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NOTS Saves 640 Lives, Welcomes Southwest General

Tuesday, August 26, 2014 - NOTS Saves 640 Lives, Welcomes Southwest General
Southwest General has signed an agreement to join the Northern Ohio Trauma System (NOTS), a collaboration among MetroHealth, Cleveland Clinic and regional public safety forces, to ensure trauma patients get to the right place for their care. Recently released data again reinforces that the regionalization of trauma care clearly saves more lives in Northeast Ohio.

Under NOTS, the most serious trauma patients are treated in the area’s only adult Level I trauma center at MetroHealth and Northeast Ohio’s only Level II trauma centers at Cleveland Clinic’s Fairview and Hillcrest hospitals. Now the addition of Southwest General to NOTS brings another level of trauma care to patients through their Level III trauma center. 

For more on what the different levels of trauma centers mean, click here.

“Southwest General is pleased to be a part of the Northern Ohio Trauma System, which we believe will support the delivery of safe, efficient trauma care for residents of the communities we serve,” says Marilyn McNamara, MD, vice president, Medical Affairs, Southwest General. “Southwest General already works closely with MetroHealth in coordination of trauma care cases. This new partnership will help us continue to improve the trauma care system and also will enhance education for our Emergency Medical Services providers, physicians and nurses as well as community members.” 

Recently released 2013 data again demonstrates that NOTS has saved more than 640 lives and improved the mortality rate by 40 percent since the collaboration began in 2010 (see below). The data also shows that caring for the most serious trauma patients at a Level I trauma facility saves lives. According to the Centers for Disease Control and Prevention, severely injured patients who get care at a Level I trauma center have a 25 percent lower risk of death.

 Year  Mortality Rate
 2008  4.7% 
 2009  4.1% 
 2010  2.9% 
 2011 2.6%
 2012 2.7%
 2013 2.4%

Southwest General has been a vital institution in the regional trauma system for several years and their decision to join NOTS will help save lives,” said Brendan Patterson, M.D., former Chairman of NOTS and Executive Director of MetroHealth’s Surgical Services. “Our survival data definitely proves collaboration is vastly superior to competition for trauma care. Outcomes were improved only when hospitals and their leaders began working together.”

“Trauma is a major public health problem that is best addressed by having concentrated expertise and collaboration among the key players who are committed to providing the best care,” said David Bronson, M.D., Chairman of NOTS and Cleveland Clinic’s Senior Public Policy and External Affairs Advisor. “Through this collaboration we are getting trauma patients to the best place quickly for the type of care they need and are achieving outstanding results.”

NOTS highlights that have successfully improved outcomes for patients include:
  • The two health systems collaborate to ensure patients are rapidly triaged at the scene and taken to the appropriate level of care in this tiered trauma system.
  • Evidence-based protocols are used to direct care right from the scene to the emergency department, the operating room, the ICU, the patient floor or to a rehabilitation facility or home.
  • By calling one phone number, all trauma transports are coordinated and care is activated quickly through a single, centralized center. 
  • The patients with the most life-threatening injuries are preferentially transferred promptly to a single, high-quality, high-volume, well-staffed Level I trauma center.
  • Cleveland Clinic and MetroHealth have linked their electronic health record systems to facilitate immediate sharing of information on all trauma patients.

“We are delighted with these findings. Our continued success in saving lives is proof that developing region-wide protocols and collaboration works,” says founding Medical Director Jeffrey Claridge, M.D., Director of NOTS and MetroHealth trauma surgeon. “The data also shows the mortality rate of even the most severely injured patients has improved.”

In 1997, Southwest General entered a unique partnering agreement with University Hospitals. Through this agreement, Southwest General offers its communities local access to services in selected UH facilities. They operate as an independent hospital.
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  • © Copyright 2002 - The MetroHealth System
  • 2500 MetroHealth Drive|Cleveland, OH 44109|(216) 778-7800
  • All Rights Reserved.