A TSE designated center is a facility that has voluntarily applied for a TSE designation after meeting criteria in the current TSE Standards Manual set forth by the Idaho Time Sensitive Emergency (TSE) System Council. A facility is approved for three years and must remain in compliance with the designation criteria and rules of the Idaho TSE System Council.
Facility Designation Levels
| LEVEL I TRAUMA CENTER | Comprehensive trauma care and partnership with a medical school |
| LEVEL II TRAUMA CENTER | Comprehensive trauma care |
| LEVEL III TRAUMA CENTER | Emergent trauma care with basic OR services |
| LEVEL IV TRAUMA CENTER | Emergent trauma care; typically without basic OR services |
| LEVEL I STROKE CENTER | Comprehensive stroke care |
| LEVEL II+ STROKE CENTER | Primary stroke care plus mechanical thrombectomy capable |
| LEVEL II STROKE CENTER | Primary stroke care |
| LEVEL III STROKE CENTER | Stabilization and transfer of stroke patients |
| LEVEL I+ STEMI CENTER | Comprehensive STEMI care plus cardiogenic shock capable |
| LEVEL I STEMI CENTER | Comprehensive STEMI care; able to perform PCI |
| LEVEL II STEMI CENTER | Stabilization and transfer of STEMI patients |
TSE Standards Manual 2025-1 Edition
View the current designation criteria for trauma, stroke, STEMI, and TSE EMS.
Interactive tse hospitals Map
Explore the interactive map to find TSE designated centers and filter by region.
TSE Designated Centers by Region
Region 1 North
| FACILITY | TRAUMA | STROKE | STEMI |
|---|---|---|---|
| Benewah Community Hospital - Saint Maries | Level IV | -- | -- |
| Bonner General Health - Sandpoint | Level IV | Level III | Level II |
| Boundary Community Hospital - Bonners Ferry | Level IV | Level III | Level II |
| Kootenai Health - Coeur d'Alene | Level II | Level II | Level I+ |
| Shoshone Medical Center - Kellogg | -- | -- | -- |
| Post Falls ER & Hospital - Post Falls | -- | -- | -- |
*indicates pending application from facility
--indicates no designation from facility
Region 2 North-Central
| FACILITY | TRAUMA | STROKE | STEMI |
|---|---|---|---|
| Clearwater Valley Health - Orofion | Level IV | Level III | Level II |
| Gritman Medical Center - Moscow | Level IV | -- | -- |
| St. Joseph Regional Medical Center - Lewiston | Level III | Level II | -- |
| St. Mary's Health - Cottonwood | Level IV | Level III | Level II |
| Syringa General Hospital - Grangeville | Level IV | -- | -- |
*indicates pending application from facility
--indicates no designation from facility
Region 3 Southwest
| FACILITY | TRAUMA | STROKE | STEMI |
|---|---|---|---|
| Cascade Medical Center - Cascade | -- | -- | -- |
| Saint Alphonsus Eagle Health Plaza - Eagle | -- | -- | Level II |
| Saint Alphonsus Nampa ER - Nampa | -- | -- | Level II |
| Saint Alphonsus Medical Center - Nampa | Level III | Level II+ | Level II |
| Saint Alphonsus Regional Medical Center - Boise | Level II | Level I | Level I+ |
| St. Luke's Elmore Medical Center - Mountain Home | -- | -- | -- |
| St. Luke's Fruitland Medical Plaza - Fruitland | -- | -- | Level II |
| St. Luke's McCall Medical Center - McCall | Level IV | -- | -- |
| St. Luke's Meridian Medical Center - Meridian | Level III | Level II | Level I* |
| St. Luke's Nampa Medical Center - Nampa | Level IV | Level II | Level II |
| St. Luke's Regional Medical Center - Boise | Peds Level II | Level I | Level I* |
| Valor Health - Emmett | Level IV | -- | -- |
| Weiser Memorial Hospital - Weiser | * | -- | -- |
| West Valley Medical Center - Caldwell | Level III | Level II | -- |
*indicates pending application from facility
--indicates no designation from facility
Region 4 South-Central
| FACILITY | TRAUMA | STROKE | STEMI |
|---|---|---|---|
| Cassia Regional Hospital - Burley | Level IV | Level III | Level II |
| Minidoka Memorial Hospital - Rupert | * | Level III | Level II |
| North Canyon Medical Center - Gooding | -- | -- | -- |
| St. Luke's Jerome Medical Center - Jerome | -- | -- | -- |
| St. Luke's Magic Valley Regional Medical Center - Twin Falls | Level III | Level II | Level I |
| St. Luke's Wood River Medical Center - Ketchum | Level IV | -- | -- |
*indicates pending application from facility
--indicates no designation from facility
Region 5 Southeast
| FACILITY | TRAUMA | STROKE | STEMI |
|---|---|---|---|
