Application Process

To be eligible for approval as a Level I, Level II, or pediatric trauma center, a hospital must complete the applicable application and submit all requested information to the Florida Department of Health’s Division of Emergency Preparedness and Community Support, Bureau of Emergency Medical Oversight, Trauma Section, for review. The application requirements are outlined in Chapter 395, Part II, Florida Statutes, and Chapter 64J-2, Florida Administrative Code.

The following documents should be completed, as applicable:

Certificate of Approval

Each hospital approved as a trauma center shall be issued a certificate of approval, which are incorporated by reference and available from the Department, as defined by subsection 64J-2.001(4), F.A.C.

Renewal Notice

At least 14 months prior to the expiration of the trauma center’s certificate, an email will be sent to eligible trauma center’s trauma program manager of their right to submit an Application to Renew, DH Form 2032R, January 2010, for renewal of the trauma center’s certification.

Should the hospital choose to renew the certification, a completed Application to Renew form must be submitted to the Department within 15 calendar days of receipt of the email. If the hospital chooses not to renew, please refer to section 395.4025(2)(d)(8), F.S.

All renewing trauma centers shall receive an onsite survey after the Department’s receipt of the completed application. Your hospital will be notified as soon as possible when the onsite survey is scheduled.

RENEWAL SUBMISSIONS

Complete Form:
Application to Renew, DH Form 2032R, January 2010

Email Completed Form to:
DEPCS.TraumaNCompl@FLHealth.gov

Mail Original Form to:
Florida Department of Health
DEPCS, Attn: Trauma Coordinator
4052 Bald Cypress Way, Bin A-22
Tallahassee, FL 32399

Site Survey

Florida’s trauma centers are subject to onsite evaluations to determine compliance with standards published in DOH Pamphlet 150-9, January 2010, and to evaluate the quality of trauma care provided by the hospital. The onsite evaluation is conducted by a review team comprised of out-of-state reviewers with comprehensive knowledge of trauma patient management and experience in trauma care at a designated trauma center that has been approved by the governing body of the state in which they are licensed.

The Department notifies each trauma center of the results of the site survey within 30 working days from completion of the site visit. The hospital has 30 calendar days to respond to the Department.

Patient charts to be reviewed shall be selected by the Department from cases meeting the criteria listed in Standard XVIII B.2., published in DHP 150-9.

Between 6-9 months prior to the date of the onsite survey, the trauma center will be notified by the Department of the date of the survey. Following the notification of the date of the survey, the trauma center’s CEO, trauma medical director, and trauma program manager will be provided a package containing information to help guide the trauma center in preparation for the survey.

Trauma Center Standards

Sections 395.401(2) and (3), F.S., directs the Department to adopt by rule, standards for approval and verification of trauma centers. DOH Pamphlet 150-9, January 2010, contains the trauma center standards referenced in Rule 64J-2.011, F.A.C.

Electronic Pre-Survey Questionnaire

The trauma center is required to complete the Electronic Pre-Survey Questionnaire (EPSQ) and return to the Department roughly six weeks prior to the survey.

The EPSQ zip file contains the following documents:

  • Instructions on how to complete the EPSQ
  • EPSQ document
  • File folder for documents requested in the EPSQ

The Florida Department of Health sends the EPSQ to the out-of-state survey team for their review. The EPSQ is a gathering tool of information shared with the survey team prior to going onsite. The information gathered includes trauma services, outreach, research, disaster planning, demographics, quality management, physician credentials, and nursing education. It is imperative that the trauma center staff follow the instructions on how to complete the document in its entirety. An incomplete questionnaire may result in unnecessary deficiencies on the day of the survey.