NHSPI_measure_metadata
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| Link | rowid ▼ | obsid | index | item_code | domain_code | domain_name | domain_description | subdomain_code | subdomain_name | subdomain_description | subdomain_long_desc | measure_name | measure_description | measure_rationale | data_source | verbose_data_source | data_dates | limitations |
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| 67 | 67 | 145.0 | Index | 4.1.7 | 4.0 | HD | Healthcare Delivery | 10.0 | 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. | M140 | Number of emergency medical technicians (EMTs) and paramedics per 100,000 population in the state | Parametics and EMTs provide the workforce necessary to respond rapidly to individuals who experience acute health events, deliver initial care in the field, and provide transport to appropriate healthcare facilities for continued treatment. The size of this workforce is one indicator of a state’s surge capacity for large-scale emergencies and mass-casualty events. . | BLS OES | Bureau of Labor Statistics (BLS), Occupational Employment Statistics (OES) | 2012—2017 | The measure may not distinguish licensed EMTs and paramedics from those that are licensed, practicing, and affiliated. BLS and other national data sources have been shown to undercount certain types of health professionals, and may differ considerably from the estimates available from state licensing boards. Since the measurement undercounting in the BLS data are expected to be relatively consistent across states, they should not cause significant bias in the Index state and national results. The Bureau of Labor Statistics (BLS) produces occupational estimates by surveying a sample of non-farm establishments. As such, estimates produced through the Occupational Employment Statistics (OES) program are subject to sampling error. |
| 68 | 68 | 149.0 | Index | 4.1.11 | 4.0 | HD | Healthcare Delivery | 10.0 | 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. | M331 | Percent of local emergency medical services (EMS) agencies that submit National EMS Information System (NEMSIS) compliant data (e.g., Version 2 in earlier years, Version 3 in later years) to the state | The submission of EMS data to the national database allows state and federal officials to assess the timeliness and quality of EMS care. States can use the data to implement and evaluate improvements in EMS care, which may strengthen the ability to respond and recover from large-scale hazardous events. | NHTSA | National Highway Traffic Safety Administration (NHTSA), State NEMIS Progress Reports: State & Territory Version 2 Information | 2015 & 2019 | The quality of local data submissions is not well documented and may vary across communities and states. Data submissions may not reflect the extent to which data are used to inform EMS system improvements. |
| 69 | 69 | 149.1 | Index | 4.1.12 | 4.0 | HD | Healthcare Delivery | 10.0 | 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. | M349 | State has adopted EMS Personnel Licensure Interstate CompAct (REPLICA) legislation | REPLICA may expand the availability of qualified EMS professionals during emergencies by providing a legal mechanism for licensed professionals to practice outside the state in which they are licensed. | NASEMSO | National Association of State EMS Officials | 2013—2018 | Other legal actions such as EMAC and state emergency declarations may enable cross-border EMS practice without REPLICA. |
| 70 | 70 | 149.2 | Index | 4.1.13 | 4.0 | HD | Healthcare Delivery | 10.0 | 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. | M350U | The average length of time in minutes between EMS notification and arrival at a fatal motor vehicle crash (MVC) in urban areas (reverse coded). | The response time of EMS may be indicative of first-responder capabilities and capacities during large-scale disasters. | NHTSA FARS | National Highway Traffic Safety Administration (NHTSA), Fatality Analysis and Reporting System (FARS) | 2015—2017 | Selected states fail to record response times for all fatal events. |
| 71 | 71 | 149.3 | Index | 4.1.14 | 4.0 | HD | Healthcare Delivery | 10.0 | 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. | M350R | The average length of time in minutes between EMS notification and arrival at a fatal motor vehicle crash (MVC) in rural areas (reverse coded). | The response time of EMS may be indicative of first-responder capabilities and capacities during large-scale disasters. | NHTSA FARS | National Highway Traffic Safety Administration (NHTSA), Fatality Analysis and Reporting System (FARS) | 2015—2017 | Selected states fail to record response times for all fatal events. |
| 72 | 72 | 151.0 | Index | 4.2.1 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M147 | Median time in minutes from hospital emergency department (ED) arrival to ED departure for patients admitted to hospitals in the state (identifier ED-1)(reverse coded) | Measuring the time that patients spend admitted in the emergency department before being admitted to the hospital as an inpatient is important when managing medical surge (i.e., ramp up) and ensuring expeditious access to treatment during a public health emergency. | CMS TEC | Centers for Medicare & Medicaid Services (CMS), Timely and Effective Care—State | 2013—2018 | The measure does not evaluate the severity of the patients' conditions, or the nature of their treatment between emergency department arrival and discharge. |
