Do new committees have to be established to perform Performance Improvement on trauma patients?
No. You can incorporate your trauma performance improvement into existing performance improvement/quality assurance committees as long as the required criteria are met. 10.Clarification: Level III and IV Trauma Care Facilities need to have transfer agreements with (at a minimum) a Level I or II American College of Surgeons Verified Trauma Center in their region. It is up to the hospital to decide which hospital(s) they will have transfer agreements with depending on where their trauma patient referral and transfer patterns exist.