NHSPI_domains_subdomains

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Link rowid ▼ obsid Year Item Name Item Type Item Status Relevant Domain Relevant Subdomain Item Name Item Description National_score Upper CI Lower CI State State_score
201 201 203.0 2017 CM Domain Active CM CM Countermeasure Management Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment. 6.0 6.29 5.62 AL 5.7
202 202 209.0 2017 MMMDD Subdomain Active CM MMMDD Medical Materiel Management, Distribution, & Dispensing The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures. 5.099999905 5.59 4.61 AL 4.6000000000000005
203 203 210.0 2017 CUE Subdomain Active CM CUE Countermeasure Utilization & Effectiveness The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. 5.5 5.89 5.03 AL 5.4
204 204 223.0 2017 EOH Domain Active EOH EOH Environmental & Occupational Health Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job. 6.599999905 6.890000000000001 6.32 AL 6.7
205 205 230.0 2017 FWS Subdomain Active EOH FWS Food & Water Security The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. 8.300000191 8.620000000000001 7.91 AL 9.4
206 206 234.0 2017 EM Subdomain Active EOH EM Environmental Monitoring The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends 6.199999809 6.79 5.54 AL 7.1000000000000005
207 207 235.0 2017 PEI Subdomain Active EOH PEI Physical Environment and Infrastructure Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. 5.199999809 5.79 4.61 AL 3.7
208 208 248.0 2017 WR Subdomain Active EOH WR Workforce Resiliency Actions taken to protect workers and emergency responders from health hazards while on the job 4.599999905 5.0 4.13 AL 3.7
209 209 0.0 2016 overall   Active     Overall Index NHSPI Index 6.400000095 6.53 6.29 AL 6.2
210 210 1.0 2016 HSS Domain Active HSS HSS Health Security Surveillance Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly. 8.199999809 8.42 8.01 AL 8.5
211 211 2.0 2016 PHSEI Subdomain Active HSS PHSEI Health Surveillance & Epidemiological Investigation The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance. 6.900000095 7.4 6.43 AL 6.9
212 212 16.0 2016 BMLT Subdomain Active HSS BMLT Biological Monitoring & Laboratory Testing The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing. 8.5 8.75 8.2 AL 9.3
213 213 39.0 2016 CPE Domain Active CPE CPE Community Planning & Engagement Coordination Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies. 4.599999905 4.94 4.3500000000000005 AL 4.0
214 214 40.0 2016 CSCC Subdomain Active CPE CSCC Cross-Sector / Community Collaboration The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services. 6.099999905 6.72 5.5 AL 4.7
215 215 49.0 2016 ARP Subdomain Active CPE ARP Children & Other At-Risk Populations Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. 3.200000048 3.5300000000000002 2.83 AL 2.4000000000000004
216 216 70.0 2016 MVDE Subdomain Active CPE MVDE Management of Volunteers during Emergencies The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance 2.700000048 3.19 2.22 AL 3.8000000000000003
217 217 91.0 2016 SCC Subdomain Active CPE SCC Social Capital & Cohesion The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. 4.0 4.34 3.56 AL 3.0
218 218 99.0 2016 IIM Domain Active IIM IIM Incident & Information Management Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety. 8.399999619 8.64 8.22 AL 7.7
219 219 100.0 2016 INCM Subdomain Active IIM INCM Incident Management The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field. 6.699999809 7.41 6.09 AL 3.4000000000000004
220 220 119.0 2016 INFM Subdomain Active IIM INFM Information Management The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available. 6.300000191 6.92 5.75 AL 7.1000000000000005
221 221 126.0 2016 HD Domain Active HD HD Healthcare Delivery Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies. 4.699999809 4.93 4.51 AL 5.2
222 222 137.0 2016 PC Subdomain Active HD PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. 4.400000095 4.84 3.94 AL 4.800000000000001
223 223 138.0 2016 HPS Subdomain Active HD HPS Hospital and Physician Services Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. 5.199999809 5.41 4.92 AL 5.1000000000000005
224 224 150.0 2016 LTC Subdomain Active HD LTC Long-Term Care Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. 4.400000095 4.74 4.03 AL 5.800000000000001
225 225 171.0 2016 MBH Subdomain Active HD MBH Mental & Behavioral Healthcare Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population. 4.300000191 4.67 3.86 AL 5.4
