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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
1 3.0 Foundational 1.1.1 1.0 HSS Health Security Surveillance 1.0 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. M17 State health department participates in the Behavioral Risk Factor Surveillance System (BRFSS) The measure indicates participation in the nation's largest surveillance system that tracks health conditions and risk behaviors. The Behavioral Risk Factor Surveillance System (BRFSS) is used to collect prevalence data from U.S. adult residents regarding risk behavior and preventive health practices that can affect health status. Participation can provide population-level data that can be useful in vulnerability assessments and developing messaging and intervention strategies. CDC BRFSS Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Questionnaire (BRFSS). Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Survey data analyzed by authors. 2012—2015 The state's extensiveness of participation in the BRFSS based on sampling and instrumentation is not measured, and varies widely across states.
3 5.0 Foundational 1.1.3 1.0 HSS Health Security Surveillance 1.0 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. M19 State health department participates in the Epidemic Information Exchange (Epi-X) System The measure indicates participation in the Centers for Disease Control and Prevention (CDC)-sponsored national information sharing system. Participation in this system provides access to national level alerts and raises situational awareness beyond state borders. CDC Epi-X Centers for Disease Control and Prevention (CDC), The Epidemic Information Exchange (Epi-X) Program 2013 The measure does not evaluate the quality or comprehensiveness of state participation in the system.
4 6.0 Foundational 1.1.4 1.0 HSS Health Security Surveillance 1.0 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. M20 State health department participates in the National Electronic Disease Surveillance System (NEDSS) The measure indicates participation in the national, electronic public health surveillance system. Participation assures that key surveillance data are comparable across states and enables national measurements of disease burden and progression. CDC NEDSS Centers for Disease Control and Prevention (CDC), Division of Health Informatics and Surveillance (DHIS), National Electronic Disease Surveillance System (NEDSS) 2013—2015 The measure does not evaluate the quality or comprehensiveness of state participation in the system.
8 10.0 Foundational 1.1.8 1.0 HSS Health Security Surveillance 1.0 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. M256 State public health laboratory participates in either of the following federal surveillance programs: Foodborne Diseases Active Surveillance Network (FoodNet) or National Molecular Subtyping Network for Foodborne Disease Surveillance (PulseNet) The measure indicates participation in national information sharing systems and electronic web-based public health surveillance systems. Participation assures that laboratory and surveillance data are comparable across states and enables national measurements of disease burden and progression. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012 & 2014 The measure does not evaluate the quality or comprehensiveness of participation in the surveillance networks.
10 12.0 Foundational 1.1.10 1.0 HSS Health Security Surveillance 1.0 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. M289 State health department participates in a broad prevention collaborative addressing healthcare-associated infections (HAIs) Healthcare-associated infections (HAIs) are diseases acquired by patients while receiving medical treatment in a healthcare facility. HAIs are significant sources of preventable disease burden, and place communities at elevated risk of large-scale outbreaks and epidemics. State prevention collaboratives consist of multiple hospitals within a state that support implementation of evidence-based prevention strategies through peer learning, performance measurement, and feedback reporting to clinicians and staff. State health department participation in these collaboratives is an indicator of the strength of HAI prevention strategies. CDC PSR Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN), Prevention Status Reports 2013 The measure does not evaluate the quality, comprehensiveness, or effectiveness of HAI prevention collaboratives.
13 15.0 Foundational 1.1.13 1.0 HSS Health Security Surveillance 1.0 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. M801 State public health laboratory participates in the Centers for Disease Control and Prevention (CDC) Influenza surveillance program, and/or the World Health Organization (WHO) Influenza Surveillance Network The measure indicates state participation in national information sharing systems and electronic web-based public health surveillance systems for influenza. Participation assures that key laboratory and surveillance data will be comparable across states and enables national and global measurements of disease burden and progression.. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012 & 2014 The measure does not evaluate the quality or comprehensiveness of participation in the surveillance networks.
