Performance Measures

The Federal EMS for Children Program

The Federal EMS for Children Program is administered by the United States Department of Health and Human Services’ Health Resources and Services Administration’s Maternal and Child Health Bureau. Since its establishment, the EMSC Program has provided grant funding to all 50 states, the District of Columbia, and five U.S. territories. For more information about the Program – when it was created, why it was established, what it has accomplished, and what it hopes to achieve in the future – consult the EMSC Innovation and Improvement Center (EIIC).

Performance Measure 1

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 submit NEMSIS version 3.x-compliant patient-care data to the State EMS Office for all 911-initiated EMS activations.
Performance Measure 2

Pediatric Emergency Care Coordination

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

  • By 2023, 60 percent of EMS agencies in the state have a designated individual who coordinates pediatric emergency care.
  • By 2026, 90 percent of EMS agencies in the state have a designated individual who coordinates pediatric emergency care.
Performance Measure 3

Use of Pediatric-specific Equipment

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

  • 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.
Performance Measure 4

Standardized System for Pediatric Medical Emergencies

The percent of hospitals with an Emergency Department (E.D.) recognized through a statewide 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.
Performance Measure 5

Standardized System for Pediatric Trauma

The percent of hospitals with an Emergency Department (E.D.) recognized through a statewide 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.
Performance Measure 6

Inter-Facility Transfer Guidelines

The percent of hospitals with an Emergency Department (E.D.) in the state that have written inter-facility transfer guidelines that cover pediatric patients and that contain all the components as per the implementation manual.

By 2021, 90 percent of hospitals in the state or territory have written inter-facility transfer guidelines that cover pediatric patients and that include specific 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; and
  • Plan for provision of directions and referral institution information to family
Performance Measure 7

Inter-Facility Transfer Agreements

The percent of hospitals with an Emergency Department (ED) in the state that have written inter-facility transfer agreements that cover pediatric patients.

  • By 2021, 90 percent of hospitals in the state have written inter-facility transfer agreements covering pediatric patients.
Performance Measure 8

EMSC Permanence

The degree to which the state has established permanence of EMSC in the state 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 is incorporated on the state EMS Board; and
  • One full-time EMSC Manager is dedicated solely to the EMSC Program.
Performance Measure 9

Integration of EMSC Priorities

The degree to which the state has established permanence of EMSC in the state 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.

We Work Together to Save Children's Lives

Learn more about the mission and history of EMSC and how we support emergency medical services providers, hospital-based providers and the community be prepared for children's health emergencies.
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