"" Using Data to Improve Care for Children EKG EMS-C Bear Home EMS-C Website News Contact Us
Performance Measures
Home >

2010-11 Grant Year

We're talking data... It's going to be ok.During the 2010-11 Grant Year, EMSC Grantees from 49 States and 6 Territories were asked to identify any existing gaps in the emergency care for children (ages 0-18 years) by collecting data from EMS agencies and hospitals in their state/territory.

Most grantees conducted a three month online survey hosted by the EMSC Program. The overall national survey response rate was 81.7% for EMS agencies and 79.3% for hospitals.

The EMSC Program compiled all of the state and territory data to create the only national assessment of quality indicators for pediatric emergency care in the pre-hospital and hospital setting.

National Data

The EMSC Federal program has ten performance measures that assess the quality of pediatric emergency care. Detailed descriptions of the measures can be found on the EMSC National Resource Center website. Five EMSC Performance Measures require data collection via surveys, inspections, or official documentation. The national results for these measures are summarized below:

Additional national data on these and other performance measures can be found on HRSA's Maternal and Child Health Bureau website.

 

Performance Measure 71: Availability of Online Medical Direction

The Data: Survey data was collected from 6,284 EMS agencies from across the country that respond to 911 emergency calls. Agencies were asked if they've attempted to contact online medical direction for medical advice when treating a pediatric patient and if so, how often it was available (see sample survey instrument*).

Attempted to Contact Online Medical Direction for Advice When Treating a Pediatric Patient:

  • Basic Life Support Agencies: 26.6%
  • Advanced Life Support Agencies: 73.3%

Online Medical Direction Available (Always or Almost Always) to Give Medical Advice When Treating a Pediatric Patient:

  • Basic Life Support Agencies: 87.4%
  • Advanced Life Support Agencies: 90.8%

Picture of a phone connected to a stethoscope.

 

 

Performance Measure 72: Availability of Offline Medical Direction

The Data: Survey data was collected from 6,305 EMS agencies from across the country that respond to 911 emergency calls. Agencies were asked if they have written pediatric protocols and how often these protocols were available during an emergency call (see sample survey instrument*).

Have Written Pediatric Protocols (Paper/Electronic):

  • Basic Life Support Agencies: 91.3%
  • Advanced Life Support Agencies: 98.7%

Protocols Are Available (Always or Almost Always) in the EMS Vehicle or On the Provider:

  • Basic Life Support Agencies: 63.4%
  • Advanced Life Support Agencies: 89.6%

 

Performance Measure 73: Pediatric Equipment on Transporting Vehicles

The Data: Survey data was collected from 4,887 EMS agencies from across the country with a total of 22,067 transporting ground vehicles. Agencies were asked how many of their vehicles carried specific pieces of equipment as recommended by five national organizations in the publication "Equipment for Ambulances," Pediatrics 2009;124;e166. The survey included 35 items for Basic Life Support vehicles and 67 items for Advanced Life Support vehicles (see sample survey instrument*).

Bag Valve MaskAverage % of Pediatric Recommended Equipment Carried:

  • Basic Life Support Transport Vehicles: 91.2% (32 out of 35 items)
  • Advanced Life Support Transport Vehicles: 95.6% (64 out of 67 items)

% of EMS Transport Vehicles that Carry ALL the Recommended Pediatric Equipment:

  • Basic Life Support Transport Vehicles: 22.5%
  • Advanced Life Support Transport Vehicles: 34.0%

Items Least Often Carried on Basic Life Support EMS Transport Vehicles (% Carry Item):

  • Pulse oximeter with adult probes (76.9%)
  • Neonate size mask for a bag-valve mask (76.2%)
  • Child size lower extremity (femur) traction device (59.3%)
  • Length/weight based tape or appropriate reference material for pediatric equipment sizing and drug dosing (55.1%)
  • Pulse oximeter with pediatric probes (53.0%)

Items Least Often Carried on Advanced Life Support EMS Transport Vehicles (% Carry Item):

  • Child size nasal cannula (87.2%)
  • Pediatric size Magill forceps (86.0%)
  • Neonate size mask for a bag-valve mask (82.4%)
  • Meconium Aspirator Adaptor (76.7%)
  • Child size lower extremity (femur) traction device (73.9%)

* States/Territories were allowed to customize terminology to their state/territory as well as decide if Intermediate Life Support agencies in their state/territory were better grouped with Advanced Life Support or Basic Life Support agencies.

 

 

Performance Measure 76: Inter-facility Transfer Guidelines

The Data: Survey data was collected from 2,644 hospitals with an Emergency Department from across the country. Hospitals were asked if they had written inter-facility transfer guidelines and if those guidelines contained the specific information shown below (see sample survey instrument**).

1,817 Have Inter-facility Transfer Guidelines (68.7%)

Of the 1,817 hospitals with inter-facility transfer guidelines, the % of hospitals with inter-facility transfer guidelines containing the following information:

Plan for transfer of patient medical record: 97.1%
Process for patient transfer (including obtaining informed consent): 96.9%
Defined process for initiation of transfer, including the roles and responsibilities of the referring facility and referral center: 95.6%
Plan for transfer of copy of signed transport consent: 95.3%
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.): 85.5%
Process for selecting the appropriate care facility: 79.4%
Plan for transfer of personal belongings of the patient: 78.5%
Plan for provision of directions and referral institution information to family: 70.3%


Out of all of the 2,644 Hospitals, 38.0% Have Inter-facility Transfer Guidelines Containing ALL of the Information Shown Above

 

 

Performance Measure 77: Inter-facility Baby in an incubatorTransfer Agreements

The Data: Survey data was collected from 2,644 hospitals with an Emergency Department from across the country. Hospitals were asked if they had written inter-facility transfer agreements (see sample survey instrument**).

1,571 Have Inter-facility Transfer Agreements (59.4%)

 

 

** States/Territories were allowed to customize terminology to their state/territory.

 

 

<TOP>

 

 

rev. 17-Jan-2014

 

 

 

Resource Library

Link 1
(Description of link)

 

Disclaimer | Website Feedback | U of U
© NEDARC 2010
(In accordance with the Americans with Disabilities Act, the information in this site is
available in alternate formats upon request.)