The focus of the EMSC Program is to improve pediatric emergency care throughout the nation. The program has developed and is expecting all states to strive to achieve defined performance measures. These measures steer all grantees toward a common goal of better pediatric emergency care.
The main goal is to promote the improvement of pediatric emergency care. The influence and experiences with the EMS system provide a pathway to reach healthcare professionals, the general public, and public officials.
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 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 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.
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.
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.