a final decision on the renewal request, unless the department determines a compromise in patient care exists, at which time the department may immediately revoke the facility’s classification.