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October 2017
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 October 2017


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Contact Your Senator!


On May 3, 2017, U.S. Senator Johnny Isakson, R-Ga., reintroduced bipartisan legislation that would provide grants to civilian hospitals that hire active duty military personnel to help improve trauma response. The MISSION ZERO Act, S.1022, would assign U.S. Department of Defense (DoD) trauma surgeons to levels I, II and III civilian trauma centers to help fill a gap in care examined by the National Academies of Sciences, Engineering and Medicine.


The House version, H.R. 880, was unanimously approved by the House Energy Commerce Health Subcommittee, and TCAA is now making efforts to secure more sponsorship in the Senate. We reached out to several members, and we thank them for sending letters to Senators on behalf of their trauma centers.  Please contact Chevonna Nimmons, TCAA Director of Government Affairs at for information on contacting your Senator.


HRSA Delays Effective Date for 340B Drug Pricing Program Ceiling Price & CMP Rule


The Health Resources and Services Administration (HRSA) announced that it will further delay the effective date for the final rule, “340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties (CMP),” from October 1, 2017 to July 1, 2018. The 340B Ceiling Price and CMP final rule, which was published on January 5, 2017, sets forth the calculation of the ceiling price and application of civil monetary penalties, and also addresses issues such as the penny pricing policy and the “knowing and intentional” standard to be used for assessing CMPs. HRSA states that the effective date is being delayed to “allow a more deliberate process of considering alternative and supplemental regulatory provisions and to allow for sufficient time for additional rulemaking.”


The final rule was initially scheduled to be effective on March 6, 2017. HRSA issued a previous notice, however, delaying the effective date until March 21, 2017, in accordance with the “Regulatory Freeze Pending Review” Executive Order. HRSA subsequently issued a notice on March 20, 2017 again delaying the effective date to May 22, 2017 to "provide affected parties sufficient time to make needed changes to facilitate compliance." In May 2017, HRSA issued a final rule that further delayed the effective date to October 1, 2017. 

In today’s final rule, HRSA states that delaying the effective date and enforcement date to July 2018 will provide covered entities with “sufficient time to implement the requirements of the rule, as well as allowing a more deliberate process of considering alternative and supplemental regulatory provisions, and to allow for sufficient time for additional rulemaking.”


HRSA also notes that it received numerous comments on its proposal, including comments that urged HRSA to delay the final rule until it “fulfills its commitment to engage in additional rulemaking that cures the substantive legal and practical concerns with the final rule.” HRSA responded that it “intends to engage in further rulemaking and believes that this delay will provide HHS with time to consider the substantial questions of fact, law, and policy raised by the rule.” HRSA adds that it received other comments asserting that the “final rule is critical to ensuring that drug manufacturers uphold the intent of the 340B Program;” HRSA responds that the “final rule does not represent the only method for HHS to address manufacturer overcharges,” and that HRSA is actively engaged in audits and investigations involving potential overcharges.


Additional information can be found here. The January 2017 340B ceiling price/CMP rule can also be viewed at this link.




Are you struggling to cover the costs of your trauma program? When you talk to your finance personnel, does it seem like they are speaking a foreign language? If you answered yes to either of these questions, then join us for the Finance Webinar on “Key Elements of Effective Trauma Charges and Billing” on October 26th at 1pm ET. Learn effective billing strategies to meet the needs of your program and cover your costs.



Coming Soon:

  • ASPR
  • Trauma Education
  • Trauma Medical Director FTE's & Responsibilities
  • Trauma Marketing Post-Trauma Review

Recently Closed:

  • FAST Exams
  • Utilization of NP's & Billing Practices
  • Trauma Program FTE's
  • Registrars Work At Home

Available Soon:

  • PTSD - Post Traumatic Stress Disorder
  • Utilization of Case Managers & Nurse Navigators
  • Dashboards and PI Reports
  • Registrars Work At Home

Heath Sector Emergency Preparedness Course


The FEMA Center for Domestic Preparedness (CDP) is collaborating with ASPR to provide a Health Sector Emergency Preparedness Course in coordination with interested Health Care Coalitions (HCCs). Host responsibilities of the HCC would include providing a venue and coordinating with their members. FEMA CDP will coordinate the class directly with the designated HCC point of contact, provide experienced instructors to conduct the class, and provide copies of all relevant course materials for each student. If interested in hosting an offering of the Health Sector Emergency Preparedness Course, please contact the FEMA Center for Domestic Preparedness Non-Resident Training Coordinator, Clay Calkins, at (256) 231-0128 or

Examining Challenges and Possible Strategies to Strengthen U.S. Health Security: Proceedings of a Workshop


The National Academies of Sciences, Engineering and Medicine (NASEM)’s Forum on Medical and Public Health Preparedness for Disasters and Emergencies is pleased to announce the release of the prepublication workshop proceedings,Examining Challenges and Possible Strategies to Strengthen U.S. Health Security, which summarizes the March 8–9, 2017 workshop convened by the Forum in Washington, D.C.


The workshop examined challenges to medical and public health preparedness, response, and recovery in the context of topics such as global health security, communication and coordination, individual and community health resilience, and critical infrastructure protection; explored the direction of possible future policy actions and innovative approaches necessary to resolving these challenges; and discussed possible opportunities for the Forum and other stakeholders to contribute towards examining and addressing these challenges.


Here is a link to the website where this workshop proceedings document is now publicly available for free download.  

Upcoming Committee Meetings:
Oct. 24th - Committee Chair  Nov. 3rd - Annual Meeting Nov. 16th - Pediatric
Nov. 1st - Systems  Nov. 7th - Advocacy Nov. 28th - Education
Nov. 1st - Reimbursement  Nov. 15th - Disaster Preparedness





  • October 26th - 1:00 PM ET: Key Elements of Effective Trauma Charges & Billing in 2017Presented by Valerie Rinkle, MPA & Jennifer Ward, MBS, BSN, RN 

Upcoming Trauma Events/Conferences:

  • 29th Annual David Miller Memorial Trauma Symposium:  October 26- 27, 2017

  • Pediatric Trauma Society 4th Annual Meeting:  November 2 - 4, 2017
  • NASEM Forum on Medical and Public Health Preparedness for Disasters and Emergencies:  November 2 - 3, 2017
  • The 2017 San Diego Day of Trauma:  November 3, 2017
  • TQIP Annual Scientific Meeting and Training:  November 11 - 13, 2017
  • 9th Annual Southwest Trauma and Acute Care Symposium:  November 16 - 17, 2017
  • TCAA Finance & Business Course:  December 6, 2017
  • 31st EAST Annual Scientific Assembly:  January 9 - 13, 2018
  • Pediatric Trauma Society 4th Annual Meeting:  November 2 - 4, 2017
  • TCAA 21st Annual Trauma Conference:  April 29 - May 4, 2018

View our event page (here) for additional information regarding the events listed above. 

                                              DID YOU KNOW?                                        


Watch for an email in the coming weeks regarding the all call for our 2018 Annual Conference in New Orleans, LA.

Lapel Pins Are Now Available For Purchase Online!

TCAA lapel pins, in two designs, are now available for purchase online.
View the items in our store by clicking the image below.


TCAA Would Like To Welcome Our Newest Member:


Fountain Valley Regional Hospital and Medical Center


Arkansas Trauma System


The Hospitals of Providence - Memorial Campus


Banner - Cardon Children's Medical Center

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