Emergency Medical Services for Children Targeted Issues Program

Funding Agency:
Health Resources and Services Administration

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2019 Emergency Medical Services for Children (EMSC) Targeted Issues Program. The purpose of this program is to demonstrate the link between system readiness improvements within hospital and prehospital emergency medical systems and improved clinical care and health outcomes among pediatric patients. 

Targeted Issues projects are investigator-initiated projects that expand the evidence base in pediatric emergency medicine, resulting in nationally significant findings that inform future efforts to improve emergency medical services for children. Each project will examine how select improvements from one of the two categories below are associated with improved delivery of optimal pediatric clinical care (e.g., adherence to evidence-based clinical guidelines, improved system performance such as reduced time to appropriate medication) and patient health outcomes related to emergency care (e.g., mortality and morbidity, reduced severity of asthma, decreased hospitalization for trauma). Proposed projects must meet an identified need, and relate directly to improving the quality of care of pediatric Emergency Medical Services (EMS). You must propose goals, objectives, and methods that are consistent with the program activities described below.


​Deadline: April 11, 2019

Agency Website

Areas of Interest

HRSA will fund at least one project in each category.

Category 1: Readiness of Emergency Departments (EDs) to Care for Children. Projects in this category will be based on the Joint Policy Statement--Pediatric Readiness in the Emergency Department, established by the American Academy of Pediatrics (AAP), the Emergency Nurses Association (ENA), and the American College of Emergency Physicians (ACEP).2 The proposed projects should include more than one hospital and assess how adoption of these guidelines within EDs is associated with changes in the quality of pediatric clinical care and improved health outcomes.

Category 2: System Readiness Improvements in EMSC Performance Measures. Projects in this category will focus on select performance measures (PMs)3 from the HRSA EMSC State Partnership Program. You may select one or more of the PMs below and demonstrate the impact on delivery of optimal clinical care and improved pediatric health outcomes. Proposed projects should include more than one ED or prehospital Emergency Medical Services (EMS) agency.

Eligibility Requirements

Eligible applicants include domestic state governments or accredited schools of medicine in states and jurisdictions.

Pursuant to § 1910(a) of the PHS Act, no more than three awards under this authority may be made in a state (to a state or a school of medicine in such state). HRSA will not provide funds to more than three award recipients within each state in a given fiscal year.



Amount Description

HRSA expects approximately $1,300,000 to be available annually to fund four recipients. You may apply for a ceiling amount of up to $325,000 total cost (includes both direct and indirect, facilities and administrative costs) per year. The period of performance is September 1, 2019 through August 31, 2023 (4 years). Funding beyond the first year is dependent on the availability of appropriated funds for the HRSA EMSC Program in subsequent fiscal years, satisfactory recipient performance, and a decision that continued funding is in the best interest of the Federal Government.

Funding Type





Community Outreach and Engagement
Medical - Clinical Science

External Deadline

April 11, 2019