About the EIIC
Recognizing the paucity of adequate pediatric emergency care nationwide, the 1984 Congress authorized the federal Emergency Medical Services for Children (EMSC) Program. Housed under the U.S. Department of Health and Human Services (HHS) within the Health Resources and Services Administration (HRSA) and Maternal and Child Health Bureau (MCHB), the EMSC Program has strived for over 30 years to reduce pediatric mortality and morbidity across the nation.
EMSC National Resource Center
In 1991, MCHB established the EMSC National Resource Center (NRC) under a cooperative agreement with Children’s National Health System in Washington, DC. Through June of 2016, the NRC offered technical expertise to states and territories with EMSC funding in the areas of project development, needs assessment, coalition building, public policy, community engagement and long-term sustainability.
EMSC Innovation and Improvement Center
Formed in 2016, the EMSC Innovation and Improvement Center (EIIC) hopes to demonstrate how leveraging quality improvement science, the experiential knowledge of our co-lead organizations: The University of Texas at Austin Dell Medical School (Austin, TX) and University Hospitals Rainbow Babies and Children's (Cleveland, OH) as well as our partners at Yale University, Baylor College of Medicine and UCLA, and the expertise of multiple professional societies and federal organizations, can improve and transform health care outcomes for children in the United States.
National EMS Data Analysis Resource Center
Located at the University of Utah School of Medicine, NEDARC was created through a cooperative agreement with MCHB in 1995. NEDARC provides technical assistance to state and territory EMSC program managers and other staff to develop capabilities to collect, analyze, and utilize EMS data. NEDARC provides assistance in the following areas:
- data collection
- data analysis
- data communication
- survey methods
- program evaluation
- grant writing
- print and design services
- meeting facilitation
- program promotion (social media and website development)
The EMSC EIIC breaks the large continuum of pediatric care into specialized focus areas or domains:
Disaster Planning: The disaster planning domain offers a variety of tools and resources to facilitate disaster preparedness planning by healthcare providers, public health departments, schools, and families and caregivers.
Trauma: Traumatic injuries is among the leading causes of morbidity and mortality in children. Our trauma domain identifies and disseminates best practices and pediatric trauma care guidelines as well as supports the research and development of new evidence-based guidelines.
Pre-Hospital Care: This domain focuses on pediatric care from education and prevention to incident recognition, treatment at an emergency scene and transport to an emergency department. The major emphasis of this domain is the establishment and support of Prehospital Pediatric Emergency Care Coordinators (PECC).
Hospital Based Care: The efforts of our hospital-based care domain are primarily centered around our National Pediatric Readiness Program which seeks to ensure that all U.S. emergency departments have the essential guidelines and resources in place to provide effective emergency care to children.
Research: The research domain works closely with NEDARC to create knowledge and accelerate its implementation through data management and analytics, education on the science of quality improvement and support of multi-institutional research studies through the Pediatric Emergency Care Applied Research Network (PECARN).
A Focus on Quality Improvement
Our aim is to accelerate improvements in the quality of care and outcomes for children in need of emergency care through the development of quality improvement (QI) initiatives across the continuum of pediatric care:
Accelerating improvements in pediatric healthcare requires greater efficiency of all functions within the US health care system. Infrastructures that maintain the nation’s assets for supporting emergency medical services for children must be transformed from mere coordination and dissemination centers to active cores for QI. More than simple collaborative relationships, this structure requires integrated daily functioning of key stakeholder organizations and their quality improvement champions.
We use improvement science as the basis for our collaborative efforts to improve outcomes for children in emergency situations. Our collaboratives are networks designed for shared learning, driven by an evidence base and known gaps to facilitate rapid translation of research into clinical practice. We support these collaboratives through varied learning systems, coaching, project management, information technology infrastructure, data management, and analytics.
Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), a comprehensive look at pediatric emergency care in the United States. The book is available as a free PDF download. This book offers an analysis of:
- The role of pediatric emergency services as an integrated component of the overall health system
- System-wide pediatric emergency care planning, preparedness, coordination, and funding.
- Pediatric training in professional education.
- Research in pediatric emergency care.