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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| 99 | 99 | 225.0 | Index | 5.2.2 | 5.0 | CM | Countermeasure Management | 16.0 | 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. | M32 | Percent of seniors age 65 and older in the state receiving a seasonal flu vaccination | The measure focuses on adults aged 65+ who have had an influenza vaccination within the past year. This measure is used by the Centers for Disease Control and Prevention (CDC) and states to monitor health status and is an important measure of achievement of immunization program objectives. The measure is a pre-event indicator of the capacity of the state's public and private immunization infrastructure needed to respond to an emerging vaccine controllable disease. | CDC FluVaxView | Centers for Disease Control and Prevention (CDC), National Immunization Survey (NIS) and the Behavioral Risk Surveillance System (BRFSS), FluVaxView State, Regional, and National Vaccination Report | 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. |
| 102 | 102 | 228.0 | Index | 5.2.5 | 5.0 | CM | Countermeasure Management | 16.0 | 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. | M35 | Percent of adults aged 18 years and older in the state receiving a seasonal flu vaccination | The measure focuses on influenza vaccination coverage for adults aged 18 to 64 years. This measure is used by the Centers for Disease Control and Prevention (CDC) and states to monitor health status and is an important measure of achievement of immunization program objectives. The measure is a pre-event indicator of the capacity of the state's public and private immunization infrastructure needed to respond to an emerging vaccine-controllable disease. | CDC FluVaxView | Centers for Disease Control and Prevention (CDC), National Immunization Survey (NIS) and the Behavioral Risk Surveillance System (BRFSS), FluVaxView State, Regional, and National Vaccination Report | 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. |
| 125 | 125 | 259.3 | Index | 6.3.4 | 6.0 | EOH | Environmental & Occupational Health | 19.0 | PEI | Physical Environment and Infrastructure | Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. | M929 | Flood Insurance Coverage, FEMA National Flood Insurance Policies (NFIP) in-force as a percentage of total housing units located in 100- and 500-year floodplains | NFIP participation indicates household and community awareness of flood risks and provides financial protections that accelerate community recovery after flood-related disasters. | FEMA & NYU Furman Center | U.S. Department of Homeland Security, FEMA, National Flood Insurance Program, and the NYU Furman Center (FloodzoneData.us) | 2013—2018 | Participation in the National Flood Insurance Program (NFIP) is voluntary. It is possible that some communities located in flood zones are not part of the NFIP. Also, many flood zone maps are outdated. |
| 127 | 127 | 259.8 | Index | 6.4.2 | 6.0 | EOH | Environmental & Occupational Health | 20.0 | WR | Workforce Resiliency | Actions taken to protect workers and emergency responders from health hazards while on the job | M530 | Percent of employed population in the state with some type of paid time off (PTO) benefit | During emergencies community resiliency, health security, and preparedness is enhanced if individuals can shelter in place. Paid time off, or PTO, provides the financial flexibility to take time off from work and shelter in place. | IPUMS--CPS, Miriam King, Steven Ruggles, J. Trent Alexander, Sarah Flood, Katie Genadek, Matthew B. Schroeder, Brandon Trampe, and Rebecca Vick. Integrated Public Use Microdata Series, Current Population Survey: Version 3.0. [Machine-readable database]. Minneapolis: University of Minnesota, 2010. | Current Population Survey (CPS), Annual Social and Economic Supplement (ASEC) data analyzed by PMO personnel. | 2013—2018 | The measure data is estimated based on a survey of a sample of the general population. |
| 42 | 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. |
| 61 | 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. |
| 119 | 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. |
| 11 | 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. |
| 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. |
| 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. |
| 66 | 66 | 170.3 | Index | 4.2.23 | 3.0 | IIM | Incident & Information Management | 8.0 | 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. | M1001 | . The state's 911 authorities are capable of processing and interpreting location and caller information using Next Generation 911 infrastructure. | Digital 911 capabilities can transmit more information and process larger call volumes at faster speeds, with fewer risks of disruption, possibly enabling faster emergency response. | NG911 | National 911 Program, Office of Emergency Medical Services (OEMS), National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation (USDOT). | 2014—2017 | Call centers and first responders may vary in the extent to which Next Generation 911 capabilities are implemented and used. |
| 12 | 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. |
| 52 | 52 | 104.0 | Index | 3.1.4 | 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. | M84 | State all hazards emergency management program is accredited by the Emergency Management Accreditation Program (EMAP) | The measure focuses on the accreditation of a state according to a set of 64 standards for emergency management programs that covers program management, administration and finance, laws and authorities, hazard identification, risk assessment and consequence analysis, hazard mitigation, prevention, operational planning, incident management, resource management and logistics, mutual aid, communications and warning, operations and procedures, facilities, training, exercises, and crisis communications. Each area is important for managing an incident and assuring multi-agency coordination. | EMAP | Emergency Management Accreditation Program (EMAP), Who Is Accredited? | 2014—2018 | The measure does not consider state emergency management programs with conditional accreditation, and some states may choose not to pursue accreditation for various state and local reasons. |
| 57 | 57 | 116.0 | Index | 3.1.16 | 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. | M344 | State has adopted the Nurse Licensure Compact (NLC) | The Nurse Licensure Compact allows licensed nurses residing in participating states the ability to practice in other participating states without applying for a new license. In the event of a significant disaster, Nurse Licensure Compact member states do not face licensing barriers when incorporating licensed nursing staff from other Nurse Licensure Compact member states into medical surge responses. States not party to this compact face increased administrative barriers when incorporating licensed nurses from other states into responses. | NCSBN NLC | National Council of State Boards of Nursing (NCSBN), Nurse Licensure Compact (NLC) Member States | 2014—2018 | The measure does not evaluate state capacity to implement the agreement and incorporate out-of-state nurses into medical surge responses. Some states have other limited regional agreements precluding the need for participation in the national Nurse Licensure Compact. |