226 226 186.0 2016 HC Subdomain Active HD HC Home Care Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services. 5.599999905 6.01 5.28 AL 5.4
227 227 203.0 2016 CM Domain Active CM CM Countermeasure Management Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment. 5.800000191 6.16 5.53 AL 5.4
228 228 209.0 2016 MMMDD Subdomain Active CM MMMDD Medical Materiel Management, Distribution, & Dispensing The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures. 5.0 5.45 4.51 AL 4.6000000000000005
229 229 210.0 2016 CUE Subdomain Active CM CUE Countermeasure Utilization & Effectiveness The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. 5.300000191 5.78 4.91 AL 4.5
230 230 223.0 2016 EOH Domain Active EOH EOH Environmental & Occupational Health Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job. 6.5 6.79 6.22 AL 6.7
231 231 230.0 2016 FWS Subdomain Active EOH FWS Food & Water Security The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. 8.100000381 8.47 7.71 AL 9.5
232 232 234.0 2016 EM Subdomain Active EOH EM Environmental Monitoring The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends 6.199999809 6.78 5.53 AL 7.1000000000000005
233 233 235.0 2016 PEI Subdomain Active EOH PEI Physical Environment and Infrastructure Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. 5.199999809 5.78 4.61 AL 3.7
234 234 248.0 2016 WR Subdomain Active EOH WR Workforce Resiliency Actions taken to protect workers and emergency responders from health hazards while on the job 4.400000095 4.78 3.93 AL 3.5
235 235 0.0 2015 overall   Active     Overall Index NHSPI Index 6.199999809 6.32 6.05 AL 5.7
236 236 1.0 2015 HSS Domain Active HSS HSS Health Security Surveillance Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly. 8.0 8.23 7.73 AL 7.4
237 237 2.0 2015 PHSEI Subdomain Active HSS PHSEI Health Surveillance & Epidemiological Investigation The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance. 7.0 7.5600000000000005 6.45 AL 5.300000000000001
238 238 16.0 2015 BMLT Subdomain Active HSS BMLT Biological Monitoring & Laboratory Testing The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing. 7.800000191 8.08 7.47 AL 7.9
239 239 39.0 2015 CPE Domain Active CPE CPE Community Planning & Engagement Coordination Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies. 4.199999809 4.53 3.92 AL 3.6
240 240 40.0 2015 CSCC Subdomain Active CPE CSCC Cross-Sector / Community Collaboration The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services. 5.599999905 6.25 4.94 AL 4.1000000000000005
241 241 49.0 2015 ARP Subdomain Active CPE ARP Children & Other At-Risk Populations Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. 3.099999905 3.46 2.81 AL 2.4000000000000004
242 242 70.0 2015 MVDE Subdomain Active CPE MVDE Management of Volunteers during Emergencies The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance 2.700000048 3.18 2.18 AL 3.5
243 243 91.0 2015 SCC Subdomain Active CPE SCC Social Capital & Cohesion The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. 2.599999905 3.0300000000000002 2.15 AL 1.8
244 244 99.0 2015 IIM Domain Active IIM IIM Incident & Information Management Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety. 8.300000191 8.52 8.03 AL 7.6000000000000005
245 245 100.0 2015 INCM Subdomain Active IIM INCM Incident Management The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field. 6.800000191 7.53 6.04 AL 3.1
246 246 119.0 2015 INFM Subdomain Active IIM INFM Information Management The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available. 5.5 6.0200000000000005 4.91 AL 7.0
247 247 126.0 2015 HD Domain Active HD HD Healthcare Delivery Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies. 4.599999905 4.8100000000000005 4.43 AL 4.800000000000001
248 248 137.0 2015 PC Subdomain Active HD PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. 4.300000191 4.69 3.93 AL 4.4
249 249 138.0 2015 HPS Subdomain Active HD HPS Hospital and Physician Services Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. 5.0 5.19 4.79 AL 5.0
250 250 150.0 2015 LTC Subdomain Active HD LTC Long-Term Care Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. 4.300000191 4.65 3.97 AL 4.7
251 251 171.0 2015 MBH Subdomain Active HD MBH Mental & Behavioral Healthcare Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population. 4.300000191 4.75 3.94 AL 5.300000000000001
