Hospitals especially well equipped in terms of expertise and technology to deal with serious burn cases.

Hospitals especially well equipped in terms of expertise and technology to deal with serious burn cases.

New York State’s system of regionalized perinatal services includes a hierarchy of four levels of perinatal care provided by the hospitals within a region and led by a Regional Perinatal Center (RPC).

• Level 1 Perinatal Centers provide care to normal and low-risk pregnant women and newborns, and they do not operate neonatal intensive care units (NICUs);
• Level 2 Perinatal Centers provide care to women and newborns at moderate risk and operate NICUs;
• Level 3 Perinatal Centers provide care for patients requiring increasingly complex care and operate NICUs;
• Regional Perinatal Centers provide the highest level of care and operate NICUs.

• A Comprehensive Stroke Center is capable of providing neurosurgical services to the most complex stroke patients, including subarachnoid and intracerebral hemorrhage.
• The Department of Health designates Primary Stroke Centers statewide to improve the standard of quality and access to care for patients with a presumptive diagnosis of stroke
• Thrombectomy-Capable Stroke Centers (TCSC) do all that Primary Stroke Centers do, plus have the tools and the expertise to perform mechanical thrombectomy, a minimally invasive surgical procedure to remove a blood clot from an artery. These centers also have neurointensive care and 24/7 on-site critical care coverage.

• Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation.

  Elements of Level I Trauma Centers Include: 

  • 24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care. 
  • Referral resource for communities in nearby regions.
  • Provides leadership in prevention, public education to surrounding communities.
  • Provides continuing education of the trauma team members.
  • Incorporates a comprehensive quality assessment program.
  • Operates an organized teaching and research effort to help direct new innovations in trauma care.
  • Program for substance abuse screening and patient intervention.
  • Meets minimum requirement for annual volume of severely injured patients

    A Level II Trauma Center is able to initiate definitive care for all injured patients.

• A Level II Trauma Center is able to initiate definitive care for all injured patients.

          Elements of Level II Trauma Centers Include:    

• • 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. 
  • Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center. 
  • Provides trauma prevention and continuing education programs for staff. 

  • Incorporates a comprehensive quality assessment program.

• A Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.

  Elements of Level III Trauma Centers Include:
  • Basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Available trauma nurse(s) and physicians available upon patient arrival.
  • May provide surgery and critical-care services if available.  
  • Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. 
  • Incorporates a comprehensive quality assessment program.
  • Involved with prevention efforts and must have an active outreach program for its referring communities.