5yr plan of india

8/9/2019 5yr plan of india

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ILLINOIS EMERGENCY MEDICAL SERVICES FOR

CHILDREN

_____________________________________

Five Year Plan

January 1, 2005 December 31, 2009

Illinois Emergency Medical Services for Children

is a collaborative program between the

Illinois Department of Public Health

and

Loyola University Medical Center


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ILLINOIS EMERGENCY MEDICAL SERVICES FORCHILDRENFive Year Plan

Table of Contents

Foreword ................................................................................................................................................................1

Organizational Structure ......................................................................................................................................2

Introduction............................................................................................................................................................3

Illinois EMSC Vision/Mission/Goals....................................................................................................................7Three Year Plan

Goal One-Include pediatric issues in all aspects of EMS development ................................................8

Goal Two-Improve hospital classification and regional system development ...................................10

Goal Three-Expand pediatric emergency training programs for health professionals ....................12

Goal Four-Improve data collection/analysis/research related to EMSC............................................14


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Illinois EMSC ProgramOrganizational Structure

ILLINOIS DEPARTMENT OF PUBLIC HEALTH

Division of EMS and Highway Safety

Illinois EMSC Advisory Board

EMSC Program Personnel(Based at Loyola University Medical Center)

FacilityRecognitionTask Force

Prevention/PublicEducation Committee

School NurseCommittee

Data SurveillanceTask Force

CQI *Subcommittee

PrehospitalCommittee

Pediatric BioterrorismWork Group

(reports to ITTF)**

EEMMSSCCCCOOAALLIITTIIOONN*CQI Continuous Quality Improvement**ITTF Illinois Terrorism Task Force


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Development of an Emergency Department Continuous Quality Improvement (CQI) training workshop that provides hospitals with

training, tools and guidelines for conducting pediatric focused quality improvement activities; Sponsorship of pediatric emergency care education that has led to the training of more than 3,500 providers and more than 600

instructors; Conduction of the School Nurse Emergency Care (SNEC) course to school nurses to assure they receive appropriate training to address

seriously ill or injured children;

Development of partnerships with key professional healthcare organizations, public service agencies and individuals whose support andcollaboration lend to EMSC initiatives;

Development of a Web-based data system providing information on state/local emergency care, illness and injury trends (accessible

through http://app.idph.state.il.us/emsrpt); Development of a state EMSC Web site that provides access to pediatric resources, guidelines and standards (www.luhs.org/emsc); Establishment of an annual governor proclamation forEMSC Day during EMS Week; Establishment of the annualRon W. Lee, M.D. - Excellence in Pediatric Care Awards; Partnership with the Kiwanis and other community organizations; and Participation in the regional C.A.R.E. (Center of America Regional EMSC) conferences and initiatives.

A strong commitment to EMSC efforts by individuals and organizations vested in improving childhood care has been instrumental in

achieving these various EMSC accomplishments. This 2005 2009 Plan will guide Illinois EMSC efforts over the next several years andbuild upon the activities previously completed. Illinois EMSC will continue to strive to maintain accomplished initiatives and work to

sustain similar achievements in other essential areas of childhood emergency care and injury prevention.


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ILLINOIS EMERGENCY MEDICAL SERVICES FORCHILDREN

VISION

Illinois EMSC envisions a state where children can lead safe and healthy lives.

MISSION

The mission of Illinois EMSC is to prevent and reduce childhood and adolescent death and disability resulting from illness andinjury. Illinois EMSC champions the integration of family-centered care that is culturally competent and encompasses the

continuum of care from primary prevention through treatment, rehabilitation and community re-integration.

GOALS

Goal 1: Include pediatric issues in all aspects of EMS development.

Goal 2: Improve hospital classification and regional system development.

Goal 3: Expand pediatric emergency training programs for health professionals.

Goal 4: Improve data collection/analysis/research related to EMSC.

Note: The Illinois EMSC Vision and Mission Statements have been adopted from the Center of America Regional EMSC (C.A.R.E.) vision and mission.


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ILLINOIS EMERGENCY MEDICAL SERVICES FORCHILDREN

FIVE YEARPLAN

JANUARY 1,2005DECEMBER31,2009

GOAL: 1 Include pediatric issues in all aspects of EMS development.