| 73 | 73 | 152.0 | Index | 4.2.2 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M148 | Median time in minutes from hospital admission decision to emergency department (ED) departure for patients admitted to hospitals in the state (identifier ED-2)(reverse coded) | Measuring the time that patients spend in the emergency department after the physician decides to admit a patient and before the patient is admitted into the facility as an inpatient is critical to understanding the challenges that may be experienced in terms of medical surge (i.e., ramp up). Understanding the patient movement flow and barriers can assist in surge planning for public health emergencies to increase patients' access to treatment and supportive care. | CMS TEC | Centers for Medicare & Medicaid Services (CMS), Timely and Effective Care—State | 2013—2018 | The measure does not evaluate the hospital's capacity to move patients from the emergency department to inpatient care during a mass casualty or other event. |
| 74 | 74 | 155.0 | Index | 4.2.5 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M152 | Percent of the state’s population who live within 50 miles of a trauma center, including out-of-state centers | The measure indicates access to advanced trauma care at a Level I or II designation. In general, trauma centers are regional resources essential to assist in the management and rehabilitation of patients with injuries from various types of emergencies and disasters. A Level I Trauma Center is capable of providing the most complex care for severe injuries. A Level II Trauma Center can initiate definitive care for all injuries, but may need to transport complex cases to Level I facilities to complete treatment. | Estimated by PMO Staff | American Hospital Association (AHA), AHA Annual Survey of Hospitals data and U.S. Census population data analyzed by PMO personnel. | 2012—2017 | The measure does not evaluate the quality or comprehensiveness of care provided by the trauma centers. |
| 75 | 75 | 157.0 | Index | 4.2.7 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M160 | Number of physicians and surgeons per 100,000 population in the state | Physicians and surgeons are important components of the workforce needed to diagnose and treat injuries and illnesses associated with mass casualty events and disease outbreaks. The size of the workforce is one indication of a state’s ability to surge (i.e., ramp up) the number of licensed professionals who provide rapid care during and after an emergency event. | ACS 1-Year Estimates | U.S. Census, American Community Survey | 2012—2017 | The measure does not consider mutual aid plans that may be in place for healthcare facilities to supplement the number of available physicians and surgeons in the event of an emergency. Also, BLS and other national data sources on physician supply have been shown to undercount certain types of physicians, and may differ considerably from the estimates available from state medical licensing boards. Since the measurement undercounting in the BLS data are expected to be relatively consistent across states, they should not cause significant bias in the Index state and national results. The Bureau of Labor Statistics (BLS) produces occupational estimates by surveying a sample of non-farm establishments. As such, estimates produced through the Occupational Employment Statistics (OES) program are subject to sampling error. |
| 76 | 76 | 158.0 | Index | 4.2.8 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M167 | Number of active registered nurse (RN) and licensed practical nurse (LPN) licenses per 100,000 population in the state | Registered nurses (RNs) and licensed practical nurses (LPNs) are an important part of the medical workforce that provides medical care in the acute and primary care settings. An increased number of these actively practicing and licensed healthcare workers would be needed to respond to a mass casualty or emerging disease epidemic/pandemic. The measure focuses on the state's workforce capacity of current, active registered and practical nurses (PNs). | NCSBN | National Council of State Boards of Nursing (NCSBN), National Nursing Database | 2013-2016, 2018 & 2019 | The measure does not consider mutual aid plans that may be in place to supplement the number of available RNs and LPNs in the event of an emergency. The source data may undercount the RNs and LPNs available to provide care during an emergency due to limited or non-reporting by some states. |
| 77 | 77 | 159.0 | Index | 4.2.9 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M168 | Percent of the state’s population living within 100 miles of a burn center, including out-of-state centers | Treatment of burns requires specialized resources and a highly trained multidisciplinary medical staff. This measure focuses on the capacity to provide a specialized medical infrastructure and medical staff capable of providing specialty burn care to trauma patients during a mass casualty incident. | ABA | American Burn Association (ABA) data on Burn Care Facilities analyzed by PMO personnel. | 2014 & 2018 | The measure does not evaluate the specialized resources needed for surge capacity when an emergency results in a large number of burn patients. |