252 252 186.0 2015 HC Subdomain Active HD HC Home Care Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services. 5.300000191 5.63 4.88 AL 4.7
253 253 203.0 2015 CM Domain Active CM CM Countermeasure Management Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment. 5.800000191 6.140000000000001 5.47 AL 5.4
254 254 209.0 2015 MMMDD Subdomain Active CM MMMDD Medical Materiel Management, Distribution, & Dispensing The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures. 4.800000191 5.34 4.32 AL 4.3
255 255 210.0 2015 CUE Subdomain Active CM CUE Countermeasure Utilization & Effectiveness The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. 5.400000095 5.86 5.04 AL 5.0
256 256 223.0 2015 EOH Domain Active EOH EOH Environmental & Occupational Health Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job. 6.199999809 6.46 5.8500000000000005 AL 5.300000000000001
257 257 230.0 2015 FWS Subdomain Active EOH FWS Food & Water Security The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. 7.800000191 8.23 7.45 AL 8.3
258 258 234.0 2015 EM Subdomain Active EOH EM Environmental Monitoring The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends 5.400000095 6.07 4.63 AL 2.9000000000000004
259 259 235.0 2015 PEI Subdomain Active EOH PEI Physical Environment and Infrastructure Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. 5.199999809 5.7700000000000005 4.6000000000000005 AL 3.7
260 260 248.0 2015 WR Subdomain Active EOH WR Workforce Resiliency Actions taken to protect workers and emergency responders from health hazards while on the job 3.900000095 4.3100000000000005 3.5100000000000002 AL 3.4000000000000004
261 261   2014 overall   Active     Overall Index NHSPI Index 6.099999905 6.24 5.96 AL 5.7
262 262   2014 HSS Domain Active HSS HSS Health Security Surveillance Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly. 7.900000095 8.22 7.66 AL 7.6000000000000005
263 263   2014 PHSEI Subdomain Active HSS PHSEI Health Surveillance & Epidemiological Investigation The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance. 6.900000095 7.47 6.23 AL 5.7
264 264   2014 BMLT Subdomain Active HSS BMLT Biological Monitoring & Laboratory Testing The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing. 7.800000191 8.11 7.55 AL 8.1
265 265   2014 CPE Domain Active CPE CPE Community Planning & Engagement Coordination Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies. 4.099999905 4.34 3.7800000000000002 AL 3.3000000000000003
266 266   2014 CSCC Subdomain Active CPE CSCC Cross-Sector / Community Collaboration The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services. 5.199999809 5.7700000000000005 4.61 AL 3.6
267 267   2014 ARP Subdomain Active CPE ARP Children & Other At-Risk Populations Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. 3.099999905 3.39 2.77 AL 2.3000000000000003
268 268   2014 MVDE Subdomain Active CPE MVDE Management of Volunteers during Emergencies The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance 2.700000048 3.18 2.18 AL 3.6
269 269   2014 SCC Subdomain Active CPE SCC Social Capital & Cohesion The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. 2.599999905 3.0 2.12 AL 1.8
270 270   2014 IIM Domain Active IIM IIM Incident & Information Management Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety. 8.100000381 8.31 7.8500000000000005 AL 7.5
271 271   2014 INCM Subdomain Active IIM INCM Incident Management The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field. 6.5 7.24 5.8500000000000005 AL 3.0
272 272   2014 INFM Subdomain Active IIM INFM Information Management The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available. 4.800000191 5.2700000000000005 4.28 AL 6.7
273 273   2014 HD Domain Active HD HD Healthcare Delivery Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies. 4.599999905 4.8100000000000005 4.42 AL 4.800000000000001
274 274   2014 PC Subdomain Active HD PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. 4.199999809 4.5200000000000005 3.81 AL 4.4
275 275   2014 HPS Subdomain Active HD HPS Hospital and Physician Services Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. 5.0 5.29 4.79 AL 5.0
276 276   2014 LTC Subdomain Active HD LTC Long-Term Care Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. 4.300000191 4.71 3.98 AL 4.2
277 277   2014 MBH Subdomain Active HD MBH Mental & Behavioral Healthcare Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population. 4.400000095 4.8 3.97 AL 5.4
