Trauma activation fee

doctors performing surgery

Find fee data and information

Hospitals with level I, II, or III trauma centers must include trauma activation fee data and information in Report 24B as part of their Annual Report.

You can find Report 24B in the Hospital Reporting System (HRS).

How to find Report 24B (PDF)  

Each Report 24B includes

  • The federal fiscal year of the trauma activation fee
  • The hospital name, trauma level, and revenue code
  • The minimum and maximum trauma fee charge
  • The total and individual charges for each patient type
  • The individual and total inpatient and outpatient discharges 
  • Patient charges, including inpatient, outpatient, and the total

Trauma activation fee resources

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Know the federal history (PDF)

Learn why the Centers for Medicare and Medicaid Services (CMS) authorized some hospitals to serve as trauma centers.

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Read the State law (PDF)

Find out State laws in response to why hospitals report trauma activation fee information to OHS.

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Find Reports 24A and 24B

View reports detailing trauma activation fee information through our Hospital Reporting System (HRS).

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Trauma fee charges part 1 (PDF)

Learn about trauma fee activation fee policies and charges.

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Trauma fee charges part 2 (PPT)

See key data and demographics for trauma patients.

Trauma activation fee background

doctors performing surgery

Trauma levels and center overview

In 2007, the Centers for Medicare and Medicaid Services (CMS) officially said hospitals can serve as “trauma centers.” In this role, level I, II, and III trauma centers can bill and receive payment.

The American College of Surgeons (ACS) ensures the official centers have all the resources listed in the Resources for Optimal Care of the Injured Patient.

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Trauma center level resources

Learn how the Center for Medicare and Medicaid Services (CMS), American College of Surgeons (ACS), and National Uniform Billing Committee (NUBC) provide trauma activation rules, charges, and billing. Take a deeper dive into Connecticut’s trauma activation fee field, including important statistics, laws, and patient information.

Trauma center capabilities and resource needs

ACS provides detailed criteria to assist trauma centers in establishing policies to set the right level of response in a trauma team activation based on three key domains: the patient’s physiologic status, the patient’s anatomic status, and the mechanism of injury.

Elements of capabilities and resources

General description

Center serves as comprehensive regional resource and is a tertiary care facility central to trauma system. Provides total care for every aspect of injury - from prevention through rehabilitation.

Trauma centers in Connecticut

Connecticut Children’s Medical Center (Pediatric)
Hartford Hospital
Saint Francis Hospital and Medical Center
Yale-New Haven Hospital (Adult, Pediatric)

24-hour in-house immediate coverage

By general surgeons.

Onsite prompt availability

Specialty care in orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric, critical care, etc.

Referral source

Is a referral source for communities in nearby regions.

Quality

Incorporate a comprehensive quality assessment program.

Prevention and education - staff

Provide continuing education of the trauma team members.

Prevention and education - public

Provide leadership in prevention and public education to surrounding communities Operate an organized teaching and research effort to help direct new innovations in trauma care.

Programs offered to patients

Offer programs for substance abuse screening and patient intervention.

Volume requirements

Meet minimum requirement for annual volume of severely injured patients.

General description

Facility able to initiate definitive care for all injured patients.

Trauma centers in Connecticut

Bridgeport Hospital
Danbury Hospital
Norwalk Hospital
St. Mary’s Hospital
St. Vincent’s Medical Center
Stamford Hospital
Waterbury Hospital

24-hour in-house immediate coverage

By general surgeons.

Onsite prompt availability

Specialty care in orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, and critical care.

Referral source

May refer tertiary care needs such as cardiac surgery, hemodialysis, and microvascular surgery to a Level I Trauma Center

Quality

Incorporate a comprehensive quality assessment program.

Prevention and education - staff

Provide trauma prevention and continuing education programs for staff.

Prevention and education - public

Involved with prevention efforts and must have an active outreach program for its referring communities.

Programs offered to patients

N/A

Volume requirements

N/A

General description

Facility has demonstrated an ability to provide prompt assessment, resuscitation, surgery, intensive care, and stabilization of injured patients and emergency operations.

Trauma centers in Connecticut

The Hospital of Central𠊌onnecticut
William W. Backus Hospital

24-hour in-house immediate coverage

By emergency medicine physicians.

Onsite prompt availability

General surgeons and anesthesiologists.

Referral source

Have developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center

Quality

Incorporate a comprehensive quality assessment program.

Prevention and education - staff

Offer continued education of the nursing and allied health personnel or the trauma team.

Prevention and education - public

Involved with prevention efforts and must have an active outreach program for its referring communities.

Programs offered to patients

N/A

Volume requirements

N/A