| 78 | 78 | 163.0 | Index | 4.2.13 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M296 | Percent of hospitals in the state providing a specialty geriatric services program (includes general as well as specialized geriatric services, such as psychiatric geriatric services/Alzheimer care) | Hospital-based geriatric care is an important inpatient service as the nation's population continues to age. Hospitals that provide geriatric care are better able to provide care and services to inpatient geriatric populations. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure does not consider hospital geriatric services provided through contractual arrangements, the program's capacity to provide services during an emergency, or whether high quality care is provided to geriatric patients without having a designated specialty program. |
| 79 | 79 | 164.0 | Index | 4.2.14 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M297 | Percent of hospitals in the state providing palliative care programs (includes both palliative care program and/or palliative care inpatient unit, but excludes pain management program, patient-controlled analgesia, and hospice program) | Effective provision of palliative care is an important consideration in providing care during a disaster or health security event. Hospitals that have established palliative care programs as part of their hospital facilities services are more likely to be able to provide these services during an emergency and are more likely to have these services integrated with the hospital emergency plan. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure does not evaluate the quality of services provided, or the program's capacity to provide services during an emergency. |
| 80 | 80 | 165.0 | Index | 4.2.15 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M298 | Number of hospital airborne infection isolation room (AIIR) beds per 100,000 population in the state, including hospitals with AIIR rooms within 50 miles from neighboring states | Airborne infection isolation rooms (AIIRs) are important to the treatment and care of patients that have diseases that are spread through airborne transmission. The measure provides information on hospital resources that can be used for emergency preparedness activities, including planning and response. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure does not consider mutual aid plans that may be in place to supplement the number of available AIIR beds in the event of an emergency. |
| 81 | 81 | 166.0 | Index | 4.2.16 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M299 | Risk-adjusted 30-day survival rate (percent) among Medicare beneficiaries hospitalized in the state for heart attack, heart failure, or pneumonia | This measure is for risk-standardized all-cause 30-day mortality rates for Medicare patients aged 65 and older who are hospitalized with a principal diagnosis of heart attack, heart failure, or pneumonia. All-cause mortality is defined as death from any cause within 30 days after the index admission. This is a measure of the state's public health and healthcare system's programs, staffing, and requirements which influence recovery or mortality from an illness severe enough to require hospitalization. | CF Scorecard | The Commonwealth Fund, Aiming Higher: Results from a Scorecard on State health System Performance | 2011-2013, 2015 & 2016 | Variation in state population health, such as obesity or smoking rates, may have a greater effect on the measure results than prevention and preparedness programs. |
| 82 | 82 | 167.0 | Index | 4.2.17 | 4.0 | HD | Healthcare Delivery | 11.0 | 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. | M300 | Percent of hospitals in the state with a top quality ranking (Grade A) on the Hospital Safety Score | The Hospital Safety Score uses 28 national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medicaid Services (CMS) to produce a single score representing the hospital's overall performance in keeping patients safe from preventable harm and medical errors. A grade "A" represents the best hospital safety score. Being able to provide patient safety and reduced medical errors during normal operations positions the hospital to perform better during health emergencies. | Leapfrog HSS | The Leapfrog Group, Hospital Safety Score (HSS) | 2013—2018 | The measure source data does not include critical access hospitals, specialty hospitals, pediatric hospitals, hospitals in Maryland, territories exempt from public reporting to CMS, and others. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region. |
| 83 | 83 | 178.0 | Index | 4.3.7 | 4.0 | HD | Healthcare Delivery | 12.0 | 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. | M308 | Average number of nurse (RN) staffing hours per resident per day in nursing homes in the state | Registered nurses (RNs) are important providers of skilled nursing care to residents. This measure is a reflection of core capacity for a clinical asset. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2014—2018 | The measure source data are collected during a specific two-week period and do not take into account variations related to season, region, resident acuity, skill mix of other care providers, and other factors. The measure does not evaluate staff availability for a disaster or whether staff received disaster response training. |
