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Performance Measures

 

Raising PerformanceIn this section you will find examples, worksheets, tools, and templates to help you get up and running for performance measures.

What Are the EMSC Performance Measures?

The EMSC program performance measures are a set of standards that were developed in 2004 to measure long-term progress at both state and national levels of the EMSC program in key areas of pediatric emergency care.

The program had met its target with previous measures developed for the Government Performance and Results Act (GPRA), a results-oriented approach that requires federal agencies to establish performance measures that guide decisions and monitor program success, and sought the development of new measures.

The new performance measures represent:

A systematic, uniform process of focusing and measuring program activities and promoting permanence of EMSC programs at the state level.

Read more about the history and development of the EMSC program measures.

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Requirements of State EMSC Programs

The performance measures represent a new priority and direction for EMSC partnership grantees for the next several years. Beginning in fiscal year 2007, state EMSC partnership grantees were required to provide baseline data for each of the performance measures, and annually thereafter through 2011. The new performance measure data collection will start March 1, 2010 and end February 28, 2011. The Federal Program is requiring a minimum 80% response rate for each performance measure requiring data to be collected (measures 71, 72, 73, 76, & 77).

Picture of the Performance Measures ManualThe details of how this is to be accomplished are contained in the implementation manual, but in essence grantees will report a numerator and denominator, Yes/No answer, or a score for each measure in the HRSA Electronic Handbook. Supporting documentation (as described in the implementation manual) for each answer will also need to be kept in case it is requested by the federal EMSC program.

Once baseline data are collected, it is expected that grantees will focus part of their program activities each year on addressing those performance measure where deficiencies exist so that progress can be made over time. Grantees are encouraged to utilize their EMSC advisory committees to identify those measures where improvements are most realistic.

Federal EMSC program staff realize that it will be challenging for states to fulfill all measures by 2011, but each state can identify areas where progress is most feasible and focus program efforts accordingly, and can receive specific help from NEDARC and/or the NRC in this effort.

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The rest of this section contains links to materials, templates, and worksheets related to performance measures. Click on the help button below for explanations on viewing the available resources.

Help Click on the help icon to read viewing, downloading, and icon explanations.

 

The Guidance

EMSC Partnership Grant HelpAvailable Formats
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NEW!! FY 2010 Non-competing EMSC State Partnership Grant Guidance (emailed message from the NRC)

Due: December 10, 2009

Tips from the NRC - Grant Guidance ""

2008 EMSC State Partnership New & Competing Continuation Program Grant Guidance

Due: December 2, 2008

2008 Grant Guidance ""

The National Resource Center Tips for the 2008 Grant Guidance

Tips from the NRC - Grant Guidance ""

 

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The Manual

Performance Measure Implementation Manual HelpAvailable Formats
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NEW!! 2009 -2010 Performance Measures Implementation Manual - FINAL (Hosted by the National Resource Center)

Link to the Webcast on EMS Medical Direction
Performance Measure Updates HelpAvailable Formats
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NEW!! 2009 -2010 Performance Measures  Implementation Manual - Review of Important Changes (Hosted by the National Resource Center)

State Performance Measure Changes 10-2007 ""

 

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Performance Measures 71, 72, 73, 76, & 77 (formerly 66)

Performance Measures 71 & 72 (formerly 66a) - Improving On-line & Off-line Medical Direction for Pediatric Patients HelpAvailable Formats
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NEW!! Survey Template: You will need to contact your NEDARC state representative on an individual basis to discuss survey implementation.

Webcast - Improving EMS Medical Direction for Pediatric Patients (Aug. 22, 2006).
An excellent resource to help you develop on-line and off-line medical direction, presented by the EMSC Program (the NRC).

Link to the Webcast on EMS Medical Direction ""

"Children with Special Health Care Needs: A Template for Prehospital Protocol Development" (PREHOSPITAL EMERGENCY CARE 2003;7:336–351)

Link to the template "Children with Special Health Care Needs" ""

"Model Pediatric Protocols" from NAEMSP (2003)

Model Pediatric Protocols (pdf)
Performance Measure 73 (formerly 66b) - Essential Pediatric Equipment for EMS Providers HelpAvailable Formats
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NEW!! Survey Template: You will need to contact your NEDARC state representative on an individual basis to discuss survey implementation.

