What are the EMSC Performance Measures?
On the left hand navigation bar, download the new 2017 Performance Measure Implementation Manual, read more about the process for developing the new EMS Performance Measures and find links to some helpful Performance Measure tools.
The New EMS for Children Performance Measures Implementation Manual has been released!
Download a copy today!

What Are the EMSC Performance Measures?
The EMSC program performance measures are a set of standards that were developed to measure long-term progress at both state and national levels of the EMSC program in key areas of pediatric emergency care.
The measures were developed in accordance with the Government Performance and Results Act (GPRA), a results-oriented approach that requires federal agencies to establish performance measures that guide decisions and monitor program success.
The performance measures represent:
A systematic, uniform process of focusing and measuring program activities and promoting permanence of EMSC programs at the state level.
The Performance Measures:
EMSC 01 Performance
Measure Submission of NEMSIS
Compliant Version 3.x- Data |
The degree to which EMS agencies submit NEMSIS
compliant version 3.x data to the State EMS Office.
By 2018, baseline data will be available to assess the number of EMS
agencies in the state or territory that submit National Emergency
Medical Services Information System (NEMSIS) version 3.x-compliant
patient-care data to the State Emergency Medical Services (EMS) Office
for all 911-initiated EMS activations.
By 2021, 80 percent of EMS agencies in the state or territory submit
NEMSIS version 3.x-compliant patient-care data to the State EMS Office
for all 911-initiated EMS activations.
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EMSC 02 Performance
Measure Pediatric Emergency
Care Coordinator (PECC) |
The percentage of EMS agencies in the state or territory that have a
designated individual who coordinates pediatric emergency care.
By 2020, 30 percent of EMS agencies in the state or territory have a
designated individual who coordinates pediatric emergency care.
By 2023, 60 percent of EMS agencies in the state or territory have a
designated individual who coordinates pediatric emergency care.
By 2026, 90 percent of EMS agencies in the state or territory have a
designated individual who coordinates pediatric emergency care.
|
EMSC 03 Performance
Measure
Use of Pediatric-Specific
Equipment |
The percentage of EMS agencies in the state or territory that have a
process that requires EMS providers to physically demonstrate the
correct use of pediatric-specific equipment.
By 2020, 30 percent of EMS agencies will have a process that requires
EMS providers to physically demonstrate the correct use of pediatric specific
equipment, which is equal to a score of 6 or more on a 0–12 scale.
By 2023, 60 percent of EMS agencies will have a process that requires
EMS providers to physically demonstrate the correct use of pediatric specific
equipment, which is equal to a score of 6 or more on a 0–12 scale.
By 2026, 90 percent of EMS agencies will have a process that requires
EMS providers to physically demonstrate the correct use of pediatric specific
equipment, which is equal to a score of 6 or more on a 0–12 scale.
|
EMSC 04 Performance
Measure Hospital Recognition
for Pediatric Medical
Emergencies |
The percent of hospitals with an Emergency Department (ED)
recognized through a statewide, territorial or regional standardized
program that are able to stabilize and/or manage pediatric medical
emergencies.
By 2022, 25 percent of hospitals are recognized as part of a statewide,
territorial, or regional standardized program that are able to stabilize
and/or manage pediatric medical emergencies.
|
EMSC 05 Performance
Measure
Hospital Recognition for
Pediatric Trauma |
The percent of hospitals with an Emergency Department (ED)
recognized through a statewide, territorial or regional standardized
system that are able to stabilize and/or manage pediatric trauma.
By 2022, 50 percent of hospitals are recognized as part of a statewide,
territorial, or regional standardized system that recognizes hospitals that
are able to stabilize and/or manage pediatric trauma.
|
EMSC 06 Performance
Measure
Interfacility Transfer
Guidelines |
The percent of hospitals with an Emergency Department (ED) in the
state or territory that have written interfacility transfer guidelines that
cover pediatric patients and that include the following components of
transfer:
- 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 medical record.
- Plan for transfer of copy of signed transport consent.
- Plan for transfer of personal belongings of the patient.
- Plan for provision of directions and referral institution information
to family.
By 2021, 90 percent of hospitals in the state or territory have written interfacility transfer guidelines that cover pediatric patients and that include specific components of transfer. |
EMSC 07 Performance
Measure
Interfacility Transfer
Agreements |
The percent of hospitals with an Emergency Department (ED) in the
state or territory that have written interfacility transfer agreements that
cover pediatric patients.
By 2021, 90 percent of hospitals in the state or territory have written
interfacility transfer agreements that cover pediatric patients.
|
EMSC 08 Performance
Measure
Permanence of EMSC |
The degree to which the state or territory has established permanence of
EMSC in the state or territory EMS system.
Goal: To increase the number of states and territories that have
established permanence of EMSC in the state or territory EMS system.
Each year:
- The EMSC Advisory Committee has the required members as per
the implementation manual.
- The EMSC Advisory Committee meets at least four times a year.
- Pediatric representation incorporated on the state or territory EMS
Board.
- The state or territory requires pediatric representation on the EMS
Board.
- One full-time EMSC Manager is dedicated solely to the EMSC
Program.
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EMSC 09 Performance
Measure
Integration of EMSC
Priorities into Statutes or
Regulations |
The degree to which the state or territory has established permanence
of EMSC in the state or territory EMS system by integrating EMSC
priorities into statutes or regulations.
By 2027, EMSC priorities will have been integrated into existing EMS,
hospital, or healthcare facility statutes or regulations.
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rev. 05-Aug-2019