| 84 | 84 | 179.0 | Index | 4.3.8 | 4.0 | HD | Healthcare Delivery | 12.0 | 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. | M309 | Average number of nursing assistant (CNA) staffing hours per resident per day in nursing homes in the state | Certified nursing assistants (CNAs) provide important, non-nursing level care to residents and clients under their care. The average number of CNA staffing hours per resident per day is a reflection of core capacity and a measure of safety in terms of patient care. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2014—2018 | The measure source data are collected during a specific two-week period and do not take into account variations related to season, region, resident acuity, skill mix of other care providers, and other factors. The measure does not evaluate staff availability for a disaster or whether staff received disaster response training. |
| 85 | 85 | 180.0 | Index | 4.3.9 | 4.0 | HD | Healthcare Delivery | 12.0 | 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. | M307 | Percent of long-stay nursing home residents in the state that are assessed and appropriately given the seasonal influenza vaccine | This is a measure of the strength of the state's public health programs and general level of competency of long-stay resident facility managers as reflected in their effectiveness in risk avoidance through a seasonal vaccination program. It is also a measure of the population percentage who would have additional protection against seasonal flu, somewhat reducing the overall pressure on the healthcare system by mitigating the effect of seasonal flu during disaster response. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2013—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 86 | 86 | 181.0 | Index | 4.3.10 | 4.0 | HD | Healthcare Delivery | 12.0 | 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. | M310 | Average number of licensed practical nurse (LPN) staffing hours per resident per day in nursing homes in the state | Licensed practical nurses (LPNs) are important members of the resident care team, and provide skilled nursing care. This measure is a reflection of core capacity for a clinical asset. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2014—2018 | The measure source data are collected during a specific two-week period and do not take into account variations related to season, region, resident acuity, skill mix of other care providers, and other factors. The measure does not evaluate staff availability for a disaster or whether staff received disaster response training. |
| 87 | 87 | 172.1 | Index | 4.3.15 | 4.0 | HD | Healthcare Delivery | 12.0 | 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. | M303B | Number of licensed skilled nursing facilities with deficiencies in compliance with CMS Emergency Preparedness requirements, per 100 facilities in the state (1=Highest Quintile and 5=Lowest Quintile) | Nursing home residents are at increased risk for morbidity and mortality during emergencies. CMS requires facilities to maintain effective evacuation plans, emergency communication plans, and other protocols that can protect patients in emergency situations. | CMS | CMS Nursing Facility Inspection Reports | 2014—2018 | Nursing facility inspectors may vary in their ability to detect meaningful deficiencies in emergency plans. |
| 88 | 88 | 172.2 | Index | 4.3.16 | 4.0 | HD | Healthcare Delivery | 12.0 | 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. | M23NH | Number of disease outbreaks in nursing homes or assisted living facilities per 1,000 certified nursing home residents in a state (reverse coded) | Nursing home residents are at increased risk of foodborne illnesses and face higher risks of serious complications and death. | CDC NORS | Centers for Disease Control and Prevention (CDC), National Outbreak Reporting System (NORS) | 2012—2017 | States vary in their ability to detect and report outbreaks in long-term care settings. |
| 89 | 89 | 190.0 | Index | 4.4.4 | 4.0 | HD | Healthcare Delivery | 13.0 | 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. | M316 | Percent of hospitals in the state providing psychiatric emergency services | This measure indicates psychiatric services that are owned or provided by a hospital or by a hospital's health system (i.e., don't require a contractual agreement). In times of disaster, psychiatric emergencies may occur and their prompt and efficacious treatment is important to a comprehensive behavioral health response. These emergency services may be treated in a number of settings, including hospitals. All hospitals are engaged in some level of disaster planning. If a hospital self-identifies as providing emergency psychiatric services, it is more likely that these services are coordinated/integrated with other disaster preparedness and response behavioral health efforts. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure source data does not have a standard definition of emergency psychiatric services, and survey respondents may have different interpretations for positive responses. All hospital emergency medical services include emergency psychiatric services, but fewer hospitals have more complete, specialty-staffed, comprehensive psychiatric emergency services. Negative responses may indicate the absence of any emergency psychiatric services, or the absence of a separate, identifiable, comprehensive service. The measure does not evaluate the extent of service integration with other disaster preparedness and response efforts by the hospital or emergency psychiatric service, or the disaster-related services provided such as mobile crisis response capacity and telephone-based crisis services. |
