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Hospital Member Application

 

Welcome to the Trauma Center Association of America!

 

Please fill out application completely, including all signatures on the Security and Confidentiality form on. Information will be shared only with other TCAA Members on secured pages of our website and on our printed materials. Return completed application along with payment for your membership to the TCAA. Membership materials will be mailed out upon receipt of application. An orientation conference call with the President of the TCAA will need to be arranged thereafter.

 

We look forward to working with you. If you have any questions, please contact Jennifer Ward, President at (704) 360-4665 or email jennifer@traumacenters.org

 

 





TRAUMA CENTER ASSOCIATION OF AMERICA

MEMBERSHIP SERVICE AGREEMENT

 

The following services will be provided upon request, off-site by Trauma Center Association of America (TCAA) staff or Associates for the period of one year from date of agreement for the Annual Membership fee stated above.

It is understood that TCAA services are exclusively offered to the Member organization only and information sharing outside of the facility, including corporate entities, is prohibited. Unauthorized disclosure of TCAA products will result in Member being expelled from the TCAA without refund or recourse.

TCAA will provide Member Trauma Program staff and Trauma Center executives with contacts in other similar hospitals. A complete Member Directory (electronic and print) with hospital and program staff contact information will be provided.

Member will have access to downloadable practical sample documents, including protocols & policies, and best practices to adapt to Member’s format.

TCAA will act as an information clearinghouse by referring Member to trauma information resources or will collect and summarize information not otherwise available.

Member will have access to experienced trauma consulting staff through on-the-spot phone calls, scheduled conference calls and email, whichever is appropriate.

Upon data submission in the benchmarking program, Member will receive report comparisons and can schedule advisory calls for expert interpretation of results.

Member will receive access to secure “Members-Only” pages in www.traumacenters.org.

Member will receive tuition discounts to all TCAA educational programs, including but not limited to: Annual Conference, Trauma Finance and Business Planning Course, Trauma Medical Director Course, Trauma Center Leadership Course, Trauma Center Designation Course and Site Surveyor Workshop. Member will receive access to audio-recordings from the Annual Conference.

Agreement to these services includes the conditions and stipulations of the Trauma Center Association of America "Security and Confidentiality Policy". Breaches of confidentiality and unauthorized release of TCAA products will result in expulsion from membership.

TCAA agrees to protect individual Member identity from disclosure when reporting comparative data and study results. This agreement does not prohibit sharing of information provided voluntarily for the purpose of dissemination to other TCAA Members. No patient information will be disclosed and any necessary HIPAA agreements will be honored.

Upon payment of renewal invoice, membership services and contract will automatically be renewed.  Late payments after a period of three to six months will require a re-application for membership or assessment for new renewal dates.


TRAUMA CENTER ASSOCIATION OF AMERICA

SECURITY AND CONFIDENTIALITY AGREEMENT

 

Release of Information

The publications and products provided to Trauma Center Association of America (TCAA) members are the property of Trauma Center Association of America (TCAA).  Release of publications, papers, data, study results, and member information is strictly prohibited outside of the individual member hospital unless released in writing by TCAA Staff. Unauthorized disclosure of TCAA products will result in the hospital member being expelled from the TCAA without refund or recourse.

 

Disclosure Outside of Member Hospital

Hospitals and their employees or Medical Staff members are expressly forbidden to share TCAA member information, to include shared products from individual TCAA members, outside of their member hospital. This provision expressly prohibits release to multi-institutional, corporate, or administrative partners who are not TCAA members. TCAA  membership is for individual institutions unless otherwise agreed to by Trauma Center Association of America.  The Trauma Center Association of America retains the right to deny membership to any applicant.

 

Security Guidelines

Trauma Center Association of America members are encouraged to follow the security guidelines described herein:

1. Write the following statement on all documents: "The following information is confidential; disclosure outside of the Trauma Center Association of America (TCAA) member hospital and for other than educational or quality review purposes is not allowed."

2. Maintain TCAA information, studies, and related reports in a secure place.  Numbers reports sequentially and collect at the end of each program where information is shared.

3. Instruct employees and physicians as to the confidentiality of the information.

4. Use facsimile and electronic information transmission cautiously.

A. Verify the correct phone number.

B. Transmit only to a secure and attended location.

C. Verify that the transmission is received.

 

Release of Liability

Trauma Center Association of America does not advocate specific medical practices and acts solely as a clearinghouse for such information for educational purposes. Trauma Center Association of America does not profess to advise Members in Standards of Care or medical/nursing practices.

 

I have read and have the authority to accept the terms of TCAA's Security & Confidentiality Agreement on behalf of Member hospital's Trauma Program Manager, Trauma Medical Director and CEO.



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