rowid,obsid,Year,Item Name,Item Type,Item Status,Relevant Domain,Relevant Subdomain,Item  Name,Item Description,National_score,Upper CI,Lower CI,State,State_score
1,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,AK,5.9
2,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,AK,8.9
3,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,AK,8.200000000000001
4,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,AK,8.8
5,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,AK,4.1000000000000005
6,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,AK,5.2
7,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,AK,1.8
8,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,AK,1.3
9,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AK,5.800000000000001
10,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,AK,7.800000000000001
11,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,AK,4.800000000000001
12,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,AK,5.6000000000000005
13,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,AK,3.8000000000000003
14,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,AK,2.9000000000000004
15,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,AK,3.6
16,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,AK,7.1000000000000005
17,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,AK,4.0
18,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,AK,2.9000000000000004
19,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,AK,4.5
20,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,AK,3.5
21,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,AK,3.5
22,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,AK,6.0
23,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,AK,6.800000000000001
24,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,AK,4.0
25,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,AK,6.4
26,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,AK,5.0
27,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,AK,5.7
28,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,AK,8.8
29,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,AK,8.1
30,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,AK,8.8
31,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,AK,3.9000000000000004
32,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,AK,4.6000000000000005
33,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AK,1.9000000000000001
34,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,AK,1.3
35,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AK,5.800000000000001
36,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,AK,7.7
37,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,AK,4.5
38,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,AK,5.6000000000000005
39,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,AK,3.9000000000000004
40,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,AK,3.4000000000000004
41,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,AK,4.4
42,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,AK,7.1000000000000005
43,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,AK,3.1
44,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,AK,2.6
45,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,AK,3.5
46,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,AK,2.0
47,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,AK,2.9000000000000004
48,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,AK,6.1000000000000005
49,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,AK,7.0
50,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,AK,4.1000000000000005
51,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,AK,6.300000000000001
52,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,AK,5.4
53,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,AK,5.6000000000000005
54,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,AK,8.9
55,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,AK,8.3
56,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,AK,8.8
57,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,AK,3.6
58,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,AK,4.3
59,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,AK,2.1
60,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,AK,1.3
61,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,AK,4.6000000000000005
62,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,AK,7.6000000000000005
63,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,AK,4.7
64,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,AK,5.0
65,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,AK,3.6
66,137.0,2016,PC,Subdomain,Active,HD,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.",4.400000095,4.84,3.94,AK,3.8000000000000003
67,138.0,2016,HPS,Subdomain,Active,HD,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.,5.199999809,5.41,4.92,AK,3.7
68,150.0,2016,LTC,Subdomain,Active,HD,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.",4.400000095,4.74,4.03,AK,5.300000000000001
69,171.0,2016,MBH,Subdomain,Active,HD,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.",4.300000191,4.67,3.86,AK,3.4000000000000004
70,186.0,2016,HC,Subdomain,Active,HD,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.",5.599999905,6.01,5.28,AK,1.6
71,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,AK,3.3000000000000003
72,209.0,2016,MMMDD,Subdomain,Active,CM,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.",5.0,5.45,4.51,AK,2.2
73,210.0,2016,CUE,Subdomain,Active,CM,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.,5.300000191,5.78,4.91,AK,2.2
74,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,AK,6.1000000000000005
75,230.0,2016,FWS,Subdomain,Active,EOH,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.",8.100000381,8.47,7.71,AK,7.2
76,234.0,2016,EM,Subdomain,Active,EOH,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",6.199999809,6.78,5.53,AK,4.1000000000000005
77,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,AK,6.300000000000001
78,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,AK,5.1000000000000005
79,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,AK,5.2
80,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,AK,8.3
81,2.0,2015,PHSEI,Subdomain,Active,HSS,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.",7.0,7.5600000000000005,6.45,AK,8.1
82,16.0,2015,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.08,7.47,AK,7.5
83,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,AK,3.5
84,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,AK,3.9000000000000004
85,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AK,2.0
86,70.0,2015,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AK,1.7000000000000002
87,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,AK,4.4
88,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,AK,7.4
89,100.0,2015,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.04,AK,4.3
90,119.0,2015,INFM,Subdomain,Active,IIM,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.",5.5,6.0200000000000005,4.91,AK,4.4
91,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,AK,3.4000000000000004
92,137.0,2015,PC,Subdomain,Active,HD,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.",4.300000191,4.69,3.93,AK,3.7
93,138.0,2015,HPS,Subdomain,Active,HD,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.,5.0,5.19,4.79,AK,3.5
94,150.0,2015,LTC,Subdomain,Active,HD,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.",4.300000191,4.65,3.97,AK,4.800000000000001
95,171.0,2015,MBH,Subdomain,Active,HD,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.",4.300000191,4.75,3.94,AK,2.7
96,186.0,2015,HC,Subdomain,Active,HD,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.",5.300000191,5.63,4.88,AK,2.3000000000000003
97,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,AK,3.5
98,209.0,2015,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.32,AK,1.8
99,210.0,2015,CUE,Subdomain,Active,CM,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.,5.400000095,5.86,5.04,AK,3.2
100,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,AK,4.6000000000000005
101,230.0,2015,FWS,Subdomain,Active,EOH,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.",7.800000191,8.23,7.45,AK,3.4000000000000004
102,234.0,2015,EM,Subdomain,Active,EOH,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",5.400000095,6.07,4.63,AK,2.6
103,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,AK,6.300000000000001
104,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,AK,4.7
105,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,AK,5.0
106,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,AK,7.7
107,,2014,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.47,6.23,AK,6.4
108,,2014,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.11,7.55,AK,7.6000000000000005
109,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,AK,3.5
110,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,AK,3.9000000000000004
111,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,AK,2.0
112,,2014,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AK,1.7000000000000002
113,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,AK,4.7
114,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,AK,7.2
115,,2014,INCM,Subdomain,Active,IIM,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.",6.5,7.24,5.8500000000000005,AK,3.7
116,,2014,INFM,Subdomain,Active,IIM,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.",4.800000191,5.2700000000000005,4.28,AK,4.2
117,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,AK,3.1
118,,2014,PC,Subdomain,Active,HD,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.",4.199999809,4.5200000000000005,3.81,AK,3.7
119,,2014,HPS,Subdomain,Active,HD,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.,5.0,5.29,4.79,AK,2.6
120,,2014,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.98,AK,5.1000000000000005
121,,2014,MBH,Subdomain,Active,HD,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.",4.400000095,4.8,3.97,AK,2.3000000000000003
122,,2014,HC,Subdomain,Active,HD,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.",5.400000095,5.7700000000000005,5.0200000000000005,AK,2.4000000000000004
123,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,AK,3.4000000000000004
124,,2014,MMMDD,Subdomain,Active,CM,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.",5.0,5.5,4.43,AK,1.8
125,,2014,CUE,Subdomain,Active,CM,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.,5.099999905,5.47,4.64,AK,2.8000000000000003
126,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,AK,4.5
127,,2014,FWS,Subdomain,Active,EOH,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.",7.900000095,8.26,7.46,AK,3.7
128,,2014,EM,Subdomain,Active,EOH,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",5.400000095,6.1000000000000005,4.64,AK,2.2
129,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,AK,6.2
130,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,AK,4.4
131,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,AK,4.7
132,,2013,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.5,7.7700000000000005,7.25,AK,6.800000000000001
