December 17, 2015 |   Previous Issue
EMSC Federal Legislative Update

As you may recall, Congress did not enact any of the fiscal year 2016 appropriations bills before the year started on October 1, 2015. Therefore, the federal government has been operating under a series of continuing resolutions that provided level funding - or funding at the fiscal year 2015 level - for all federal programs, including the Emergency Medical Services for Children (EMSC) Program, through December 16.
 
Late last night, Congress released the proposed FY2016 Omnibus Appropriations Bill to fund the government through September 30, 2016. This bill provides level funding, or $20.162 million, for the EMSC Program.
 
It is anticipated that Congress will first pass another temporary measure for continuing funding at current levels through December 22, which will allow the House and the Senate time to finalize the proposed FY2016 Omnibus Appropriations Bill. Please stay tuned for updates. 
Save the Date
2016 NAEMSP Annual Meeting taking place January 14-16, 2016, in San Diego, CA.

AMCHP Annual Conference taking place January 23-26, 2016, in Washington, DC.

EMS Today Conference and Expo taking place February 25-27, 2016, in Baltimore, MD.

STN Annual Meeting taking place March 30-April 2, 2016, in Anaheim, CA.
 
NASEMSO Spring Meeting taking place April 4-6, 2016, in Bethesda, MD.
EMSC QuickNews welcomes articles on people, programs, and procedures related to emergency medical services for children. All information, artwork, or photography should be submitted to Tanya Brown at the EMSC National Resource Center.
 

 

EMSC QuickNews is published biweekly by the EMSC National Resource Center, 801 Roeder Road, Suite 600, Silver Spring, MD 20910, 301.244.6300 (phone)

 

  

Copyright © 2015. All rights reserved.

Did You Know 2015 State and Territory SnapShot Data is Available for Viewing/Download?

The EMSC State and Territory SnapShot Data Tool is an online tool that allows users to view and filter results from the 2015 EMSC State and Territory Partnership SnapShot Self-Assessment. It can be used to compare data between states/territories and regions in order to identify trends and perhaps contact managers in other states to learn from them and develop collaborative projects.

This interactive tool can display data by assessment question, region, or by comparison of states/territories. The entire dataset is also available for download .
The EMSC Website is Going "Mobi!"

The EMSC National Resource Center is pleased to announce that December 22 is the launch date for the new EMSC mobi (mobile-friendly) website. The url will remain the same: www.emscnrc.org , so have no worries about finding us.
 
The primary navigation won't change either! Whether searching for EMSC resources, webinars, or the latest program news, it will all be there. What will change is the layout. Utilizing responsive design technology, the new site allows for an easier reading and navigation experience from your mobile and tablet devices, minimizing the amount of panning and scrolling needed to view each page.
 
Early next year, the National Pediatric Readiness Project (Peds Ready)  website will transition to the mobi platform as well.
CHaMP Releases Translational Research Video 

The next installment of the Charlotte, Houston, and Milwaukee Prehospital (CHaMP) Research Node Center's EMS Research Education series is now available. The new video, Translational Research, examines the importance of translational research as it relates to a bi-directional process of bench to bedside, as well as bedside to bench research. The video includes an overview of how basic research knowledge turns into new and improved methods of preventing, diagnosing, and treating disease. The video also highlights the importance of how patient care insights are transferred into hypotheses that are tested and validated in a research process .
State and Territory Updates
Comments on EMSC Performance Measures Sought; Due January 5  

The Federal EMSC Program is seeking comments on the new and continuing EMSC State Partnership performance measures. The EMSC performance measures are included as part of the Maternal and Child Health Bureau Discretional Grant Information System (DGIS) Information Collection Request. To receive a copy of the data collection plans and draft instruments, individuals need to email paperwork@hrsa.gov or call the HRSA Information Collection Clearance Officer at (301) 443-1984.
 
All comments on this Information Collection may be sent by email to paperwork@hrsa.gov or mailed to the HRSA Information Collection Clearance Officer, Room 10-29, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857, and must be received by January 5, 2016.

The complete Federal Register notice may be viewed online. Please note that a webinar is being held at 4:00 pm (Eastern) today, December 17, to review the new and continuing EMSC performance measures. The call in number is 888-324-3915; participant passcode: 2270419 . The call will be recorded for later viewing.
National Pediatric Readiness Project Update
Next Steps in Quality Improvement Webinar Now Archived

A special webinar focusing on the reopening of the Pediatric Readiness Assessment Portal, Next Steps in Quality Improvement: Measuring Your ED Readiness Improvement - Peds Ready Assessment Portal Now Open, is now archived and available for those who missed the live event held on November 17. 

