NHSPI_measure_metadata
Data source: Big Local News · About: big-local-datasette
129 rows sorted by limitations
This data as json, copyable, CSV (advanced)
| 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 ▼ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 | 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. |
| 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. |
| 83 | 83 | 178.0 | Index | 4.3.7 | 4.0 | HD | Healthcare Delivery | 12.0 | LTC | Long-Term Care | Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. | M308 | Average number of nurse (RN) staffing hours per resident per day in nursing homes in the state | Registered nurses (RNs) are important providers of skilled nursing care to residents. This measure is a reflection of core capacity for a clinical asset. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2014—2018 | The measure source data are collected during a specific two-week period and do not take into account variations related to season, region, resident acuity, skill mix of other care providers, and other factors. The measure does not evaluate staff availability for a disaster or whether staff received disaster response training. |
| 84 | 84 | 179.0 | Index | 4.3.8 | 4.0 | HD | Healthcare Delivery | 12.0 | LTC | Long-Term Care | Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. | M309 | Average number of nursing assistant (CNA) staffing hours per resident per day in nursing homes in the state | Certified nursing assistants (CNAs) provide important, non-nursing level care to residents and clients under their care. The average number of CNA staffing hours per resident per day is a reflection of core capacity and a measure of safety in terms of patient care. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2014—2018 | The measure source data are collected during a specific two-week period and do not take into account variations related to season, region, resident acuity, skill mix of other care providers, and other factors. The measure does not evaluate staff availability for a disaster or whether staff received disaster response training. |
| 86 | 86 | 181.0 | Index | 4.3.10 | 4.0 | HD | Healthcare Delivery | 12.0 | LTC | Long-Term Care | Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. | M310 | Average number of licensed practical nurse (LPN) staffing hours per resident per day in nursing homes in the state | Licensed practical nurses (LPNs) are important members of the resident care team, and provide skilled nursing care. This measure is a reflection of core capacity for a clinical asset. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2014—2018 | The measure source data are collected during a specific two-week period and do not take into account variations related to season, region, resident acuity, skill mix of other care providers, and other factors. The measure does not evaluate staff availability for a disaster or whether staff received disaster response training. |
| 89 | 89 | 190.0 | Index | 4.4.4 | 4.0 | HD | Healthcare Delivery | 13.0 | MBH | Mental & Behavioral Healthcare | Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population. | M316 | Percent of hospitals in the state providing psychiatric emergency services | This measure indicates psychiatric services that are owned or provided by a hospital or by a hospital's health system (i.e., don't require a contractual agreement). In times of disaster, psychiatric emergencies may occur and their prompt and efficacious treatment is important to a comprehensive behavioral health response. These emergency services may be treated in a number of settings, including hospitals. All hospitals are engaged in some level of disaster planning. If a hospital self-identifies as providing emergency psychiatric services, it is more likely that these services are coordinated/integrated with other disaster preparedness and response behavioral health efforts. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure source data does not have a standard definition of emergency psychiatric services, and survey respondents may have different interpretations for positive responses. All hospital emergency medical services include emergency psychiatric services, but fewer hospitals have more complete, specialty-staffed, comprehensive psychiatric emergency services. Negative responses may indicate the absence of any emergency psychiatric services, or the absence of a separate, identifiable, comprehensive service. The measure does not evaluate the extent of service integration with other disaster preparedness and response efforts by the hospital or emergency psychiatric service, or the disaster-related services provided such as mobile crisis response capacity and telephone-based crisis services. |
| 82 | 82 | 167.0 | Index | 4.2.17 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M300 | Percent of hospitals in the state with a top quality ranking (Grade A) on the Hospital Safety Score | The Hospital Safety Score uses 28 national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medicaid Services (CMS) to produce a single score representing the hospital's overall performance in keeping patients safe from preventable harm and medical errors. A grade "A" represents the best hospital safety score. Being able to provide patient safety and reduced medical errors during normal operations positions the hospital to perform better during health emergencies. | Leapfrog HSS | The Leapfrog Group, Hospital Safety Score (HSS) | 2013—2018 | The measure source data does not include critical access hospitals, specialty hospitals, pediatric hospitals, hospitals in Maryland, territories exempt from public reporting to CMS, and others. 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. |