133,,2013,PHSEI,Subdomain,Active,HSS,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.",6.5,7.05,5.89,AK,4.9
134,,2013,BMLT,Subdomain,Active,HSS,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.",7.099999905,7.390000000000001,6.79,AK,6.7
135,,2013,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",3.900000095,4.23,3.5700000000000003,AK,3.8000000000000003
136,,2013,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",3.900000095,4.59,3.23,AK,3.7
137,,2013,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.38,2.75,AK,2.0
138,,2013,MVDE,Subdomain,Active,CPE,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",2.799999952,3.29,2.22,AK,2.8000000000000003
139,,2013,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.099999905,4.6000000000000005,3.7,AK,5.6000000000000005
140,,2013,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",7.900000095,8.120000000000001,7.62,AK,6.6000000000000005
141,,2013,INCM,Subdomain,Active,IIM,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.",6.400000095,7.11,5.64,AK,3.1
142,,2013,INFM,Subdomain,Active,IIM,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.",3.900000095,4.47,3.39,AK,2.1
143,,2013,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.5,4.74,4.36,AK,3.0
144,,2013,PC,Subdomain,Active,HD,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.",4.099999905,4.45,3.79,AK,3.7
145,,2013,HPS,Subdomain,Active,HD,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.,4.900000095,5.18,4.71,AK,2.7
146,,2013,LTC,Subdomain,Active,HD,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.",4.300000191,4.7,3.97,AK,5.1000000000000005
147,,2013,MBH,Subdomain,Active,HD,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.",4.400000095,4.78,3.98,AK,2.7
148,,2013,HC,Subdomain,Active,HD,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.",5.099999905,5.53,4.66,AK,0.6000000000000001
149,,2013,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.599999905,5.98,5.3,AK,2.8000000000000003
150,,2013,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.2700000000000005,AK,1.1
151,,2013,CUE,Subdomain,Active,CM,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.,5.0,5.38,4.54,AK,2.3000000000000003
152,,2013,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.44,5.84,AK,4.800000000000001
153,,2013,FWS,Subdomain,Active,EOH,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.",7.800000191,8.14,7.38,AK,4.4
154,,2013,EM,Subdomain,Active,EOH,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",5.5,6.2700000000000005,4.79,AK,2.1
155,,2013,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.74,4.57,AK,6.300000000000001
156,,2013,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.700000048,4.0200000000000005,3.39,AK,5.1000000000000005
157,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,AL,6.800000000000001
158,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,AL,8.6
159,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,AL,7.0
160,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,AL,9.3
161,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,AL,4.6000000000000005
162,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,AL,5.7
163,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,AL,3.1
164,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,AL,3.8000000000000003
165,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AL,3.4000000000000004
166,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,AL,8.4
167,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,AL,5.4
168,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,AL,8.1
169,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,AL,5.5
170,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,AL,6.300000000000001
171,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,AL,5.4
172,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,AL,6.1000000000000005
173,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,AL,3.9000000000000004
174,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,AL,6.300000000000001
175,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,AL,6.800000000000001
176,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,AL,7.2
177,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,AL,4.800000000000001
178,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,AL,6.800000000000001
179,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,AL,9.600000000000001
180,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,AL,7.1000000000000005
181,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,AL,3.7
182,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,AL,3.7
183,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,AL,6.5
184,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,AL,8.6
185,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,AL,7.2
186,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,AL,9.0
187,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,AL,4.6000000000000005
188,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,AL,5.800000000000001
189,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AL,3.0
190,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,AL,3.8000000000000003
191,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AL,3.4000000000000004
192,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,AL,8.5
193,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,AL,5.9
194,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,AL,7.800000000000001
195,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,AL,4.7
196,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,AL,4.6000000000000005
197,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,AL,5.2
198,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,AL,4.1000000000000005
199,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,AL,3.6
200,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,AL,6.0
201,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,AL,5.7
202,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,AL,4.6000000000000005
203,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,AL,5.4
204,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,AL,6.7
205,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,AL,9.4
206,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,AL,7.1000000000000005
207,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,AL,3.7
208,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,AL,3.7
209,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,AL,6.2
210,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,AL,8.5
211,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,AL,6.9
212,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,AL,9.3
213,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,AL,4.0
214,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,AL,4.7
215,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,AL,2.4000000000000004
216,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,AL,3.8000000000000003
217,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,AL,3.0
218,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,AL,7.7
219,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,AL,3.4000000000000004
220,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,AL,7.1000000000000005
221,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,AL,5.2
222,137.0,2016,PC,Subdomain,Active,HD,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.",4.400000095,4.84,3.94,AL,4.800000000000001
223,138.0,2016,HPS,Subdomain,Active,HD,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.,5.199999809,5.41,4.92,AL,5.1000000000000005
224,150.0,2016,LTC,Subdomain,Active,HD,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.",4.400000095,4.74,4.03,AL,5.800000000000001
225,171.0,2016,MBH,Subdomain,Active,HD,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.",4.300000191,4.67,3.86,AL,5.4
226,186.0,2016,HC,Subdomain,Active,HD,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.",5.599999905,6.01,5.28,AL,5.4
227,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,AL,5.4
228,209.0,2016,MMMDD,Subdomain,Active,CM,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.",5.0,5.45,4.51,AL,4.6000000000000005
229,210.0,2016,CUE,Subdomain,Active,CM,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.,5.300000191,5.78,4.91,AL,4.5
230,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,AL,6.7
231,230.0,2016,FWS,Subdomain,Active,EOH,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.",8.100000381,8.47,7.71,AL,9.5
232,234.0,2016,EM,Subdomain,Active,EOH,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",6.199999809,6.78,5.53,AL,7.1000000000000005
233,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,AL,3.7
234,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,AL,3.5
235,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,AL,5.7
236,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,AL,7.4
237,2.0,2015,PHSEI,Subdomain,Active,HSS,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.",7.0,7.5600000000000005,6.45,AL,5.300000000000001
238,16.0,2015,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.08,7.47,AL,7.9
239,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,AL,3.6
240,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,AL,4.1000000000000005
241,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AL,2.4000000000000004
242,70.0,2015,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AL,3.5
243,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,AL,1.8
244,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,AL,7.6000000000000005
245,100.0,2015,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.04,AL,3.1
246,119.0,2015,INFM,Subdomain,Active,IIM,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.",5.5,6.0200000000000005,4.91,AL,7.0
247,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,AL,4.800000000000001
248,137.0,2015,PC,Subdomain,Active,HD,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.",4.300000191,4.69,3.93,AL,4.4
249,138.0,2015,HPS,Subdomain,Active,HD,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.,5.0,5.19,4.79,AL,5.0
250,150.0,2015,LTC,Subdomain,Active,HD,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.",4.300000191,4.65,3.97,AL,4.7
251,171.0,2015,MBH,Subdomain,Active,HD,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.",4.300000191,4.75,3.94,AL,5.300000000000001
252,186.0,2015,HC,Subdomain,Active,HD,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.",5.300000191,5.63,4.88,AL,4.7
253,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,AL,5.4
254,209.0,2015,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.32,AL,4.3
255,210.0,2015,CUE,Subdomain,Active,CM,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.,5.400000095,5.86,5.04,AL,5.0
256,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,AL,5.300000000000001
257,230.0,2015,FWS,Subdomain,Active,EOH,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.",7.800000191,8.23,7.45,AL,8.3
258,234.0,2015,EM,Subdomain,Active,EOH,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",5.400000095,6.07,4.63,AL,2.9000000000000004
