Consolidation of trauma programs in the era of large health care delivery networks

Stanley Z. Trooskin, Michael B. Faucher, Thomas A. Santora, Raymond C. Talucci

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Objective: To review the development of an integrated trauma program at two separate campuses brought about by the merger of two medical-affiliated hospitals, each with an integrated program and a common trauma administrator, medical director, and educational coordinator. Each campus has an associate trauma medical director for on-site administrative management, a nurse coordinator, and a registrar. The integration resulted in a reduction of 1.5 full-time equivalents and 'cost' savings by consolidated use of the helicopter, outreach, prevention, research, and educational programs. Regular 'integration meetings,' ad hoc committees, and video-linked conferences were used to institute common quality improvement programs, morbidity and mortality discussions, policies, and clinical management protocols. Reaccreditation by an outside agency, elimination of duplicated services, and maintenance of pre-merger clinical volume results. Conclusion: This integrated trauma program may serve as a model in this era of individual hospitals merging into large health care delivery networks.

Original languageEnglish (US)
Pages (from-to)488-493
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Issue number3
StatePublished - Mar 1999
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine


  • Consolidation
  • Cost savings
  • Efficiency
  • Trauma center


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