| 68 | 68 | 149.0 | Index | 4.1.11 | 4.0 | HD | Healthcare Delivery | 10.0 | PC | Prehospital Care | Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities. | M331 | Percent of local emergency medical services (EMS) agencies that submit National EMS Information System (NEMSIS) compliant data (e.g., Version 2 in earlier years, Version 3 in later years) to the state | The submission of EMS data to the national database allows state and federal officials to assess the timeliness and quality of EMS care. States can use the data to implement and evaluate improvements in EMS care, which may strengthen the ability to respond and recover from large-scale hazardous events. | NHTSA | National Highway Traffic Safety Administration (NHTSA), State NEMIS Progress Reports: State & Territory Version 2 Information | 2015 & 2019 | The quality of local data submissions is not well documented and may vary across communities and states. Data submissions may not reflect the extent to which data are used to inform EMS system improvements. |
| 104 | 104 | 238.0 | Index | 6.1.3 | 6.0 | EOH | Environmental & Occupational Health | 17.0 | FWS | Food & Water Security | The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. | M275_PWW | State public health laboratory provides or assures testing for private well water | Having the capability at a state public health laboratory to test different types of water samples is important to the characterization of various water-based environments that may be contaminated or otherwise affected by a health security event. Being able to rapidly characterize the level of contamination is important for preventing exposure and being able to allow re-entry/use during the recovery phase of an event. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). |
| 105 | 105 | 239.0 | Index | 6.1.4 | 6.0 | EOH | Environmental & Occupational Health | 17.0 | FWS | Food & Water Security | The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. | M275_REC | State public health laboratory provides or assures testing for recreational water | Having the capability at a state public health laboratory to test different types of water samples is important to the characterization of various water-based environments that may be contaminated or otherwise affected by a health security event. Being able to rapidly characterize the level of contamination is important for preventing exposure and being able to allow re-entry/use during the recovery phase of an event. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). |
| 108 | 108 | 243.0 | Index | 6.1.8 | 6.0 | EOH | Environmental & Occupational Health | 17.0 | FWS | Food & Water Security | The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. | M276 | Percent of 16 tests for different organisms or toxins that the state public health laboratory provides or assures to assist with foodborne disease outbreak investigations, including Bacillus cereus, Brucella sp., Campylobacter sp., Clostridium botulinum, Clostridium perfringens, Cryptosporidium sp., Cyclospora cayetanensis, Listeria monocytogenes, norovirus, Salmonella, Shigella, Staphylococcus aureus, STEC non-O157, STEC O157, Vibrio sp., Yersinia enterocolitica. | Being able to test for the most important agents that cause foodborne disease is an important capability of a state public health laboratory. Rapid identification of these agents in food and water samples can enhance the investigation of foodborne disease outbreaks and is important in identifying the source of the contamination. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). |
| 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/). |
| 117 | 117 | 255.0 | Index | 6.2.7 | 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 | M272 | Percent of 12 tests for different contaminants in environmental samples that the state public health laboratory provides or assures, including asbestos, explosives, gross alpha and gross beta, inorganic compounds (e.g., nitrates), metals, microbial, lead, persistent organic pollutants, pesticides (including organophosphates), pharmaceuticals, radon, or volatile organic compounds | The ability of a state's public health laboratory to test for a broad spectrum of potential environmental contaminants known to cause human health effects is important. Environmental monitoring for these contaminants during a health emergency will allow responders to identify areas that should be restricted and help establish protective actions to minimize public and first responder exposure. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). |
| 103 | 103 | 237.0 | Index | 6.1.2 | 6.0 | EOH | Environmental & Occupational Health | 17.0 | FWS | Food & Water Security | The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. | M275_DW | State public health laboratory provides or assures testing for drinking water | Having the capability at a state public health laboratory to test different types of water samples is important to the characterization of various water-based environments that may be contaminated or otherwise affected by a health security event. Being able to rapidly characterize the level of contamination is important for preventing exposure and being able to allow re-entry/use during the recovery phase of an event. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Inclusion of this measure ensures that the Index is consistent with national expert opinion and federal recommendations concerning comprehensive public health laboratory testing capabilities. However, the measure does not assess the quality of the testing, the timeliness of results reporting to enable responses to public health threats, nor whether sufficient capacity exists to test the volume of samples required during a health security event. |