259,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,AL,3.7
260,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,AL,3.4000000000000004
261,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,AL,5.7
262,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,AL,7.6000000000000005
263,,2014,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.47,6.23,AL,5.7
264,,2014,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.11,7.55,AL,8.1
265,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,AL,3.3000000000000003
266,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,AL,3.6
267,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,AL,2.3000000000000003
268,,2014,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AL,3.6
269,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,AL,1.8
270,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,AL,7.5
271,,2014,INCM,Subdomain,Active,IIM,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.",6.5,7.24,5.8500000000000005,AL,3.0
272,,2014,INFM,Subdomain,Active,IIM,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.",4.800000191,5.2700000000000005,4.28,AL,6.7
273,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,AL,4.800000000000001
274,,2014,PC,Subdomain,Active,HD,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.",4.199999809,4.5200000000000005,3.81,AL,4.4
275,,2014,HPS,Subdomain,Active,HD,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.,5.0,5.29,4.79,AL,5.0
276,,2014,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.98,AL,4.2
277,,2014,MBH,Subdomain,Active,HD,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.",4.400000095,4.8,3.97,AL,5.4
278,,2014,HC,Subdomain,Active,HD,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.",5.400000095,5.7700000000000005,5.0200000000000005,AL,5.0
279,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,AL,5.800000000000001
280,,2014,MMMDD,Subdomain,Active,CM,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.",5.0,5.5,4.43,AL,4.5
281,,2014,CUE,Subdomain,Active,CM,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.,5.099999905,5.47,4.64,AL,5.800000000000001
282,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,AL,5.2
283,,2014,FWS,Subdomain,Active,EOH,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.",7.900000095,8.26,7.46,AL,8.200000000000001
284,,2014,EM,Subdomain,Active,EOH,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",5.400000095,6.1000000000000005,4.64,AL,2.9000000000000004
285,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,AL,3.7
286,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,AL,2.9000000000000004
287,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,AL,5.6000000000000005
288,,2013,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.5,7.7700000000000005,7.25,AL,7.2
289,,2013,PHSEI,Subdomain,Active,HSS,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.",6.5,7.05,5.89,AL,5.300000000000001
290,,2013,BMLT,Subdomain,Active,HSS,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.",7.099999905,7.390000000000001,6.79,AL,7.4
291,,2013,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",3.900000095,4.23,3.5700000000000003,AL,3.1
292,,2013,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",3.900000095,4.59,3.23,AL,2.2
293,,2013,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.38,2.75,AL,2.3000000000000003
294,,2013,MVDE,Subdomain,Active,CPE,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",2.799999952,3.29,2.22,AL,3.5
295,,2013,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.099999905,4.6000000000000005,3.7,AL,3.3000000000000003
296,,2013,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",7.900000095,8.120000000000001,7.62,AL,7.300000000000001
297,,2013,INCM,Subdomain,Active,IIM,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.",6.400000095,7.11,5.64,AL,2.8000000000000003
298,,2013,INFM,Subdomain,Active,IIM,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.",3.900000095,4.47,3.39,AL,6.0
299,,2013,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.5,4.74,4.36,AL,4.800000000000001
300,,2013,PC,Subdomain,Active,HD,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.",4.099999905,4.45,3.79,AL,4.4
301,,2013,HPS,Subdomain,Active,HD,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.,4.900000095,5.18,4.71,AL,5.0
302,,2013,LTC,Subdomain,Active,HD,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.",4.300000191,4.7,3.97,AL,4.2
303,,2013,MBH,Subdomain,Active,HD,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.",4.400000095,4.78,3.98,AL,5.5
304,,2013,HC,Subdomain,Active,HD,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.",5.099999905,5.53,4.66,AL,4.2
305,,2013,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.599999905,5.98,5.3,AL,5.6000000000000005
306,,2013,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.2700000000000005,AL,4.7
307,,2013,CUE,Subdomain,Active,CM,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.,5.0,5.38,4.54,AL,5.0
308,,2013,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.44,5.84,AL,5.300000000000001
309,,2013,FWS,Subdomain,Active,EOH,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.",7.800000191,8.14,7.38,AL,8.1
310,,2013,EM,Subdomain,Active,EOH,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",5.5,6.2700000000000005,4.79,AL,2.9000000000000004
311,,2013,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.74,4.57,AL,3.7
312,,2013,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.700000048,4.0200000000000005,3.39,AL,3.5
313,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,AR,6.6000000000000005
314,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,AR,8.3
315,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,AR,7.800000000000001
316,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,AR,7.800000000000001
317,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,AR,4.9
318,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,AR,8.4
319,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,AR,2.5
320,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,AR,1.2000000000000002
321,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AR,3.6
322,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,AR,8.700000000000001
323,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,AR,8.6
324,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,AR,5.1000000000000005
325,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,AR,4.5
326,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,AR,2.6
327,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,AR,5.4
328,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,AR,6.9
329,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,AR,3.5
330,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,AR,6.9
331,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,AR,6.800000000000001
332,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,AR,7.7
333,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,AR,3.9000000000000004
334,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,AR,6.6000000000000005
335,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,AR,8.1
336,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,AR,7.4
337,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,AR,5.2
338,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,AR,3.0
339,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,AR,6.7
340,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,AR,8.3
341,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,AR,7.800000000000001
342,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,AR,7.9
343,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,AR,5.0
344,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,AR,8.3
345,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AR,2.5
346,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,AR,1.6
347,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AR,3.6
348,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,AR,8.700000000000001
349,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,AR,8.6
350,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,AR,4.9
351,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,AR,5.0
352,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,AR,5.0
353,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,AR,5.300000000000001
354,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,AR,5.800000000000001
355,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,AR,3.4000000000000004
356,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,AR,6.6000000000000005
357,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,AR,6.7
358,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,AR,7.0
359,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,AR,4.6000000000000005
360,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,AR,6.0
361,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,AR,7.9
362,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,AR,7.5
363,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,AR,3.2
364,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,AR,2.4000000000000004
365,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,AR,6.5
366,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,AR,7.7
367,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,AR,5.6000000000000005
368,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,AR,8.4
369,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,AR,4.800000000000001
370,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,AR,8.3
371,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,AR,2.5
372,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,AR,1.7000000000000002
373,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,AR,2.3000000000000003
374,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,AR,8.4
375,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,AR,7.9
376,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,AR,4.6000000000000005
377,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,AR,5.2
378,137.0,2016,PC,Subdomain,Active,HD,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.",4.400000095,4.84,3.94,AR,5.0
379,138.0,2016,HPS,Subdomain,Active,HD,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.,5.199999809,5.41,4.92,AR,5.1000000000000005
380,150.0,2016,LTC,Subdomain,Active,HD,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.",4.400000095,4.74,4.03,AR,5.800000000000001
381,171.0,2016,MBH,Subdomain,Active,HD,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.",4.300000191,4.67,3.86,AR,4.9
382,186.0,2016,HC,Subdomain,Active,HD,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.",5.599999905,6.01,5.28,AR,6.1000000000000005
383,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,AR,6.5
384,209.0,2016,MMMDD,Subdomain,Active,CM,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.",5.0,5.45,4.51,AR,6.7
385,210.0,2016,CUE,Subdomain,Active,CM,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.,5.300000191,5.78,4.91,AR,4.5
386,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,AR,6.0
387,230.0,2016,FWS,Subdomain,Active,EOH,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.",8.100000381,8.47,7.71,AR,7.7
