Regional PI Request for Case Review

All proceedings and records of the East Texas Gulf Coast Regional Trauma Advisory Council Regional Performance Improvement Committee are confidential. All professional review actions and communications made to or from the East Texas Gulf Coast Regional Trauma Advisory Council Regional Performance Improvement Committee are privileged communications under Texas and federal law. TEX. OCC. CODE ANN. Chps.151 and 160; Tex. Health and Safety Code § 161.032; and 42 USC § 11101.

Category Definitions:

1. Treatment decision: An issue arising from clinical judgment or lack of competency, such as the choice of interventions, medications, or procedures provided. 

2. Refusal of care: A situation in which a patient, family member recommended medical evaluation, treatment or intervention, potentially delaying care and impacting the patient’s outcome. 

3. Transfer issue: A situation where a facility, agency, or individual does not follow recommended interfacility transfer protocols, resulting in delays or barriers to timely access to appropriate care or specialized services 

4. Variance from regional standards: Process differs from a Board-approved regional guideline where regional standards are defined. 

5. Lack of regional standard: An issue identified where no regional guideline currently exists, leading to inconsistent care. 

6. Operational logistics: Barriers related to system coordination, resource movement, or workflow operations. 

7. Destination decision making: Concerns over the appropriateness of the patient’s receiving facility based on the patient’s preference, acuity or regionally available resources. 

8. Human resource issue: Problems related to personnel availability that influences patient care and outcomes. 

9. Material resource / equipment issue: Failures or shortages of equipment, technology, or supplies that impact patient care. 

10. Communication failure: A breakdown in information sharing between EMS, hospitals, or other stakeholders that affects patient care. 

11. Other: An issue that does not fit in the above categories but still represents a PI concern 

Note: The Regional PI Committee reviews system issues. You may submit any concern you deem a regional/system issue needing review. The Regional PI Committee, however, may decide the issue is not appropriate for a system discussion and recommend it be managed internally at your facility or agency.

When submitting this request, include any documents utilized in your performance review of the case REDACTING ALL PATIENT IDENTIFIERS. This could include your PI form, death review, committee minutes, etc.

Confidentiality:

·       This document may contain CONFIDENTIAL information.

·       All proceedings and records of the East Texas Gulf Coast Regional Trauma   Advisory Council Regional Performance Improvement Committee are confidential. All professional review actions and communications made to or from the East Texas Gulf Coast Regional Trauma Advisory Council Regional Performance Improvement Committee are privileged communications under Texas and federal law. TEX. OCC. CODE ANN. Chps. 151 and 160; Tex. Health and Safety Code § 161.032; and 42 USC § 11101.

·       Your signature below indicates you understand that you are not to discuss any committee business outside of the committee, to include any/all written information, discussions, verbal testimony, etc. You also understand that failure to
uphold these laws may result in criminal charges.