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 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.

EMSC Performance Measures (Note that the numbering system for the performance measures has changed. The language for each performance measure remains the same. The new numbers are noted below.)

• EMSC State Partnership Performance Measures

  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.
  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.
  Performance Measure 73 (formerly PM 66b)	The percent of patient care units in the state/territory that have essential pediatric equipment and supplies as outlined in national guidelines.
  Performance Measure 74 (formerly PM 66c medical)	The percent of hospitals recognized through a statewide, territorial, or regional standardized system that are able to stabilize and/or manage pediatric medical emergencies.
  Performance Measure 75 (formerly PM 66c trauma)	The percent of hospitals recognized through a statewide, territorial, or regional standardized system that are able to stabilize and/or manage pediatric traumatic emergencies.
  Performance Measure 76 (formerly PM 66d)	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.
  Performance Measure 77 (formerly PM 66e)	The percent of hospitals in the state/territory that have written interfacility transfer agreements that cover pediatric patients.
  Performance Measure 78 (formerly PM 67)	The adoption of requirements by the state/territory for pediatric emergency education for license/certification renewal of BLS/ALS providers.
  Performance Measure 79 (formerly PM 68a,b,c)	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.
  Performance Measure 80 (formerly PM 68d)	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

• 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
  • National Checklist: Equipment for Ambulances (April 2009)
  • Performance Measure Checklist of Recommended Pediatric Equipment for BLS and ALS Ambulance (February 2010)
  • Performance Measure FAQ for Recommended 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@cnmc.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

• Press Releases

  • Press Release Templates for EMSC Performance Measures 71, 72, 73, 76, and 77

• 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 
  
  

  Webcasts

  • "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 Implentation 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.

  
  
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