# Indiana Clinical and Translational Sciences Institute

> **NIH NIH UL1** · INDIANA UNIVERSITY INDIANAPOLIS · 2020 · $201,078

## Abstract

Project Summary
Trauma is a leading cause of death and disability, and also a major contributor to health disparities of those
who are elderly, low-income, racial minorities, and reside in urban or rural regions. In order to improve quality
of care at trauma centers, the American College of Surgeons Committee on Trauma (ACS-COT) developed
the Trauma Quality Improvement Program (TQIP). TQIP collects data from all ACS-verified trauma centers and
provides risk-adjusted outcome reports, benchmarked against national averages. The program identifies at-risk
populations within hospitals, specifies hospital characteristics associated with patient risk, and facilitates
dissemination of best practices among the participating trauma centers. These measures have been
associated with significant improvements in trauma patient outcomes. While TQIP provides substantial support
to trauma centers, many trauma patients initially present to non-trauma hospitals. In Indiana, for example, the
majority (55 percent) of trauma patients received their initial care at non-trauma hospitals, yet no program
currently exists to examine outcomes and promote quality improvement at these facilities. Ideally, healthcare
providers at such hospitals identify life-threatening injuries, provide initial resuscitation, and rapidly transfer
patients to highly specialized trauma centers. The ability of non-trauma hospitals to meet those objectives,
however, may be limited by geographic factors, resource constraints, and a lack of clinical expertise. As a
result, non-trauma hospitals may harbor variation in quality of trauma care and disparities in health outcomes
among their patient populations. Therefore, on-going analysis of non-trauma hospital outcomes and the
promotion of best practices represents a critical need within the trauma system. My overall research goal is to
optimize the coordination of care and outcomes of severely injured patients within a regionalized system of
trauma care. Through this diversity supplement, my training goals are to acquire expertise in implementation
research strategies specific to non-trauma hospitals with a focus on 1) stakeholder-centered, qualitative
research methodologies; 2) improvement and implementation research methodologies; and 3) program
development and maintenance. I seek to accomplish these goals through the following Specific Aims: (1)
Engage stakeholders to identify key outcomes associated with optimal quality in trauma care at non-trauma
hospitals to inform a modified TQIP process; (2) Develop a dissemination and implementation (D&I) toolkit to
facilitate ETQIP-directed quality improvement initiatives that promote optimal trauma care at non-trauma
hospitals; and (3) Pilot E-TQIP to evaluate the acceptability and feasibility of the program. Along with the
expertise of my multi-disciplinary mentoring team, the Research Plan proposed in this application will prepare
me to obtain R01 funding to support the statewide implementation of E-TQI...

## Key facts

- **NIH application ID:** 10049835
- **Project number:** 3UL1TR002529-03S2
- **Recipient organization:** INDIANA UNIVERSITY INDIANAPOLIS
- **Principal Investigator:** Sharon M Moe
- **Activity code:** UL1 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $201,078
- **Award type:** 3
- **Project period:** 2018-05-18 → 2023-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10049835

## Citation

> US National Institutes of Health, RePORTER application 10049835, Indiana Clinical and Translational Sciences Institute (3UL1TR002529-03S2). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10049835. Licensed CC0.

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