Florida EMSC Pediatric, Trauma, and Maternal

Funding & Disclaimers Florida Medical Malpractice Joint Underwriting Association (FMMJUA) Alvin E Smith Partnerships in Improving the Safety of Health Care Services Grant Program (RFA # 2024-01)
Department of Emergency Medicine, Division of Research, University of Florida College of Medicine – Jacksonville
This project and contents of the dashboard and website do not represent the official views of, nor an endorsement, by FMMJUA or the University of Florida.<br>

Florida PEDReadyED Team Big thank you to our UF GeoPlan Center partners!
Team effort
Many challenges and solutions
We need your data and input!<br>

Florida PEDReadyED Grant Objectives: Subprogram of FL EMSC Develop and implement a model voluntary pediatric readiness recognition program for rural EDs (coming soon)
Rural Lifeline PEDReady Program
Develop a free-access state dashboard of Florida EDs and hospitals with burn, trauma, neonatal, maternal, and pediatric capabilities, along with other key variables and information in a geospatial platform<br>

Most Children are Going to Local EDs 80% of children receive care in their local ED, and of those, >90% are general EDs, with <10% located in a pediatric-specific or designed pediatric area of the ED
Of the general EDs, >70% see <10 children per day similar to the prehospital setting, with 80% of EMS agencies caring for <8 children/month
OSEDs, FSEDs, and now Hospital-Based Off-Campus EDs
Most EDs and EMS agencies perform infrequent critical procedures and medication dosing for children
A significant number of critically ill and injured children are walked into the ED or arrive by car<br>

Emergency Care in Florida 375+ EDs (222 integrated EDs, 153+ stand-alone/OCEDs)
348 licensed EMS agencies (304 ALS, 36 Air, 8 BLS)
15 Children’s hospitals
36 state-designated trauma centers
11 level I, 3 pediatric, 1 level II pediatric, 21 level II centers
Different from ACS verification
6 burn centers Download the map by scanning the QR code with your phone’s camera or visiting the Florida EMSC Website<br>

Rural Counties 33 of 67 Florida counties are rural (population ≤ 75,000 or ≤125,000 contiguous to county of ≤ 5,000)
Approximately 22 rural hospitals (licensed acute care hospitals having ≤ 100 beds and an emergency room), including sole community hospitals and critical access hospitals
10 counties have no ED or hospital Download the map by scanning the QR code with your phone’s camera or visiting the Rural Health - Florida Department of Health<br>

What Is It Like To Not Be In An Ivory Tower Academic or Tertiary Pediatric Facility? No pediatric RT, pediatric radiologist, child life, or subspecialists
One Dr, 2 nurses, 1 clerk, etc.
Treating multiple patients with no control over patient flow
Adult and pediatric
Trauma, medical, cardiac, OB, pediatric,……………….
Listen to the voice of those who are sending you patients
Make their job easier
They may not know PMH, birth history, etc.
Need to “get the kid out of here”
The patient/family comes first, not the system 10<br>

Dashboard Background and Purpose Created to help clinicians (and supporting staff) manage neonatal, maternal, and pediatric emergencies and rapidly identify facilities with pediatric and maternity specialty resources in Florida.
Intended as a resource and reference designed to assist with the logistics of caring for children with medical and trauma emergencies, including transport to definitive care when necessary.
NOT intended to function as a clinical decision support tool.
Built using the most relevant and publicly available information at the time of creation (late 2025) and will be updated monthly or upon receiving direct facility information.
If you identify incorrect information about your facility, please contact the FLPEDReadyED team at FLPEDReadyED@jax.ufl.edu or 904.244.4986.<br>

Potential Scenarios or…..Why This Dashboard Was Created An out of state locum tenens physician is working in a rural ED
Who wants to work in Florida?
A 2 yo is walked into a community ED after jumping on a glass coffee table with exsanguinating hemorrhage due to a lacerated axillary artery
A 14 yo arrives at a FSED clinging to the wall complaining of abdominal pain…. pregnant in active labor… no maternity services in the county
Severe MVC with 2 vehicles, 3 parents/caregivers and 5 children, rainy and stormy… air transport not an option
Hurricane with 2 hospitals closed or damaged
Trauma Center or Children’s Hospital on lockdown due to… bomb threat, cyber attack, pick your poison… sending ED needs a new transfer destination
What is the best direct phone number to initiate transfer vs general hospital or ED number<br>

Potential Scenarios or…..Why This Dashboard Was Created Or….you recently moved to Florida with your special needs child (children) and as a parent/caregiver you want to acquaint yourself with options for your child’s healthcare facility options<br>

Limitations and Considerations for Use Psychiatric and Rehabilitation Hospitals Excluded
Distinctions between ACS and FDOH trauma center specifications
Both are listed on dashboard
Age cutoffs and family trauma packages
NICU levels go from Level I (newborn nursery) to Level IV (highest level of NICU care), whereas a Trauma Level I signifies the highest level of trauma care
Most of the time, the “direct distance” (aeronautical miles) and “driving distance” are very similar. However, there are areas, especially in coastal and rural Florida, where these distances may differ significantly. Please keep this in mind for air vs ground ambulance transports. The time of day, weather, and traffic patterns should also be considered.<br>

