NTI HeadquartersThe National Trauma Institute (NTI) is a non-profit, 501(c)3 corporation based in San Antonio, Texas. Importantly, NTI is an independent organization, unaffiliated with any academic institution or other organization. This provides NTI with a unique ability to provide maximum inclusivity of all interested stakeholder organizations.  NTI was originally founded in 2006 to raise and manage funding for trauma research, and to be a national coordinating center for trauma research. Active and retired members of Army, Air Force and Navy are included on the Board of Directors, along with senior leaders of the national trauma surgery, emergency medicine, orthopedic trauma and neurotrauma communities.  The importance of civilian and military collaboration has been recognized nationally and has always been part of NTI’s vision and advocacy efforts.

As a result of its strong relationships with the relevant national professional and academic societies, NTI cultivates the level of support and participation needed to advance a national research agenda. For example, NTI initiated and coordinated support for the project known as the National Trauma Research Repository (NTRR) from the American Association for the Surgery of Trauma (AAST), the American College of Surgeons-Committee on Trauma (ACS-COT), the Eastern Association for the Surgery of Trauma (EAST), and the Western Trauma Association (WTA).

NTI’s nationally based Board of Directors is responsible for the direction of its mission. NTI Board Bylaws require membership of senior leaders from AAST, ACS-COT, EAST, WTA, American College of Emergency Physicians (ACEP), Shock Society, Orthopedic Trauma Association (OTA), and American Association of Neurological Surgeons (AANS), in addition to the armed services representatives. The NTI Board’s liaison representatives from AAST, EAST, and WTA have formal responsibility for communications between the organizations. The unprecedented cooperation, collaboration and partnership between the academic and professional organizations in trauma, military services conducting trauma research, the NIH, Center for Disease Control (CDC), and other federal agencies will be critical to the successful establishment of the NTRDB. Several members of NTI’s staff and Board of Directors have strong backgrounds in the original development and recent administration of the Joint Theater Trauma Registry (JTTR). This provides a clear understanding of the contrasting missions, goals, and uses of the JTTR and the NTRDB, as well as areas for overlap or collaboration.

NTI receives and distributes federal research funding to clinical investigators across the US through a rigorous peer review process led by its Science Committee and Board of Directors.  Over the past three years, NTI has managed 16 studies in 35 cities and 22 states, involving over 59 investigators nationally.  Ten of the studies are multi-institutional. Of these studies, half have been completed and the remainder will continue through 2014. NTI manages sub-recipient monitoring, contracting and compliance with financial and reporting requirements.

NTI is the leading voice of advocacy for the funding of clinical trauma research; leadership meets regularly with members of both Houses of Congress and relevant Committees. During its history NTI has generated and/or contractually managed funds totaling $40M that have been directed towards clinical trauma research.

NTI undergoes annual financial audits that include a Federal Single Audit in accordance with Office of Management and Budget (OMB) A-133 and includes indirect cost rate audits.  Its federal indirect cost rate is reviewed and approved by the Indirect Cost Branch of the Office of Naval Research.  NTI maintains its financial records in accordance with 2 Code of Federal Regulations (CFR) Ch. 11 Parts 215 and 230 (OMB Circulars A-122 and A-133United States Army Medical Research Acquisition Activity (USAMRAA) currently maintains a five-year contract with NTI that began in October, 2011 and will continue through September, 2016.

The NTI website, www.nationaltraumainstitute.org, is a continually developing resource for anyone seeking more information about trauma and trauma research.

The Facts About Trauma in the U.S.

■ Trauma is the #1 cause of death for Americans between 1 and 46 years old.

■ Trauma is the #3 cause of death overall.

■ Each year, trauma accounts for 41 million
ER visits and 2 million
hospital admissions.

■ Trauma injury accounts for 30% of all life years lost.

■ The economic burden of trauma is more than $671 billion annually.

■ Each year, more than 192,000 people lose their lives to trauma.