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13 rows where subdomain_description = "Health Surveillance & Epidemiological Investigation"

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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.
2 4.0 Index 1.1.2 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. M18 Number of epidemiologists per 100,000 population in the state, by quintile (1=Lowest Quintile, 5=Highest Quintile) The measure indicates the state-wide personnel capacity of epidemiologists. An accessible epidemiology workforce is critical to assuring an organization can maintain on-going surveillance operations to detect emerging disease and to surge, or ramp up, during and after any significant event involving exposure to a hazard. BLS OES & ASTHO Bureau of Labor Statistics (BLS), Occupational Employment Statistics (OES) and ASTHO Profile of State and Territorial Public Health--2012 and 2016 Epidemiologists by Jurisdiction 2012—2017 The measure may overestimate the number of epidemiologists who are available to prepare for and respond to emergencies, because it counts all personnel regardless of the occupational settings in which they practice and the job responsibilities they perform. BLS and other national data sources on health provider supply have been shown to undercount certain types of 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, this is unlikely to 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.
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.
5 7.0 Index 1.1.5 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. M22 State health department has an electronic syndromic surveillance system that can report and exchange information The measure indicates state health department-access to syndromic surveillance data. Syndromic surveillance enables continuous monitoring for indicators of population level changes in health status that can in turn provide early warning of hazardous events. ASTHO Profile V. III Association of State and Territorial Health Officials (ASTHO), ASTHO Profile of State Public Health: Volume Three 2012 & 2016 Data are self-reported by state public health agencypersonnel and may reflect differences in awareness, perspective and interpretation among respondents. Nevada did not complete the survey used as the original data source but they subsequently provided information for this measure.
6 8.0 Index 1.1.6 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. M217 State public health laboratory has implemented the laboratory information management system (LIMS) to exchange laboratory information and results electronically with hospitals, clinical labs, state epidemiology units, and federal agencies Laboratory Information Management Systems (LIMS) are important contributors to timely and accurate sending and receiving of critical laboratory testing information. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012, 2014, & 2016 Data are self-reported by public health laboratory representatives and may reflect differences in awareness, perspective and interpretation among respondents. Selected responses from the all years of survey have been corrected for Wyoming and 2016 fresponse for Oklahoma has been corrected and therefore no longer correspond to the originally published survey results.
7 9.0 Index 1.1.7 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. M220 State has legal requirement for nongovernmental laboratories (e.g. clinical, hospital-based) in the state to send clinical isolates or specimens associated with reportable foodborne diseases to the state public health laboratory States and the federal government have disease reporting regulations that require notification of foodborne and other infectious diseases. Reporting requirements provide population-based data on infectious diseases. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012, 2014, & 2016 Data are self-reported by public health laboratory representatives and may reflect differences in awareness, perspective and interpretation among respondents. Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results.
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.
9 11.0 Index 1.1.9 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. M23 Percent of foodborne illness outbreaks reported to CDC by state and local public health departments for which a causative infectious agent is confirmed The measure indicates a state's ability to confirm the pathogens that cause foodborne disease outbreaks. This capability allows states to identify and intervene rapidly to prevent further spread of outbreaks in the community. CDC NORS Centers for Disease Control and Prevention (CDC), National Outbreak Reporting System (NORS) 2012—2017 The measure does not evaluate the quality or comprehensiveness of the state's reporting of foodborne illness outbreaks.
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.
11 13.0 Index 1.1.11 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. M290 State has a public health veterinarian This measure indicates a state’s ability to access veterinarian expertise in preventing, preparing for, detecting, responding to, and recovering from hazardous events that may originate in or spread through animal populations, ultimately creating health risks for humans. NASPHV National Association of State Public Health Veterinarians (NASPHV), Designated and Acting State Public Health Veterinarians 2014 & 2015, 2017—2019 The measure does not evaluate the quality or comprehensiveness of the veterinarian's integration into an animal response plan or coordination with other animal-related resources, such as a board of animal health, particularly in an emergency response situation.
12 14.0 Index 1.1.12 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. M265 State uses an Electronic Death Registration System (EDRS) The measure indicates a state's adoption and use of an electronic death registration system (EDRS). This capability may reduce the time require to process and access death certificates during an emergency. NAPHSIS National Association for Public Health Statistics and Information Systems (NAPHSIS), Electronic Death Registration Systems by Jurisdiction (State) 2014—2018 The measure does not evaluate the quality or comprehensiveness of the state's death registration system, or indicate other redundant systems that might be used if the EDRS is not available such as in the event of cyber-attacks and power outages.
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.

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