Limitations, Challenges, and Considerations Children’s hospitals, trauma centers, and other pediatric/neonatal specialty and tertiary hospitals vary in organizational structure and transfer logistics
Challenges with large urban healthcare systems that include adult and pediatric hospitals on the same campus or in close proximity
How to best list?
Trauma, especially from MVCs, often involve families (e.g., two adult parents, a four-year-old, and a 16-year-old in the same incident). When possible, this should be taken into consideration when determining transfer options, as most parents are reluctant to leave their children and may refuse care if an attempt is made to separate families.
The child’s age, history, and injury severity must also be weighed in decision-making.
New EDs, hospitals, and subspecialty designations will be added to the dashboard upon request, and after quarterly ACHA hospital and ED licensure review - New FSEDs opening every week in Florida!<br>

Draft EMS for Children GIS Dashboard Attention! This is a draft version
Discoverable on ARGIS platform
No public announcement pending your hospital/ED feedback
Numerous sources used to create the dashboard: AHCA, facility websites, and phone calls
Different AHCA licensure vs facility or local names
Names often not aligned; St. vs ST vs Saint, etc.
New healthcare system branding
Educate hospital operators and transfer centers<br>

Data Sources- Everchanging List of all ED/Hospital Facilities in the state of Florida – Florida Department of Health and Agency for Healthcare Administration [AHCA] – healthfinder.fl.gov
https://quality.healthfinder.fl.gov/QueryTool/QTResults?T=E#:~:text=Table_title:%20Javascript%20must%20be%20enabled%20in%20your,38,551%20%7C%20%25%20Total%20Charges:%200.1%25%20%7C
https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Ffhfstore.blob.core.windows.net%2Fdocuments%2Fresearchers%2FQuickStat%2Fdocuments%2F2024%2520EMERGENCY%2520DEPARTMENT.xlsx&wdOrigin=BROWSELINK
https://ahca.myflorida.com/content/download/27705/file/Hospital-Based%20Off-Campus%20Emergency%20Departments.pdf (12.11.2025)
Trauma Centers – Florida Trauma Centers List (FDOH) and ACS Verified Trauma Centers Florida (ACS)
Burn Centers – Florida Committee on Trauma (FL Burn Centers) and American Burn Association (Find a Burn Center)
Pediatric Inpatient Units and Pediatric Intensive Care Units (PICUs) - From individual facility websites and, when necessary, phone calls to the facilities to confirm
Obstetric Capabilities – AHCA (Hospital ER Services) and Florida Department of Health
Neonatal Intensive Care Unit Levels – Florida Department of Health (NICU Level I), AHCA (NICU Level II), AHCA (NICU Level III), AHCA (NICU Level IV), and from individual facility websites, and when necessary, phone calls to the facilities to confirm<br>

New ADA Accessibility Guidelines In April 2024, the Department of Justice published a rule that sets technical requirements for state and local governments to follow to make sure that their websites and mobile apps are accessible to people with disabilities
State or local governments with a population of 50,000 or more persons compliance deadline: April 24, 2026 – this includes the University of Florida
Updates to the Florida EMSC website and the dashboard user guide are currently underway Scan the QR code to view the guidelines: https://www.ada.gov/resources/web-rule-first-steps/<br>

Florida EMSC Pediatric, Trauma, and Maternal Services Dashboard Dashboard Website, User Guide, and Video on the FL EMSC website:
https://flemsc.emergency.med.jax.ufl.edu/pedreadyed-lifeline-2/ Florida EMSC Pediatric, Trauma, and Maternal Services Dashboard:
https://ufl.maps.arcgis.com/apps/instant/nearby/index.html?appid=9b96311b2e3a4e4d9f6a968fe1491c60&sliderDistance=50<br>

Florida EMSC Pediatric, Trauma, and Maternal Services Dashboard continued<br>

FL EMSC Pediatric, Trauma, and Maternal Services Dashboard<br>

Initial Map View Home Button: Will center the map to show all the facilities in the default map view. Zoom Button: To browse, you can zoom in and out using your mouse or the +/- signs. Location Pin: Allows the user to set their current location in the map. Layer List: Filters each facility by services and capabilities.<br>

How to Search the Map 1. Set your location
2. Use the layer list to filter through facilities for…….
PICU, NICU, OB maternal services, Burn Center, Trauma Center, etc.
3. Choose your appropriate facility and find contact information for the facility
Address, can add details
Direct phone number for transfers
4. Generate driving directions<br>

Set your location There are 3 ways to set your location:
Use current location
Manually type in address
Choose ED facility<br>

Use Current Location “Use Current Location” - Go to the gray search box located at the top left-hand corner, click your cursor in ‘Find address or place’ and select ‘Use current location’. Please note this option uses your device’s geolocation information and settings. Make sure location permissions are enabled. Certain hospital systems may prohibit this function. Accuracy may vary by device, browser, network settings, and signal conditions.<br>

Type in address “Find address or place” - In the search box located at the top left-hand corner, click your cursor in ‘Find address or place’ and input an address or place name.<br>

Choose Hospital or ED Facility “Hospital or Freestanding ED facility name” - In the search box located at the top left-hand corner, click on the down arrow to the left of ‘Find address or place,’ click on ‘hospital’ or ‘freestanding ED’ depending on location, and input facility name or facility address.
This option is recommended if you are using the dashboard while working clinically.<br>

Hospital Facility Name Example<br>

Radius of facilities Once you have entered an address or selected a home facility, your screen will show all facilities within a certain radius of the entered location. The default distance for searches is set to a 50-mile radius.