388,234.0,2016,EM,Subdomain,Active,EOH,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",6.199999809,6.78,5.53,AR,7.4
389,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,AR,3.2
390,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,AR,2.5
391,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,AR,6.300000000000001
392,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,AR,7.9
393,2.0,2015,PHSEI,Subdomain,Active,HSS,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.",7.0,7.5600000000000005,6.45,AR,5.7
394,16.0,2015,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.08,7.47,AR,9.0
395,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,AR,4.0
396,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,AR,6.9
397,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AR,2.5
398,70.0,2015,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AR,0.8
399,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,AR,1.7000000000000002
400,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,AR,8.6
401,100.0,2015,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.04,AR,9.200000000000001
402,119.0,2015,INFM,Subdomain,Active,IIM,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.",5.5,6.0200000000000005,4.91,AR,3.9000000000000004
403,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,AR,5.1000000000000005
404,137.0,2015,PC,Subdomain,Active,HD,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.",4.300000191,4.69,3.93,AR,5.0
405,138.0,2015,HPS,Subdomain,Active,HD,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.,5.0,5.19,4.79,AR,5.0
406,150.0,2015,LTC,Subdomain,Active,HD,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.",4.300000191,4.65,3.97,AR,5.7
407,171.0,2015,MBH,Subdomain,Active,HD,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.",4.300000191,4.75,3.94,AR,4.9
408,186.0,2015,HC,Subdomain,Active,HD,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.",5.300000191,5.63,4.88,AR,5.2
409,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,AR,6.2
410,209.0,2015,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.32,AR,5.800000000000001
411,210.0,2015,CUE,Subdomain,Active,CM,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.,5.400000095,5.86,5.04,AR,5.1000000000000005
412,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,AR,5.4
413,230.0,2015,FWS,Subdomain,Active,EOH,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.",7.800000191,8.23,7.45,AR,7.4
414,234.0,2015,EM,Subdomain,Active,EOH,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",5.400000095,6.07,4.63,AR,5.300000000000001
415,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,AR,3.2
416,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,AR,2.4000000000000004
417,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,AR,6.1000000000000005
418,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,AR,7.800000000000001
419,,2014,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.47,6.23,AR,5.4
420,,2014,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.11,7.55,AR,9.0
421,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,AR,3.2
422,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,AR,4.6000000000000005
423,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,AR,2.6
424,,2014,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AR,0.8
425,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,AR,1.4000000000000001
426,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,AR,8.5
427,,2014,INCM,Subdomain,Active,IIM,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.",6.5,7.24,5.8500000000000005,AR,9.0
428,,2014,INFM,Subdomain,Active,IIM,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.",4.800000191,5.2700000000000005,4.28,AR,3.4000000000000004
429,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,AR,5.1000000000000005
430,,2014,PC,Subdomain,Active,HD,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.",4.199999809,4.5200000000000005,3.81,AR,5.1000000000000005
431,,2014,HPS,Subdomain,Active,HD,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.,5.0,5.29,4.79,AR,5.1000000000000005
432,,2014,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.98,AR,5.7
433,,2014,MBH,Subdomain,Active,HD,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.",4.400000095,4.8,3.97,AR,5.0
434,,2014,HC,Subdomain,Active,HD,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.",5.400000095,5.7700000000000005,5.0200000000000005,AR,5.2
435,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,AR,6.2
436,,2014,MMMDD,Subdomain,Active,CM,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.",5.0,5.5,4.43,AR,6.5
437,,2014,CUE,Subdomain,Active,CM,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.,5.099999905,5.47,4.64,AR,4.1000000000000005
438,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,AR,5.300000000000001
439,,2014,FWS,Subdomain,Active,EOH,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.",7.900000095,8.26,7.46,AR,7.4
440,,2014,EM,Subdomain,Active,EOH,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",5.400000095,6.1000000000000005,4.64,AR,5.4
441,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,AR,3.2
442,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,AR,2.1
443,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,AR,5.800000000000001
444,,2013,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.5,7.7700000000000005,7.25,AR,7.4
445,,2013,PHSEI,Subdomain,Active,HSS,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.",6.5,7.05,5.89,AR,5.4
446,,2013,BMLT,Subdomain,Active,HSS,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.",7.099999905,7.390000000000001,6.79,AR,7.800000000000001
447,,2013,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",3.900000095,4.23,3.5700000000000003,AR,3.3000000000000003
448,,2013,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",3.900000095,4.59,3.23,AR,4.5
449,,2013,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.38,2.75,AR,2.7
450,,2013,MVDE,Subdomain,Active,CPE,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",2.799999952,3.29,2.22,AR,0.8
451,,2013,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.099999905,4.6000000000000005,3.7,AR,2.1
452,,2013,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",7.900000095,8.120000000000001,7.62,AR,8.200000000000001
453,,2013,INCM,Subdomain,Active,IIM,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.",6.400000095,7.11,5.64,AR,8.200000000000001
454,,2013,INFM,Subdomain,Active,IIM,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.",3.900000095,4.47,3.39,AR,3.0
455,,2013,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.5,4.74,4.36,AR,5.0
456,,2013,PC,Subdomain,Active,HD,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.",4.099999905,4.45,3.79,AR,5.0
457,,2013,HPS,Subdomain,Active,HD,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.,4.900000095,5.18,4.71,AR,4.800000000000001
458,,2013,LTC,Subdomain,Active,HD,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.",4.300000191,4.7,3.97,AR,5.7
459,,2013,MBH,Subdomain,Active,HD,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.",4.400000095,4.78,3.98,AR,4.800000000000001
460,,2013,HC,Subdomain,Active,HD,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.",5.099999905,5.53,4.66,AR,5.4
461,,2013,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.599999905,5.98,5.3,AR,5.5
462,,2013,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.2700000000000005,AR,5.5
463,,2013,CUE,Subdomain,Active,CM,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.,5.0,5.38,4.54,AR,3.5
464,,2013,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.44,5.84,AR,5.0
465,,2013,FWS,Subdomain,Active,EOH,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.",7.800000191,8.14,7.38,AR,7.0
466,,2013,EM,Subdomain,Active,EOH,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",5.5,6.2700000000000005,4.79,AR,3.4000000000000004
467,,2013,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.74,4.57,AR,3.3000000000000003
468,,2013,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.700000048,4.0200000000000005,3.39,AR,3.4000000000000004
469,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,AZ,6.6000000000000005
470,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,AZ,8.200000000000001
471,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,AZ,6.300000000000001
472,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,AZ,9.1
473,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,AZ,4.800000000000001
474,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,AZ,7.2
475,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,AZ,2.8000000000000003
476,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,AZ,2.3000000000000003
477,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AZ,3.7
478,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,AZ,9.600000000000001
479,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,AZ,9.600000000000001
480,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,AZ,8.5
481,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,AZ,4.0
482,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,AZ,2.0
483,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,AZ,4.800000000000001
484,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,AZ,5.9
485,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,AZ,3.3000000000000003
486,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,AZ,6.7
487,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,AZ,6.2
488,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,AZ,6.4
489,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,AZ,4.1000000000000005
490,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,AZ,7.2
491,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,AZ,8.1
492,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,AZ,7.5
493,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,AZ,7.300000000000001
494,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,AZ,4.4
495,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,AZ,6.300000000000001
496,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,AZ,7.800000000000001
497,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,AZ,5.2
498,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,AZ,9.0
499,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,AZ,4.7
500,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,AZ,7.0
501,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AZ,2.7
502,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,AZ,2.3000000000000003
503,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,AZ,3.7
504,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,AZ,9.5
505,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,AZ,9.4
506,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,AZ,8.3
507,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,AZ,4.1000000000000005
508,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,AZ,2.7
509,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,AZ,4.4
510,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,AZ,4.800000000000001
511,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,AZ,4.3
512,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,AZ,6.300000000000001
