Trauma designation process

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This process should be started 6 months prior to your next proposed trauma application review date.


Organizational profile

All trauma facilities must submit an updated organizational profile at least once a year. This profile must be updated before your designation application can be started. A person from your organization must be designated in the "organizational profile gatekeeper" role who is responsible for submitting the organizational profile. The person designated in this role must follow the Organizational Profile Account Gatekeeper Instructions to become the organizational profile gatekeeper. If a replacement gatekeeper is designated, this person must also follow these instructions. Only one gatekeeper is allowed per organization and this person can be gatekeeper for multiple organizations. 


Trauma designation steps
  1. Update the required profile in OATH. See the guidance above.
  2. Find your facility's proposed review date on the trauma designation review schedule.
  3. Submit a trauma designation letter of intent form to request a designation review. EMTS staff will contact the facility to schedule an on-site trauma designation review. Written notice of the review date and review team members will be sent to the facility.
  4. Download the scoring tool and other materials for the on-site trauma review.
  5. Download the application for the desired trauma designation level below.
  6. Email the completed application to at least 4 weeks prior to the on-site review date.


The on-site review findings will be presented to either the Designation Review Committee for levels III-V or the State Emergency Medical and Trauma Services Advisory Council for levels I-II. Each committee considers the Scope and Severity Rubric in its designation recommendation. The department then notifies the facility in writing of the designation decision within 30 days of the scheduled committee meeting.


Contact us

Lisa Domenico
Trauma Section Assistant
Colorado Department of Public Health and Environment
4300 Cherry Creek Dr. S., HFEMS C-1
Attn: Trauma Section
Denver, CO 80246