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What is the National Pediatric Readiness Project (NPRP)?

The National Pediatric Readiness Project is a multi-phase quality improvement initiative to ensure that all emergency departments (EDs) have the essential guidelines and resources in place to provide quality emergency care to children1. The project spans across the United States (U.S.), including territories and freely associated states.  

How can I prepare and learn more about the NPRP project?

Information about the NPRP project is located at The NPRP assessment is housed on a different site (see question below). 

What is the 2021 NPRP Scored Assessment? 

The NPRP Assessment is a national assessment of EDs across the U.S. It determines progress in pediatric readiness, identifies existing gaps, promotes quality improvement (QI) efforts in hospital EDs around the country, develops national collaboratives to address common and critical gaps, and establishes best practices.

How does my emergency department (ED) participate in the NPRP assessment?

The assessment will launch on May 1, 2021 and has been extended to remain open through August 31, 2021. ED nurse managers will receive several postal and email notifications with a link inviting them to take the web-based assessment.  Since only one NPRP assessment per ED can be completed, we encourage you to print the assessment at and review the ED Toolkit and checklist at Then collaborate with your ED leadership to gather information and prepare for the NPRP on-line assessment

ED managers who complete the NPRP assessment in 2021 will immediately receive an ED Gap Report that includes:

  1. ED pediatric readiness score from 0 – 100
  2. Average scores of EDs of similar pediatric volume
  3. Average score of all participating EDs to use as a benchmark
  4. Analysis to target efforts for improvement in pediatric readiness

Why is participation in the 2021 NPRP assessment important for ED managers?

The NPRP assessment helps ED personnel to be better prepared to provide quality care for all patients of all ages by evaluating the QI process of EDs over time. EDs with higher pediatric readiness scores demonstrate a 4-fold lower rate of mortality for children with critical illness than those with lower readiness scores; thus, improving pediatric readiness improves outcomes for children and their families.

What national organizations are supporting these efforts?

The project is supported by the American College of Emergency Physicians, the American Academy of Pediatrics, the Emergency Nurses Association, and the Federal Emergency Medical Services (EMS) for Children Program.

Who should complete the assessment?

Any facility with a 24/7 emergency department (ED) is encouraged to complete the assessment. This includes Freestanding EDs that are open 24/7. 

The ED Nurse manager at each facility receives an invitation to complete the assessment on behalf of their ED. Since only one assessment per ED can be submitted, we encourage ED Nurse managers to print a PDF copy of the NPRP assessment to review with their ED Leadership before taking it online.

My facility is an urgent care with a 24/7 ED. Can we take the assessment?

If your facility is licensed as an urgent care you cannot take the NPRP assessment. Please refer to the 2018 guidelines for more information about recommendations for Urgent Care. If your facility is licensed as an Emergency Department you can take the NPRP assessment.

My hospital has two (or more) EDs such as a general ED and a Children’s ED. Should both take the assessment?

The focus is on where children are cared for. If the ED cares for, triages, and discharges children, that ED should complete the assessment. Please reach out to PedsReady Support at 801-213-3393 or email for further clarification if needed. 

What types of questions are asked on the 2021 NPRP assessment?

The NPRP assessment asks questions based on the 2019 guidelines for the care of children in the ED including: infrastructure, resources, personnel, the administration and coordination of care for children, policies, equipment, and more. We strongly encourage ED nurse managers to download and print a PDF copy of the NPRP assessment and review before submitting their responses online.

How can I prepare and learn more about the 2021 NPRP online scored assessment?

For more information about the NPRP assessment, visit

How long is the NPRP assessment open?

The 2021 assessment opens May 1, 2021 and will remain open through August 31, 2021. To access the portal, go to Click here to access a PDF copy of the assessment.

How is the assessment being administered?

The assessment is being administered by the EMS for Children program through a secure web-based system.

Note that assessment data is held within a secure server and results will only be shared with the person completing the assessment and the state’s EMSC State Partnership grantee.

