Each trauma center undergoes close scrutiny by a site review team every three years; sooner for newer centers. The team consists of a Surgeon/Team Leader, Emergency Physician, Critical Care Nurse, Hospital Administrator and the OEMS Trauma Coordinator.
The team evaluates such aspects as the trauma response throughout the hospital, patient care provided compliance with educational criteria and performance improvement. Designated Trauma Centers are also required to have an outreach program in place to communicate with hospital and EMS agencies located within its catchment area. This serves to complete the informational feedback loop.
Read more at: http://www.vdh.virginia.gov/emergency-medical-services/trauma-system/.