513,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,AZ,4.5
514,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,AZ,3.0
515,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,AZ,4.4
516,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,AZ,6.800000000000001
517,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,AZ,7.800000000000001
518,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,AZ,7.4
519,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,AZ,5.300000000000001
520,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,AZ,4.4
521,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,AZ,6.1000000000000005
522,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,AZ,8.0
523,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,AZ,5.800000000000001
524,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,AZ,9.1
525,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,AZ,4.2
526,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,AZ,5.5
527,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,AZ,2.7
528,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,AZ,2.3000000000000003
529,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,AZ,3.4000000000000004
530,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,AZ,8.8
531,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,AZ,9.200000000000001
532,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,AZ,4.800000000000001
533,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,AZ,4.1000000000000005
534,137.0,2016,PC,Subdomain,Active,HD,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.",4.400000095,4.84,3.94,AZ,2.7
535,138.0,2016,HPS,Subdomain,Active,HD,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.,5.199999809,5.41,4.92,AZ,4.3
536,150.0,2016,LTC,Subdomain,Active,HD,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.",4.400000095,4.74,4.03,AZ,4.7
537,171.0,2016,MBH,Subdomain,Active,HD,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.",4.300000191,4.67,3.86,AZ,4.9
538,186.0,2016,HC,Subdomain,Active,HD,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.",5.599999905,6.01,5.28,AZ,5.800000000000001
539,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,AZ,4.7
540,209.0,2016,MMMDD,Subdomain,Active,CM,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.",5.0,5.45,4.51,AZ,3.6
541,210.0,2016,CUE,Subdomain,Active,CM,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.,5.300000191,5.78,4.91,AZ,4.1000000000000005
542,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,AZ,6.6000000000000005
543,230.0,2016,FWS,Subdomain,Active,EOH,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.",8.100000381,8.47,7.71,AZ,7.6000000000000005
544,234.0,2016,EM,Subdomain,Active,EOH,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",6.199999809,6.78,5.53,AZ,7.5
545,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,AZ,5.300000000000001
546,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,AZ,4.1000000000000005
547,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,AZ,5.800000000000001
548,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,AZ,7.9
549,2.0,2015,PHSEI,Subdomain,Active,HSS,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.",7.0,7.5600000000000005,6.45,AZ,6.2
550,16.0,2015,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.08,7.47,AZ,8.4
551,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,AZ,3.5
552,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,AZ,4.3
553,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,AZ,2.7
554,70.0,2015,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AZ,2.6
555,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,AZ,1.8
556,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,AZ,8.9
557,100.0,2015,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.04,AZ,9.9
558,119.0,2015,INFM,Subdomain,Active,IIM,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.",5.5,6.0200000000000005,4.91,AZ,4.6000000000000005
559,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,AZ,4.0
560,137.0,2015,PC,Subdomain,Active,HD,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.",4.300000191,4.69,3.93,AZ,2.7
561,138.0,2015,HPS,Subdomain,Active,HD,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.,5.0,5.19,4.79,AZ,4.3
562,150.0,2015,LTC,Subdomain,Active,HD,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.",4.300000191,4.65,3.97,AZ,3.8000000000000003
563,171.0,2015,MBH,Subdomain,Active,HD,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.",4.300000191,4.75,3.94,AZ,5.0
564,186.0,2015,HC,Subdomain,Active,HD,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.",5.300000191,5.63,4.88,AZ,5.0
565,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,AZ,4.7
566,209.0,2015,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.32,AZ,3.5
567,210.0,2015,CUE,Subdomain,Active,CM,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.,5.400000095,5.86,5.04,AZ,4.2
568,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,AZ,5.5
569,230.0,2015,FWS,Subdomain,Active,EOH,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.",7.800000191,8.23,7.45,AZ,7.5
570,234.0,2015,EM,Subdomain,Active,EOH,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",5.400000095,6.07,4.63,AZ,3.6
571,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,AZ,5.300000000000001
572,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,AZ,3.2
573,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,AZ,5.6000000000000005
574,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,AZ,7.7
575,,2014,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.47,6.23,AZ,5.5
576,,2014,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.11,7.55,AZ,8.4
577,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,AZ,3.4000000000000004
578,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,AZ,4.2
579,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,AZ,2.7
580,,2014,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,AZ,2.6
581,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,AZ,1.7000000000000002
582,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,AZ,8.1
583,,2014,INCM,Subdomain,Active,IIM,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.",6.5,7.24,5.8500000000000005,AZ,7.0
584,,2014,INFM,Subdomain,Active,IIM,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.",4.800000191,5.2700000000000005,4.28,AZ,4.2
585,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,AZ,4.2
586,,2014,PC,Subdomain,Active,HD,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.",4.199999809,4.5200000000000005,3.81,AZ,2.7
587,,2014,HPS,Subdomain,Active,HD,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.,5.0,5.29,4.79,AZ,4.3
588,,2014,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.98,AZ,5.5
589,,2014,MBH,Subdomain,Active,HD,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.",4.400000095,4.8,3.97,AZ,4.9
590,,2014,HC,Subdomain,Active,HD,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.",5.400000095,5.7700000000000005,5.0200000000000005,AZ,5.2
591,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,AZ,4.5
592,,2014,MMMDD,Subdomain,Active,CM,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.",5.0,5.5,4.43,AZ,3.5
593,,2014,CUE,Subdomain,Active,CM,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.,5.099999905,5.47,4.64,AZ,3.7
594,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,AZ,5.5
595,,2014,FWS,Subdomain,Active,EOH,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.",7.900000095,8.26,7.46,AZ,7.5
596,,2014,EM,Subdomain,Active,EOH,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",5.400000095,6.1000000000000005,4.64,AZ,3.6
597,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,AZ,5.300000000000001
598,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,AZ,2.8000000000000003
599,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,AZ,5.5
600,,2013,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.5,7.7700000000000005,7.25,AZ,7.300000000000001
601,,2013,PHSEI,Subdomain,Active,HSS,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.",6.5,7.05,5.89,AZ,5.5
602,,2013,BMLT,Subdomain,Active,HSS,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.",7.099999905,7.390000000000001,6.79,AZ,7.7
603,,2013,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",3.900000095,4.23,3.5700000000000003,AZ,3.9000000000000004
604,,2013,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",3.900000095,4.59,3.23,AZ,4.800000000000001
605,,2013,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.38,2.75,AZ,2.7
606,,2013,MVDE,Subdomain,Active,CPE,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",2.799999952,3.29,2.22,AZ,2.6
607,,2013,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.099999905,4.6000000000000005,3.7,AZ,3.1
608,,2013,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",7.900000095,8.120000000000001,7.62,AZ,7.7
609,,2013,INCM,Subdomain,Active,IIM,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.",6.400000095,7.11,5.64,AZ,6.4
610,,2013,INFM,Subdomain,Active,IIM,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.",3.900000095,4.47,3.39,AZ,2.9000000000000004
611,,2013,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.5,4.74,4.36,AZ,4.1000000000000005
612,,2013,PC,Subdomain,Active,HD,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.",4.099999905,4.45,3.79,AZ,2.8000000000000003
613,,2013,HPS,Subdomain,Active,HD,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.,4.900000095,5.18,4.71,AZ,4.2
614,,2013,LTC,Subdomain,Active,HD,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.",4.300000191,4.7,3.97,AZ,5.6000000000000005
615,,2013,MBH,Subdomain,Active,HD,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.",4.400000095,4.78,3.98,AZ,4.7
616,,2013,HC,Subdomain,Active,HD,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.",5.099999905,5.53,4.66,AZ,5.0
617,,2013,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.599999905,5.98,5.3,AZ,4.4
618,,2013,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.2700000000000005,AZ,3.1
619,,2013,CUE,Subdomain,Active,CM,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.,5.0,5.38,4.54,AZ,3.7
620,,2013,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.44,5.84,AZ,5.5
621,,2013,FWS,Subdomain,Active,EOH,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.",7.800000191,8.14,7.38,AZ,6.7
622,,2013,EM,Subdomain,Active,EOH,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",5.5,6.2700000000000005,4.79,AZ,3.6
623,,2013,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.74,4.57,AZ,5.300000000000001
624,,2013,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.700000048,4.0200000000000005,3.39,AZ,4.2
625,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,CA,6.300000000000001
626,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,CA,8.0
627,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,CA,7.0
628,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,CA,7.800000000000001
629,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,CA,4.6000000000000005
630,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,CA,6.2
631,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,CA,3.4000000000000004
632,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,CA,2.5