| 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. |
| 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. |
| 126 | 126 | 259.5 | Index | 6.3.6 | 6.0 | EOH | Environmental & Occupational Health | 19.0 | PEI | Physical Environment and Infrastructure | Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. | M334 | State has a climate change adaptation plan | Climate change is already increasing global temperatures, leading to rising sea levels and more frequent and intense extreme weather events. These changes could affect coastlines, water supplies, human health, ecosystems, and more. Each community will be affected differently, so formal planning and concrete actions are needed to address these changes at both the state and local level. States and municipalities are recognizing the importance of preemptive action to address their vulnerabilities to climate change impacts. Many states have begun to address adaptation concerns either within broader climate action plans or through separate efforts. | C2ES | Center for Climate and Energy Solutions (C2ES), State and Local Climate Adaptation | 2014—2018 | The measure does not evaluate the quality or comprehensiveness of the plan, or the degree to which the plan is implemented. |
| 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. |
| 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. |
| 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. |
| 45 | 45 | 74.0 | Index | 2.3.4 | 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 | M176 | Number of Medical Reserve Corps (MRC) members who are physicians per 100,000 population in the state | The Medical Reserve Corps (MRC) is a national system of local, community-based teams of volunteers—medical and public health professionals and others without health backgrounds—who are identified, credentialed, trained, and prepared in advance of an emergency. MRC-registered physicians are vital to providing care to people with serious injuries or illness associated with mass casualty events and disease outbreaks. | MRC | Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel. | 2015—2018 | The measure does not evaluate the quality of the MRC management and current status of physician members who are licensed, credentialed, and received emergency response training. |
| 46 | 46 | 78.0 | Index | 2.3.8 | 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 | M179 | Number of Medical Reserve Corps (MRC) members who are nurses or advanced practice nurses per 100,000 population in the state | The Medical Reserve Corps (MRC) is a national system of local, community-based teams of volunteers—medical and public health professionals and others without health backgrounds—who are identified, credentialed, trained, and prepared in advance of an emergency. MRC-registered nurses are vital to providing emergency care for ill or injured people during a disaster or disease outbreak. | MRC | Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel. | 2015—2018 | The measure does not evaluate the quality of the MRC management and current status of nurses or advanced practice nurses who are licensed, credentialed, and received emergency response training. |
| 47 | 47 | 85.0 | Index | 2.3.15 | 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 | M186 | Number of Medical Reserve Corps (MRC) members who are other health professionals per 100,000 population in the state | The Medical Reserve Corps (MRC) is a national system of local, community-based teams of volunteers—medical and public health professionals and others without health backgrounds—who are identified, credentialed, trained, and prepared in advance of an emergency. Other public health and medical professionals (e.g., epidemiologists, environmental engineers, toxicologists) can provide logistical support and information technology support as well as staff information hotlines and mass clinics, assist with registration, and perform health screening. | MRC | Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel. | 2015—2018 | The measure does not evaluate the quality of the MRC management and current status of other health professionals who are licensed, credentialed, and received emergency response training. |
| 31 | 31 | 38.2 | Index | 1.2.25 | 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. | M902 | State has a high-capability laboratory to detect chemical threats (Level 1 or 2 LRN-C laboratory) | Level 2 laboratories are staffed with chemists who are trained to detect exposure to a broad array of chemical agents. Level 1 laboratories provide surge-capacity testing for federal CDC laboratories and are able to detect exposure to an expanded number of chemical agents beyond the Level 1 testing capabilities. State participation in LRN-C may enable faster detection of chemical exposures that are of public health concern. | CDC NCEH/DLS/ERB | Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH), Division of Laboratory Sciences (DLS), Emergency Response Branch (ERB) | 2016 & 2017 | The measure does not evaluate the quality or comprehensiveness of the laboratory capabilities. |
| 123 | 123 | 259.1 | Index | 6.3.2 | 6.0 | EOH | Environmental & Occupational Health | 19.0 | PEI | Physical Environment and Infrastructure | Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. | M923 | Surface Water Control Structural Integrity, percent of High-Hazard Potential Dams that are in Fair or Satisfactory condition | Core elements of surface water control infrastructure contribute to health security through mitigation of flood risks and protection of drinking water sources. | NID & ASDSO | U.S. Corp of Engineers, National Inventory of Dams (NID) and the Association of State Dam Safety Officials (ASDSO) | 2016 & 2018 | A small, but growing number of states exempt categories of dams from inspection based on the purpose of the impoundment or the owner type. Nationally roughly a quarter (22%) of the high-hazard dams are not rated for condition, with wide differences among the states |
| 124 | 124 | 259.2 | Index | 6.3.3 | 6.0 | EOH | Environmental & Occupational Health | 19.0 | PEI | Physical Environment and Infrastructure | Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment. | M928 | Housing Mitigation for Flood Hazards, population living in a community participating in the FEMA Community Rating System (communities with a CRS of 1 through 9) as a percent of all communities participating in the National Flood Insurance Program | States can reduce health, safety and financial risks posed by flooding by encouraging communities to participate in the community rating system. | FEMA | FEMA National Flood Insurance Program (NFIP) Community Rating System (CRS) | 2017—2018 | Participation in the National Flood Insurance Program (NFIP) is voluntary. It is possible that some communities located in flood zones are not part of the NFIP. |
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