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Project Name: EMSC Partnership Grants (H33)
Applicant Title: Mary Hitchcock Memorial Hospital
Abstract Text: Ensuring that all pediatric patients receive the best care no matter where they live is the goal of the New Hampshire EMS for Children State Partnership Program (NH EMSC). NH EMSC was established in 1992 at the Giesel School of Medicine at Dartmouth College and is administered by its partnering hospital Mary Hitchcock Memorial Hospital/Dartmouth-Hitchcock Medical Center. While NH EMSC is based in a higher level academic medical facility, it fosters a strong partnership with the NH Bureau of EMS. This has allowed the NH EMSC Program Manager and Family Advisory Network representatives to be involved with state-level EMS directives including prehospital protocols, education and mandates. In order to improve pediatric care across the state in both the emergency department and prehospital setting the NH EMSC Program works with the National EMSC Program, the National EMSC Data Center and the EMSC Innovation and Improvement Center to reach program-based objectives and performance measures set forth by the Health Resources and Services Administration. The majority of the state's population and hospitals are located in rural areas which have been associated with lower resources and increased transport time to an emergency department. As such, much of our effort is focused on providing equal access to quality pediatric emergency care. This includes improving pediatric emergency care through state-level efforts, free clinical resources, in-person pediatric simulation training and access to regional programs including Always Ready for Children and the New England Pediatric Emergency Care Coordinator Network. By approaching its work with a multi-faceted approach, the NH EMSC Program closes the inequality gap in rural emergency care and improves the state's pediatric emergency care system across the clinical care continuum.