American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

About Level III

Since 2010, the Trauma Quality Improvement Program (TQIP) has worked to improve patient care at Level I and II trauma centers by providing risk-adjusted benchmarking, sharing best practices, and offering on-going education to participants. In July 2016, the ACS launched Level III TQIP to extend the reach of the program to more levels of care. Level III centers have the ability to track outcomes and improve patient care through the utilization of risk-adjusted data, participation in educational opportunities, and collaboration with other TQIP centers.

Start-Up Year

  • In an effort to improve data quality and ensure that reports are useful to centers from their first report cycle on, all Level III TQIP centers will participate in the Start-Up Year. During this Start-Up Year centers will:
    • Have the opportunity to identify and resolve data quality issues using TQIP tools before receiving the first Risk-adjusted Benchmark Report
    • Participate in on-going TQIP education
    • Begin quarterly data submissions
  • Education is a key component of the program, particularly during the Start-up Year. Educational opportunities available to Level III TQIP centers include:
    • TQIP Online Course, which covers updates to the NTDS Data Dictionary, understanding and using data quality information, and the roles of the TQIP team at your hospital
    • Monthly quizzes
    • Regular Level III TQIP webinars for registry staff
    • Level III specific sessions at the TQIP Annual Scientific Meeting and Training
    • Participation in TQIP Google Group

On-Going Participation

  • Following the Start-Up Year, Level III centers will be eligible to receive two risk-adjusted benchmarking reports per year.
  • Centers will continue to receive all of the TQIP educational opportunities described above.

Annual Cost

  • The current (July 1, 2017–June 30, 2018) annual TQIP participation fee for Level III centers is $7,210.
  • To provide for the ongoing stability of our programs and support advancements in technology, analytics, and training for participants, we have established a long-term price structure for the Level III TQIP Program.
  • The annual participation fee entitles the center to all the features listed as well as Annual Meeting registration for two attendees per hospital.

July 1, 2016

July 1, 2017

July 1, 2018





We all have the same goal—to improve care of the injured patient. Joining TQIP is an investment, not just an expense.