633,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,CA,3.1
634,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,CA,8.9
635,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,CA,6.9
636,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,CA,8.4
637,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,CA,3.7
638,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,CA,0.8
639,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,CA,5.2
640,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,CA,5.6000000000000005
641,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,CA,3.1
642,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,CA,7.0
643,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,CA,5.5
644,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,CA,4.9
645,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,CA,4.5
646,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,CA,7.9
647,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,CA,8.700000000000001
648,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,CA,8.6
649,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,CA,7.5
650,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,CA,5.5
651,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,CA,6.1000000000000005
652,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,CA,8.3
653,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,CA,7.2
654,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,CA,8.3
655,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,CA,4.6000000000000005
656,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,CA,6.4
657,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,CA,3.4000000000000004
658,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,CA,2.5
659,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,CA,3.1
660,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,CA,8.6
661,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,CA,6.0
662,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,CA,8.200000000000001
663,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,CA,3.4000000000000004
664,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,CA,1.3
665,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,CA,4.800000000000001
666,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,CA,5.0
667,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,CA,2.3000000000000003
668,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,CA,6.300000000000001
669,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,CA,4.7
670,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,CA,2.9000000000000004
671,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,CA,5.2
672,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,CA,7.9
673,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,CA,8.5
674,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,CA,8.700000000000001
675,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,CA,7.800000000000001
676,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,CA,5.4
677,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,CA,6.2
678,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,CA,8.3
679,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,CA,7.2
680,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,CA,8.3
681,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,CA,4.7
682,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,CA,6.5
683,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,CA,3.3000000000000003
684,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,CA,2.5
685,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,CA,3.2
686,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,CA,8.8
687,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,CA,7.4
688,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,CA,7.5
689,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,CA,3.5
690,137.0,2016,PC,Subdomain,Active,HD,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.",4.400000095,4.84,3.94,CA,2.0
691,138.0,2016,HPS,Subdomain,Active,HD,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.,5.199999809,5.41,4.92,CA,4.6000000000000005
692,150.0,2016,LTC,Subdomain,Active,HD,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.",4.400000095,4.74,4.03,CA,3.9000000000000004
693,171.0,2016,MBH,Subdomain,Active,HD,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.",4.300000191,4.67,3.86,CA,2.9000000000000004
694,186.0,2016,HC,Subdomain,Active,HD,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.",5.599999905,6.01,5.28,CA,5.7
695,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,CA,4.800000000000001
696,209.0,2016,MMMDD,Subdomain,Active,CM,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.",5.0,5.45,4.51,CA,3.2
697,210.0,2016,CUE,Subdomain,Active,CM,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.,5.300000191,5.78,4.91,CA,5.1000000000000005
698,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,CA,7.800000000000001
699,230.0,2016,FWS,Subdomain,Active,EOH,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.",8.100000381,8.47,7.71,CA,8.200000000000001
700,234.0,2016,EM,Subdomain,Active,EOH,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",6.199999809,6.78,5.53,CA,8.700000000000001
701,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,CA,7.6000000000000005
702,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,CA,5.300000000000001
703,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,CA,6.1000000000000005
704,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,CA,7.300000000000001
705,2.0,2015,PHSEI,Subdomain,Active,HSS,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.",7.0,7.5600000000000005,6.45,CA,5.9
706,16.0,2015,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.08,7.47,CA,7.1000000000000005
707,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,CA,4.9
708,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,CA,8.0
709,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,CA,3.3000000000000003
710,70.0,2015,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,CA,2.5
711,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,CA,1.6
712,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,CA,8.8
713,100.0,2015,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.04,CA,7.4
714,119.0,2015,INFM,Subdomain,Active,IIM,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.",5.5,6.0200000000000005,4.91,CA,7.5
715,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,CA,3.6
716,137.0,2015,PC,Subdomain,Active,HD,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.",4.300000191,4.69,3.93,CA,2.3000000000000003
717,138.0,2015,HPS,Subdomain,Active,HD,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.,5.0,5.19,4.79,CA,4.7
718,150.0,2015,LTC,Subdomain,Active,HD,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.",4.300000191,4.65,3.97,CA,3.8000000000000003
719,171.0,2015,MBH,Subdomain,Active,HD,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.",4.300000191,4.75,3.94,CA,2.7
720,186.0,2015,HC,Subdomain,Active,HD,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.",5.300000191,5.63,4.88,CA,5.7
721,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,CA,4.9
722,209.0,2015,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.32,CA,3.1
723,210.0,2015,CUE,Subdomain,Active,CM,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.,5.400000095,5.86,5.04,CA,5.5
724,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,CA,7.2
725,230.0,2015,FWS,Subdomain,Active,EOH,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.",7.800000191,8.23,7.45,CA,8.4
726,234.0,2015,EM,Subdomain,Active,EOH,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",5.400000095,6.07,4.63,CA,6.7
727,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,CA,7.300000000000001
728,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,CA,4.6000000000000005
729,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,CA,5.9
730,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,CA,7.4
731,,2014,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.47,6.23,CA,5.800000000000001
732,,2014,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.11,7.55,CA,7.5
733,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,CA,4.3
734,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,CA,6.300000000000001
735,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,CA,3.4000000000000004
736,,2014,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,CA,2.5
737,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,CA,1.6
738,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,CA,8.8
739,,2014,INCM,Subdomain,Active,IIM,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.",6.5,7.24,5.8500000000000005,CA,7.4
740,,2014,INFM,Subdomain,Active,IIM,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.",4.800000191,5.2700000000000005,4.28,CA,7.1000000000000005
741,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,CA,3.7
742,,2014,PC,Subdomain,Active,HD,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.",4.199999809,4.5200000000000005,3.81,CA,2.3000000000000003
743,,2014,HPS,Subdomain,Active,HD,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.,5.0,5.29,4.79,CA,4.9
744,,2014,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.98,CA,3.7
745,,2014,MBH,Subdomain,Active,HD,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.",4.400000095,4.8,3.97,CA,2.7
746,,2014,HC,Subdomain,Active,HD,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.",5.400000095,5.7700000000000005,5.0200000000000005,CA,6.1000000000000005
747,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,CA,4.5
748,,2014,MMMDD,Subdomain,Active,CM,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.",5.0,5.5,4.43,CA,2.9000000000000004
749,,2014,CUE,Subdomain,Active,CM,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.,5.099999905,5.47,4.64,CA,4.4
750,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,CA,7.0
751,,2014,FWS,Subdomain,Active,EOH,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.",7.900000095,8.26,7.46,CA,8.4
752,,2014,EM,Subdomain,Active,EOH,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",5.400000095,6.1000000000000005,4.64,CA,6.7
753,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,CA,7.2
754,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,CA,3.7
755,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,CA,5.6000000000000005
756,,2013,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.5,7.7700000000000005,7.25,CA,6.9
757,,2013,PHSEI,Subdomain,Active,HSS,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.",6.5,7.05,5.89,CA,5.9
758,,2013,BMLT,Subdomain,Active,HSS,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.",7.099999905,7.390000000000001,6.79,CA,6.1000000000000005
759,,2013,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",3.900000095,4.23,3.5700000000000003,CA,3.8000000000000003
760,,2013,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",3.900000095,4.59,3.23,CA,3.7
761,,2013,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.38,2.75,CA,3.5
762,,2013,MVDE,Subdomain,Active,CPE,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",2.799999952,3.29,2.22,CA,2.5
