Hospital ED Resources
Expand the uptake of pediatric readiness in EDs
The hospital-based performance measures focus on:
- expanding the uptake of pediatric readiness in emergency departments (EDs) by establishing a standardized pediatric readiness recognition program for EDs,
- designating pediatric emergency care coordinators (PECC) in EDs,
- ensuring hospital EDs weigh and record children’s weight in kilograms, and
- increasing pediatric disaster readiness in hospital EDs by ensuring that disaster plans address the needs of children.
Millions of children receive pediatric emergency services each year in the U.S., and 80% of these children are taken to a community hospital ED that primarily serves adults (1, 2). Critically ill children cared for in EDs with lower pediatric readiness have higher risk for mortality than those cared for in EDs with higher pediatric readiness (3).
1.1 Pediatric Readiness Recognition Programs
Program Goal: To increase the percent of hospitals with an ED recognized through a statewide, territorial, or regional standardized program that are able to stabilize and/or manage pediatric emergencies.
- A White Paper On Developing A Statewide Pediatric Facility Recognition Program Learn more about lessons learned from the 2016-2017 Facility Recognition Collaborative.
- Implementation Checklist Use the checklist as a starting point for planning your recognition program.
- Stakeholder Workbook Use this Excel workbook to bring the right people to the table.
- National Pediatric Readiness Hospital Recognition Fact Sheet Use this fact sheet to help communicate the importance of pediatric recognition programs.
- Minimum Criteria for a Pediatric Medical Recognition Program This document provides a consensus-based minimum criteria for a Pediatric Recognition Program based on the joint policy statement: Guidelines for Care of Children in the Emergency Department. Could be used in tandem with the ED Checklist.
- Resources from established recognition programs. Fact sheets, websites, and downloadable materials developed by states with recognition programs.
1.2 Pediatric Emergency Care Coordinators
Program Goal: To increase the percent of hospitals with an ED that have a designated nurse, physician, or both who coordinates pediatric emergency care.
- Role Responsibilities: Physician | Nurse
- Example Job Description: University of Wisconsin Hospitals and Clinics Pediatric Coordinator
1.3 Weigh and Record Children’s Weight in Kilograms
Program Goal: To increase the percent of hospitals with an ED that weigh and record children in kilograms.
1.4 Disaster Plan Resources
Program Goal: To increase the percent of hospitals with an ED that have a disaster plan that address the needs of children.
- Help EDs incorporate pediatric considerations in their disaster plans by sharing this Checklist of Essential Pediatric Domains and Considerations for Every Hospital’s Disaster Preparedness Policies.
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(1) Tang N, Stein J, Hsia RY, et al. Trends and characteristics of US emergency department visits, 1997–2007. JAMA. 2010;304(6):664–70.
(2) Gausche-Hill M, Ely M, Schmuhl P, et al. A national assessment of pediatric readiness of emergency departments. JAMA Pediatr 2015;169:527-534.
(3) Ames SG, Davis BS, Marin JR, et al. Emergency Department Pediatric Readiness and Mortality in Critically Ill Children. Pediatrics. 2019;144(3):e20190568.