The portal reopening allows previous participating hospitals to assess improvements in readiness. Facilities that did not participate in the original assessment now have an opportunity to join in the Pediatric Readiness movement and assess their emergency deeaprtment (ED) readiness.  

Webinar presenters Kathleen Brown, MD, medical director for the EMSC National Resource Center, and Patty Schmuhl, data manager for the National EMSC Data Analysis Resource Center, discussed the Plan-Do-Study-Act (PDSA) cycle of quality improvement and its application to Pediatric Readiness efforts. Presenters also discussed the process for accessing and engaging in the assessment information provided to respondents post assessment; and potential next steps, based on reassessment findings, for reducing the gaps in pediatric emergency care in the ED.
Research Resources and Results
Factors Associated with Time to Arrival at a Regional Pediatric Trauma Center  

A recent article published in Prehospital and Disaster Medicine tests the hypothesis that the prehospital time between injury and arrival at a trauma center for critically injured children is associated with patient injury severity and mode of transport. 
 
Investigators conducted a secondary analysis of a prospective study of children ages 0-17 admitted with traumatic injuries to a Level 1 pediatric trauma center between January 1, 2006 and September 30, 2007. Investigators assessed for factors independently associated with the prehospital timeline. There was a total of 1,175 admissions.
 
Investigators found that patients who arrived at the trauma center within 60 minutes of injury had a higher frequency of coma, higher average injury severity score, and higher frequency admission to the intensive care unit compared to patients with a prehospital time greater than 60 minutes form injury. Similarly, pediatric patients who arrived within 60 minutes of injury were 13 times more likely to be transported by air ambulance and 4.8 times more likely to be transported by ground ambulance than a private vehicle (air: odds ratio [OR] 12.9, 95% Confidence Interval [CI] 7.6-22.0) (ground: OR: 4.8, 95% CI 2.2-10.3).
 
Investigators concluded that field triage and decision-making correlated with the injury severity and transport time of ill and injured children to definitive care at a trauma facility.
This Week In Health Policy News
Georgia Network Deal OKs Bonuses for Pediatric Performance

The Children's Care Network recently signed a two-year contract with WellCare Health Plans that includes bonus pay if the provider organization achieves improvement on medical quality standards in its care for children. The Children's Care Network, a nonprofit subsidiary of Children's Healthcare of Atlanta, has more than 1,100 pediatricians in Georgia serving approximately 77,500 children in the metro Atlanta region. WellCare, a management organization based in Tampa, serves the two government insurance programs, Medicaid and PeachCare in Georgia.

Medicare and private insurers are now emphasizing payments based on quality of care, rather than just paying according to how many procedures are done. This is known as a "value-based'' model.

For more information, read "Network Deal OKs Bonuses For Pediatric Performance."
Reports and Articles of Interest
Community Paramedicine Keeps Frequent Fliers Out of ED!

FierceHealthcare recently published the article "ER Overcrowding Solution: Community Paramedicine." The article provides a brief overview of community paramedicine, a trend that uses innovative approaches to combat emergency department (ED) overcrowding by expanding the role of paramedics, EMTs, nurse practitioners, or physician assistants. It highlights how community paramedicine projects have successfully helped to ease ED overcrowding and avert "frequent flyer" visits.  
Ebola Response in West Africa: Watch the Archived Webinar

Mark Baker, MD, MPH, an emergency department physician at Children's Hospital of Alabama and member of the Alabama EMS for Children Advisory Board, recently presented the webcast "Ebola Response in West Africa: My Experience." The webcast is now archived and available for viewing. 

The 2014 Ebola epidemic was the largest in history, affecting multiple countries in West Africa with relatively weak healthcare systems. Hear about the purpose and design of Ebola treatment centers in West Africa, how medical care is delivered in this setting, and the ethical challenges in the care of children with Ebola. 

The webcast targeted nurses, physicians, social workers, infection control practitioners, hospital administrators, and public health educators. Continuing education for nurses, social workers, and EMS personnel is available to those who watch the archived webinar. Check it out today!


EMSC SnapShot Tool graphic
Featured Resource

The EMSC SnapShot Data Tool allows users to view and filter results from the 2015 EMSC State and Territory Partnership SnapShot Self-Assessment. Use it to display the data by assessment question, region, or by comparison of states/territories. Users will be able to compare data between states/territories and regions in order to look for trends and perhaps contact managers in other states to learn from them and develop collaborative projects.