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January 2018
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January 2018


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TCAA Lobby Day - March 13, 2018


TCAA will host its Annual Advocacy Institute & Lobby Day March 12-13, 2018 in Washington, DC. During the Advocacy Institute on March 12th, our team of lobbyists from Winning Strategies Washington will provide an overview of specific asks from the trauma community and prepare participants for meetings on the hill on March 13th. We will provide the full itinerary and information on travel and hotel accommodations as soon as possible.

Healthcare Update


On Wednesday, January 10th, the American Hospital Association, Association of American Medical Colleges, America's Essential Hospitals and others told a federal court today that they intend to appeal an earlier decision rejecting their attempts to block $1.6 billion in cuts to the 340B program. Click here for the notice of appeal.


The House Energy and Commerce Committee released a report examining the 340B program. The report is the result of a two-year investigation conducted by the Republicans on the Committee, but Chairman Walden said he hopes to see bipartisan solutions and that legislative action will be taken “fairly soon”. It highlights the bipartisan support for the program, but also includes a series of recommendations to help address program weaknesses.


On Tuesday, January 9th, CMS introduced an expanded bundled payment model that calls for participants, including acute care hospitals and physician groups, to take on risk in both inpatient and outpatient settings, and that will qualify providers for additional incentives under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.


The new voluntary episode payment model, known as Bundled Payments for Care Improvement (BPCI) Advanced, will test an iteration of bundled payments for 32 Clinical Episodes (29 inpatient; 3 outpatient) and aims to align incentives to reduce expenditures and improve quality of care for Medicare beneficiaries.


The first cohort will commence participation in the new Model on October 1, 2018, and the Model Period Performance will run through December 31, 2023. CMS will provide a second application opportunity in January 2020.


The announcement comes on the heels of CMS’ November 2017 final rule cancelling the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) incentive payment model and reduced by half the number of participants in the Comprehensive Care for Joint Replacement (CJR) model.


CMS will hold an Open-Door Forum on January 30, 2018 at 12:00PM to answer questions the public may have about the new Bundled Payments for Care Improvement Advanced (BPCI Advanced) model. Registration for the event is now open.

Government Shut Down


On midnight Saturday, January 20, 2018, Congress failed to reach a deal to extend federal funding which resulted in a government shutdown. The shutdown forced a furlough for approximately 50% of the federal workforce, programs from the Department of Health and Human Services were impacted, a few agencies continued limited operations, and other programs ceased operation due to the shutdown.


Fortunately, on Monday, Senate Minority Leader Schumer announced that he and Majority Leader McConnell had "come to an arrangement" to end the shutdown, with McConnell agreeing to take up legislation in the coming weeks on the Senate floor to address DACA and border security.  After this announcement, the Senate overwhelmingly supported a procedural vote to end debate, setting up a vote on final passage this afternoon on a continuing resolution that funds the federal government through February 8th.  The package also delays Affordable Care Act (ACA) taxes on medical devices, "Cadillac" health plans, and health insurance providers, and includes a six-year extension of the Children's Health Insurance Program (CHIP).


TCAA and our team of lobbyist will continue to provide updates on activity in Washington.


New Chapter - Trauma Center Finance and Operations Resource Manual

We are pleased to announce the release of the next chapter in the Trauma Center Finance and Operations Resource Manual. The Geriatric Trauma Services Development chapter was developed through our fellowship program by Niki Rasnake at UT Medical Center Knoxville. Please find this chapter and others on the website at under the Trauma Center Finance and Operations Resource Manual.



Open Now

  • Trauma Medical Director FTE's & Responsibilities
  • Time to OR Requirements

Coming Soon

  • ASPR

Reports Available

  • Trauma Program FTE
  • PTSD


Upcoming Committee Meetings:  

Jan. 22nd - Finance

Jan. 24th - Disaster Preparedness

Jan. 30th - Education

Feb. 2nd - Annual Meeting

Feb. 5th - Military-Civilian Ad Hoc

Feb. 6th - Member Services

Feb. 13th - Reimbursement

Feb. 15th - Pediatric




Upcoming Trauma Events/Conferences:

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



Registration for the TCAA 21st Annual Conference in New Orleans, LA is open


TCAA Annual Conference has expanded its educational offerings. Three new offerings will be ICD-10 Boot Camp, PTSD Workshop and Applying the National Standards & Indicators for injury and Violence Prevention Workshop.

  • PTSD Workshop:  The TCAA is offering a new, half day workshop on PTSD, depression and other mental health conditions following injury. The workshop will introduce interested  centers to the concepts and challenges needed to establish a program at your trauma center to screen and refer for treatment affected patients. The program will be provided by a group of trauma centers with experience in this area.
  • Applying the National Standards & Indicators for Injury and Violence Prevention Workshop:  This workshop is designed for injury and violence prevention professionals working in hospital based programs. During the workshop, facilitators will further describe the core components outlined in the recently released “Standards & Indicators for Model Level I and II Trauma Center IVP Programs.” Attendees will engage in a facilitated discussion and exercise designed to help IVP professionals apply the standards & indicators and identify opportunities to strengthen their program. Examples and resources will be provided to assist participants with operationalizing the standards and developing action plans for expanding and strengthening their program.
  • ICD-10 Book Camp:  ICD-10 Boot Camp will test your ICD-10-CM & PCS trauma-specific knowledge! This interactive course covers all of the fundamental coding rules, intents & definitions for trauma, and puts this knowledge to the test in case scenarios. Join us as we explore the hard coding areas such as head, pelvic, and organ injuries, as well as a lively Q&A session on top burning questions. Explore how specific injury details affect your injury severity scores and thus your benchmark data. Jump into the world of data validation and know your confidence level when reviewing the same benchmark data! This boot camp will equip the trauma registrar to be the "Data Sergeant" for their program!

For additional information and to register, please visit this page on our website.

TCAA Would Like To Welcome Our Newest Members:


Mount Carmel West Hospital - Columbus, OH

Huron Valley - Sinai Hospital - Commerce, MI

McLeod Loris Seacoast - Little River, SC

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