763,,2013,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.099999905,4.6000000000000005,3.7,CA,3.4000000000000004
764,,2013,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",7.900000095,8.120000000000001,7.62,CA,8.6
765,,2013,INCM,Subdomain,Active,IIM,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.",6.400000095,7.11,5.64,CA,7.5
766,,2013,INFM,Subdomain,Active,IIM,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.",3.900000095,4.47,3.39,CA,6.300000000000001
767,,2013,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.5,4.74,4.36,CA,3.6
768,,2013,PC,Subdomain,Active,HD,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.",4.099999905,4.45,3.79,CA,2.3000000000000003
769,,2013,HPS,Subdomain,Active,HD,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.,4.900000095,5.18,4.71,CA,4.800000000000001
770,,2013,LTC,Subdomain,Active,HD,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.",4.300000191,4.7,3.97,CA,3.7
771,,2013,MBH,Subdomain,Active,HD,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.",4.400000095,4.78,3.98,CA,2.7
772,,2013,HC,Subdomain,Active,HD,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.",5.099999905,5.53,4.66,CA,5.800000000000001
773,,2013,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.599999905,5.98,5.3,CA,4.2
774,,2013,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.2700000000000005,CA,2.3000000000000003
775,,2013,CUE,Subdomain,Active,CM,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.,5.0,5.38,4.54,CA,4.5
776,,2013,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.44,5.84,CA,7.1000000000000005
777,,2013,FWS,Subdomain,Active,EOH,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.",7.800000191,8.14,7.38,CA,8.5
778,,2013,EM,Subdomain,Active,EOH,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",5.5,6.2700000000000005,4.79,CA,6.800000000000001
779,,2013,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.74,4.57,CA,7.2
780,,2013,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.700000048,4.0200000000000005,3.39,CA,3.8000000000000003
781,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,CO,7.1000000000000005
782,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,CO,8.200000000000001
783,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,CO,6.4
784,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,CO,9.0
785,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,CO,5.2
786,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,CO,7.4
787,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,CO,3.3000000000000003
788,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,CO,2.2
789,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,CO,4.9
790,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,CO,9.1
791,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,CO,9.4
792,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,CO,6.2
793,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,CO,5.800000000000001
794,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,CO,6.300000000000001
795,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,CO,5.800000000000001
796,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,CO,7.1000000000000005
797,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,CO,4.1000000000000005
798,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,CO,7.0
799,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,CO,6.7
800,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,CO,6.2
801,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,CO,6.0
802,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,CO,7.7
803,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,CO,8.3
804,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,CO,7.300000000000001
805,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,CO,7.7
806,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,CO,6.5
807,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,CO,6.9
808,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,CO,8.200000000000001
809,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,CO,6.4
810,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,CO,9.1
811,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,CO,5.2
812,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,CO,7.300000000000001
813,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,CO,3.3000000000000003
814,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,CO,2.2
815,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,CO,4.9
816,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,CO,8.9
817,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,CO,8.5
818,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,CO,6.1000000000000005
819,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,CO,5.5
820,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,CO,6.7
821,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,CO,5.6000000000000005
822,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,CO,5.5
823,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,CO,3.1
824,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,CO,6.7
825,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,CO,6.6000000000000005
826,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,CO,5.2
827,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,CO,7.0
828,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,CO,7.4
829,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,CO,8.4
830,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,CO,7.300000000000001
831,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,CO,5.800000000000001
832,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,CO,6.5
833,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,CO,6.800000000000001
834,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,CO,7.6000000000000005
835,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,CO,4.800000000000001
836,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,CO,8.9
837,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,CO,5.7
838,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,CO,9.0
839,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,CO,3.3000000000000003
840,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,CO,2.3000000000000003
841,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,CO,4.800000000000001
842,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,CO,8.1
843,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,CO,6.7
844,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,CO,4.9
845,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,CO,5.7
846,137.0,2016,PC,Subdomain,Active,HD,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.",4.400000095,4.84,3.94,CO,6.9
847,138.0,2016,HPS,Subdomain,Active,HD,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.,5.199999809,5.41,4.92,CO,5.0
848,150.0,2016,LTC,Subdomain,Active,HD,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.",4.400000095,4.74,4.03,CO,5.5
849,171.0,2016,MBH,Subdomain,Active,HD,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.",4.300000191,4.67,3.86,CO,5.0
850,186.0,2016,HC,Subdomain,Active,HD,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.",5.599999905,6.01,5.28,CO,6.0
851,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,CO,6.4
852,209.0,2016,MMMDD,Subdomain,Active,CM,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.",5.0,5.45,4.51,CO,5.2
853,210.0,2016,CUE,Subdomain,Active,CM,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.,5.300000191,5.78,4.91,CO,6.7
854,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,CO,7.300000000000001
855,230.0,2016,FWS,Subdomain,Active,EOH,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.",8.100000381,8.47,7.71,CO,8.3
856,234.0,2016,EM,Subdomain,Active,EOH,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",6.199999809,6.78,5.53,CO,7.2
857,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,CO,5.800000000000001
858,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,CO,6.0
859,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,CO,6.4
860,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,CO,7.300000000000001
861,2.0,2015,PHSEI,Subdomain,Active,HSS,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.",7.0,7.5600000000000005,6.45,CO,4.6000000000000005
862,16.0,2015,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.08,7.47,CO,8.4
863,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,CO,5.1000000000000005
864,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,CO,7.800000000000001
865,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,CO,3.4000000000000004
866,70.0,2015,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,CO,1.7000000000000002
867,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,CO,4.0
868,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,CO,8.0
869,100.0,2015,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.04,CO,5.7
870,119.0,2015,INFM,Subdomain,Active,IIM,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.",5.5,6.0200000000000005,4.91,CO,5.4
871,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,CO,5.5
872,137.0,2015,PC,Subdomain,Active,HD,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.",4.300000191,4.69,3.93,CO,6.7
873,138.0,2015,HPS,Subdomain,Active,HD,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.,5.0,5.19,4.79,CO,5.0
874,150.0,2015,LTC,Subdomain,Active,HD,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.",4.300000191,4.65,3.97,CO,3.9000000000000004
875,171.0,2015,MBH,Subdomain,Active,HD,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.",4.300000191,4.75,3.94,CO,5.1000000000000005
876,186.0,2015,HC,Subdomain,Active,HD,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.",5.300000191,5.63,4.88,CO,5.4
877,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,CO,6.0
878,209.0,2015,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.32,CO,4.7
879,210.0,2015,CUE,Subdomain,Active,CM,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.,5.400000095,5.86,5.04,CO,6.300000000000001
880,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,CO,6.800000000000001
881,230.0,2015,FWS,Subdomain,Active,EOH,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.",7.800000191,8.23,7.45,CO,8.700000000000001
882,234.0,2015,EM,Subdomain,Active,EOH,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",5.400000095,6.07,4.63,CO,5.6000000000000005
883,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,CO,5.800000000000001
884,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,CO,5.0
885,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,CO,6.2
886,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,CO,6.4
887,,2014,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.47,6.23,CO,3.1
888,,2014,BMLT,Subdomain,Active,HSS,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.",7.800000191,8.11,7.55,CO,7.7
889,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,CO,5.0
890,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,CO,7.800000000000001
891,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,CO,3.2
892,,2014,MVDE,Subdomain,Active,CPE,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",2.700000048,3.18,2.18,CO,1.7000000000000002
