RESEARCH ADVANCED PRACTICEAnalysis of an American College of Surgeons Committee on Trauma (ACS-COT) Approved Pilot Project Increasing Provider Communication During Interhospital TransferFletcher, Brian MS, APRN, ACNP-BC, CNE; West, Sarah K. MS, APRN, ACNP-BC; Roberts, Christina DNP, APRN, ACNP-BC; Pencil, Kristie DNP, APRN, ACNP-BC; Spalding, M. Chance PhD, DO; Martin, Stacey MS, APRN, ANP-BC, CNE; Bonta, Marco MD, MBA, FACS; O'Mara, Michael “Shay” MD, MBA, FACSAuthor Information Division of Trauma and Acute Care Surgery, Grant Medical Center (Mr Fletcher, Mss West and Martin, and Drs Spalding and O'Mara), and Division of Trauma Surgery, Riverside Methodist Hospital (Drs Roberts, Pencil, Bonta, and O'Mara), OhioHealth, Columbus, Ohio. Correspondence: Brian Fletcher, MS, APRN, ACNP-BC, CNE, Division of Trauma, Critical Care and Acute Care Surgery, Grant Medical Center, 111 S. Grant Ave, Columbus, OH 43215 (Brian.Fletcher@ohiohealth.com). Presentations: 32nd Annual Meeting of the Eastern Association for the Surgery of Trauma, January 15–19 in Austin, TX. Author Contribution: B.F., S.W., C.R., K.P., M.S., S.M., M.B., and M.O. made substantial contributions to the conception and design of the project; B.F. and C.R. completed the data collection through electronic medical record review; B.F., S.W., C.R., K.P., M.S., S.M., M.B., and M.O contributed to the analysis and interpretation of data; B.F. completed the initial draft for review; S.W., M.S., and M.O contributed to the critical revision of the manuscript; B.F., S.W., C.R., K.P., M.S., S.M., M.B., and M.O have given their approval of the final manuscript submitted for consideration for publication. All authors accept accountability for every aspect of the work as noted. The authors have no conflicts of interest to disclose or funding related to this work to declare. Journal of Trauma Nursing: January/February 2020 - Volume 27 - Issue 1 - p 6-12 doi: 10.1097/JTN.0000000000000477 Buy Take the CE Test Metrics Abstract The American College of Surgeons Committee on Trauma requires physician-to-physician communication prior to interhospital transfer. This requirement can be difficult to achieve in high-volume trauma centers. This pilot project utilizes trauma advanced practice providers (APPs) as the primary communicator, in lieu of the trauma surgeon, prior to interhospital transfer. The hypothesis suggests that APPs can provide safe recommendations and accurately triage patients for the highest level trauma alert. From January to April 2018, a total of 1,145 patients were transferred to a Level I or Level II trauma center. All interhospital trauma transfers were dispatched through a designated transfer center APP (TCAPP). Descriptive statistics were used to describe the frequency of core TCAPP recommendations, including reversal agents for anticoagulants, antibiotics for open fractures, direct admission criteria, administration of blood products, and triaging to the highest level of trauma activation. TCAPP triage accuracy was analyzed and reported as percentages. Percentages are compared between independent groups using a chi-square test. Prior to implementation of the TCAPP role, provider-to-provider communication occurred in less than 1% of interhospital transfers; TCAPP-to-provider communication occurred 92% of the time (p < .001). During the study period, the TCAPP made 398 care-related recommendations. Three (<1%) TCAPP recommendations were deemed inappropriate. The TCAPP (89.7%) and physician (89.9%) triage accuracy was not significantly different (p = .43). Interhospital transfer communication and recommendations can be performed safely and accurately by a trauma trained APP. Copyright © 2020 by the Society of Trauma Nurses.