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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| 38 | 38 | 56.0 | Index | 2.2.7 | 2.0 | CPE | Community Planning & Engagement Coordination | 4.0 | ARP | Children & Other At-Risk Populations | Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. | M163 | Number of pediatricians per 100,000 population under 18 years old in the state | Pediatricians are specially trained to provide medical care to children. These skills are particularly needed to provide care to children that have serious injuries or illnesses associated with mass casualty events and disease outbreaks. The measure focuses on the state's workforce capacity of pediatricians capable of providing specialized children's medical care. | AHRF | U.S. Health Resources & Services Administration (HRSA), Area Health Resources Files (AHRF) | 2010, 2015-2016 | The measure does not consider mutual aid plans that may be in place for healthcare facilities to supplement the number of available pediatricians in the event of an emergency. |
| 39 | 39 | 57.0 | Index | 2.2.8 | 2.0 | CPE | Community Planning & Engagement Coordination | 4.0 | ARP | Children & Other At-Risk Populations | Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. | M164 | Number of obstetricians and gynecologists per 100,000 female population in the state | Obstetricians and gynecologists are specially trained to provide medical care to women, including during and after pregnancy. These skills are particularly needed to provide care to women who have serious injuries or illness associated with mass casualty events and disease outbreaks. The measure indicates a state's capacity to provide specialized women’s health services during emergencies and in routine care situations. | AHRF | U.S. Health Resources & Services Administration (HRSA), Area Health Resources Files (AHRF) | 2010, 2015-2016 | The measure does not consider mutual aid plans that may be in place for healthcare facilities to supplement the number of available obstetricians and gynecologists in the event of an emergency. |
| 40 | 40 | 58.0 | Index | 2.2.9 | 2.0 | CPE | Community Planning & Engagement Coordination | 4.0 | ARP | Children & Other At-Risk Populations | Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. | M170 | Percent of state children (0-18 years) who reside within 50 miles of a pediatric trauma center, including out-of-state centers | Treatment of traumatic injury among children requires timely access to specialized skills and resources. The measure indicates medical infrastructure and, by inference, trained staff capable of providing specialized care to pediatric trauma patients. | AHA | 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 indicate the capacity of the trauma center, such as the number of available pediatric trauma beds or inpatient treatment beds for the care of pediatric patients. |
| 41 | 41 | 70.1 | Index | 2.2.21 | 2.0 | CPE | Community Planning & Engagement Coordination | 4.0 | ARP | Children & Other At-Risk Populations | Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation. | M53B | Percent of youth who did not miss one or more days of school in past month due to concerns about safety | School safety practices can reduce student concerns about safety and improve student adherence to emergency plans and protocols. | CDC YRBS | Youth Risk Behavior Survey | 2011, 2013, 2015 & 2017 | The measure is self-reported and does not distinguish reasons for safety concerns. |
| 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. |
| 43 | 43 | 72.0 | Index | 2.3.2 | 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 | M266 | Percent of the state’s population who live in a county with a Community Emergency Response Teams (CERT) | Citizen Corps is a U.S. Department of Homeland Security initiative coordinated through the Federal Emergency Management Administration (FEMA) to engage, educate, and train volunteers to strengthen personal and community preparedness and response. Launched in 2002, Citizen Corps comprises a network of more than 1,200 county, tribal, state, and territorial councils and 2,400 registered Community Emergency Response Teams (CERT), which have completed specialized training. Citizen Corps has partner programs, which include Fire Corps (through FEMA and the National Volunteer Fire Council) and Volunteers in Police Service (through the International Association of Chiefs of Police). | FEMA & CC CERT | Federal Emergency Management Agency (FEMA), Citizen Corps Community Emergency Response Teams (CERT), and U.S. Census data analyzed by PMO personnel. | 2012—2014, 2016 | The measure does not evaluate the quality or comprehensiveness of the CERT, including leadership strength, local and governmental agency support, or participation by multiple sectors. |
| 44 | 44 | 73.0 | Index | 2.3.3 | 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 | M346 | Number of total Medical Reserve Corps members 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 volunteers are vital to providing care to people with serious injuries or illnesses associated with mass casualty events and disease outbreaks. | MRC | Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel. | 2012—2014, 2016—2018 | The measure does not evaluate the quality of the MRC management and current status of licensed/credentialed/trained members, or include other formal and informal systems of registering, credentialing, and managing health and medical volunteers such as ESAR-VHP (Emergency System for the Advance Registration of Volunteer Health Professionals). |
| 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. |
| 48 | 48 | 93.0 | Index | 2.4.2 | 2.0 | CPE | Community Planning & Engagement Coordination | 5.5 | SCC | Social Capital & Cohesion | The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. | M175 | Percent of voting-eligible population in the state participating in the highest office election | Voter participation is one proxy measure for social cohesion, which indicates the degree of connectedness and belonging that exists among members of a community. Cohesion is positively correlated with a community’s ability to recover from emergencies and disasters. Voter participation also is correlated with community involvement and trust in government. | USEP | United States Election Project, General Election Turnout Rates | 2012, 2014 & 2016 | The ideal numerator is total ballots counted (voting eligible population is the denominator), but these data are not available for all jurisdictions. Therefore, the Index uses a measure of the total votes cast for the highest office (e.g., presidential, gubernatorial, or congressional election). |
