Maryland has Health Empowerment Zone (HEZ) areas in which extra resources go to bring health care to the front doors/ living rooms of people in the affected areas. We have included education on Trauma Informed Care in the HEZ workers job description which is currently going through the legislative process.
It is my hope that we will use the Health Care Competencies published by the Academy of Violence and Abuse to certify hospitals. (We are fortunate at this time in Baltimore the first RN leader of the ACA, who runs a nursing school in Hong Kong, is at JHH preforming some studies on the topic on sabbatical.)
Approx 10 years ago 'Patient Safety' was the buzz word in hospitals. Everyone wanted to be recognized for high scores in this. Those not familiar with hospitals ask 'You ever DIDN'T care about Patient Safety???' Magnet status came along about the same time, Hospitals wanted to compete for Magnet which meant that you are constantly examining new research take care of patients using the most currently Evidence Based Practice, again, those not familiar with hospitals ask 'You ever DIDN'T take care of patients in an Evidence Based Manner?' I would like to see a wave where Hospitals compete for TIC Status and in 5 years those who are not familiar with hospitals ask 'You ever DIDN'T think that the trauma people go through affects their health?'