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Emergency Medical Services for Children (EMSC) (Kansas Department of Health and Environment)

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Emergency Medical
Services for Children
(EMSC)
2007-08 Performance Measure
Data Collection Results
Kansas
EXECUTIVE SUMMARY
The following is a summary of the 2007-08 Emergency Medical Services for Children (EMSC) data
collection results for our state. This report contains the data collected from our state for Basic Life
Support (BLS) and Advanced Life Support (ALS) agencies. The data was collected and analyzed using
national guidelines from the Federal EMSC Program.
Purpose: The purpose of the data collection was to assess our state’s current status in relationship to
National EMSC Performance Measures regarding pediatric emergency care. This report contains results
for four of the EMSC Performance Measures that required data collection; the definition of each
measure is shown below. Each year the EMSC state grantees are given EMSC Program targets and
ultimately must strive to reach the 2011 EMSC Program targets for each measure to improve pediatric
emergency care infrastructure.
The
Data
: The national statistics are derived from performance measure results submitted to the
National EMSC Data Analysis Resource Center (NEDARC) from 54 states and territories in July and
August 2008, or from available performance measure survey data collected by individual states and
territories from EMS agencies and hospitals between November 2007 and March 2008.
The Performance Measures: the following measures are included in this report:
- 66A—The percentage of pre-hospital provider agencies that have on-line and
off-line pediatric medical direction at the scene of an emergency for
BLS providers and ALS providers.
- 66B—The percentage BLS and ALS patient care units that have all the essential
pediatric equipment and supplies as outlined in national Guidelines
for BLS ambulances and ALS ambulances.
- 66D—The percentage of hospitals with an ED that have written pediatric
inter-facility transfer guidelines that specify EMSC priorities.
- 66E—The percentage of hospitals with an ED that have written pediatric
inter-facility transfer agreements.
For those who participated in the data collection, we appreciate
your responses.
Kansas collected data for performance measures 66A and 66B by surveying 172 EMS agencies and for
66D and 66E by surveying 123 hospitals with an emergency department. We received an 87% response
rate from the EMS agencies and a 80% response rate from the hospitals.
Performance Measure 66A — On-line Pediatric Medical Direction
Emergency Medical Services for Children (EMSC):
Content provided by:
The following is a summary of the 2007-08 EMSC performance measure data collection for on-line pediatric medical
direction.
This report contains data collected from Basic Life Support (BLS) and Advanced Life Support (ALS)
agencies.
Note: the term “state” includes territories.
Number of States Meeting EMSC Targets:
On-line Pediatric
Medical Direction:
The EMSC Program Measure:
the percentage of pre-hospital
provider agencies that have on-
line pediatric medical direction
at the scene of an emergency:

- BLS Agencies:
- ALS Agencies:
EMSC Program Targets:
- 2007 Target: 40%
- 2011 Target: 90%
Percentage of Agencies
Nationwide that Meet the
EMSC Program 2011
Target:
- BLS Agencies: 69%
- ALS Agencies: 71%
NATIONAL STATISTICS:
9.2%
of all EMS Incidents
involve pediatric patients
Kansas
Kansas conducted a survey of 172 EMS agencies and achieved an 87% response rate. As a result our state is not
required to collect data until the 2010-11 Grant Year. The performance measure required agencies to have
on-line medical direction available AND the proper pediatric medical direction provided, at least 90% of the
time, to meet the target.
Kansas
Kansas is one of 42 states that exceeded the 2007 EMSC Program
target.
51%
Kansas is one of 45 states that exceeded the 2007 EMSC Program
target.
The following is a summary of the 2007-08 EMSC performance measure data collection for off-line pediatric medical
direction.
This report contains data collected from Basic Life Support (BLS) and Advanced Life Support (ALS)
agencies.
Note: the term “state” includes territories.
Off-line Pediatric
Medical Direction:
The EMSC Program Measure:
the percentage of pre-hospital
provider agencies that have off-
line pediatric medical direction
at the scene of an emergency:

