Trauma Service Line Development


  • A large, non-profit health care system
  • 4 hospitals, large integrated medical group, post acute facilities, integrated behavioral health, free standing outpatient services
  • $75M net operating income

The Challenge

High-level trauma center operating as a local resource rather than a regional referral center with a system-wide approach to care. Client desired to increase regional presence in support of a larger system-wide strategy to support tertiary and quaternary referral growth.

The Eleva Approach

  • Completed gap assessment comparing current state trauma model to desired future state.
  • Identification of physician and administrative formal and informal leaders aligned with organizational goals.
  • Evaluated and addressed gaps in leadership roles, physician and clinical staffing, program structure, and business processes, including charging and billing.
  • Implementation of processes and workflows to support key strategic outcomes: coordination of care, transitions of care, outcomes of care, efficiency of care, and access to care.
  • Increased autonomy of internal staff by mentoring and coaching on identifying deficiencies, drafting applications and preparing for site surveys for future trauma accreditation process.

The Results

  • Movement from single provider surgical coverage for both general and trauma surgery to 24/7 in-house dedicated trauma surgeon and general surgeon.
  • Highly coordinated care between multiple specialties.
  • High-level trauma center acting as a regional referral center with a system approach.
  • Increased market potential from 330K to 880K lives.
  • 10% incremental increase in trauma volume.