May 26, 2016 |  Previous Issue
New SPROC Awardees Announced

The Emergency Medical Services for Children (EMSC) Program's commitment to developing regionalized systems of pediatric care continues with the recent release of three State Partnership Regionalization of Care (SPROC) Grant awards. The goal of the SPROC program is to develop systems of care that increase access to emergency medical services for children in United States rural, territorial, insular, and/or tribal communities. These systems of care will identify the pediatric readiness of facilities to stabilize and treat pediatric patients, improve the transfer process of pediatric patients to higher levels of care, and establish networks and systems to increase access to pediatric specialists. The overall purpose of this program is to reduce pediatric morbidity and mortality through increased access to pediatric specialists through an established network that includes children in rural, territorial, insular, and/or tribal communities.

This year's successful awardees are all 2012 recipients of SPROC funding and will continue to build upon successful programs of regionalization.

Awardees include:
  • Regents of the University of California, Transport of Acutely Ill and Injured Children to Institutions of Higher Care from Allied Localities (TACTICAL). Project Director: James Marcin, MD, MPH. TACTICAL will expand pediatric quality improvement, telemedicine, the Emergency Department Approved for Pediatrics readiness recognition program, and a standardized data collection program. For more information, contact Dr. Marcin at
  • State of Montana, EMS & Trauma Systems Section, Montana Department of Health and Human Services, Child Ready Montana (MT) Project. Project Director: James DeTienne. Child Ready MT will continue implementation of a regionalized system of healthcare for children across the state. Key components of this initiative include: an assessment of existing services and skills of health care providers, the provision of education/training opportunities, and validating hospital pediatric care capabilities through a formal facility recognition program that includes a telemedicine component.  For more information, contact Mr. DeTienne at
  • University of New Mexico Health Sciences Center, Department of Emergency Medicine, Child Ready: Expanding a Novel Community Self-Assessment Approach to Regionalization. Project Director: Robert Sapien, MD, MMM. Child Ready New Mexico will engage tribal and rural communities, leaders of health care facilities and systems, and health care providers in the revision, expansion, and dissemination of the Child Ready program to include systems of regionalized pediatric emergency care. Simultaneously, the team will work on improving the pediatric readiness of the Child Ready Virtual Pediatric Emergency Department (CR-VPedED) Telehealth Network, as well as the overall scores for the state's National Pediatric Readiness initiative. For more information, contact Dr. Sapien at
Save the Date

NAEMSE Annual Educator Symposium and Trade Show, taking place August 1-6, 2016, in Fort Worth, TX.

ENA Emergency Nursing 2016, taking place September 14-17, 2016, in Los Angeles, CA.

NASEMSO Fall 2016 Meeting, taking place September 19-22, 2016, in Albuquerque, NM.

EMS World , taking place October 3-7, 2016, in New Orleans, LA.
ACEP Scientific Assembly , taking place October 16-19, 2016, in Las Vegas, NV.

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 © 2016. All rights reserved.

EMSC Targeted Issue Webinar Now Archived 

The EMSC webinar hosted on Monday, May 16, "EMS Research: A Path to Improving Pediatric Prehospital Care," featuring two EMSC-funded Targeted Issues projects from the 2013 grant cycle has been archived .
State and Territory Updates
EMSC SPROC Grantees Serve as Contributing Authors on CHF White Paper

EMSC State Partnership Regionalization of Care (SPROC) Grantees Robert Sapien, MD, MMM, and James Marcin, MD, MPH, are both contributing authors on the recently released Children's Health Fund (CHF) white paper "15 Million Kids in Health Care Deserts: Can Telehealth Make a Difference?"
Additionally, Dr. Sapien presented at the CHF 2016 Spring Clinicians' Meeting on April 20 and Dr. Marcin served on the CHF panel for a Congressional briefing addressing pediatric telehealth on April 21, 2016.
EMSC Welcomes New Indiana EMSC Program Manager   

Margo Knefelkamp joins Indiana EMSC as the new program and grants manager. Margo comes to EMSC from the Indiana State Department of Health where she spent the last two years as manager for the State Office of Rural Health. 
She has extensive experience in grants management, program development and leadership, coalition building, and educational programming, as well as health care delivery and coordination. We look forward to having her on board. She can be reached at Help us extend a warm welcome to Margo!
National Pediatric Readiness Project Update
Pediatric Readiness Sets the Stage in Planning for State FacilityRecgnition

