PERFORMANCE IMPROVEMENT (PI) MONITORING

POPULATION OF INTEREST

Casualties exposed to a potentially concussive event.

INTENT (EXPECTED OUTCOMES)

- Documented GCS, neurologic exams, and symptoms for each service member exposed to a potentially concussive event in accordance with the DoD Traumatic Brain Injury Center of Excellence MACE2 and Progressive Return to Activity clinical recommendations.
- TBI whole blood Biomarker performed on moderate risk patients within 24 hours of injury.
- TBI Biomarker Consultant is informed on all positive and negative TBI whole blood Biomarker tests.

PERFORMANCE/ADHERENCE MEASURES

- MACE2 exams documented on all Service Members diagnosed with mTBI
- Documented results of the TBI WB biomarker in the patient’s medical record

DATA SOURCES

- Patient Record
- Department of Defense Trauma Registry

SYSTEM REPORTING & FREQUENCY

The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.

The system review and data analysis will be performed by the JTS Chief and the JTS PI Branch.

RESPONSIBILITIES

It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance and PI monitoring at the local level with this CPG.