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NEW!! Pediatric Equipment List: This is the list that has been adopted from the National List of Recommended Equipment to be used by the EMSC Program for data collection (Hosted by the National Resource Center)

Link to the Webcast on EMS Medical Direction ""
Performance Measures 76 & 77 (formerly 66d & 66e) - Pediatric Inter-facility Transfer Guidelines and Agreements HelpAvailable Formats
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NEW!! Survey Template: You will need to contact your NEDARC state representative on an individual basis to discuss survey implementation.

New Edition of Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients
The revised edition includes many new topics, as well as core material that has proven so useful over the past 10 years. Chapters and topics include: organization, administration, team composition, training and assessment, communications, equipment and medications, legal issues, quality improvement, safety, vehicle requirements, altitude physiology and stresses of flight, family-centered care, marketing, outreach, financial considerations, database development, research, ethical considerations, accreditations, international transport, telemedicine, stress management and debriefing, integration with EMS, and unique transport considerations. Also included are transport and EMTALA forms, transport position descriptions, transfer agreements, database elements, policies and procedures, and a comprehensive list of transport resources.

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Performance Measures 71, 72, 73, 76, & 77 (formerly 66a, 66b, 66d, & 66e) Additional Documents HelpAvailable Formats
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Survey Timeline Template: - This tool is to be used to help researchers with the steps needed to design, create, and implement a survey. It includes timeframes assocated with each step. The tool was desinged with Performance Measures data collection in mind, but can be applied to any survey (June 2007)

Model Pediatric Protocols (pdf) ""

Performance Measures Report Template: This word document was developed by NEDARC to assist partnership grantees in the dissemination of data for performance measures 66a, 66b, and 66d/e. The template is not meant to be used exactly as is, but will need to be reviewed and adapted as necessary to fit your state’s needs and findings from your data collection. (June 2007)

66b Survey Template (doc) ""
Survey Thank You Letters HelpAvailable Formats
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NEW!! Survey Thank You Letter Template for Performance Measures 71, 72, & 73 (formerly 66a and 66b): - This template is to be used to help thank the EMS agencies in your state or territory who completed your survey. Comments have been added to prompt the sender. Areas of the letter that will need to have information added are highlighted in yellow. If a state/territory is going to use this template, they need to get rid of all comments and complete the yellow highlighted areas. This letter is only a template and a state/territory can change it as much as they like. (September 2008)

66b Survey Template (doc) ""

NEW!! Survey Thank You Letter Template for Performance Measures 76 & 77 (formerly 66d and 66e): - This template is to be used to help thank the hospitals in your state or territory who completed your survey. Comments have been added to prompt the sender. Areas of the letter that will need to have information added are highlighted in yellow. If a state/territory is going to use this template, they need to get rid of all comments and complete the yellow highlighted areas. This letter is only a template and a state/territory can change it as much as they like. (September 2008)

66b Survey Template (doc) ""

 

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Performance Measure 79 (formerly 68)

Performance Measure 79 (formerly 68a) - The establishment of an EMSC Advisory Committee within the State/Territory HelpAvailable Formats
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Florida EMSC Advisory Committee Information Packet (At the request of several EMSC grant coordinators, the Florida EMSC team developed an information packet highlighting best practices in developing and managing an advisory committee. That packet is now available on their website.)

Link to the Florida EMSC ""

 

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Reference Tools

Reference Materials & Handouts HelpAvailable Formats
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** Performance Measures Workshop Materials (This includes all the presentations and materials provided at the Aug. 2005 workshops.)

Link to Workshop Materials ""

History and Development of EMSC Performance Measures (June 2006)

History and Development of Performance Measures (swf) History and Development of Performance Measures (pdf)

 

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rev. 11-Nov-2009

Resource Library

Online Resources
View a list of various online resources on a variety of EMSC related materials.

NEDARC Can Help

Call your NEDARC state or territory contact for help with any performance related questions.

 

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