EIIC: Emergency Medical Services for Children | Innovation and Improvement Center

Performance Measures

The mission of the EMSC program is to reduce child and youth mortality and morbidity resulting from illness or trauma. Long-term success is measured by assessing the quality of pediatric emergency care provided in the prehospital and hospital settings, and integrating pediatric emergency care within the larger emergency medical service (EMS) system. In 2012, the federal EMSC Program initiated development of a second generation of PMs. Three new EMS-based measures, developed by HRSA, the National EMSC Data Analysis Resource Center, and subject matter experts, and following two rounds of public comment, become active in 2017.

 

Performance Measures 

EMSC 01 Performance
Measure

Submission of NEMSIS
Compliant Version 3.x-
Data

The degree to which EMS agencies submit NEMSIS compliant version 3.x data to the State EMS Office.

By 2018, baseline data will be available to assess the number of EMS agencies in the state or territory that submit National Emergency Medical Services Information System (NEMSIS) version 3.x-compliant patient-care data to the State Emergency Medical Services (EMS) Office for all 911-initiated EMS activations.

By 2021, 80 percent of EMS agencies in the state or territory submit NEMSIS version 3.x-compliant patient-care data to the State EMS Office for all 911-initiated EMS activations.

EMSC 02 Performance
Measure

Pediatric Emergency
Care Coordinator (PECC)

The percentage of EMS agencies in the state or territory that have a designated individual who coordinates pediatric emergency care.

By 2020, 30 percent of EMS agencies in the state or territory have a designated individual who coordinates pediatric emergency care.

By 2023, 60 percent of EMS agencies in the state or territory have a designated individual who coordinates pediatric emergency care.

By 2026, 90 percent of EMS agencies in the state or territory have a designated individual who coordinates pediatric emergency care.

EMSC 03 Performance
Measure

Use of pediatric-specific
equipment

The percentage of EMS agencies in the state or territory that have a process that requires EMS providers to physically demonstrate the correct use of pediatric-specific equipment. 

By 2020, 30 percent of EMS agencies will have a process that requires EMS providers to physically demonstrate the correct use of pediatric specific equipment, which is equal to a score of 6 or more on a 0–12 scale. 

By 2023, 60 percent of EMS agencies will have a process that requires EMS providers to physically demonstrate the correct use of pediatric specific equipment, which is equal to a score of 6 or more on a 0–12 scale.

By 2026, 90 percent of EMS agencies will have a process that requires EMS providers to physically demonstrate the correct use of pediatric specific equipment, which is equal to a score of 6 or more on a 0–12 scale.

EMSC 04 Performance
Measure

Hospital recognition
for pediatric medical
emergencies

The percent of hospitals with an Emergency Department (ED) recognized through a statewide, territorial or regional standardized program that are able to stabilize and/or manage pediatric medical emergencies.

By 2022, 25 percent of hospitals are recognized as part of a statewide, territorial, or regional standardized program that are able to stabilize and/or manage pediatric medical emergencies.

EMSC 05 Performance
Measure

Hospital recognition for
pediatric trauma

The percent of hospitals with an Emergency Department (ED) recognized through a statewide, territorial or regional standardized system that are able to stabilize and/or manage pediatric trauma.

By 2022, 50 percent of hospitals are recognized as part of a statewide, territorial, or regional standardized system that recognizes hospitals that are able to stabilize and/or manage pediatric trauma.

EMSC 06 Performance
Measure

Interfacility transfer
guidelines
The percent of hospitals with an Emergency Department (ED) in the state or territory that have written interfacility transfer guidelines that cover pediatric patients and that include the following components of transfer:
  • Defined process for initiation of transfer, including the roles and responsibilities of the referring facility and referral center (including responsibilities for requesting transfer and communication).
  • Process for selecting the appropriate care facility.
  • Process for selecting the appropriately staffed transport service to match the patient’s acuity level (level of care required by patient, equipment needed in transport, etc.)
  • Process for patient transfer (including obtaining informed consent).
  • Plan for transfer of patient medical record.
  • Plan for transfer of copy of signed transport consent.
  • Plan for transfer of personal belongings of the patient.
  • Plan for provision of directions and referral institution information to family.
By 2021, 90 percent of hospitals in the state or territory have written interfacility transfer guidelines that cover pediatric patients and that include specific components of transfer.
EMSC 07 Performance
Measure

Interfacility transfer
agreements

The percent of hospitals with an Emergency Department (ED) in the state or territory that have written interfacility transfer agreements that cover pediatric patients.

By 2021, 90 percent of hospitals in the state or territory have written interfacility transfer agreements that cover pediatric patients. 

EMSC 08 Performance
Measure

Permanence of EMSC

The degree to which the state or territory has established permanence of EMSC in the state or territory EMS system.

Goal: To increase the number of states and territories that have established permanence of EMSC in the state or territory EMS system.

Each year:

  • The EMSC Advisory Committee has the required members as per the implementation manual.
  • The EMSC Advisory Committee meets at least four times a year.
  • Pediatric representation incorporated on the state or territory EMS Board.
  • The state or territory requires pediatric representation on the EMS Board.
  • One full-time EMSC Manager is dedicated solely to the EMSC Program.
EMSC 09 Performance
Measure

Integration of EMSC
priorities into statutes or
regulations

The degree to which the state or territory has established permanence of EMSC in the state or territory EMS system by integrating EMSC
priorities into statutes or regulations.


By 2027, EMSC priorities will have been integrated into existing EMS,hospital, or healthcare facility statutes or regulations.