Today and yesterday, May 25 and 26, 12 state teams involved in the EMSC  Medical Facility Recognition Quality Improvement Collaborative met in  Bethesda, MD, for their first in-person learning session. The purpose of  the collaborative is to assist state programs to accelerate their progress  in developing a program to verify and recognize emergency departments that  are ready to care for children with medical emergencies. During this  two-day meeting, Pediatric Readiness was consistently highlighted as a set  of criteria to be used by states in defining the criteria to be met by  hospitals seeking recognition. Arizona, California, Montana, New Jersey,  and Tennessee presented the importance of the National Guidelines for Care  of Children in Emergency Departments in defining their state facility  recognition program and the use of state Pediatric Readiness data to  assist in selling the need for a pediatric facility recognition program. 
Research Resources and Results
Performance of the Global Assessment of Pediatric Patient Safety Tool

A recent article in Pediatrics discusses the development and testing of the Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool. The GAPPS tool measures hospital-wide rates of adverse events (AEs) and preventable AEs.

Investigators developed a draft trigger tool based on a detailed literature review and expert panel process. Investigators subsequently tested the draft tool at 16 academic and community hospitals. At each testing location, one nurse reviewed approximately 240 medical records randomly. Ten percent of these records were subject to a secondary primary review. Two physician secondary reviewers then evaluated medical records with a suspected AE.  
Investigators found that 92% of primary reviewers agreed regarding the time on presence or absence of a suspected AE (κ = 0.69). Similarly, secondary reviewers who were verifying an AE presence or absence agreed 92% of the time (κ = 0.81). Hospital-based primary reviewers had a sensitivity and specificity of 40% and 91%, respectively when using the expert reviews as the standard.

Investigators concluded that the GAPPS tool was reliable in identifying AEs and could be used to guide and monitor quality improvement efforts in the future. 
This Week In Health Policy News
Role of School Nurses in Providing School Health Services

The American Academy of Pediatrics (AAP) released a policy statement in the May 2016 issue of Pediatrics that describes the crucial aspects of the school nurse's role, its relationship to pediatric practice, and recommendations to facilitate productive working relationships benefiting all school-aged children and adolescents.
Although the concept of school nurses has existed for more than a century, standardization between districts regarding the role of a registered nurse professional, as well as the laws governing such efforts across the country, are lacking. Moreover, the increasing number of children with special health care needs and children with chronic diseases in the school setting requires the knowledge and training of registered professional school nurses.
For more information, please visit the AAP website.  
Reports and Articles of Interest
Registration Open for 2016 PREP:EM

The 2016 PREP: EM - An Intensive Review and Update of Pediatric Emergency Medicine course, sponsored by the American Academy of Pediatrics and its Section on Emergency Medicine and the American College of Emergency Physicians, will take place August 6-10, 2016, in Chicago, IL. Registration is now open. Continuing medical education credits are available.    
New ACP Pediatric-to-Adult Transition Tools Released

The American College of Physicians (ACP) - as part of the Pediatric to Adult Care Transitions Initiative - has released specialized toolkits to facilitate more effective transition and transfer of young adults into health care settings. Each toolkit contains disease-specific information and resources that are critical for the young adult in transition to be aware of and understand in order to successfully achieve optimal self-care as an emerging adult. 

Condition-specific toolkits are currently available for general internal medicine, cardiology, endocrinology, hematology, nephrology, and rheumatology. Gastroenterology will join the line up soon.
DataSpeak Web Conference

From 3:00 pm to 4:00 pm (Eastern) on Tuesday, May 31, the Health Resources and Services Administration's Maternal and Child Health Bureau will host the DataSpeak web conference "Disparities in the Health and Well-Being of Children and Youth in Rural Areas of the United States." Recent data from national surveys and data sets on access, health status, and mortality patterns for children and youth in rural areas, along with resources and information on improving the health of these populations will be presented. Register today

Funding Opportunities
AHRQ Funding Opportunities
NIH Funding Opportunities
Featured Resource

Now available for download is the Pediatric Medical Recognition Program fact sheet. The fact sheet highlights the 11 states that have pediatric medical recognition programs in place and the commonalities between the state programs. The one-page fact sheet also answers the questions: What is a pediatric hospital recognition program? and Why is it important to assess and formally recognize the readiness of facilities to care for children?