EMSC Program Materials
EMSC State Partnership Performance Measures
To measure the effectiveness of federal grant programs, the Health Resources and Services Administration (HRSA) requires grantees to report on specific performance measures related to their grant funded activities. The measures are part of the Government Performance Results Act (GPRA).EMSC performance measures address operational capacity to provide pediatric emergency care, including the existence of a standardized statewide, territorial, or regional systems that recognize hospitals capable of stabilizing and /or managing pediatric medical emergencies and trauma (see PMs 74 and 75). (Accessed December, 2014).
Best Practices: A Guide for State Partnership Grantees on the Implementation of EMSC Performance Measures
This EMSC NRC booklet contains additional information regarding the EMSC State Partnership performance measures, and includes best practices from state activities related to facility categorization, as well as interfacility transfer agreements. (June 2009).
Pediatric Readiness Data: An Opportunity to Improve Quality of Care in Your Emergency Department
This program defined quality improvement, highlighted key components of the quality improvement process, and discussed how to apply essential quality improvement methodologies to improve pediatric emergency care using the National Pediatric Readiness data. (Dec. 17, 2014)
This is a recording of a webinar originally presented in Adobe Connect. The recording limits the functionality available to the user. Scrolling through Q&A as well as other functionality specific to Adobe Connect in the presentation will not be available.
EMSC Opportunities for Enhancing Pediatric Emergency Care: Planning and Processes to Improve Pediatric Access to Specialty Care
This program highlighted practices and lessons learned from California and New Mexico in implementing components of regionalized systems of pediatric emergency care. (Nov. 17, 2014)
Enhancing Pediatric Emergency Care Through Trauma Performance Improvement
This live internet program highlighted three EMSC Targeted Issues projects focused on pediatric trauma performance improvement from the prehospital to the hospital setting, and the critical importance of integrating patient and family centered care into these settings. (Sept 27, 2013) Slides | Transcript
Partnerships and Relationships – Keys to Facility Recognition Success
This live internet program highlighted two EMSC Targeted Issues projects that have focused on pediatric facility recognition. A preview of a soon to be released tool kit to assist states in development/implementation of a pediatric facility recognition program was also shared. (Sept. 23, 2013)
Transfer Processes – An Opportunity for Improving Pediatric Emergency Care
This panel presentation highlighted the importance of organized inter facility transfer processes, their role in assuring access to pediatric specialty care, as well as sections of the newly released Inter facility Transfer Tool Kit. (Sept. 12, 2013) Transcript
Working Beyond Borders and In Partnership to Create a Pediatric Recognition System
This April 8, 2011, webcast examines Georgia EMSC’s effort to develop a pediatric recognition system. To assure they understood what this undertaking would involve and to tap into the experience of others, the Georgia EMSC program staff sought the support and guidance of the California EMSC team. The webcast provides an overview of how Georgia EMSC established the partnership, what they learned and how they intend to proceed thus far. Transcript | Slides (April 2011)
State of Emergency Department Preparedness for Children: Release of Joint Statement – A Consensus on the Essentials
This February 23, 2010, online presentation provides additional information relevant to the 2009 Guidelines for Care of Children in the Emergency Department endorsed by the American Academy of Pediatrics (AAP), the American College of Emergency Physicians (ACEP), and the Emergency Nurses Association (ENA). Transcript | Slides
ESI for Pediatric Triage
This March 25, 2010, webcast provides information on the Emergency Severity Index – a system of triaging patients based on the time-sensitivity and resource utilization requirements of their cases – as related to pediatric emergency care. Transcript | Slides (March 2010).
Joint Policy Statement for Guidelines for Care of Children in the Emergency Department
Endorsed by the AAP’s Committee on Pediatric Emergency Medicine, ACEP’s Pediatric Committee, and ENA’s Pediatric Committee, these guidelines outline the essential resources (medications, equipment, policies, and education) and staff to ensure that hospital emergency departments are prepared to care for children of all ages, from neonates to adolescents. The guidelines are consistent with the recommendations of the IOM 2006 report Future of Emergency Care in the United States Health System, and are also available online through the ACEP website (Published in Pediatrics September 2009).