| 90 | 90 | 191.0 | Index | 4.4.5 | 4.0 | HD | Healthcare Delivery | 13.0 | 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. | M317 | Percent of need met for mental health care in health professional shortage areas (HPSA) in the state | It is reasonable to assume that if an area has existing shortages in key behavioral health personal, preparedness for and response to a disaster may not be as robust as in areas where there are not staff shortages. It might also be assumed that if there are shortages in mental health professionals, there may also be shortages in other specialty care professions, again indicating that overall disaster health and mental/behavioral health preparedness and response may be limited. | HRSA HPSA | The Henry J. Kaiser Family Foundation, Mental Health Care Health Professional Shortage Areas (HPSA) | 2014, 2016—2018 | The measure data is based on the availability of psychiatrists, and does not include other behavioral health professionals (e.g., psychologists, social workers, licensed counselors, pastoral counselors, psychiatric nurses) who provide the majority of behavioral health services following disasters. The measure does not consider the ability of a state to temporarily move mental health resources within the state in response to a disaster, such as state trained and certified crisis teams that can be activated and deployed to disaster zones and rapidly supplement local resources. In addition, the measure does not evaluate lack of provider availability and readiness during disasters due to appointment waiting lists, contractual obligations to serve certain populations, or their status of skills and training necessary for optimal performance in disasters. |
| 91 | 91 | 202.0 | Index | 4.4.16 | 4.0 | HD | Healthcare Delivery | 13.0 | 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. | M800 | Percent of the state’s population not living in an HRSA Mental Health Professional Shortage Area | Following an emergency event, individuals, families, and disaster responders may experience distress and anxiety about safety, health, and recovery and may require mental and behavioral health assistance, specifically calling on social workers' unique skills and training. The measure reflects a state's capacity to cope with its citizens' mental health needs. | U.S. Census & Health Resources & Services Administration (HRSA). | U.S. Census Bureau and Health Resources & Services Administration (HRSA) data analyzed by PMO personnel. | 2015—2017, 2019 | The measure data is estimated based on matching U. S. Census area definitions with the geographic boundaries for HRSA Mental Health Professional Shortage Areas. |
| 92 | 92 | 204.0 | Index | 4.5.1 | 4.0 | HD | Healthcare Delivery | 14.0 | 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. | M291 | Percent of home health episodes of care in the state where the home health team determined whether their patient received a flu shot for the current flu season | Providing influenza vaccinations to vulnerable populations that are provided care through a home health agency is an indicator of the capability and quality of care provided by the agency. | CMS HH | Centers for Medicare & Medicaid Services (CMS), Home Health Care-State by State Data | 2013—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 93 | 93 | 205.0 | Index | 4.5.2 | 4.0 | HD | Healthcare Delivery | 14.0 | 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. | M292 | Percent of home health episodes of care in the state where the home health team began their patients' care in a timely manner | The measure is an indicator of the capacity and effectiveness of the state's home care system to begin home care in a timely manner. Delays in providing home care can affect patient health and safety. The measure also indirectly looks at the hospital patient discharge system and its collaboration with home care providers. | CMS HH | Centers for Medicare & Medicaid Services (CMS), Home Health Care-State by State Data | 2013—2018 | The measure does not evaluate the quality of the services provided including length of service delays. |
| 94 | 94 | 206.0 | Index | 4.5.3 | 4.0 | HD | Healthcare Delivery | 14.0 | 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. | M293 | Number of home health and personal care aides per 1,000 population in the state aged 65 or older | Home health and personal care aides provide important supportive care to those unable to live independently at home. These care providers are important to maintain the health and wellbeing of the clients under their care. During a health emergency, these providers may be crucial to implementing the emergency care plan for the home-based client. | ACS PUMS | American Community Survey (ACS), 1-year Public Use Microsample (PUMS) data analyzed by PMO personnel (3-year average) | 2012—2017 | The measure does not evaluate availability of home health aide services during a health emergency, or whether providers have emergency care plans for their clients. |
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