What is the assessment measuring?

The National Pediatric Readiness assessment provides a basic indicator of an ED’s capacity to treat pediatric patients. It includes questions that address the following areas of the Joint Policy Statement: Guidelines for the Care of Children in the Emergency Department:

  • Administration and Coordination;
  • Competencies for Physicians, Nurses, and Other ED Staff;
  • QI/PI in the Emergency Department (ED);
  • Pediatric Patient and Medication Safety;
  • Policies, Procedures, and Protocols;
  • Support Services; and
  • Equipment, Supplies, and Medications

How does the assessment define children in terms of age?

We know from the 2013-14 assessment that age ranges can vary. For the purposes of the 2021 NPRP assessment, we define a pediatric patient as any person up to age of 18. 

Will the ED receive feedback on the assessment?

Yes. Each hospital that completes the assessment will receive immediate feedback in the form of a gap report. This report highlights a Pediatric Readiness Score based on a scale of 0-100. It also outlines an EDs strengths and opportunities for quality improvement in the following areas:

Guidelines for the Administration and Coordination of the ED for the Care of Children · Physicians, Nurses, and Other Health Care Providers Who Staff the ED · Guidelines for QI/PI in the ED · Guidelines for Improving Pediatric Patient Safety in the ED · Guidelines for Policies, Procedures, and Protocols for the ED · Guidelines for Equipment, Supplies, and Medications for the Care of Pediatric Patients in the ED

Note that a facility's Pediatric Readiness Score is not inclusive of all the components recommended for pediatric readiness; it represents a suggested starting point for emergency departments. Facilities are encouraged to carefully review the Guidelines for Care of Children in the Emergency Department to develop a comprehensive pediatric readiness program.

What if I start taking the NPRP assessment and have to come back to it later?

If you cannot finish the assessment in one sitting, you will be able to resume your progress from any page by clicking on the “Save and Exit” button. This will take you to a page where you must supply your email address to receive an email with a link to YOUR assessment. When you are ready to resume the assessment, from the same computer, click on the web address from the email message and you will be directed to the page of the assessment where you exited.

What resources are available to improve an EDs readiness score?

We encourage ED Nurse Managers to share their gap report, with their ED leadership and emergency department staff to discuss quality improvement (QI). A great resource for QI is the Pediatric Readiness Toolkit, a collection of resources, promising practices, and articles specifically designed to improve the pediatric readiness of their emergency department.

We just took the NPRP assessment and want to learn more about how to improve pediatric readiness. What resources do you have available?

Thank you for participating in the NPRP assessment! We appreciate your interest in learning more about pediatric readiness for your ED. Here are some great resources and places to start:

    • “These recommendations provide current information on equipment, medications, supplies, and personnel considered critical for managing pediatric emergencies in EDs. This statement also offers recommendations for the administration and coordination of pediatric care in the ED; pediatric emergency care QI, performance improvement (PI), and patient safety activities; policies, procedures, and protocols for pediatric care; and key ED support services.” 
  • Review the National Pediatric Readiness Project Toolkit and interactive ED Checklist for several templated policies that may be adopted or adapted for ED use. These resources support quality improvement (QI) efforts including introductory educational modules. Previous work on developing quality indicators for pediatric emergency medicine was undertaken by Alessandrini and colleagues:
    • “More recently, one of the EMSC targeted issues grants is focused on establishing a revised set of quality measures and developing a platform to support this QI work:  In January 2023, the EIIC will be launching the Pediatric Readiness Quality Collaborative 2.0 ( based on these measures.” -Measuring Quality in Pediatric Emergency Care, Clin Pediatr Emerg Med, 2011; 12(2): 102.  

You can also reach out to your state EMS for Children State Partnership Program Manager for any state-specific information that may also be available.

We appreciate all you are doing on behalf of pediatric readiness and quality improvement at your ED! Email if you have additional questions. 

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