You can change the default distance by using the slider on the search distance bar located in the upper left-hand corner.<br>

Facility Distance You can click on each facility individually on the map or on the left-hand list to see their detailed information.












The list on the left demonstrates the direct distance for each facility from your address or home facility. Adjust the distance using the tool<br>

2. Set your filters You can then use the layer list to filter through each facility by specialty and capability. There are four filters within the layer list: Trauma, Burn, Pediatric Medical, and OB/NICU
Pediatric Medical includes all facilities with pediatric inpatient and / or pediatric intensive care units.
OB/NICU includes all facilities with OB services, and/or newborn nursery/NICU level I-IV services.
Burn includes all American Burn Association verified centers.
Trauma includes all facilities with American College of Surgeons (ACS) verification and/or Florida Department of Health (FDOH) trauma center designations.<br>

Pediatric Medical Three of the filters (Pediatric Medical, OB/NICU and All Facilities) can be categorized further to help guide the search for the appropriate facility.
Each category has its own symbol on the map. The black dot with a purple halo symbology represents pediatric intensive care capabilities (PICU) when the map is filtered for Pediatric Medical. The purple square with the black outline represents pediatric inpatient services. When the symbols are both present, it symbolizes the hospital facility has both PICU and inpatient pediatric capabilities.<br>

OB/NICU The black dot with a green halo symbology represents neonatal intensive care unit (NICU) capabilities when the map is filtered for OB/NICU. The green square with the black outline represents obstetric (OB) and newborn nursery capabilities. When the symbols are both present, it symbolizes the facility has both NICU and OB/Newborn nursery capabilities.<br>

Burn Center<br>

Hospital and Freestanding Emergency Departments “All Facilities” is further categorized into Hospital and Freestanding Emergency Departments (ED). The blue square with black outline represents Hospitals and can represent emergency departments located in a hospital and/or tertiary care centers. The orange square with black outline represents Freestanding Emergency Departments which are emergency departments not physically attached to a main hospital. Freestanding emergency departments may also be referred to as off-site EDs.<br>

3. Choose Your Facility and View Contact Card After finding your selected facility, click on the facility name to display the information and service capabilities. Hospital-based facilities will usually include transfer and general hospital phone contact information.
Clicking on the address in the contact card will take you to Google Maps<br>

Icons Once you have chosen the facility there are three icons on the information tab. The first icon on the left allows you to zoom in on your result. The icon in the middle allows you to generate and copy a link to your selected facility. The third icon allows you to generate driving directions to your facility. This feature is currently disabled.<br>

4. Generate Driving Directions To generate driving instructions, click on the directions icon. Most of the time the “direct distance” and “driving distance” are very similar. However, there are areas, especially coastal and rural Florida, where these distances may significantly differ. Please keep this in mind for air helicopter versus ground ambulance transports.<br>

Generate Driving Directions<br>

Print Search Results or Driving Directions To print search results, use the export tool located above the search results list.<br>

To Start a New Search To start a new search, click "Clear Search Location" located in the blue bar at top of the map.<br>

Create Your Own Practice Session Please go to the FL EMSC dashboard and review your facilities and EDs
Send email with your facility name and your title and edits to capabilities, contact information, etc.
Provide edits to the dashboard user guide and video<br>

Florida EMSC Pediatric, Trauma, and Maternal Services Dashboard Dashboard Website, User Guide, and Video on the FL EMSC website:
https://flemsc.emergency.med.jax.ufl.edu/pedreadyed-lifeline-2/ Florida EMSC Pediatric, Trauma, and Maternal Services Dashboard:
https://ufl.maps.arcgis.com/apps/instant/nearby/index.html?appid=9b96311b2e3a4e4d9f6a968fe1491c60&sliderDistance=50<br>

FL PEDReadyED Contact Information Email: FLPEDReadyED@jax.ufl.edu
Phone: 904.244.4986<br>

Future Directions State and local announcements via stakeholder and public organizations
Florida EMSC Advisory Committee Meeting March 27th at noon
Second tier to include interfacility transport options for children by ground and air
Mother/Baby IF transports<br>

Feedback, Questions, etc. Please post your questions and feedback in the Q and A portion of this webinar not the chat feature
Our team will be monitoring emails and calls for the rest of the week to receive your feedback
Urban facilities
Double or single listing<br>

Thank you for making Florida PEDReady!<br>