- BLS Agencies:
- ALS Agencies:
EMSC Program Targets:
- 2007 Target: 40%
- 2011 Target: 90%
Percentage of Agencies
Nationwide that Meet the
EMSC Program 2011
Target:
- BLS Agencies: 56%
- ALS Agencies: 83%
Performance Measure 66A — Off-line Pediatric Medical Direction
Emergency Medical Services for Children (EMSC):
Content provided by:
Number of States Meeting EMSC Targets:
NATIONAL STATISTICS:
55% of EMS Agencies
Operate Primarily in a
Rural Response Area
Kansas
Kansas conducted a survey of 172 EMS agencies and achieved an 87% response rate. As a result our state is not
required to collect data until the 2010-11 Grant Year. The performance measure required agencies to have
off-line pediatric protocols AND carry them in the patient care unit or on the provider, at least 90% of the time,
to meet the target.
Kansas
Kansas is one of 29 states that exceeded the 2007 EMSC Program
target.
57%
76%
Kansas is one of 47 states that exceeded the 2007 EMSC Program
target.
The following is a summary of the 2007-08 EMSC performance measure data collection for essential pediatric
equipment.
This report contains data collected from Basic Life Support (BLS) and Advanced Life Support (ALS)
agencies.
Note: the term “state” includes territories.
Essential Pediatric
Equipment:
The EMSC Program Measure: the
percentage of BLS and ALS patient
care units* in the State/Territory that
have all
the essential pediatric
equipment and supplies, as outlined in
the 1996 American College of
Emergency Physicians (ACEP)
guidelines:
Percentage of Patient Care
Units in
that Carry All Essential
Pediatric Equipment:
- BLS Patient Care Units:
- ALS Patient Care Units:
EMSC Program Targets:
- 2007 Target: 50%
- 2011 Target: 90%
Percentage of Patient Care
Units Nationwide that Carry All
Essential Pediatric Equipment:
- BLS Patient Care Units: 16%
- ALS Patient Care Units: 18%
Performance Measure 66B — Essential Pediatric Equipment
Emergency Medical Services for Children (EMSC):
Number of States Meeting EMSC Targets:
Content provided by:
*Patient Care Unit: A patient care unit is broadly
defined as a vehicle staffed with EMS providers (BLS
and/or ALS) dispatched in response to a 911 call to
provide patient care. Examples include an ambulance,
fire truck, hazardous materials (hazmat) vehicle, or a
rapid/emergent response vehicle/unit. It EXCLUDES
air ambulances, exclusively defined specialty care
units, and water ambulances/units.
Kansas
Kansas conducted a survey of 172 EMS agencies and achieved an 87% response rate. As a result our state is not
required to collect data until the 2010-11 Grant Year.
Kansas is one of 43 states that did not meet the 2007 EMSC Program
target.
Kansas
49%
63%
Kansas is one of 7 states that exceeded the 2007 EMSC Program
target.
Content provided by:
National Summary Data:
The following is a summary of the 2007-08 EMSC performance measure data collection for pediatric equipment
on patient care units (PCUs)*.
The national results on this page are derived from data collected from EMS agencies in 33 states and 6 territories.
There were a total of 18,773 patient care units included in the data— 6,590 of these were Basic Life Support
(BLS) units and 12,183 were Intermediate/Advanced Life Support (hereafter referred to as ALS units).
*Patient Care Unit: A patient care unit is broadly defined as a vehicle staffed with EMS providers (BLS and/or ALS) dispatched in response
to a 911 call to provide patient care. Examples include an ambulance, fire truck, hazardous materials (hazmat) vehicle, or a rapid/emergent
response vehicle/unit. It EXCLUDES air ambulances, exclusively defined specialty care units, and water ambulances/units.
Oxygen Masks Blood Pressure Cuffs Bag-Valve-Masks
1 out of 2 BLS patient
care units is missing a
pediatric backboard
compared to
1 in 3 ALS units
Selected Comparison of Missing
Equipment by Size:
BLS PCUs
ALS PCUs
Emergency Medical Services for Children (EMSC):
NATIONAL STATISTICS —Availability of Pediatric Equipment
Missing Advanced Level Equipment:
 1 out of 5 ALS units does not carry pediatric
electrodes / patches

1 out of 8 ALS units does not carry:
 Intraosseous needles
 Portable suction unit with a regulator
 Length/weight-based drug dose chart or tape
The following is a summary of the 2007-08 EMSC performance measure data collection for written pediatric
inter-facility transfer guidelines. Note: the term “state” includes territories.
Written Pediatric
Inter-facility Transfer
Guidelines:
The EMSC Program Measure: the
percentage of hospitals with an ED
in the State/Territory that have
written pediatric inter-facility
transfer guidelines that include all
the EMSC pediatric components*:

- Hospitals:
EMSC Program Targets:
- 2007 Target: 25%
- 2011 Target: 90%
Percentage of Hospitals
with an ED Nationwide that
Have All
the EMSC
Components:
- Hospitals: 14%
*EMSC Components of Inter-facility Transfer Guidelines
 Defined process for initiation of transfer, including the roles and
responsibilities of the referring facility and referral center (including
responsibilities for requesting transfer and communication)
 Process for selecting the appropriate care facility
 Process for selecting the appropriately staffed transport service to match the
patient’s acuity level (level of care required by patient, equipment needed in
transport, etc.)
 Process for patient transfer (including obtaining informed consent)
 Plan for transfer of patient information (e.g. medical record, copy of signed
transport consent), personal belongings of the patient, and provision of
directions and referral institution information to family
 Process for return transfer of the pediatric patient to the referring facility as
appropriate
Performance Measure 66D — Inter-facility Transfer Guidelines Performance Measure 66D — Inter-facility Transfer Guidelines
Emergency Medical Services for Children (EMSC):
Number of States Meeting EMSC Targets:
Content provided by:
NATIONAL STATISTICS:
2/3
rds
of hospitals are
located in a rural setting
Kansas conducted a survey of 123 hospitals with an ED and achieved a 80% response rate. As a result our state
is not required to collect data until the 2010-11 Grant Year.
Kansas
Kansas
Kansas is one of 43 states that did not meet the 2007 EMSC Program
target.
6%
The following is a summary of the 2007-08 EMSC performance measure data collection for written pediatric
inter-facility transfer agreements. Note: the term “state” includes territories.
Written Pediatric
Inter-facility Transfer
Agreements:
The EMSC Program Measure: the
percentage of hospitals with an ED
in the State/Territory that have
written pediatric inter-facility
transfer agreements:

- Hospitals:
EMSC Program Targets:
- 2007 Target: 25%
- 2011 Target: 90%
Percentage of Hospitals
with an ED Nationwide that
Have Written Pediatric
Inter-facility Agreements:
- Hospitals: 38%
Performance Measure 66E — Inter-facility Transfer Agreements
Emergency Medical Services for Children (EMSC):
Number of States Meeting EMSC Targets:
Content provided by:
NATIONAL STATISTICS:
Fifty-eight percent (58%) of hospitals
with an ED participate in a designation
system. Of these:
 10% are part of a national system
 25% are part of a local system
 65% are part of a state system
Over 7 million (25%) of annual ED
patients are pediatric patients
Kansas
Kansas conducted a survey of 123 hospitals with an ED and achieved a 80% response rate. As a result our state
is not required to collect data until the 2010-11 Grant Year.
Kansas is one of 22 states that did not meet the 2007 EMSC Program
target.
Kansas
22%
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