The NBATS tool is composed of six criteria with points given or subtracted for each criterion: The NBATS tool guidelines were acquired from the ACS-COT website ( ). The objectives of our current study were to compare the current distribution of DTCs in Georgia with the recommended allocation as calculated by the NBATS tool and to see if the NBATS tool identified similar areas of need as defined by our previous ICISS analysis. 6 Through this gap analysis, the rural southern regions of the state were identified as areas of need for additional trauma centers. Prior to the availability of the NBATS tool, Georgia undertook a similar project to identify areas in need of trauma centers using the International Classification of Injury Severity Score (ICISS). Therefore, in 2015, the ACS-COT convened a Needs Based Trauma Center Designation Consensus Conference to develop the Needs Based Assessment of Trauma Systems (NBATS) tool with the objective of providing a “practical tool, based upon data that is currently available, that can be used to assist regions” in determining the optimal number of designated trauma centers (DTCs) based on the needs of the population served. Historically, a guideline or tool did not exist that could provide guidance to the lead agencies in making these assessments. 3 4 According to the orange book, the designating authority should be responsible for determining the optimal number and level of trauma centers in the region based on the expected volume of trauma patients and resources. 2 The development of these trauma centers, however, can be very expensive, and if concentrated in a small geographic area may negatively impact the volume of patients with major injuries seen at each center. 1 The American College of Surgeons Committee on Trauma (ACS-COT) Resources for Optimal Care of the Injured Patient, currently called the “orange book,” defines the requirements for each level, including the volume of patients with major injuries for level I centers. ![]() The hospital component may further be categorized as levels I to IV trauma centers that provide life-saving trauma care in an inclusive network. The components of an ideal trauma system include prevention, access, prehospital care, acute hospital care, rehabilitation, and research.
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