North Texas Burn Rehabilitation Model System
The three goals of NTBRMS listed above can be described as the Model System and amp;apos;s Service, Evaluation, and Research components. The Model System and amp;apos;s responsibilities in the Service component are primarily to enhance the coordination of the comprehensive, multi disciplinary treatment approach to burn care and rehabilitation, which already exists at the regional burn center. The Model System has also enhanced the quality and the coordination of burn care rehabilitation existing in rural areas distant from the regional burn center, but within the burn center and amp;apos;s catchment area. We have established satellite clinics in Tyler, to serve persons in the east Texas area; in Waco and Fort Worth to serve persons south and west of the metroplex who have been burned. The Model System has worked to improve burn care and rehabilitation available in these areas through satellite clinics and through continuing education of health care providers in those areas. In contrast, the Evaluation and Research components are the exclusive responsibility of Model System personnel. By collecting uniform data, the effectiveness of rehabilitation treatment methods, assistive technology and vocational rehabilitation efforts as well as the clinical course of adaptation to burn injury can be evaluated. The uniform data that are collected include general demographic information, burn injury characteristics, treatment methods, functional outcome data (physical, psycho social, vocational), and cost of care. Outcome data are collected at hospital discharge; 2 months post-discharge; and 6, 12, and 24 months after injury. Extra physician follow-up is also offered at these points free of charge to patients who are no longer in treatment. These data are designed to serve the purposes of evaluating the service components of the Model System and contributing to a national database on burn rehabilitation. Data are also collected for the Research component of Model System activities. The research component for the Grant Cycle 2007-2012, consists of three projects, one collaborative research module and 2 site-specific research projects. All three projects have a separate IRB file number.
Data will be collected from all individuals who sustain major burn injury as defined by the ABA, are admitted to the Regional Burn Center at PMH, survive burn injury, and consent to participate. All persons who meet the burn severity criteria and who consent to participate will be included regardless of racial or ethnic background, or financial status. All persons admitted to the Regional Burn Center at PMH will be afforded all benefits associated with the Service component of the Model System regardless of racial or ethnic background, or financial status. Based upon previous admission data it is estimated that the number of persons admitted to the Regional Burn Center will be approximately 400-450 persons per year, of whom approximately 57% will be white, 28% black, 13% Hispanic, 2% other; it is anticipated that these persons will include approximately 37% female and 63% male. Approximately 75-80 persons per year are expected to meet the burn severity criteria for data collection associated with the Model System's Evaluation and Research components.