In accordance with the AAP, ACEP, and ENA 2009 Guidelines for Care of Children in the ED, this checklist allows healthcare facilities to assess their own preparedness to manage pediatric emergencies. (2010).
Pediatric Regional Critical Care Hospitals: White Paper on Evidence and Improvement Opportunities in New York
This White Paper reports on an evaluation of pediatric critical care services undertaken by the New York State EMSC Advisory Committee. The White Paper summarizes published research regarding outcomes at high volume pediatric regional critical care hospitals versus other facilities. Potential barriers interfering with access to pediatric critical care facilities in New York are described. The paper also offers approaches that should be considered for improvement of critical care services for children in New York. One of the recommendations from this White Paper includes establishing an “authority and a process necessary to designate facilities appropriate for pediatric critical care.” (February 2008).
American Academy of Pediatrics
Management of Pediatric Trauma
This article states that improving outcomes for the injured child requires an approach that recognizes childhood injury as a significant public health problem. Efforts should be made to improve injury-prevention programs, emergency medical care, and trauma systems for pediatric patients. The pediatric trauma system functions best as part of the inclusive EMS, trauma, and disaster response system for the region or state. It has been shown that younger and more seriously injured children have better outcomes at a trauma center within a children’s hospital or at a trauma center that integrates pediatric and adult trauma services. (April 2008).
Clinical Report: Facilities and Equipment for the Care of Pediatric Patients in a Community Hospital
This Clinical Report provides guidance to community hospitals on essential furnishing, equipment, policies/procedures, referral networks, and transfer arrangements for the care of pediatric patients. (September 2007).
Consensus Report for Regionalization of Services for Critically Ill or Injured Children
A joint publication of the AAP and the pediatric sections of the American College of Critical Care Medicine (ACCCM), this document establishes recommendations for regionalized, integrated emergency medical care for critically ill or injured children. (January 2000).
Clinical Pediatric Emergency Medicine
Pediatric Patients in the Adult Trauma Bay–Comfort Level and Challenges
“Most pediatric trauma patients are cared for in non-children’s hospitals by providers without pediatric specialty training and in facilities that may not be used to caring for children. Children have different physiologic and psychologic responses to injury than adults. Several studies have shown that pediatric trauma patients have improved outcomes with lower mortality, fewer operations, and improved function when cared for in pediatric facilities or adult trauma centers with pediatric expertise. Limitations in the availability of pediatric specialists require that all hospitals be prepared to effectively and successfully treat pediatric trauma patients.” (Clinical Pediatric Emergency Medicine, Vol 11, Issue 1, pp 48-56, March 2010).
Institute of Medicine
Emergency Care for Children: Growing Pains
The IOM Committee on the Future of Emergency Care in the United States Health System was convened in 2003 to examine the state of emergency care in the U.S. and to create a vision for the future of emergency care. In 2006, the committee released “Growing Pains,” an analysis of: (1) the role of pediatric emergency services as an integrated component of the overall health system; (2) system-wide pediatric emergency care planning, preparedness, coordination, and funding; (3) pediatric training in professional education; and (4) research in pediatric emergency care. With its call for an over-arching system of emergency care that is coordinated, regionalized, and accountable, this publication contains numerous references to the need for pediatric emergency facility categorization. (2007).
Society of Critical Care Medicine
Guidelines and Levels of Care for Pediatric Intensive Care Units
Written in part by the Society of Critical Care Medicine, these guidelines discuss the scope of pediatric critical care services in terms of: (1) organizational and administrative structure, (2) hospital facilities and services, (3) personnel, (4) drugs and equipment, (5) quality monitoring, and (6) training and continuing education. (2004).