Address: 600 E Boulevard Avenue, Bismarck ND 58505-0200 Project Director: Christopher Price Phone Numbers:701-328-4728 (voice); 701-328-0357 (fax) E-mail: firstname.lastname@example.org website: www.hhs.nd.gov Problem: Data from a variety of sources suggest that disparities in pediatric emergency care exist in both EMS agencies and hospitals in North Dakota. Lack of the availability of Pediatric Emergency Care Coordinators (PECC), weaknesses in reporting of pediatric-centric EMS data, and limited verification of skills competency of EMS providers have been identified. Overall hospital emergency department pediatric readiness is variable. Both prehospital and hospital disaster readiness efforts lack a pediatric focus. This project will address these deficiencies through stakeholder influenced, collaborative programs and performance improvement projects. Goals and Objectives: The goals of this project are to: 1) expand the uptake of Pediatric Readiness in Emergency Departments by establishing a standardized pediatric readiness recognition program for EDs, designating PECCs in EDs, and ensuring hospital EDs weigh and record children’s weight in kilograms. 2) improve Pediatric Readiness in EMS Systems by establishing a standardized pediatric readiness recognition program for prehospital EMS agencies; increasing PECCs in prehospital EMS agencies; and increasing the number of prehospital EMS agencies that have a process for pediatric skills-check on the use of pediatric equipment. 3) increase pediatric disaster readiness in hospital EDs and EMS agencies by ensuring that disaster plans address the needs of children. 4) prioritize and advance family partnership and leadership in efforts to improve EMSC systems of care by including and engaging family representatives who can speak to the emergency care needs of children in their community on EMSC state advisory committees. Methodology: This project will assess the current state of pediatric emergency care in North Da
kota through the NPRP assessments for hospitals and prehospital agencies, in addition to using other available data sources, such as the ND EMS data repository and on-site visits. Improving ED pediatric readiness will focus on the development of a tiered recognition program modeled after our successful cardiac, stroke, and trauma systems while prehospital pediatric readiness will focus on updating our existing recognition program for EMS agencies, increasing the availability of PECCs, and developing best practices for verifying EMS provider skills in the use of pediatric equipment. Pediatric disaster readiness will be enhanced for both hospitals and EMS agencies by collaborating with our partners at ND DHHS Emergency Preparedness and Response to develop template disaster plans that address the needs of children and provide consultation in incorporating and exercising the pediatric component of both hospital and EMS agency plans. Coordination: The ND DHHS will accomplish these goals by working with stakeholders, including, but not limited to, critical access and tertiary care hospitals, the ND Center for Rural Health, ND Health Equity Office, tribal communities, SafeKids and the ND Injury Prevention program, interested professional organizations, EMS agencies and related organizations, and the Family Advisory Network. Evaluation: Progress will be evaluated through data collected by the EMSC Data Center and through program evaluation by the EMSC Advisory Committee and Family Advisory Network. Annotation: Disparities exist in hospital and prehospital pediatric emergency and disaster readiness in North Dakota. The goals of this project are to improve readiness through collaborative efforts that provide for evidence-based standards for pediatric care and emergency preparedness. Periodic assessments of the state of pediatric readiness, relevant performance improvement measures, program evaluation, and collaboration all with a cross-cutting focus on equity are key to rea
ching these goals.