Trauma Services

The Health Collaborative’s Tristate Trauma Coalition (TSTC) works with local trauma centers, emergency rooms, and EMS agencies to ensure patients are receiving the most adequate care. Multiple components come together in treating and educating the community and hospitals: trauma registry, performance improvement, injury prevention, and provider education.


The Health Collaborative offers a wide variety of presentations, workshops, speaker series and panels, continuing education classes, and events to help your organization improve quality, efficiency, and organizational effectiveness. Trauma education and continuing education courses are open to our members and non-members throughout the healthcare provider community in Greater Cincinnati, Northern Kentucky, and Southeast Indiana.

Trauma-related courses include:

  • Advanced Trauma Life Support (ATLS)
  • Emergency Nursing Pediatric Course (ENPC)
  • Trauma Care After Resuscitation (TCAR)
  • Trauma Nursing Core Course (TNCC)

For information and to register for any of these or other courses offered by The Health Collaborative, please visit our Training and Events page.

Questions? Please contact Kelly Harrison, Manager, Regional Trauma Services.


The Tristate Trauma Coalition works with all regional trauma centers and local community groups to educate the public on many ways to prevent traumatic injuries. TSTC has partnered with Hamilton County Public Health to provide a quarterly analysis and synopsis on factors related to Injury Prevention in Hamilton County.



Falls by older adults out in the community and in their homes is part of an alarming trend in the Tristate region. Newly released data from the Tristate Trauma Registry show that nearly half of all trauma-related injuries were caused by a fall. Among all fall-related injuries, 52 percent of falls were experienced by persons age 65 and older.  Even more alarming, 67 percent of all falls occur within the home.

Fall-related injuries can occur to people of any age, but for older adults decreased physical motor skills and simple environmental hazards in homes can contribute to the risk of experiencing a fall.

Tristate Trauma Coalition


Celebrating 10 years in 2017, the Tristate Trauma Coalition Regional Trauma Registry maintains demographic, clinical and outcome data that can be used to improve trauma care in the region. The Health Collaborative collects, validates and analyzes this trauma and injury data from participating hospitals in the region.  The information is used to make recommendations that help improve the overall trauma care throughout the region. Hospitals in the Tristate that are Accredited Trauma Centers by the American College of Surgeons (ACS) include:

  • UC Health – University of Cincinnati Medical Center – Level 1 Adult Trauma Center
  • Cincinnati Children’s Hospital Medical Center – Level 1 Pediatric Trauma Center
  • Premier Health– Atrium Medical Center – Level 3 Adult Trauma Center
  • TriHealth– Bethesda North Hospital – Level 3 Adult Trauma Center
  • UC Health – West Chester Hospital – Level 3 Adult Trauma Center

A regional registry provides several benefits to participating hospitals and the public. When a trauma registry exists at a regional level:

  • Hospitals can receive their own data for trending purposes.
  • Hospitals can use the regional data to benchmark their effectiveness against other hospitals in the region.
  • Participation allows for quality improvement and quality assurance to improve care delivered to trauma victims in the Tristate

The TSTC Regional Trauma Registry also serves as a repository to State Trauma Registries to facilitate the transfer of trauma data as mandated by law. Confidentiality of patients and hospitals is maintained within the Regional Registry and when exporting required data to the State Registry.




The Tristate Trauma Coalition is a group of multidisciplinary agencies and organizations which collaborate to serve the community by improving patient outcomes and providing a forum for independent health care facilities and systems, emergency medical services, and community partners to work together to improve the care of the injured patient.


The Tristate Trauma Coalition provides a forum for sharing best practices, collecting and analyzing trauma data, and determining the educational needs of regional nurses and physicians who treat injured patients.



The Health Collaborative has organizational, operational, and financial oversight of the Tristate Trauma Coalition. The Tristate Trauma Coalition authority is non-statutory; participation is voluntary by stakeholder institutions.

The Tristate Trauma Coalition reports to The Health Collaborative Steering Committee.

The Health Collaborative develops and maintains the registry, education, and PI program, and serves as a liaison with other regions and state-related organizations/ committees.


The goal of the Tristate Trauma Coalition is to promote and enhance the care of the injured patient within the tristate through:

  • Collection and analysis of quality data from all hospitals in the region
  • Providing quality professional trauma education
  • Convening stakeholders to collaborate on trauma related issues and trends


The Tristate Trauma Coalition is responsible for three major functions of a regional trauma system. Each function operates within the Tristate Trauma Coalition and creates any necessary workgroups to complete the work of that function:

Tristate Trauma Registry

  • Maintains the regional database containing demographic, injury, clinical, and outcome data as provided by member hospitals.
  • Identifies and optimizes the resources needed to accomplish function goals, e.g. data quality, validation.
  • Provides continuing education for trauma data collectors.

Performance Improvement Program (PIP)

  • Provides interested parties with relevant summary reports, metrics, and other deliverables to be used to improve awareness, education, prevention, and all aspects of the continuum of care from pre-hospital to inpatient to rehabilitation, with eventual reintegration to home with the best functional and productive outcomes.
  • Reviews aggregate data, scorecard/dashboard, and benchmarking standards.

Trauma Education

  • The Tristate Trauma Coalition offers trauma-specific education to physicians and nurses. These courses include, but are not limited to:
    • Advanced Trauma Life Support (ATLS)
    • Trauma Nursing Core Course (TNCC)
    • Emergency Nursing Pediatric Course (ENPC)
    • Trauma Care After Resuscitation (TCAR)


Membership in the Tristate Trauma Coalition is open to all entities or individuals that agree to work collaboratively on improving care of the injured patient. All significant players in trauma care are urged to participate as essential members of the Tristate Trauma Coalition.

Primary members of the Tristate Trauma Coalition include hospitals and the major healthcare organizations in the tristate region. Other essential memberships from the community’s healthcare organizations and partners include, but are not limited to the following disciplines:

  • Trauma Medical Directors
  • Trauma Program Managers
  • Staff from non-verified centers or health systems
  • Trauma Data collectors
  • EMS representatives
  • Air Medical Services
  • Public Health agencies
  • Ad hoc members as needed


Primary members of the Tristate Trauma Coalition will designate a representative and an alternate to ensure ongoing participation. Primary members should:

  • Attend regularly scheduled meetings
  • Participate in establishing priorities for the Coalition
  • Educate and inform member organizations on Coalition activities
  • Assist and support education programs by providing attendees and educators


The Tristate Trauma Coalition shall hold meetings quarterly, or more frequently as needed. Notice for regular meetings shall be provided to all members at least ten working days prior to the meeting. Notices shall include the time, place, and meeting agenda. Minutes of all meetings shall be prepared and distributed to the membership.


Regional level coordination of the Coalition is provided by the Manager, Regional Trauma Services role from The Health Collaborative.

The Manager, Regional Trauma is responsible for planning, implementing, managing, and evaluating Coalition activities. Tasks of the Manager, Regional Trauma include:

  • Providing general oversight for Coalition activities and associated projects.
  • Management of the Tristate Regional Registry.
  • Management of the Regional Trauma Education programs.

The Manager, Regional Trauma shall collaborate with the appointed leadership and the Tristate Trauma Coalition members to achieve its goals and objectives.


This charter is adopted by the Tristate Trauma Coalition – March 2017

For more information, contact Kelly Harrison, Manager, Regional Trauma Services: or 513.878.2858.