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67 145.0 Index 4.1.7 4.0 HD Healthcare Delivery 10.0 PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. M140 Number of emergency medical technicians (EMTs) and paramedics per 100,000 population in the state Parametics and EMTs provide the workforce necessary to respond rapidly to individuals who experience acute health events, deliver initial care in the field, and provide transport to appropriate healthcare facilities for continued treatment. The size of this workforce is one indicator of a state’s surge capacity for large-scale emergencies and mass-casualty events. . BLS OES Bureau of Labor Statistics (BLS), Occupational Employment Statistics (OES) 2012—2017 The measure may not distinguish licensed EMTs and paramedics from those that are licensed, practicing, and affiliated. BLS and other national data sources have been shown to undercount certain types of health professionals, and may differ considerably from the estimates available from state licensing boards. Since the measurement undercounting in the BLS data are expected to be relatively consistent across states, they should not cause significant bias in the Index state and national results. The Bureau of Labor Statistics (BLS) produces occupational estimates by surveying a sample of non-farm establishments. As such, estimates produced through the Occupational Employment Statistics (OES) program are subject to sampling error.
68 149.0 Index 4.1.11 4.0 HD Healthcare Delivery 10.0 PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. M331 Percent of local emergency medical services (EMS) agencies that submit National EMS Information System (NEMSIS) compliant data (e.g., Version 2 in earlier years, Version 3 in later years) to the state The submission of EMS data to the national database allows state and federal officials to assess the timeliness and quality of EMS care. States can use the data to implement and evaluate improvements in EMS care, which may strengthen the ability to respond and recover from large-scale hazardous events. NHTSA National Highway Traffic Safety Administration (NHTSA), State NEMIS Progress Reports: State & Territory Version 2 Information 2015 & 2019 The quality of local data submissions is not well documented and may vary across communities and states. Data submissions may not reflect the extent to which data are used to inform EMS system improvements.
69 149.1 Index 4.1.12 4.0 HD Healthcare Delivery 10.0 PC Prehospital Care Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. M349 State has adopted EMS Personnel Licensure Interstate CompAct (REPLICA) legislation REPLICA may expand the availability of qualified EMS professionals during emergencies by providing a legal mechanism for licensed professionals to practice outside the state in which they are licensed. NASEMSO National Association of State EMS Officials 2013—2018 Other legal actions such as EMAC and state emergency declarations may enable cross-border EMS practice without REPLICA.
70 149.2 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.
71 149.3 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.
122 259.0 Index 6.3.1 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. M922 Transportation Structural Integrity, percent of bridges that are in good or fair condition (not poor) Core elements of transportation infrastructure shape many aspects of health security, including mitigation of health and safety risks due to bridge failures, timely mass evacuations, timely emergency responses, and timely restoration of economic and social activity. US DOT U.S. Department of Transportation, Federal Highway Administration, Office of Bridges and Structures 2012—2017 The frequency of bridge inspections varies according to numerous criteria. Most bridges are on a one-, two-, or four-year inspection cycle. Consequently, the data year does not necessarily coincide with the inspection year.
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
124 259.2 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. 
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.
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.
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.
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 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 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.
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.
128 259.9 Index 6.4.3 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 M531 Percent of employed population in the state engaging in some work from home by telecommuting During emergencies community resiliency, health security, and preparedness is enhanced if individuals can shelter in place. Having the ability to "telecommute" provides individuals with the option to work at home and shelter in place. U.S. Census, Current Population Survey Work Schedules Supplement, various years. Current Population Survey (CPS), Work Schedules Supplement data analyzed by PMO personnel. 2011—2013, 2015, 2017 The measure data is estimated based on a survey of a sample of the general population.
129 259.91 Index 6.4.4 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 M705 Percent of employed population (16 and older) in the state who work from home During emergencies community resiliency, health security, and preparedness is enhanced if individuals can shelter in place. Having the ability to work from home provides individuals with the option to shelter in place. U.S. Census, American Community Survey, various years. American Community Survey (ACS), 1-year estimate (Table B08128) 2012—2017 The measure data does not include all individuals who can work at home on a "part-time" basis.

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