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Trauma System Plan
The Central Texas Regional Trauma Advisory Council (CTRAC) was established in 1992 through a grant from the Texas
Department of Health’s Regional Trauma System Development Grant Program. It is one of 22 Trauma Service Areas in Texas and consists of six counties
known as Trauma Service Area – L. CTRAC is recognized by the IRS as a 501(c) 3 non-profit organization since 1998.
During the 71st legislative session (1989), House Bill 18 was passed directing the establishment of a statewide trauma system for Texas. Specific rules and regulations related to the development of the statewide system were identified and implemented.
The state was divided into 22 Trauma Service Areas that amount for the 254 counties in Texas. A Regional Advisory Council for trauma serves each Trauma Service Area. The Regional Advisory Councils were charged with developing a system plan based on standard guidelines for implementing a comprehensive trauma care system. The development of a regional plan is the ultimate responsibility of the stakeholders and participants of the Regional Advisory Councils. Some elements of the plan are required, while others may be added to best reflect the needs of the community. While the Plan may have numerous components, its heart is the dedication of the professionals who transform these guidelines into reality.
Since its inception, CTRAC has been active in trauma prevention and education programs as well as development and implementation of trauma patient care standards. Maintaining public education and awareness activities to increase the understanding of the trauma care system, access to trauma care and prevention of injuries is an integral part of the mission and goals of CTRAC.
CTRAC covers over 6,192 square miles and has a population of 414,000. Sixty-two percent of the population lives outside of the largest cities of Killeen and Temple. TSA-L has a Level I Trauma Center, Scott & White Hospital, as its Lead Trauma Facility. Additionally, Fort Hood military base, located in Bell and Coryell Counties is the largest military installation in the free world with comprehensive training facilities for reserves and National Guard units from across the country. TSA-L consists of over 4,485 highway miles with Interstate Highway 35 dividing the region. Over 85% of TSA-L is rural, frontier rural and many areas are considered primitive-frontier.
Trauma care should be part of a seamless trauma system that provides patients with well-organized and high-quality care. Incorporation of an overall health care system requires cooperation and availability of each component of the system.
The essence of a trauma system is the ability to get the right patient to the right hospital at the right time to reduce death and disability. CTRAC members have made great strides toward this goal and continue to collaborate and strive to improve care of the trauma patient.