OBJECTIVENATIONAL

EMSC 5 YR.

PLAN

ACTIVITIES RESPONSIBLE PARTIES TIME FRAME FOR

COMPLETION

1.A Increase thestatewide EMSC promotionalactivities as well as thestatewide pediatric

emergency care and

childhood prevention

initiatives.

Indicators:

Number of statewide EMSC

promotional activitiesconducted

Number of statewide

pediatric emergencycare/childhood prevention

initiatives conducted

Baseline Promotional Data:

3/1/03-2/28/04-150 activities3/1/02-2/28/03-141 activities

3/1/01-2/28/02-133 activities3/1/00-2/28/01-119 activities

10/1/98-9/30/99-98 activities

10/1/97-9/30/98-56 activities

10/1/96-9/30/97-45 activities

Helps nationalEMSC meet

national objectives:B-8

I-1

I-2

J-2

K-1K-2

1. Annually, obtain gubernatorialproclamation recognizing EMSC Day

and encourage sponsorship ofpediatric events on this day within

each EMS Region.

2. Annually develop, produce anddisseminate an EMSC Day mailingfocusing on a specific theme.

3. Solicit statewide nominations for, andpresent annually, theRon W. Lee

M.D.-Excellence in Pediatric Care

Awards.

4. Develop and maintain partnershipswith community groups, schools and

universities that foster pediatricemergency care education and

prevention activities.

5. Integrate disaster and bioterrorismpreparedness components into EMSC

activities. Coordinate the ITTF

Pediatric Bioterrorism Work Group.

IDPH EMS Division ChiefEMSC Work Team

EMSC Advisory BoardRegional EMS Coordinators

EMSC Work Team

EMSC Advisory BoardPrevention/Public Education Task

Force

School Nurse CommitteeRegional EMS Coordinators

EMSC Work TeamEMSC Advisory Board

Prevention/Public Education Task

Force

EMSC Work Team

EMSC Advisory Board

Prevention/Public Ed Task ForceSchool Nurse Committee

Pediatric Bioterrorism Work Group

Facility Recognition Task Force

Regional EMS Coordinators

March of each year

April of each year

January-May of each year

Ongoing

Ongoing


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OBJECTIVENATIONAL

EMSC 5 YR.

PLAN


COMPLETION

6. Participate on CDPH PediatricBioterrorism Committee for resourcedevelopment and sharing.

7. Promote pediatric education (i.e.,PEPP) to IMERT and RMERTmembers.

8. Enhance public awareness of EMSCand EMSC communication

capabilities through the EMSC Website, IDPH Web site, listserv,

mailings, promotional events andprint/broadcast media.

9. Promote programs that assist inteaching emergency lifesaving skillsto children, i.e., BELS (Basic

Emergency Lifesaving Skills).

10. Promote accessibility to and use of theReach for the Sky: Injury Preventionfor Medical Providers CD-ROM to

increase healthcare practitionerprevention efforts.

11. Conduct other promotional initiativesas appropriate.

EMSC Work TeamCDPH Peds Bioterrorism Committee

EMSC Work Team


EMSC Work Team

EMSC Advisory Board

Prevention/Public Ed Task ForceSchool Nurse Committee


Regional EMS Coordinators

EMSC Work Team

EMSC Advisory BoardPrevention/Public Ed Task Force

School Nurse Committee

Regional EMS CoordinatorsEMS Lead Instructors and

Trauma/EMS Coordinators


Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

1.B Integrate at least onepediatric-specific componentinto state

legislation/regulation each

year.

Indicator:

One pediatric-specificcomponent is integrated into

state legislation/regulationannually.


national objectives:

F-2

F-4

F-5G-1

G-2

H-1

1. Work to formally establish EMSCcomponents through regulatory orlegislative action.

2. Provide Task Force recommendationson regulatory amendments to theAdvisory Board for approval.

3. Work with IDPH to integrateapproved EMSC initiatives into the

EMS rules and regulations.