893,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,CO,3.6
894,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,CO,8.9
895,,2014,INCM,Subdomain,Active,IIM,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.",6.5,7.24,5.8500000000000005,CO,9.200000000000001
896,,2014,INFM,Subdomain,Active,IIM,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.",4.800000191,5.2700000000000005,4.28,CO,5.1000000000000005
897,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,CO,4.7
898,,2014,PC,Subdomain,Active,HD,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.",4.199999809,4.5200000000000005,3.81,CO,4.4
899,,2014,HPS,Subdomain,Active,HD,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.,5.0,5.29,4.79,CO,5.0
900,,2014,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.98,CO,3.4000000000000004
901,,2014,MBH,Subdomain,Active,HD,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.",4.400000095,4.8,3.97,CO,4.9
902,,2014,HC,Subdomain,Active,HD,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.",5.400000095,5.7700000000000005,5.0200000000000005,CO,5.5
903,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,CO,5.800000000000001
904,,2014,MMMDD,Subdomain,Active,CM,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.",5.0,5.5,4.43,CO,4.1000000000000005
905,,2014,CUE,Subdomain,Active,CM,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.,5.099999905,5.47,4.64,CO,6.5
906,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,CO,6.800000000000001
907,,2014,FWS,Subdomain,Active,EOH,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.",7.900000095,8.26,7.46,CO,8.6
908,,2014,EM,Subdomain,Active,EOH,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",5.400000095,6.1000000000000005,4.64,CO,5.800000000000001
909,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,CO,5.800000000000001
910,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,CO,5.0
911,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,CO,6.0
912,,2013,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.5,7.7700000000000005,7.25,CO,6.2
913,,2013,PHSEI,Subdomain,Active,HSS,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.",6.5,7.05,5.89,CO,2.7
914,,2013,BMLT,Subdomain,Active,HSS,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.",7.099999905,7.390000000000001,6.79,CO,7.5
915,,2013,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",3.900000095,4.23,3.5700000000000003,CO,4.2
916,,2013,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",3.900000095,4.59,3.23,CO,4.6000000000000005
917,,2013,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.38,2.75,CO,3.2
918,,2013,MVDE,Subdomain,Active,CPE,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",2.799999952,3.29,2.22,CO,1.7000000000000002
919,,2013,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.099999905,4.6000000000000005,3.7,CO,5.5
920,,2013,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",7.900000095,8.120000000000001,7.62,CO,8.8
921,,2013,INCM,Subdomain,Active,IIM,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.",6.400000095,7.11,5.64,CO,9.5
922,,2013,INFM,Subdomain,Active,IIM,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.",3.900000095,4.47,3.39,CO,4.5
923,,2013,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.5,4.74,4.36,CO,4.6000000000000005
924,,2013,PC,Subdomain,Active,HD,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.",4.099999905,4.45,3.79,CO,4.4
925,,2013,HPS,Subdomain,Active,HD,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.,4.900000095,5.18,4.71,CO,4.9
926,,2013,LTC,Subdomain,Active,HD,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.",4.300000191,4.7,3.97,CO,3.4000000000000004
927,,2013,MBH,Subdomain,Active,HD,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.",4.400000095,4.78,3.98,CO,5.0
928,,2013,HC,Subdomain,Active,HD,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.",5.099999905,5.53,4.66,CO,5.0
929,,2013,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.599999905,5.98,5.3,CO,5.5
930,,2013,MMMDD,Subdomain,Active,CM,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.",4.800000191,5.34,4.2700000000000005,CO,3.6
931,,2013,CUE,Subdomain,Active,CM,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.,5.0,5.38,4.54,CO,6.2
932,,2013,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.44,5.84,CO,6.9
933,,2013,FWS,Subdomain,Active,EOH,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.",7.800000191,8.14,7.38,CO,8.5
934,,2013,EM,Subdomain,Active,EOH,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",5.5,6.2700000000000005,4.79,CO,5.9
935,,2013,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.74,4.57,CO,5.800000000000001
936,,2013,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.700000048,4.0200000000000005,3.39,CO,5.4
937,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,CT,6.800000000000001
938,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,CT,7.6000000000000005
939,2.0,2018,PHSEI,Subdomain,Active,HSS,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.",7.199999809,7.76,6.69,CT,4.9
940,16.0,2018,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.69,8.05,CT,8.9
941,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,CT,6.1000000000000005
942,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,CT,8.8
943,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,CT,4.4
944,70.0,2018,MVDE,Subdomain,Active,CPE,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",2.599999905,2.97,2.14,CT,3.5
945,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,CT,4.3
946,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,CT,8.8
947,100.0,2018,INCM,Subdomain,Active,IIM,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.",7.300000191,7.930000000000001,6.62,CT,6.6000000000000005
948,119.0,2018,INFM,Subdomain,Active,IIM,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.",7.199999809,7.76,6.58,CT,8.5
949,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,CT,5.300000000000001
950,137.0,2018,PC,Subdomain,Active,HD,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.",4.0,4.6000000000000005,3.39,CT,4.2
951,138.0,2018,HPS,Subdomain,Active,HD,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.,5.599999905,5.8100000000000005,5.32,CT,6.4
952,150.0,2018,LTC,Subdomain,Active,HD,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.",6.0,6.3500000000000005,5.7,CT,5.4
953,171.0,2018,MBH,Subdomain,Active,HD,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.",3.799999952,4.17,3.44,CT,4.3
954,186.0,2018,HC,Subdomain,Active,HD,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.",6.599999905,6.91,6.23,CT,7.1000000000000005
955,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,CT,6.2
956,209.0,2018,MMMDD,Subdomain,Active,CM,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.",6.5,6.890000000000001,6.05,CT,5.2
957,210.0,2018,CUE,Subdomain,Active,CM,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.,5.0,5.36,4.57,CT,6.1000000000000005
958,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,CT,7.2
959,230.0,2018,FWS,Subdomain,Active,EOH,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.",8.199999809,8.620000000000001,7.87,CT,8.3
960,234.0,2018,EM,Subdomain,Active,EOH,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",6.099999905,6.72,5.42,CT,5.2
961,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,CT,7.7
962,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,CT,6.0
963,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,CT,6.7
964,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,CT,7.300000000000001
965,2.0,2017,PHSEI,Subdomain,Active,HSS,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.",7.300000191,7.84,6.8100000000000005,CT,4.7
966,16.0,2017,BMLT,Subdomain,Active,HSS,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.",8.399999619,8.73,8.120000000000001,CT,8.3
967,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,CT,6.1000000000000005
968,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,CT,9.0
969,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,CT,4.4
970,70.0,2017,MVDE,Subdomain,Active,CPE,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",2.599999905,3.02,2.19,CT,3.5
971,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,CT,4.3
972,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,CT,8.5
973,100.0,2017,INCM,Subdomain,Active,IIM,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.",6.800000191,7.53,6.08,CT,5.7
974,119.0,2017,INFM,Subdomain,Active,IIM,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.",7.0,7.61,6.43,CT,8.4
975,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,CT,5.800000000000001
976,137.0,2017,PC,Subdomain,Active,HD,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.",4.5,5.03,4.05,CT,5.2
977,138.0,2017,HPS,Subdomain,Active,HD,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.,5.400000095,5.62,5.2,CT,6.0
978,150.0,2017,LTC,Subdomain,Active,HD,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.",4.300000191,4.71,3.92,CT,4.2
979,171.0,2017,MBH,Subdomain,Active,HD,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.",3.700000048,4.07,3.36,CT,6.5
980,186.0,2017,HC,Subdomain,Active,HD,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.",6.199999809,6.58,5.91,CT,6.5
981,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,CT,5.6000000000000005
982,209.0,2017,MMMDD,Subdomain,Active,CM,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.",5.099999905,5.59,4.61,CT,3.5
983,210.0,2017,CUE,Subdomain,Active,CM,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.,5.5,5.89,5.03,CT,6.9
984,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,CT,7.1000000000000005
985,230.0,2017,FWS,Subdomain,Active,EOH,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.",8.300000191,8.620000000000001,7.91,CT,8.1
986,234.0,2017,EM,Subdomain,Active,EOH,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",6.199999809,6.79,5.54,CT,5.4
987,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,CT,7.300000000000001
988,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,CT,6.4
989,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,CT,6.7
990,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,CT,7.7
991,2.0,2016,PHSEI,Subdomain,Active,HSS,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.",6.900000095,7.4,6.43,CT,5.1000000000000005
992,16.0,2016,BMLT,Subdomain,Active,HSS,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.",8.5,8.75,8.2,CT,8.9
993,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,CT,5.6000000000000005
994,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,CT,7.5
995,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,CT,4.3
996,70.0,2016,MVDE,Subdomain,Active,CPE,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",2.700000048,3.19,2.22,CT,3.5
997,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,CT,4.5
998,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,CT,8.700000000000001
999,100.0,2016,INCM,Subdomain,Active,IIM,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.",6.699999809,7.41,6.09,CT,6.5
1000,119.0,2016,INFM,Subdomain,Active,IIM,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.",6.300000191,6.92,5.75,CT,8.0