Pediatric Readiness

Pediatric Readiness

MEDIC is leading a one-year collaborative pilot program focused on improving pediatric readiness in emergency departments (EDs) across Michigan. Collaborators include Emergency Medical Services for Children (EMSC) partners within the Michigan Department of Health and Human Services (MDHHS), and our colleagues in the Michigan Trauma Quality Improvement Collaborative (MTQIP), a trauma care-focused Collaborative Quality Initiative (CQI). The long-term goal of this work is to ensure all EDs are equipped with the essential resources and are sufficiently prepared to deliver high-quality emergency care to sick  and injured children, ultimately elevating the standard of pediatric care in EDs across Michigan.

Research has shown high pediatric readiness in EDs – scoring >87 points on the National Pediatric Readiness Project Assessment – improves outcomes for children. Michigan EDs interested in participating in this work should reach out to Catie Guarnaccia at szedlaca@med.umich.edu. 

Getting Started

It is important to develop a team of members familiar with all the different aspects of Emergency Department (ED) Pediatric Readiness. Your team members can provide process improvement expertise and serve as champions for the work, advocating for pediatric readiness as a critical component of improved outcomes for sick and injured children.

Forming Your Team:

  • ED Physician Pediatric Emergency Care Coordinator (PECC)
  • ED Nurse Pediatric Emergency Care Coordinator (PECC)
  • Trauma Program Coordinator or Representative
  • Other ED/Hospital Representatives such as:
    • ED techs
    • Clinical Educators
    • Clinical Nurse Specialists
    • ED Managers
    • QI/QA Representatives
    • Pharmacists
    • Medical Supply Representatives
    • Interested Others

Research shows that Emergency Departments (EDs) with a designated PECC were more ‘ready’ than those EDs who did not have PECCs identified, and the presence of both nurse and physician PECCs is strongly correlated with improved pediatric readiness, independent of other factors1.

As such, the ED Physician PECC, ED Nurse PECC, and Trauma Program Representative roles as part of the Pediatric Readiness Team are STRONGLY recommended and should be clearly defined, ideally with protected administrative time for each role.
 

ED PECC Resources from the EMSC Innovation & Improvement Center (EIIC):


ED PECC Resources from the State of Michigan EMSC Office:


Monthly Pediatric Education Hours:

  • 1 hour virtual meeting reviewing pediatric education materials
  • 2:00pm on the last Tuesday of every month
  • Email MI EMSC Coordinator, Sam Mishra (mishras@michigan.gov), if interested in being added to the PECC office hour calendar series

Pediatric Readiness Pilot Program Materials

Key References

  • Ames SG, et al. Emergency Department Pediatric Readiness and Mortality in Critically Ill Children. Pediatrics. 2019;144(3).
  • Foster AA, et al. Pediatric emergency care coordinator workforce: A survey study. JACEP OPEN. 2023;4.
  • 1Gausche Hill M, Ely M, Schmuhl P, Telford R, Remick K, Edgerton E, Olson L. National Assessment of Pediatric Readiness of Emergency Departments. JAMA Pediatrics. 2015 Jun; 169(6): 527-34.
  • Moore B, et al. Pediatrics/Policy Statement: Pediatric Readiness in Emergency Medical Services Systems. Ann Emerg Med. 2020;75:e1-e6.
  • Newgard CD, et al. Association of Emergency Department Pediatric Readiness With Mortality to 1 Year Among Injured Children Treated at Trauma Centers. JAMA Surg. 2022;157(4).
  • Newgard CD, et al. State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved. JAMA Network Open. 2024;7(11).
  • Newgard CD, et al. Emergency Department Pediatric Readiness and Short-term and Long-term Mortality Among Children Receiving Emergency Care. JAMA Network Open. 2023;6(1).
  • Pilkey D, et al. Pediatric Readiness in Critical Access Hospital Emergency Departments. The Journal of Rural Health. 2019;35:480-489.
  • Remick KE, et al. National Assessment of Pediatric Readiness of US Emergency Departments During the COVID-19 Pandemic. JAMA Network Open. 2023;6(7).
  • Weyant C, et al. Cost-Effectiveness And Health Impact Of Increasing Emergency Department Pediatric Readiness In The US. Health Affairs. 2024; 43:10.
  • Whitfill TM, et al. Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States. J Pediatr. 2020;218:210-6.