All Task Forces and Committees

EMSC Work Team

EMSC Advisory BoardAll Task Forces and Committees

IDPH EMS Division ChiefEMSC Work Team

EMSC Advisory Board

By close of the legislativesession each year

Ongoing

Ongoing


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OBJECTIVENATIONAL

EMSC 5 YR.

PLAN


COMPLETION

Baseline Data:As of 1/1/01:EMSC legislation-1

EMSC regulations-34

4. Review current EMSC related rulesand revise as appropriate. EMSC Work TeamEMSC Advisory Board and allcommittees

Ongoing

1.C Support existingcommunity partnerships and

increase by one annually thenumber of established

community outreach

partnerships.

Indicator:

Number of establishedcommunity outreach

partnerships

Baseline Data:

Community outreach

partnership with Kiwanis and

Telephone Pioneers ofAmerica.


national objective:K-1

1. Strengthen and promote the EMSC-Kiwanis collaborative community

partnerships that link healthcareprofessionals with community

groups, in order to better meet

pediatric emergency care and injuryprevention needs.

2. Extend existing EMS Region 4community partnerships with

Kiwanis, Telephone Pioneers of

America and others to additionalregions. Replicate the process with

other community groups, i.e., Rotary,

United Way and Junior League.

EMSC Work TeamPrevention/Public Education Task

ForceEMS Regional Coordinators

Local Kiwanis Clubs and

Telephone Pioneer Clubs

EMSC Work Team

Prevention/Public Education Task

Force

EMS Regional Coordinators

Ongoing

Ongoing

GOAL: 2 Improve hospital classification and regional system development.

OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

2.A Integrate the facilityrecognition process in all 11

regions of the state.

Indicator:Number of hospitals

participating in the process

Helps national

EMSC meetnational objectives:

A-1

A-3F-2

1. Conduct ongoing renewal of facilityrecognition status. Implement PCCCthroughout state. Assess pediatric

disaster preparedness during site

surveys.

2. Encourage hospitals that have not yetparticipated, to apply for PCCC,

EDAP or SEDP recognition status.

IDPH



EMS Regional Advisory BoardsEMSC Site Survey Teams

IDPHEMSC Work Team

EMSC Advisory BoardFacility Recognition Task ForceEMS Regional Advisory Boards

Ongoing

Ongoing


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OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

Baseline Data: As of 12/04,101 hospitals participate infacility recognition.

3. Work to address urban/ruralchallenges to the process. Identifythe role of Critical Access Hospitals.

4. Assist EMS Resource Hospitals inattaining facility recognition status(HRSA FY05 deliverable).

EMSC Work TeamEMS Regional Advisory BoardsIndividual Hospitals

EMSC Work Team

EMSC Site Survey Teams

Ongoing

2005

2.B Enhance pediatricinpatient capabilities.

Increase the percentage of

written hospital transfer

agreements with PediatricCritical Care Centers

(PCCCs).

Indicator:

Percentage of written hospital

transfer agreements

Number of hospitals

recognized as a PCCC

Baseline Data:

Approximately 85 percent ofhospitals who participate in

facility recognition havetransfer agreements.

Helps national

EMSC meet

national objectives:A-2G-1

1. Enhance pediatric inpatientcapabilities through EDAP and PCCC

recognition process.

2. After evaluation and appropriaterevisions, submit PCCC criteria and

application process to rulemaking.

3.

Evaluate presence of transferagreements in hospitals undergoing

site surveys.

4. Monitor impact of malpractice issueson availability of pediatric critical or

specialty services.

5. Monitor interfacility transfers throughstatewide hospital discharge data.

EMSC Work Team

EMSC Advisory Board

Facility Recognition Task ForceEMS Regional Advisory Boards

IDPH

EMSC Work Team

EMSC Advisory Board

Facility Recognition Task ForceEMS Regional Advisory Boards

Facility Recognition Site SurveyTeams

EMSC Work Team

EMSC Site Survey TeamsEMSC Work Team

EMSC Advisory Board


IDPH Division of Epidemiology

Ongoing

2006

Ongoing

Ongoing

Ongoing

2.C Enhance ED/EMSpediatric CQI capabilities.

