It is crucial that all children are provided with high-quality and safe health care. Pediatric inpatient needs are unique in regard to policies, equipment, facilities, and personnel. The intent of this clinical report is to provide recommendations for the resources necessary to provide high-quality and safe pediatric inpatient medical care. In 2016, there were 5.5 million hospitalizations of children 17 years and younger, with a mean length of stay of 4.0 days. 1 The primary indication for inpatient pediatric hospitalizations is respiratory illness, including pneumonia, acute bronchiolitis, and asthma. 2 Other common reasons for pediatric hospital admissions include appendicitis, seizures, infections, and dehydration. 2 Although many of these patients can be appropriately cared for in community settings, there must be a balance between family convenience, safe health care, and resource use. It is widely accepted that a minimum case volume is necessary to maintain competence and is associated with better outcomes; therefore, health care administrators and professionals need to evaluate their ability to care for the unique needs of the pediatric population and determine if they have the diagnostic and treatment capabilities, as well as the equipment and staffing, to provide high-quality and safe health care for these patients. Hospitals need to carefully evaluate their resources and may decide to be proactive in stabilizing and then transferring pediatric patients to facilities with higher pediatric inpatient volumes and more resources. The intent of this clinical report is to provide recommendations for the resources (policies, equipment, facilities, and personnel) necessary to provide high-quality and safe pediatric inpatient medical care. Although all hospitals are obligated to provide emergency stabilization for children of all ages, including newly born infants, 3 this document's intent is specific to inpatient care after hospital admission, especially those hospitals with lower pediatric volumes that may need additional guidance. For pediatric emergency care, the American Academy of Pediatrics (AAP) provides detailed information in "Joint Policy Statement-Guidelines for Care of Children in the Emergency Department," 4 and newborn care guidelines can be found in Guidelines for Perinatal Care. 5 For pediatric intensive care,