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					Jumpstarting Your Performance Measure
          Activities: Part One
      Performance Measure #66

    2006 Annual EMSC Grantee Meeting

               June 20, 2006
Purpose of Session

   Review Performance Measure #66 and its sub-
    measures

   Describe effective ways of educating others on
    the new performance measures and the key
    elements of a strategic planning process

   Discuss data collection and implementation
    strategies for Performance Measure #66



                                                     1
Performance Measure #66

   Measure: The degree to which the State/Territory has
    ensured the operational capacity to provide pediatric
    emergency care.

   Goal/Target of Measure: By 2011,
    the State/Territory will have
    ensured the operational capacity to
    provide pediatric emergency care.




                                                            2
Performance Measure #66: Definitions

   Pediatric: Persons up to 18 years old.

   Operational capacity: For Year One, operational capacity
    to provide pediatric emergency care is defined by the
    following four elements:
    1. Pre-hospital provider agencies have on-line and off-line
       pediatric medical direction at the scene of an emergency for
       Basic Life Support (BLS) and Advanced Life Support (ALS)
       providers.
    2. Pre-hospital provider agencies have the essential pediatric
       equipment and supplies, as outlined in AAP/ACEP Joint
       Guidelines for BLS and ALS providers.


                                                                      3
Performance Measure #66: Definitions

   Operational capacity (continued):
    3. The existence of a statewide, territorial, or regional
       standardized system that recognizes hospitals that are able to
       stabilize and/or manage pediatric emergencies.




                                                                        4
Performance Measure #66: Definitions

   Operational capacity (continued):
    4. Hospitals have written inter-facility transfer agreements that
       specify alternate care sites that have the capabilities to meet the
       clinical needs of critically ill and injured pediatric patients and
       inter-facility guidelines that specify the following:
         Transportation of individuals, staff, and equipment to the
          alternate care site.

         The transfer of individual necessities (e.g., medications, medical
          records) to and from the alternate care site

         Individual tracking to and from the alternate care site

         Inter-facility communication between the organization and the
          alternate care site


                                                                               5
Performance Measure #66a

   Measure: The percentage of pre-hospital provider
    agencies in the State/Territory that have on-line and
    off-line pediatric medical direction at the scene of an
    emergency for Basic Life Support (BLS) and Advanced
    Life Support (ALS) providers.

   Goal/Target of Measure: By 2011, 90% of pre-hospital
    provider agencies in the State/Territory will have on-
    line and off-line pediatric medical direction at the scene
    of an emergency for BLS and ALS providers.




                                                                 6
Performance Measure #66b

   Measure: The percentage of pre-hospital provider
    agencies in the State/Territory that have the essential
    pediatric equipment and supplies, as outlined in
    AAP/ACEP Joint Guidelines for BLS and ALS providers.

   Goal/Target of Measure: By 2011, 90% of pre-hospital
    provider agencies in the State/Territory will have the
    essential pediatric equipment and supplies, as outlined
    in the AAP/ACEP Joint Guidelines for BLS and ALS
    ambulances.




                                                              7
Performance Measure #66c

   Measure: The existence of a statewide, territorial, or
    regional standardized system that recognizes hospitals
    that are able to stabilize and/or manage pediatric
    medical emergencies and trauma.

   Goal/Target of Measure: By 2011, the State/
    Territory will have a statewide, territorial,
    or regional system that recognizes
    hospitals that are able to stabilize
    and/or manage pediatric medical
    emergencies and trauma.


                                                             8
Performance Measure #66d

   Measure: Hospitals have written inter-facility transfer
    agreements that specify alternate care sites that have the
    capabilities to meet the clinical needs of critically ill and
    injured pediatric patients and inter-facility guidelines
    that specify the following:
     Transportation of individuals, staff, and equipment to the
      alternate care site
     The transfer of individual necessities (e.g., medications,
      medical records) to and from the alternate care site
     Individual tracking to and from the alternate care site
     Inter-facility communication between the organization and the
      alternate care site
                                                                      9
Performance Measure #66d
   Goal/Target of Measure: By 2006, 20% of hospitals in the
    State/Territory will have written inter-facility agreements that
    specify alternate care sites that have the capabilities to meet the
    clinical needs of critically ill and injured pediatric patients and
    inter-facility guidelines that specify the following:
        Transportation of individuals, staff, and equipment to the
         alternate care site
        Transfer of individual necessities (for example, medications,
         medical records) to and from the alternate care site
        Individual tracking to and from the alternate care site
        Inter-facility communication between the organization and the
         alternate care site


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