278 278   2014 HC Subdomain Active HD HC Home Care Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services. 5.400000095 5.7700000000000005 5.0200000000000005 AL 5.0
279 279   2014 CM Domain Active CM CM Countermeasure Management Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment. 5.699999809 6.1000000000000005 5.4 AL 5.800000000000001
280 280   2014 MMMDD Subdomain Active CM MMMDD Medical Materiel Management, Distribution, & Dispensing The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures. 5.0 5.5 4.43 AL 4.5
281 281   2014 CUE Subdomain Active CM CUE Countermeasure Utilization & Effectiveness The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. 5.099999905 5.47 4.64 AL 5.800000000000001
282 282   2014 EOH Domain Active EOH EOH Environmental & Occupational Health Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job. 6.099999905 6.37 5.76 AL 5.2
283 283   2014 FWS Subdomain Active EOH FWS Food & Water Security The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. 7.900000095 8.26 7.46 AL 8.200000000000001
284 284   2014 EM Subdomain Active EOH EM Environmental Monitoring The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends 5.400000095 6.1000000000000005 4.64 AL 2.9000000000000004
285 285   2014 PEI Subdomain Active EOH PEI Physical Environment and Infrastructure Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. 5.199999809 5.75 4.58 AL 3.7
286 286   2014 WR Subdomain Active EOH WR Workforce Resiliency Actions taken to protect workers and emergency responders from health hazards while on the job 3.400000095 3.77 3.04 AL 2.9000000000000004
287 287   2013 overall   Active     Overall Index NHSPI Index 5.900000095 6.07 5.7700000000000005 AL 5.6000000000000005
288 288   2013 HSS Domain Active HSS HSS Health Security Surveillance Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly. 7.5 7.7700000000000005 7.25 AL 7.2
289 289   2013 PHSEI Subdomain Active HSS PHSEI Health Surveillance & Epidemiological Investigation The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance. 6.5 7.05 5.89 AL 5.300000000000001
290 290   2013 BMLT Subdomain Active HSS BMLT Biological Monitoring & Laboratory Testing The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing. 7.099999905 7.390000000000001 6.79 AL 7.4
291 291   2013 CPE Domain Active CPE CPE Community Planning & Engagement Coordination Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies. 3.900000095 4.23 3.5700000000000003 AL 3.1
292 292   2013 CSCC Subdomain Active CPE CSCC Cross-Sector / Community Collaboration The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services. 3.900000095 4.59 3.23 AL 2.2
293 293   2013 ARP Subdomain Active CPE ARP Children & Other At-Risk Populations Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. 3.099999905 3.38 2.75 AL 2.3000000000000003
294 294   2013 MVDE Subdomain Active CPE MVDE Management of Volunteers during Emergencies The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance 2.799999952 3.29 2.22 AL 3.5
295 295   2013 SCC Subdomain Active CPE SCC Social Capital & Cohesion The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. 4.099999905 4.6000000000000005 3.7 AL 3.3000000000000003
296 296   2013 IIM Domain Active IIM IIM Incident & Information Management Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety. 7.900000095 8.120000000000001 7.62 AL 7.300000000000001
297 297   2013 INCM Subdomain Active IIM INCM Incident Management The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field. 6.400000095 7.11 5.64 AL 2.8000000000000003
298 298   2013 INFM Subdomain Active IIM INFM Information Management The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available. 3.900000095 4.47 3.39 AL 6.0
299 299   2013 HD Domain Active HD HD Healthcare Delivery Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies. 4.5 4.74 4.36 AL 4.800000000000001
300 300   2013 PC Subdomain Active HD PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. 4.099999905 4.45 3.79 AL 4.4

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CREATE TABLE [NHSPI_domains_subdomains] (
   [obsid] TEXT,
   [Year] INTEGER,
   [Item Name] TEXT,
   [Item Type] TEXT,
   [Item Status] TEXT,
   [Relevant Domain] TEXT,
   [Relevant Subdomain] TEXT,
   [Item  Name] TEXT,
   [Item Description] TEXT,
   [National_score] TEXT,
   [Upper CI] TEXT,
   [Lower CI] TEXT,
   [State] TEXT,
   [State_score] TEXT
);