Indicators:

Number of regions with

active CQI regional

committees and

representation on their EMSadvisory boards.

Helps national

EMSC meet


C-4H-1

1. Develop and rollout Web-based CQIand educational module program,

which will support trending and

benchmarking.

2. Address CQI/Data educational needsthrough the Web site or conduction ofeducational workshops as needed.

EMSC Work Team

CQI Sub-committee

EMSC Work Team

CQI Sub-committee

Begin in 2005

Ongoing


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OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

Number of hospitalsparticipating in regional CQIprocess.

Number of multidisciplinary

educational modules andtreatment protocols

developed and utilized.

Number of pediatric CQI

indicators monitored.

Baseline Data: All regions

currently have an active

regional CQI committee.

3.

Develop and disseminate sample CQImonitor templates, educationalmodules and treatment/management

guideline templates.

4. Collaborate with Illinois EmergencyNurses Association (ENA), Illinois

College of Emergency Physicians

(ICEP) and other organizations to

support pediatric CQI liaison efforts.

5. On a quarterly basis, evaluate the CQIregional process and reportingmechanisms.

6. Through facility recognition, evaluatecompliance with participation at theregional and hospital level.

EMSC Work TeamCQI Sub-committeePediatric CQI Liaisons

EMSC Work TeamENA Pediatric Committee

CQI Sub-committee

EMSC Work Team

Regional CQI Sub-committeesPediatric CQI Liaisons


EMSC Work Team

IDPHEMSC Site Survey Teams

Ongoing

Ongoing

Ongoing

Ongoing

GOAL: 3 Expand pediatric emergency training programs for health professionals.

OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

3.A Promote EMSC byincreasing the number of

pediatric emergency care

educational opportunities

offered throughout the state.

Helps national


B-1

D-1

1. Promote conduction of APLS, ENPC,NRP, PALS, PEPP and SNECcourses.

2. Assist ENA, ICEP and CTCs inidentifying geographic need foreducational courses noted above.

3. Promote/sponsor pediatric disasterpreparedness educational courses.

EMSC Work Team

School Nurse CommitteeCourse Sponsoring Agencies

EMSC Work TeamCourse sponsoring agencies

EMSC Work TeamPediatric Bioterrorism Work Group

Course Coordinators

Ongoing

Ongoing

Ongoing


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OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

Indicator:Number of pediatricemergency care educational

opportunities offered.

Baseline Course Data:

3/1/02-2/28/03=25 courses

3/1/01-2/28/02=27 courses

3/1/00-2/28/01=33 Courses

10/1/98-9/30/99=61 Courses10/1/97-9/30/98=31 Courses

10/1/96-9/30/97=20 Courses

10/1/95-9/30/96=16 Courses

4.

Create awareness of educationalresources for children with specialhealthcare needs, i.e., TRIPP, A

Child in Need, and SCOPE.

5. Utilize the EMSC Web site as amechanism for posting pediatric

educational offerings throughout the

state.

6.

Utilize the facility recognition sitesurveys as an opportunity to educate

regarding pediatric emergency care.

7. Create awareness amongSEDP/EDAP/PCCC of educationalopportunities.

8. Conduct or facilitate pediatriceducational workshops/trainings asappropriate.

EMSC Work TeamCourse Coordinators

EMSC Work Team

EMSC Advisory Board

Course Sponsoring Agencies

EMSC Site Survey Teams

EMSC Work Team

EMSC Work Team

EMSC Advisory Board

Regional CQI Board Committees

EMSC Work Team

EMSC Advisory BoardRegional CQI Committees

Ongoing

Ongoing

Ongoing

Ongoing

Ongoing

3.B Enhance emergencyand disaster preparedness of

school nurses.

Indicator: Number of SNECcourses conducted annually.

Baseline Data: Annual

conduction of SNEC courses.

Helps national


B-2

K-3

1. Promote awareness of the SNECcourse and other emergency anddisaster related educational offerings

to the following: school nurses,

school principals/superintendents,PTAs, community agencies.

2. Conduct at least 6-8 SNEC coursesand 1 instructor course annually.

Target geographic areas of need.

