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National Pediatric Readiness Project

The National Pediatric Readiness Project (NPRP) is a multi-phase quality improvement initiative to ensure that all U.S. emergency departments have the essential guidelines and resources in place to provide effective emergency care to children.

The NPRP includes a national assessment of America’s EDs to determine progress in pediatric readiness, identify existing gaps, and provide a baseline for QI programs in hospital EDs around the country.

The NPRP assessment was first conducted in 2013 and will be conducted again in 2021. Colorado and Louisiana administered the 2021 assessment in September through November of 2020. Colorado's 2020 NPRP data will be available soon.


To establish a composite baseline of the nation’s capacity to provide care to children in the ED.

Purpose of the National Pediatric Readiness Project (NPRP)


To create a foundation for EDs to engage in an ongoing Quality Improvement process that includes implementing the Guidelines for the Care of Children in the ED.


To establish a benchmark that measures an ED’s improvement over time.

Colorado Data

In 2013, 42 out of the 78 participating Colorado hospitals (54%) scored below the national average NPRP score. 

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