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Trauma Center IVP Standards and Indicators
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Standards and Indicators for Model Level I and II Trauma Center Injury and Violence Prevention Programs


Guidelines for Level I and II Trauma Centers 

The Standards and Indicators for Model Level I and II Trauma Center Injury and Violence Prevention Programs is the first to outline the five, consensus-based core components of a model injury and violence prevention (IVP) within Level I and II trauma centers. Each core component is accompanied by a set of voluntary standards and indicators to guide the design and implementation of a model IVP program.


The guidance offers programs at all levels ideas on how their programs could be expanded or strengthened, while also providing concrete, consensus-based descriptions of what constitutes a model program — one more likely to deliver the shared goals of reducing the burden and costs of injury and violence in communities across the United States.





"In developing the Model Level I and II Trauma Center Injury and Violence Prevention Program, the Safe States Alliance and the National Associations of County and City Health Officials (NACCHO) have provided those of us invested in hospital-based injury prevention a template of essential components to guide our programs as we seek to effectively reduce the burden of injury on the communities we serve." - Dr. Glen Tinkoff, Chair, Trauma Prevention Coalition




The Safe States Alliance, a member of the Trauma Prevention Coalition, received funding from the Centers for Disease Control and Prevention (CDC) through National Association of County and City Health Officials (NACCHO) to conduct activities in support of strengthening trauma center injury and violence prevention (IVP) programs with a goal of improving alignment and collaboration with public health efforts. 


Core Components 

The standards and indicators are organized according to five core components that are essential for program success: leadership; resources; data; effective interventions; and partnerships.



Each core component is accompanied by:

  • A brief rationale for its inclusion
  • A statement of the model standard
  • Indicators that would suggest the model standard is being met.


To acknowledge the considerable variation in size and scope among Level I and Level II trauma center IVP programs, indicators are divided into two main categories: those that would apply mainly to newer or smaller, more basic programs, and those that would apply to mature or larger, more established programs. It is assumed that all programs have opportunities for improvement. For some, these opportunities may be concentrated in one or two components; for others, they may fall across all components.


Frequently Asked Questions and Answers

To provide additional details and context on the guidelines, we have prepared answers to a set of frequently asked questions (FAQs). 



Additional questions about the Standards and Indicators for Model Level I and II Trauma Center IVP Programs can be directed to


Tools and Resources

Safe States Hospital Injury Prevention Special Interest Group members developed a set of assessment tools to assist programs with operationalizing the standards and indicators. The assessment tools are designed to assess a hospital injury and violence prevention program using standards and indicators for model programs. This tool will help administrators identify barriers that prevent the implementation of key indicators and/or opportunities to strengthen these indicators. By reviewing how the entire program currently operates with respect to each indicator and registering accurate examples/evidence on how the indicator is functioning/not functioning, planning discussions and solution finding can occur in an organized manner. 


Download the pilot assessment tools for each core component here:

*Please note that the assessment tools are being piloted and revisions are expected.


For additional support and guidance in injury and violence prevention, Safe States offers a suite of online tools and trainings. Below are links to key resources to help IVP professionals strengthen their skill set as well as inform their programs. 


  • Core Competencies for Injury and Violence Prevention: the essential knowledge and skills widely considered necessary to work in the field of injury and violence prevention. 
  • Glossary of Injury and Violence Prevention Terms: A glossary developed by SAVIR and Safe States to provide clarity to terms that could be ambivalent or unclear to potential readers of the Core Competencies for Injury and Violence Prevention. 
  • Injury Prevention Inventory: A Compendium of Injury Prevention Strategies, Sample Measures, & Resources
  • IVP Orientation Toolkit: A free, online resource to assist IVP program managers and staff establish a foundational skill set in the IVP practice. Users can create a learning profile and take self-assessments. 
  • Safe States Training Center: resource for accessing trainings and other learning opportunities that can raise awareness, increase knowledge and build skills for preventing injury and violence.


Additional Training on the Standards and Indicators

Safe States and NACCHO hosted a webinar to share additional background on the development of the Standards and Indicators and key findings. An expert panel of trauma injury and violence prevention professionals discussed its use and implications for the field.


View the webinar


Safe States Hospital Injury Prevention Special Interest Group

The purpose of this Special Interest Group is to provide a forum for Safe States members with experience in hospital trauma to express ideas, learn of best practices, and contribute to expert discussions with peers and colleagues. It is also a great way to stay informed about current developments and build a network of professional contacts in this field. 


Interested in joining the Hospital Injury Prevention Special Interest GroupClick here for more information      


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