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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 69 | 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. |
| 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. |
| 95 | 95 | 211.0 | Foundational | 5.1.1 | 5.0 | CM | Countermeasure Management | 15.0 | MMMDD | Medical Materiel Management, Distribution, & Dispensing | The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures. | M60 | State has developed a written countermeasure management plan including Strategic National Stockpile (SNS) elements | State has developed a written countermeasure management plan including Strategic National Stockpile (SNS) elements | The measure indicates whether a written plan exists to facilitate the receipt, distribution, and dispensing of protective supplies from the Strategic National Stockpile (SNS) quickly and efficiently. | CDC PHEP | 2012—2018 | The measure does not evaluate whether the state has the resources and ability to implement the plan in a timely and effective manner. |
| 7 | 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. |
| 5 | 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. |
| 10 | 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. |
| 1 | 1 | 3.0 | Foundational | 1.1.1 | 1.0 | HSS | Health Security Surveillance | 1.0 | PHSEI | Health Surveillance & Epidemiological Investigation | The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance. | M17 | State health department participates in the Behavioral Risk Factor Surveillance System (BRFSS) | The measure indicates participation in the nation's largest surveillance system that tracks health conditions and risk behaviors. The Behavioral Risk Factor Surveillance System (BRFSS) is used to collect prevalence data from U.S. adult residents regarding risk behavior and preventive health practices that can affect health status. Participation can provide population-level data that can be useful in vulnerability assessments and developing messaging and intervention strategies. | CDC BRFSS | Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Questionnaire (BRFSS). Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Survey data analyzed by authors. | 2012—2015 | The state's extensiveness of participation in the BRFSS based on sampling and instrumentation is not measured, and varies widely across states. |
| 3 | 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 | 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. |
| 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. |
| 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. |
| 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. |
| 15 | 15 | 18.0 | Index | 1.2.2 | 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. | M1314 | State public health chemical OR radiological terrorism/threat laboratory is accredited or certified by the College of American Pathologists (CAP) or Clinical Laboratory Improvement Amendments (CLIA) | A laboratory must have federal certification to conduct testing for chemical agents. The measure focuses on certification or accreditation of a chemical laboratory. Also, a relevant certification framework exists for radiological terrorism laboratory certification. The measure also indicates whether a state's radiological terrorism laboratory has earned such certification. | APHL AHLPS | Association of Public Health Laboratories (APHL), All-Hazards Laboratory Preparedness Survey | 2013—2018 | Certification may be based on simulated samples, since actual chemical samples are lacking. Selected responses from the 2018 survey have been corrected for Colorado and therefore no longer correspond to the originally published survey results |
| 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. |
| 16 | 16 | 21.0 | Index | 1.2.6 | 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. | M208 | State public health laboratory has a permit for the importation and transportation of materials, organisms, and vectors controlled by USDA/APHIS (U.S. Department of Agriculture/ Animal and Plant Health Inspection Service) | The laboratory must have a federal U.S. Department of Agriculture/Animal and Plant Inspection Service (USDA/APHIS) permit for the importation and transportation of controlled materials. The measure focuses on possession of the permit. | 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. |
| 17 | 17 | 22.0 | Index | 1.2.7 | 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. | M8 | State public health laboratory has a plan for a 6-8 week surge in testing capacity to respond to an outbreak or other public health event, with enough staffing capacity to work five 12-hour days for six to eight weeks in response to an infectious disease outbreak, such as novel influenza A (H1N1) | The measure focuses on the state public health laboratory workforce readiness and surge capacity. | APHL AHLPS | Association of Public Health Laboratories (APHL), All-Hazards Laboratory Preparedness Survey | 2013—2018 | The measure does not evaluate the quality or comprehensiveness of the plan, or the frequency of the plan being used or tested. |
| 6 | 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. |
| 8 | 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. |
| 13 | 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. |
| 116 | 116 | 254.0 | Foundational | 6.2.6 | 6.0 | EOH | Environmental & Occupational Health | 18.0 | EM | Environmental Monitoring | The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends | M196 | State public health laboratory provides or assures testing for environmental samples in the event of suspected chemical terrorism | A state needs to be capable of determining, by appropriate scientific methods, agents involved in a suspected act of chemical terrorism. It is also necessary to be able to determine the prevalence of such agents in air, food, and water resources by testing environmental samples. This is both a measurement indicative of the incident and a measure of mitigation and recovery effectiveness. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012 & 2014 | The state public health laboratory testing “provide or assure” standard is based on national consensus expert opinion and is recommended by the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human Services, and is reflected in the Healthy People 2020 goals concerning access to comprehensive public health and environmental health laboratory testing. This standard requires the state public health authority, through its laboratory, engage in the testing and reporting process – either by directly performing the tests or by assuring that alternative labs perform the tests adequately. This standard is designed to ensure that laboratory testing, interpretation, and reporting is guided by specialized public health knowledge and expertise found within the state public health agency, and that timely, effective public health responses and protective actions occur based on test results. States that provide testing through another type of laboratory, with no assurance role performed by the public health laboratory, do not meet this standard. (see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846798/). |
| 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. |
| 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. |
| 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. |
| 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. |
| 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 |
| 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. |
| 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. |
| 122 | 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. |
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CREATE TABLE [NHSPI_measure_metadata] ( [obsid] TEXT, [index] TEXT, [item_code] TEXT, [domain_code] TEXT, [domain_name] TEXT, [domain_description] TEXT, [subdomain_code] TEXT, [subdomain_name] TEXT, [subdomain_description] TEXT, [subdomain_long_desc] TEXT, [measure_name] TEXT, [measure_description] TEXT, [measure_rationale] TEXT, [data_source] TEXT, [verbose_data_source] TEXT, [data_dates] TEXT, [limitations] TEXT );