| 21 | 21 | 26.0 | Index | 1.2.11 | 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. | M211 | Percent of 10 tests for infectious diseases that the state public health laboratory provides or assures, including the study of the characteristics of a disease or organism in blood tests for arbovirus, hepatitis C, Legionella, measles, mumps, Neisseria meningitides serotyping, Plasmodium identification, Salmonella serotyping, Shigella serotyping, and Varicella | The measure focuses on the public health laboratory's (PHL's) ability to provide a range of diagnostic and surveillance testing. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Inclusion of this measure ensures that the Index is consistent with national expert opinion and federal recommendations concerning comprehensive public health laboratory testing capabilities. However, the measure does not assess the quality of the testing, the timeliness of results reporting to enable responses to public health threats, nor whether sufficient capacity exists to test the volume of samples required during a health security event. Selected responses from the 2016 survey have been corrected for Louisana and therefore no longer correspond to the originally published survey results. |
| 22 | 22 | 27.0 | Index | 1.2.12 | 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. | M216 | Percent of 15 tests for infectious diseases that the state public health laboratory provides or assures including: antimicrobial susceptibility testing confirmation for vancomycin resistant Staphylococcus aureus, Anaplasmosis (Anaplasma phagocytophilum), Babesiosis (Babesia sp.), botulinum toxin—mouse toxicity assay, Dengue Fever, Hantavirus serology, identification of unusual bacterial isolates, identification of fungal isolates, identification of parasites, Klebsiella pneumoniae Carbapenemase (blaKPC) by PCR, Legionella by culture or PCR, malaria by PCR, norovirus by PCR, Powassan virus, rabies | The measure focuses on the public health laboratory's (PHL's) ability to provide a range of diagnostic and surveillance testing. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Inclusion of this measure ensures that the Index is consistent with national expert opinion and federal recommendations concerning comprehensive public health laboratory testing capabilities. However, the measure does not assess the quality of the testing, the timeliness of results reporting to enable responses to public health threats, nor whether sufficient capacity exists to test the volume of samples required during a health security event. Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results. |
| 30 | 30 | 38.1 | Index | 1.2.24 | 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. | M911 | State public health laboratory provides or assures testing for soil | Soil testing is an essential component of environmental monitoring. | APHL CLSS | Association of Public Health Laboratories (APHL). Comprehensive Laboratory Services Survey (CLSS). 2012 & 2014. Additional details about this measure are available from the source. Data have been compiled by APHL biennially since 2004. The CLSS covers the 50 states, the District of Columbia, and Puerto Rico. State-level data are not available to the public but can be accessed by public health laboratory directors, among others. Data were obtained directly from the source. | 2012, 2014, & 2016 | 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/). Inclusion of this measure ensures that the Index is consistent with national expert opinion and federal recommendations concerning comprehensive public health laboratory testing capabilities. However, the measure does not assess the quality of the testing, the timeliness of results reporting to enable responses to public health threats, nor whether sufficient capacity exists to test the volume of samples required during a health security event. Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results. |
| 106 | 106 | 240.0 | Index | 6.1.5 | 6.0 | EOH | Environmental & Occupational Health | 17.0 | FWS | Food & Water Security | The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. | M275_SUR | State public health laboratory provides or assures testing for surface water | Having the capability at a state public health laboratory to test different types of water samples is important to the characterization of various water-based environments that may be contaminated or otherwise affected by a health security event. Being able to rapidly characterize the level of contamination is important for preventing exposure and being able to allow re-entry/use during the recovery phase of an event. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results. |
| 107 | 107 | 242.0 | Index | 6.1.7 | 6.0 | EOH | Environmental & Occupational Health | 17.0 | FWS | Food & Water Security | The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. | M275_WST | State public health laboratory provides or assures testing for waste water | Having the capability at a state public health laboratory to test different types of water samples is important to the characterization of various water-based environments that may be contaminated or otherwise affected by a health security event. Being able to rapidly characterize the level of contamination is important for preventing exposure and being able to allow re-entry/use during the recovery phase of an event. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results. |
| 112 | 112 | 249.0 | Index | 6.2.1 | 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 | M202 | State public health laboratory provides or assures testing for air samples | The measure focuses on the capability of a state public health laboratory to perform testing from air samples. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results. |
| 118 | 118 | 256.0 | Index | 6.2.8 | 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 | M273 | State public health laboratory provides or assures testing for hazardous waste | Disasters and other events can cause the release of substances that are the by-product or waste of industrial processes into the environment. These substances are often toxic and hazardous to human health. It is important that the state laboratory has the capability to test for hazardous substances (or can assure that this capability exists). This capability is significant in characterizing the area contaminated by the release and is also essential to the clean-up and site remediation/restoration. | APHL CLSS | Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) | 2012, 2014, & 2016 | 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/). Selected responses from the 2016 survey have been corrected for North Carolina and therefore no longer correspond to the originally published survey results. |
