Caring for children in the emergency department (ED) can be challenging due to a wide range of ages and disease states or injuries that differ from adults. The goal of Florida PEDReady is to enhance pediatric emergency care, “readiness” and preparation in all Florida EDs on a voluntary basis with emphasis on non-children’s hospitals. This webpage will host FL PEDReady information, resources, collaborative information, and educational opportunities, but is still “under construction”.
Enhancing the pediatric readiness of EDs to care for children is important to improve quality of care and outcomes for ill or injured children. To achieve this goal, the US Department of Health and Human Services Health Resources and Services Administration (HRSA) EMS for Children (EMSC) Program and the EMSC Innovation and Improvement Center (EIIC) partnered with the American Academy of Pediatrics, the American College of Emergency Physicians, and the Emergency Nurses Association to support a quality improvement collaborative. At a state level, Florida EMSC has named the collaborative Florida PEDReady. Florida EMSC is collaborating with EMLRC to conduct a brief needs assessment, host the Florida PEDReady website and list serve and to disseminate resources, educational opportunities and a PEDReady toolkit. Over the next year, the Florida PEDReady program aims to collaborate with other pediatric, emergency, trauma, rural and hospital stakeholders.
This collaborative project (Florida PEDReady) will be ED versus prehospital focused and will primarily center on nonchildren’s hospitals, especially in rural areas. Nationally, the majority (80-85%) of children and adolescents access emergency care in nonpediatric facilities and have different clinical presentations and needs compared to adults. The 2014 Pediatric Readiness Project survey for Florida had a median score of 82 compared to the national median of 69 with higher scores in high volume EDs.
Florida is unique as the 3rd most populous state in the US, including 20% of the population being children < 18 years of age. Our state has approximately 213 hospitals with EDs, 22+ free standing EDs and 17 children’s hospitals compared to other states that may only have 1-2 children’s hospitals. Access or transfer to pediatric care is usually easily accommodated by our children’s hospitals, burn and trauma centers, although certain areas of the state have a paucity of EDs and pediatric resources. According to FloridaHealthFinder.gov (AHCA), in 2016, there were 8,858,561 ED visits including 540,211 offsite/freestanding with children 0-17 years of age accounting for 1,995,712 or 22% of those visits! Unintentional injury followed by malignancy, homicide and suicide are the leading causes of death in Florida’s children over one year of age.
Please help spread the word regarding this initiative and the needs assessment survey. Areas of focus will be further determined after survey completion. The goal is to identify pediatric readiness related measures and share best practices to assist EDs and hospitals in meeting regulatory and patient safety metrics as part of their overall mission of excellence.
Needs Assessment Survey link: https://www.cvent.com/d/ttq23q
Contact us at firstname.lastname@example.org.
To join the FL PEDReady collaborative please submit the names and contact information of two (2) pediatric ED champions (nurse or administrator + physician) and your facility name to email@example.com.
The responsibilities of the champions include voluntarily:
EDs participating in the FL PEDReady collaborative will receive a PEDReady Toolkit for their ED and have their name listed as a PEDReady Champion!
List coming soon!