14 17.0 Foundational 1.2.1 1.0 HSS Health Security Surveillance 2.0 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. M1 Public Health Emergency Preparedness (PHEP) Cooperative Agreement-funded Laboratory Response Network chemical (LRN-C) laboratories collect, package, and ship samples properly during an LRN-C exercise The measure focuses on laboratory knowledge, skills, and abilities to follow federal packaging and shipping regulations and the Centers for Disease Control and Prevention's (CDC) Laboratory Response Network (LRN) protocols. CDC Snapshot Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), National Snapshot of Public Health Preparedness 2011—2013 The measure is based on an exercise that includes only simulated samples, excluding real-life scenarios such as mislabeled specimens or specimens arriving at the laboratory at different times.
42 71.0 Foundational 2.3.1 2.0 CPE Community Planning & Engagement Coordination 5.0 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 M36 State participates in Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Program and has a state volunteer registry The measure indicates participation in a standard national system to verify emergency volunteers and credentials through preregistration before an emergency occurs. ASPR ESAR-VHP Assistant Secretary for Preparedness and Response (ASPR), The Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) 2014 The measure does not evaluate the quality or comprehensiveness of the volunteer registry, indicate whether it has been used during exercises or responses, or reflect state capacity for volunteer surge during emergencies.
51 101.0 Foundational 3.1.1 3.0 IIM Incident & Information Management 7.0 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. M10 State public health laboratory uses a rapid method (e.g., Health Alert Network (HAN), blast e-mail or fax) to send messages to their sentinel clinical laboratories and other partners The measure focuses on a state public health laboratory's ability to effectively transmit information rapidly and electronically to partners and to coordinate response activities. APHL AHLPS Association of Public Health Laboratories (APHL), All-Hazards Laboratory Preparedness Survey 2013—2016 The measure does not evaluate the frequency that the alert network is used or tested for routine or emergency messages, or whether it reaches all sentinel clinical laboratories and other partners in the state.
54 110.0 Foundational 3.1.10 3.0 IIM Incident & Information Management 7.0 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. M229 State public health laboratory has a 24/7/365 contact system in place to use in case of an emergency The measure focuses on the ability of a state to maintain a 24/7/365 contact system to receive notification of a public health emergency and activation of an incident management system that requires laboratory support. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012 & 2014 The measure does not evaluate the quality or comprehensiveness of the system, or the frequency of the plan being used or tested.
55 111.0 Foundational 3.1.11 3.0 IIM Incident & Information Management 7.0 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. M150 State uses a system for tracking hospital bed availability during emergencies The ability for a state to track and update hospital bed availability continuously using a consistent, nationally-accepted platform is important for management of surge capacity during a mass casualty event. ASPR HPP Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness Program 2012-2018 The measure data is collected by existing state and local reporting systems using secure data entry to measure bed counts during emergencies, and does not replace states' need to evaluate state and local bed count system development and implementation.
58 128.0 Foundational 3.3.2 3.0 IIM Incident & Information Management 7.0 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. M338 State requires healthcare facilities to report healthcare-associated infections to the Centers for Disease Control and Prevention's (CDC's) National Health Safety Network (NHSN) or other systems Healthcare-associated infections are a major, yet preventable, threat to patient safety. The National Health Safety Network (NHSN) is the CDC's system to collect surveillance data on these infections and to provide prevention strategies to healthcare facilities and providers. CDC HAI Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN), Healthcare—Associated Infections (HAI) Progress Report 2012 & 2013 The measure does not evaluate the healthcare facility compliance with reporting requirements.
59 131.0 Foundational 3.3.5 3.0 IIM Incident & Information Management 7.0 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. M341 State law includes a general provision regulating the release of personally identifiable information (PII) held by the health department States with laws authorizing the release of PII without patient consent for purposes of responding to communicable diseases are able to more quickly implement effective response strategies to slow and stop the spread of disease. These laws include such information as to whom personally identifiable information may be released and the specific rationale or purpose for which such may be done. PHLP CDC Public Health Law Program resources. https://www.cdc.gov/phlp/ 2013 The measure does not evaluate the state's legal scope of authority, infrastructure to investigate violations, or other strategies to respond to inappropriate release of personal information.
