The 1991 Trauma Center Economic Study, conducted by Bishop + Associates (B+A) in collaboration with the American Association for the Surgery of Trauma, initiated the development of the TCAA.
The study produced baseline data for trauma center financial performance and identified the economic challenges faced by trauma centers. B+A then formed the Trauma Resource Network to develop strategies for economic stability and to provide direct support to trauma centers. This included a robust collection of research projects and educational programs delivered to 250 trauma center members of the Trauma Resource Network. Greg Bishop and the Trauma Resource Network successfully proposed trauma response charges to the Centers for Medicare and Medicaid Services (CMS) in the 2000s.
B+A CEO Greg Bishop then organized a board of national trauma surgery and hospital leaders to form a non-profit association of trauma centers named the National Foundation for Trauma Care (NFTC). In 2004, BA transferred the Trauma Resource Network to the NFTC, later renamed the Trauma Center Association of America.