Site Reviewer Resources
The Michigan Administrative Rules recognize that a site review is integral to the assessment of resources and the verification and subsequent designation determination.
Site Reviewer forms for the site visit day.
- Site Reviewer FAQ
- Site Reviewer Guidelines for Trauma Facility Designation
- Sample Site Visit Questions
- Michigan Criteria
Level III Trauma Facility (Revised 8/6/18)
- Medical Record Evaluation Form - Level III
- Performance Improvement Checklist - Level III
- Site Tour Equipment Checklist - Level III
- Criteria Quick Reference Guide - Level III
Level IV Trauma Facility (Revised 8/6/18)
- Medical Record Evaluation Form - Level IV
- Performance Improvement Checklist - Level IV
- Site Tour Equipment Checklist - Level IV
- Criteria Quick Reference Guide - Level IV
Post Site Visit Resources (Revised 8/6/18)
Site Reviewer resources for completion of final site review report, payment, and travel reimbursement.
- Site Review Report Template*
- Site Reviewer Invoice for Reimbursement*
- Guide to In-State Site Review Team Travel Reimbursement
- Sample Site Reviewer Invoice for Reimbursement
*Completion Required
On-Site Focused Review Forms (Revised 8/6/18)
- Site Reviewer Guidelines for On-Site Focused Review
- Site Reviewer On-Site Focused Review Report Template
Site Reviewer Webinar Series 2018
