Performance Measures
In order to measure the effectiveness of federal grant programs, the Health Resources and Services Administration (HRSA) requires grantees to report on specific performance measures (PM) related to their grant funded activities. The measures are part of the Government Performance Results Act (GPRA). Additional information on GPRA can be found on the web sites of HRSA and the Office of Management and Budget. Note that all EMS for Children Performance Measures align with Healthy People 2020 objectives (see Healthy People 2020 Crosswalk to EMS for Children Performance Measures).
EMSC State Partnership Performance Measures. Each performance measure is hyperlinked to HRSA's Discretionary Grant Information System (DGIS). The DGIS contains the most recent reporting data for each performance measure. Data is supplied in aggregate form only. Note that due to the size of the DGIS database, it may take up to 30 seconds for aggregate data to appear.
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Performance Measure 71 (formerly PM 66a (i)) |
The percent of prehospital provider agencies in the state/territory that have on-line pediatric medical direction available from dispatch through patient transport to a definitive care facility. (Most recent DGIS data on PM 71) |
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Performance Measure 72 (formerly PM 66a (ii)) |
The percent of prehospital provider agencies in the state/territory that have off-line pediatric medical direction available from dispatch through patient transport to a definitive care facility. |
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Performance Measure 73 |
The percent of patient care units in the state/territory that have essential pediatric equipment and supplies as outlined in national guidelines. |
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Performance Measure 74 |
The percent of hospitals recognized through a statewide, territorial, or regional standardized system that are able to stabilize and/or manage pediatric medical emergencies. |
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Performance Measure 75 |
The percent of hospitals recognized through a statewide, territorial, or regional standardized system that are able to stabilize and/or manage pediatric traumatic emergencies. |
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Performance Measure 76 |
The percentage of hospitals in the state/territory that have written interfacility transfer guidelines that cover pediatric patients and that include pre-defined components of transfer. |
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Performance Measure 77 |
The percent of hospitals in the state/territory that have written interfacility transfer agreements that cover pediatric patients. |
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Performance Measure 78 |
The adoption of requirements by the state/territory for pediatric emergency education for license/certification renewal of BLS/ALS providers. |
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Performance Measure 79 |
The degree to which state/territories have established permanence of EMSC in the state/territory EMS system by establishing an EMSC Advisory Committee, incorporating pediatric representation on the EMS Board, and hiring a full-time EMSC manager. |
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Performance Measure 80 |
The degree to which state/territories have established permanence of EMSC in the state/territory EMS system by integrating EMSC priorities into statutes/regulations. |
EMSC Targeted Issue and PECARN Performance Measure
EMSC Performance Measures Technical Assistance Resources
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Fact Sheets
- EMSC Performance Measures: A Brief Background
- EMSC Performance Measures 76 and 77: Making Transfers Work for Critically Ill and Injured Children
- Access to Trauma Centers in the United States,” a CDC fact sheet and companion Access to Trauma Centers interactive map (Note that this mapping tool only references adult trauma centers.)
- EMSC Performance Measures: Frequently Asked Questions (FAQ) (updated February 2010)
- Recently Revised Pediatric Equipment for BLS and ALS Ambulance
- Examples of State and Territorial Mandates on EMSC Performance Measures
Following are examples of state and territorial laws related to the EMSC Performance Measures previously identified by the EMSC National Resource Center. This information is current as of June 2009. If your state or territory has a statute or regulation related to the performance measure priorities that is not included within these documents, please contact Karen Belli (kbelli@childrensnational.org), senior public policy specialist, so that it can be reviewed and added, if appropriate.
Many of these laws were enacted prior to the establishment of the performance measures and may not be an exact match to each performance measure. For example, a law may only apply to the state’s trauma system as opposed to the entire EMS system. Therefore, these examples are not meant as a count of states that have achieved performance measure 80, in whole or in part. Within the research results, however, please note several sections of New York Consolidated Laws, Public Health, Article 30C. This law is one example of a statute specifically enacted in response to the performance measures.
Remember, these examples are meant to be a starting point and not a one-size-fits-all model. Some laws cited below may not be sufficient to achieve the EMSC priorities, but instead may be helpful as examples of how other states regulate EMSC activities.
- Performance Measure 71/72 (Medical Direction) Regulations
- Performance Measure 71/72 (Medical Direction) Statutes
- Performance Measure 73 (Ambulance Equipment) Regulations
- Performance Measure 73 (Ambulance Equipment) Statutes
- Performance Measure 74/75 (Facility Designation) Regulations
- Performance Measure 74/75 (Facility Designation) Statutes
- Performance Measure 76/77 (Interfacility Guidelines and Agreements) Regulations
- Performance Measure 76/77 (Interfacility Guidelines and Agreements) Statutes
- Performance Measure 78 (EMSC Provider Education) Regulations
- Performance Measure 78 (EMS Provider Education) Statutes
- Performance Measure 79 (Advisory Committees) Regulations
- Performance Measure 79 (Advisory Committees) Statutes
- Performance Measure 79 (Pediatric Representation) Regulations
- Performance Measure 79 (Pediatric Representation on a Board) Statutes
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Press Releases
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Manuals
- EMSC Performance Measures: Implementation Manual for State Partnership Grantees (2009-2010 "Final" Edition).
- Major Changes Included in the 2009-2010 Performance Measures Implementation Manual. The following document highlights the major differences between the 2007 and 2009-2010 performance measures implementation manuals.
- Best Practices: A Guide for State Partnership Grantees on the Implementation of EMSC Performance Measures
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Webcasts
- A Review of the New MCHB Performance Measures," archived webcast from February 28, 2011. This webcast explained the background inception of the MCHB Performance Measures (PM), what grantees should expect to see when they access the HRSA Electronic Handbooks, and review the elements of each MCHB PM.
- Using Performance Measures to Drive Improvement in Pediatric Emergency Care," archived webcast from November 2, 2010. This webcast focused on importance and relevance of performance measurement in pediatric emergency care.
- "Pediatric Equipment for BLS and ALS Ambulances," archived webcast from March 26, 2009. This webcast focused on EMSC performance measure 73.
- "Introduction to Interfacility Transfer Agreements and Guidelines," archived webcast from February 13, 2008. This webcast focused on EMSC performance measures 76 and 77.
- “EMSC State Partnership Performance Measures,” archived webcast from December 4, 2007. This webcast addressed the changes made to the EMSC Performance Measures: An Implementation Guide for State Partnership Grantees (2007 edition).
- "Making Trauma Systems Work for Injured Children – EMSC Performance Measures Can Make a Difference," archived webcast from September 27, 2006.
- “EMSC Performance Measures, Introduction of the Implementation Manual,” archived webcast from July 26, 2005.