| 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. |
| 85 | 85 | 180.0 | Index | 4.3.9 | 4.0 | HD | Healthcare Delivery | 12.0 | LTC | Long-Term Care | Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc. | M307 | Percent of long-stay nursing home residents in the state that are assessed and appropriately given the seasonal influenza vaccine | This is a measure of the strength of the state's public health programs and general level of competency of long-stay resident facility managers as reflected in their effectiveness in risk avoidance through a seasonal vaccination program. It is also a measure of the population percentage who would have additional protection against seasonal flu, somewhat reducing the overall pressure on the healthcare system by mitigating the effect of seasonal flu during disaster response. | CMS NH | Centers for Medicare & Medicaid Services (CMS), Nursing Home State Averages | 2013—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 92 | 92 | 204.0 | Index | 4.5.1 | 4.0 | HD | Healthcare Delivery | 14.0 | HC | Home Care | Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services. | M291 | Percent of home health episodes of care in the state where the home health team determined whether their patient received a flu shot for the current flu season | Providing influenza vaccinations to vulnerable populations that are provided care through a home health agency is an indicator of the capability and quality of care provided by the agency. | CMS HH | Centers for Medicare & Medicaid Services (CMS), Home Health Care-State by State Data | 2013—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 99 | 99 | 225.0 | Index | 5.2.2 | 5.0 | CM | Countermeasure Management | 16.0 | CUE | Countermeasure Utilization & Effectiveness | The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. | M32 | Percent of seniors age 65 and older in the state receiving a seasonal flu vaccination | The measure focuses on adults aged 65+ who have had an influenza vaccination within the past year. This measure is used by the Centers for Disease Control and Prevention (CDC) and states to monitor health status and is an important measure of achievement of immunization program objectives. The measure is a pre-event indicator of the capacity of the state's public and private immunization infrastructure needed to respond to an emerging vaccine controllable disease. | CDC FluVaxView | Centers for Disease Control and Prevention (CDC), National Immunization Survey (NIS) and the Behavioral Risk Surveillance System (BRFSS), FluVaxView State, Regional, and National Vaccination Report | 2013—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 101 | 101 | 227.0 | Index | 5.2.4 | 5.0 | CM | Countermeasure Management | 16.0 | CUE | Countermeasure Utilization & Effectiveness | The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. | M34 | Percent of children aged 6 months to 4 years old in the state receiving a seasonal flu vaccination | The measure is used by Centers for Disease Control and Prevention (CDC) and states to monitor health status and is an important measure of the achievement of the state's immunization objectives. The measure serves as a pre-event indicator of the capacity of the immunization infrastructure in the state needed to respond to an emerging vaccine-controllable disease. | CDC NIS | Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHC), National Immunization Survey (NIS) | 2012—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 102 | 102 | 228.0 | Index | 5.2.5 | 5.0 | CM | Countermeasure Management | 16.0 | CUE | Countermeasure Utilization & Effectiveness | The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention. | M35 | Percent of adults aged 18 years and older in the state receiving a seasonal flu vaccination | The measure focuses on influenza vaccination coverage for adults aged 18 to 64 years. This measure is used by the Centers for Disease Control and Prevention (CDC) and states to monitor health status and is an important measure of achievement of immunization program objectives. The measure is a pre-event indicator of the capacity of the state's public and private immunization infrastructure needed to respond to an emerging vaccine-controllable disease. | CDC FluVaxView | Centers for Disease Control and Prevention (CDC), National Immunization Survey (NIS) and the Behavioral Risk Surveillance System (BRFSS), FluVaxView State, Regional, and National Vaccination Report | 2013—2018 | Vaccine effectiveness varies each year as a function of the accuracy in predicting the influenza strains covered by each year's vaccine. As a result, expected influenza protection and reduced demand on healthcare facilities may be marginal in the event of a major disaster. |
| 81 | 81 | 166.0 | Index | 4.2.16 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M299 | Risk-adjusted 30-day survival rate (percent) among Medicare beneficiaries hospitalized in the state for heart attack, heart failure, or pneumonia | This measure is for risk-standardized all-cause 30-day mortality rates for Medicare patients aged 65 and older who are hospitalized with a principal diagnosis of heart attack, heart failure, or pneumonia. All-cause mortality is defined as death from any cause within 30 days after the index admission. This is a measure of the state's public health and healthcare system's programs, staffing, and requirements which influence recovery or mortality from an illness severe enough to require hospitalization. | CF Scorecard | The Commonwealth Fund, Aiming Higher: Results from a Scorecard on State health System Performance | 2011-2013, 2015 & 2016 | Variation in state population health, such as obesity or smoking rates, may have a greater effect on the measure results than prevention and preparedness programs. |
Advanced export
JSON shape: default, array, newline-delimited
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 );