Performance Measures

Advocates & Policymakers EMSC Stakeholders State Partnerships


Performance Measures are the primary goals of the SP Program and serve as standards of achievement for the state/territory grantees. In accordance with the Government Performance Results Act, grantees are required to regularly report on their progress to the Health Resources and Services Administration (HRSA).

Released in 2006, the original set of performance measures included:

  • availability of online and offline pediatric medical direction in EMS systems,
  • availability of pediatric equipment on ambulances,
  • pediatric training for prehospital care providers,
  • development of statewide systems for categorizing pediatric trauma and medical capabilities of hospitals, and
  • presence of interfacility transfer guidelines and agreements.

After achieving significant progress in these areas, the EMSC Program created a new set of performance measures. This new set of performance measures was jointly developed by HRSA, the National EMSC Data Analysis Resource Center (NEDARC) and subject matter experts. Following two rounds of public comment, the following performance measures became active in 2017. Additional information on the development of performance measures can be found in this fact sheet.

Implementation Manual for State Partnership Grantees

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The purpose of this manual is to further describe and define key components of each EMSC performance measure; establish benchmarks to measure progress along the way; provide target objectives for each performance measure; and provide resources that support each of the performance measures. This EMSC Performance Measures manual outlines the details for three new, as well as six continuing, EMSC Performance Measures. Click here to download.