National Pediatric Readiness Quality Collaborative (PRQC)
The EMSC Innovation and Improvement Center is spearheading a QI collaborative to assist state programs in accelerating their progress in improving the pediatric readiness of EDs through new interventions. A Train-the-Trainer model will be used to provide regional networks with tools to improve pediatric readiness. Twenty teams composed of training and affiliate sites will be guided to develop local quality improvement efforts to foster pediatric readiness. The project was launched in January 2018.
Twenty teams (20 training sites and between 160-240 affiliate sites) are invited to participate in the Pediatric Readiness Quality Collaborative to improve the capabilities and quality of care provided to pediatric patients across the nation. Using a train-the-trainer model, participants will be supported through targeted quality improvement education, the provision of tools and resources to support local efforts, and sharing of best practices with guidance from subject matter experts in this field.
QI training will cover the following topics: Strategies to identify gaps in care/needs assessments; creating SMART aims; developing key driver diagrams; integrating QI tools (e.g., process maps, SWOT analyses, fishbone diagrams); the Model for Improvement; sustainability and dissemination techniques.
Each Trainer will work with Pediatric Champions at each of the Affiliate Sites to develop and implement QI plans targeting key gaps in pediatric readiness. The collaborative will focus on the following topics: 1) A patient safety initiative focused on collecting and documenting pediatric patients’ weight in kilograms; 2) Developing a notification process for abnormal vital signs; 3) Ensuring inter-facility transfer guidelines are patient and family centered; 4) Establishing disaster plans that include children. Each intervention will form the basis for local and regional quality improvement efforts as part of the collaborative activities.
By December 2019, twenty states or territory teams will collectively improve their pediatric readiness scores by 10 points.