3. Coordinate monitoring experience forSNEC instructor candidates.

4. Maintain data base of SNEC courseparticipants/instructors.

5. Assure participation of keystakeholders in ongoing revisions of

the SNEC curricular material (i.e.,IASN, ISBE, IDHS and ENA).

EMSC Work Team

School Nurse CommitteeIllinois State Board of Education

Illinois School Nurses Association

EMSC Work Team

EMSC Work Team

EMSC Work Team

EMSC Work TeamSchool Nurse Committee

Ongoing

Annually

Ongoing

Ongoing

Ongoing


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OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

6. Investigate incorporating SNEC intoSchool Nurse Certificate Program.

7. Conduct other school relatedemergency/disaster educational

offerings as appropriate.

EMSC Advisory BoardEMSC Work Team

School Nurse Committee

Illinois State Board of EducationIDHS School Health Program

EMSC Work TeamSchool Nurse Committee

Ongoing

Ongoing

3.C Support new orevolving methods ofeducation.

Indicator: Number of

alternative methods ofeducation.

Baseline: Distance learning

currently used in state.

Helps national


A-4

A-8

B-7

1. Support strategies that ensure greateraccess to pediatric education, i.e.,web based education, self study

modules, Telemedicine or distance

learning mechanisms.

2. Post all pediatric related courseavailability and links on the EMSC

web site.

EMSC Advisory Board

Facility Recognition Task ForceEMSC Work Team

Regional CQI Committees


All EMSC Committees

Ongoing

Ongoing

GOAL: 4. Improve data collection/analysis/research related to EMSC

OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

4.A Develop and maintaina statewide data surveillance

system.

Indicator: Measure of data

elements and databases in

electronic reporting system.

Helps national

EMSC meetnational objectives:C-1

E-2

1. Enhance electronic reporting systemprovision of illness/injury trending byadding new years of data, additionaldata elements and other

capabilities/features.

2. Encourage utilization of electronicreporting system to support EMS/EDquality improvement activities.

EMSC Data Task Force

EMSC Work TeamIDOT

EMSC Work Team


Ongoing

Ongoing


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OBJECTIVENATIONAL

EMSC 5-YR

PLAN


COMPLETION

Baseline: An interactive dataquery system containing fivestatewide databases is

currently in place and

accessible via

app.idph.state.il.us/emsrpt.

3.

Encourage utilization of electronicreporting system data for the regionalCQI committees or regional

EMS/Trauma Advisory Board

Meetings.

4. Consult with National EMSC DataAnalysis Resource Center (NEDARC)

for guidance on data and reportingsystem activities.

EMS Regional Advisory BoardsPediatric CQI Liaisons

EMSC Work Team

Ongoing

Ongoing

4.B Develop amethodology to evaluateEMSC standards/components

and their impact on pediatric

patient outcomes.

Indicator: Develop CQI

indicators.

Baseline: Preliminaryoutcome analysis of the

facility recognition process

using IHA data has taken

place.

Helps national

EMSC meet

national objectives:C-2

C-4

1. Analyze databases available to EMSCprogram and identify outcome

measures.

2. Support data linkage initiatives toassist with outcome measures.

3. Develop fact sheets and data analysisreports to add to reporting system.

EMSC Work Team

EMSC Work Team

EMSC Advisory Board


CQI Sub-committee

EMSC Work Team

Ongoing

Ongoing

Ongoing

4.C Develop anddisseminate an annual report

on the status of pediatric

emergency care.

Indicator: Report is

developed and disseminatedannually.

Baseline: Annual EMSC

reports already produced

include 2002, 2003 and 2004.



C-4

F-1

1. Develop and disseminate EMSCannual report to targeted audiences

and place on EMSC Web site.

2. Identify statewide and national datasources and other content for

inclusion into the annual report.

3. Identify and collaborate with otherorganizations to promote data

collection/ surveillance initiatives.

4. Participate at annual C.A.R.E.regional conferences and national

EMSC grantee meetings and sharestate data trends as appropriate.

EMSC Work Team

EMSC Work TeamEMSC Data Task Force

EMSC Work Team


IDPH

EMSC Work Team


Annually

Annually

Ongoing

Annually

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5yr plan of india