| Bear Lake Memorial Hospital - Montpelier | Level IV | -- | -- |
| Bingham Memorial Hospital - Blackfoot | Level IV | -- | -- |
| Caribou Medical Center - Soda Springs | Level IV | -- | Level II |
| Franklin County Medical Center - Preston | -- | -- | -- |
| Nell J. Redfield Memorial Hospital - Malad City | Level IV | -- | -- |
| Portneuf Medical Center - Pocatello | Level II | Level II+ | Level I |
| Power County Hospital District - American Falls | -- | -- | -- |
*indicates pending application from facility
--indicates no designation from facility
Region 6 East
| FACILITY | TRAUMA | STROKE | STEMI |
|---|---|---|---|
| Eastern Idaho Regional Medical Center - Idaho Falls | Level II | Level II+ | Level I |
| Idaho Falls Community Hospital - Idaho Falls | Level III | Level II | Level II |
| Lost Rivers Medical Center - Arco | Level IV* | -- | -- |
| Madison Health - Rexburg | Level IV | -- | -- |
| North Idaho Falls ER - Idaho Falls | -- | -- | -- |
| Steele Memorial Medical Center - Salmon | Level IV | -- | Level II |
| Teton Valley Healthcare - Driggs | Level IV* | Level III | Level II |
*indicates pending application from facility
--indicates no designation from facility
TSE StandarDs Manual
For your convenience, the current TSE Standards Manual has been broken down by subsection of each level's criteria.
Utilize the Clarification Documents for insight on what may be required or accepted for compliance of designation criteria.
If you have any questions about the criteria and/or Clarification Documents, contact the TSE Branch staff tse@dhw.idaho.gov.
| Trauma Subsections | Stroke Subsections | STEMI Subsections | |
|---|---|---|---|
| Level I | Level I | Level I+ | |
| Level II | Level II+ | Level I | |
| Level III | Level II | Level II | |
| Level IV | Level III | ||
| Tables Criteria | |||
| Trauma Clarification Document | Stroke Clarification Document | STEMI Clarification Document |
Applications
Below are the TSE applications for facility designation. The Idaho TSE System has two ways to apply for a designation:
1. An abbreviated application for a facility with a current national verification body for trauma, stroke, or STEMI.
2. A full application for a facility who is interested in applying using the State of Idaho verification.
Refer to the current TSE Standards Manual on pages 7-13 for information on the application process, or reference the specific application the facility will be applying for. If you have any criteria and/or application questions, contact the TSE Branch staff tse@dhw.idaho.gov.
APPLY ONLINE THROUGH IGEMS
-- If using a national verification body (ACS, SCC, DNV, etc.) for any TSE designation type and level.
-- OR, if renewing by state verification for Trauma Level IV, Stroke Levels I-III, and STEMI Levels I-II.
Use the IGEMS USER Guide 2025 to assist you through your online application process, or contact Maegan Kautz maegan.kautz@dhw.idaho.gov to schedule a training webinar.
APPLY BY PAPER APPLICATION
If you are a first time applicant, or renewing for Trauma Levels II & III.
Other Resources
Trauma Activation Fee
The resources below were compiled to assist your facility in determining your trauma activation fee (068X). If you have any trauma activation fee reimbursement questions, contact Program Manager Melissa Ball meliss.ball@dhw.idaho.gov.
Developing a Trauma Activation Fee
Trauma Activation Codes FAQ
CMS 068X (pg.12)
PIPS Program
The purpose of a Process Improvement and Patient Safety (PIPS) program is to improve patient outcomes. Use the guide below to develop a PIPS program within your trauma program.
Developing a PIPS Program
Fee Schedule
| Designation Type | Designation Fee 3yrs/Annual | TSE Site Survey Fee | |
|---|---|---|---|
| Level I Trauma | $45,000 / $15,000 | $3,000* | |
| Level II Trauma | $36,000 / $12,000 | $3,000* | |
| Level III Trauma | $24,000 / $8,000 | $3,000* | |
| Level IV Trauma | $12,000 / $4,000 | $1,500* | |
| Level I & Level II Pediatric Trauma | $36,000 / $12,000 | NA* | |
| Level I Stroke | $21,000 / $7,000 | $3,000* | |
| Level II+ & Level II Stroke | $12,000 / $4,000 | $3,000* | |
| Level III Stroke | $1,500 / $500 | $1,500* | |
| Level I+ & Level I STEMI | $21,000 / $7,000 | $3,000* | |
| Level II STEMI | $1,500 / $500 | $1,500* |
*indicates fee is not applicable if using a national verification.