| 49 | 49 | 94.0 | Index | 2.4.3 | 2.0 | CPE | Community Planning & Engagement Coordination | 5.5 | SCC | Social Capital & Cohesion | The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. | M188 | Percent of adults in the state who volunteer in their communities | Community residents who volunteer, like those who vote, is an indicator of community cohesiveness. Rate of volunteerism is considered a representation of community involvement and engagement, which can strengthen pre-event planning as well as post-event response and recovery activities. | CPS Volunteer Supplement | Current Population Survey (CPS), Volunteer Supplement data analyzed by PMO personnel. | 2012—2015, 2017 | Data do not reflect the frequency, regularity or sustainability of volunteering, and respondents may be inclined to over-report their volunteerism. |
| 50 | 50 | 95.0 | Index | 2.4.4 | 2.0 | CPE | Community Planning & Engagement Coordination | 5.5 | SCC | Social Capital & Cohesion | The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents. | M189 | Number of annual volunteer hours per state resident, 15 years and older | Community residents who volunteer, like those who vote, have long been associated with more cohesive communities. This measure is another way of indirectly capturing the community-level benefits derived from those who "give back" or volunteer their time. | CPS Volunteer Supplement | Current Population Survey (CPS), Volunteer Supplement data analyzed by PMO personnel. | 2012—2015, 2017 | Respondents may be inclined to over-report the number of hours they volunteer. Also, certain communities that have strong social cohesion may have a low reported rate, such as settings where both parents work full-time and may not have time to volunteer. |
| 51 | 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. |
| 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. |
| 53 | 53 | 107.0 | Index | 3.1.7 | 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. | M107 | Percent of local health departments in the state with an emergency preparedness coordinator for states with local health departments, excludes Rhode Island and Hawaii | The measure estimates the capacity of the public health emergency management system by using emergency preparedness coordinators employed at local public health departments, or regional or district offices within the state, as the criteria. | NACCHO Profile | National Association of County and City Health Officials (NACCHO), 2013 National Profile of Local Health Departments | 2013 & 2016 | The measure does not apply to states that do not have local health departments. The measure does not evaluate the quality or robustness of the local emergency management system. |
| 54 | 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 | 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. |
| 56 | 56 | 115.1 | Index | 3.2.5 | 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. | M701 | Average number of minutes for state health department staff with incident management lead roles to report for immediate emergency response duty (reverse coded) | This performance indicator demonstrates the ability to immediately assemble public health staff with incident management lead roles to ensure a timely response to an incident. Specifically, this indicator captures an agency’s ability to assemble key decision-makers who are responsible for leading and managing a response. | CDC OPHPR | Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), National Snapshot of Public Health Preparedness | 2011—2016 | Data are self-reported by health department representatives and may reflect differences in awareness, perspective and interpretation among respondents. |
| 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. |
| 58 | 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 | 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 | 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 | 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 | 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. |
| 63 | 63 | 124.2 | Index | 3.2.5 | 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. | M228 | Percent of households in the state with broadband in the home | The measure is focused on the availability of residential infrastructure that provides fixed internet connections. The measure assesses the households per state that maintain residential fixed connections. | U.S. Census Bureau | American Community Survey (ACS), 1-year estimate (GCT2801). | 2012—2017 | The measure focuses only on fixed broadband connections, and does not include an indication of the broadband system's ability to remain operational in a emergency or disaster. |
| 64 | 64 | 170.1 | Index | 4.2.21 | 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. | M906 | Percent of hospitals in the state that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare or Medicaid EHR Incentive Programs. 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. | Adoption and use of EHRs may enhance continuity of clinical care operations when emergencies disrupt routine clinical transactions, and may enhance early detection of and response to hazards through electronic reporting and syndromic surveillance. | HHS ONCHIT | The Office of the National Coordinator for Health Information Technology, a division of the U.S. Department of Health and Human Services | 2013—2016 | The measure reflects performance during routine care delivery and may not reflect capabilities in emergency situations. |
| 65 | 65 | 170.2 | Index | 4.2.22 | 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. | M907 | Percent of hospitals in the state that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare or Medicaid EHR Incentive Programs. 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. | Adoption and use of EHRs may enhance continuity of clinical care operations when emergencies disrupt routine clinical transactions, and may enhance early detection of and response to hazards through electronic reporting and syndromic surveillance. | HHS ONCHIT | The Office of the National Coordinator for Health Information Technology, a division of the U.S. Department of Health and Human Services | 2013—2016 | The measure reflects performance during routine care delivery and may not reflect capabilities in emergency situations. |
| 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. |
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