60 132.0 Foundational 3.3.6 3.0 IIM Incident & Information Management 7.0 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. M342 State law requires healthcare facilities to report communicable diseases to a health department Prompt reporting of communicable diseases to the state or local health department is crucial to the control and prevention of disease outbreaks. State and local public health system disease surveillance and control activities are the backbone of the nation's ability to control the spread of communicable diseases. NEDSS Centers for Disease Control and Prevention (CDC), Division of Health Informatics and Surveillance (DHIS), National Electronic Disease Surveillance System (NEDSS) 2013 The measure does not evaluate the effectiveness of state monitoring and enforcement of reporting requirements, the timeliness or completeness of reporting, or the ability of the health departments to receive and use the reported information.
61 135.0 Foundational 3.3.9 3.0 IIM Incident & Information Management 7.0 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. M345 State has adopted Emergency Management Assistance Compact (EMAC) legislation The Emergency Management Assistance Compact (EMAC) establishes a legislative and legal foundation for interstate assistance in the event of a governor-declared emergency. This foundation settles issues of liability, responsibility, licensing, and credentialing prior to an emergency. This prior arrangement allows impacted states a more efficient means of identifying and securing assistance following an emergency. NEMA EMAC National Emergency Management Association (NEMA) 2014 The measure does not evaluate state capacity to implement the agreement and incorporate out-of-state health care providers into medical surge responses.
62 120.0 Foundational 3.2.1 3.0 IIM Incident & Information Management 8.0 INFM Information Management & Communications 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. M64 State has a public information and communication plan developed for a mass prophylaxis campaign The measure reflects the capacity for timely public health risk communication during an emergency that requires dispensing of medical countermeasures. CDC PHEP Centers for Disease Control and Prevention (CDC), Public Health Emergency Preparedness and Response Cooperative Agreement Program. 2012-2018 The measure focuses on pre-event planning during a mass dispensing scenario, and does not include planning for broader emergency scenarios, capacity for response-driven public information and risk communication strategies, or capabilities in implementing the plan.
95 211.0 Foundational 5.1.1 5.0 CM Countermeasure Management 15.0 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. M60 State has developed a written countermeasure management plan including Strategic National Stockpile (SNS) elements State has developed a written countermeasure management plan including Strategic National Stockpile (SNS) elements The measure indicates whether a written plan exists to facilitate the receipt, distribution, and dispensing of protective supplies from the Strategic National Stockpile (SNS) quickly and efficiently. CDC PHEP 2012—2018 The measure does not evaluate whether the state has the resources and ability to implement the plan in a timely and effective manner.
116 254.0 Foundational 6.2.6 6.0 EOH Environmental & Occupational Health 18.0 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 M196 State public health laboratory provides or assures testing for environmental samples in the event of suspected chemical terrorism A state needs to be capable of determining, by appropriate scientific methods, agents involved in a suspected act of chemical terrorism. It is also necessary to be able to determine the prevalence of such agents in air, food, and water resources by testing environmental samples. This is both a measurement indicative of the incident and a measure of mitigation and recovery effectiveness. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012 & 2014 The state public health laboratory testing “provide or assure” standard is based on national consensus expert opinion and is recommended by the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human Services, and is reflected in the Healthy People 2020 goals concerning access to comprehensive public health and environmental health laboratory testing. This standard requires the state public health authority, through its laboratory, engage in the testing and reporting process – either by directly performing the tests or by assuring that alternative labs perform the tests adequately. This standard is designed to ensure that laboratory testing, interpretation, and reporting is guided by specialized public health knowledge and expertise found within the state public health agency, and that timely, effective public health responses and protective actions occur based on test results. States that provide testing through another type of laboratory, with no assurance role performed by the public health laboratory, do not meet this standard. (see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846798/).
119 257.0 Foundational 6.2.9 6.0 EOH Environmental & Occupational Health 18.0 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 M274 State participates in the National Plant Diagnostic Network (NPDN) The National Plant Diagnostic Network (NPDN) was established in 2002 in response to the need to enhance agricultural security through protecting health and productivity of plants in agricultural and natural ecosystems in the U.S. The NPDN is a national consortium of plant diagnostic laboratories with the specific purpose of quickly detecting and identifying plant pests and pathogens of concern. NPDN National Plant Diagnostic Network (NPDN), National Plant Diagnostic website 2014 The measure does not evaluate the level or effectiveness of the state participation, including the resources committed and state success in quickly detecting and identifying pathogens.

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