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
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
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
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
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
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
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
1067,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,CT,6.300000000000001
1068,,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,CT,7.5
1069,,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,CT,6.5
1070,,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,CT,7.0
1071,,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,CT,5.5
1072,,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,CT,7.1000000000000005
1073,,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,CT,4.2
1074,,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,CT,3.5
1075,,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,CT,4.6000000000000005
1076,,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,CT,6.800000000000001
1077,,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,CT,2.7
1078,,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,CT,3.7
1079,,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,CT,5.4
1080,,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,CT,5.1000000000000005
1081,,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,CT,5.5
1082,,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,CT,5.2
1083,,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,CT,6.1000000000000005
1084,,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,CT,5.1000000000000005
1085,,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,CT,5.9
1086,,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,CT,4.7
1087,,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,CT,5.9
1088,,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,CT,6.4
1089,,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,CT,8.0
1090,,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,CT,4.5
1091,,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,CT,7.2
1092,,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,CT,4.1000000000000005
1223,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,DC,6.4
1224,,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,DC,6.800000000000001
1225,,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,DC,4.3
1226,,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,DC,7.300000000000001
1227,,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,DC,6.5
1228,,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,DC,6.7
1229,,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,DC,6.300000000000001
1230,,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,DC,6.800000000000001
1231,,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,DC,4.7
1232,,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,DC,7.9
1233,,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,DC,7.0
1234,,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,DC,3.4000000000000004
1235,,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,DC,4.4
1236,,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,DC,4.9
1237,,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,DC,4.9
1238,,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,DC,3.2
1239,,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,DC,4.1000000000000005
1240,,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,DC,3.1
1241,,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,DC,6.9
1242,,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,DC,7.0
1243,,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,DC,5.300000000000001
1244,,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,DC,6.1000000000000005
1245,,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,DC,5.9
1246,,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,DC,7.6000000000000005
1247,,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,DC,3.7
1248,,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,DC,5.0
1379,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,DE,5.6000000000000005
1380,,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,DE,6.7
1381,,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,DE,5.800000000000001
1382,,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,DE,5.6000000000000005
1383,,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,DE,4.6000000000000005
1384,,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,DE,5.7
1385,,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,DE,3.4000000000000004
1386,,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,DE,3.4000000000000004
1387,,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,DE,3.9000000000000004
1388,,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,DE,7.2
1389,,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,DE,4.7
1390,,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,DE,2.9000000000000004
1391,,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,DE,4.2
1392,,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,DE,3.3000000000000003
1393,,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,DE,5.300000000000001
1394,,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,DE,5.800000000000001
1395,,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,DE,2.8000000000000003
1396,,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,DE,5.2
1397,,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,DE,4.9
1398,,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,DE,2.3000000000000003
1399,,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,DE,6.4
1400,,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,DE,5.9
1401,,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,DE,6.6000000000000005
1402,,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,DE,4.3
1403,,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,DE,6.2
1404,,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,DE,4.7
1535,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,FL,5.800000000000001
1536,,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,FL,8.0
1537,,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,FL,7.1000000000000005
1538,,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,FL,7.6000000000000005
1539,,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,FL,3.4000000000000004
1540,,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,FL,2.5
1541,,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,FL,3.2
1542,,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,FL,3.3000000000000003
1543,,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,FL,3.4000000000000004
1544,,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,FL,7.9
1545,,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,FL,6.300000000000001
1546,,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,FL,4.0
1547,,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,FL,4.1000000000000005
1548,,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,FL,3.7
1549,,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,FL,4.9
1550,,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,FL,4.2
1551,,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,FL,3.3000000000000003
1552,,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,FL,4.1000000000000005
1553,,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,FL,4.6000000000000005
1554,,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,FL,4.1000000000000005
1555,,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,FL,3.0
1556,,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,FL,7.1000000000000005
1557,,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,FL,8.700000000000001
1558,,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,FL,5.2
1559,,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,FL,8.8
1560,,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,FL,4.1000000000000005
1691,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,GA,5.300000000000001
1692,,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,GA,7.0
1693,,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,GA,6.6000000000000005
1694,,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,GA,5.6000000000000005
1695,,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,GA,3.0
1696,,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,GA,2.3000000000000003
1697,,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,GA,3.0
1698,,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,GA,1.9000000000000001
1699,,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,GA,3.4000000000000004
1700,,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,GA,7.9
1701,,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,GA,6.800000000000001
1702,,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,GA,3.5
1703,,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,GA,4.1000000000000005
1704,,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,GA,4.6000000000000005
1705,,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,GA,4.5
1706,,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,GA,3.3000000000000003
1707,,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,GA,3.7
1708,,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,GA,3.0
1709,,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,GA,4.7
1710,,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,GA,3.6
1711,,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,GA,4.2
1712,,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,GA,4.9
1713,,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,GA,6.5
1714,,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,GA,1.8
1715,,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,GA,4.5
1716,,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,GA,4.7
1847,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,HI,5.800000000000001
1848,,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,HI,8.200000000000001
1849,,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,HI,8.700000000000001
1850,,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,HI,6.7
1851,,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,HI,4.5
1852,,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,HI,5.4
1853,,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,HI,3.8000000000000003
1854,,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,HI,3.3000000000000003
1855,,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,HI,2.9000000000000004
1856,,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,HI,6.300000000000001
1857,,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,HI,1.6
1858,,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,HI,2.6
1859,,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,HI,4.5
1860,,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,HI,4.4
1861,,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,HI,4.4
1862,,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,HI,5.6000000000000005
1863,,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,HI,3.5
1864,,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,HI,5.5
1865,,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,HI,5.4
1866,,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,HI,3.5
1867,,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,HI,6.2
1868,,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,HI,6.1000000000000005
1869,,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,HI,8.200000000000001
1870,,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,HI,5.300000000000001
1871,,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,HI,4.3
1872,,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,HI,4.2
2003,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,IA,6.5
2004,,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,IA,8.0
2005,,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,IA,8.0
2006,,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,IA,6.800000000000001
2007,,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,IA,3.6
2008,,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,IA,3.6
2009,,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,IA,2.4000000000000004
2010,,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,IA,1.6
2011,,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,IA,5.2
2012,,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,IA,8.9
2013,,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,IA,8.1
2014,,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,IA,7.0
2015,,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,IA,4.6000000000000005
2016,,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,IA,3.3000000000000003
2017,,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,IA,5.300000000000001
2018,,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,IA,3.5
2019,,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,IA,5.300000000000001
2020,,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,IA,6.1000000000000005
2021,,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,IA,7.4
2022,,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,IA,7.300000000000001
2023,,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,IA,6.4
2024,,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,IA,6.9
2025,,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,IA,8.6
2026,,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,IA,8.5
2027,,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,IA,3.9000000000000004
2028,,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,IA,3.8000000000000003
2159,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,ID,5.9
2160,,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,ID,7.0
2161,,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,ID,6.0
2162,,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,ID,6.1000000000000005
2163,,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,ID,4.5
2164,,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,ID,5.0
2165,,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,ID,2.1
2166,,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,ID,4.1000000000000005
2167,,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,ID,5.4
2168,,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,ID,7.9
2169,,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,ID,7.300000000000001
2170,,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,ID,2.7
2171,,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,ID,4.7
2172,,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,ID,4.5
2173,,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,ID,3.5
2174,,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,ID,6.1000000000000005
2175,,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,ID,6.1000000000000005
2176,,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,ID,5.300000000000001
2177,,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,ID,4.6000000000000005
2178,,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,ID,4.0
2179,,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,ID,3.3000000000000003
2180,,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,ID,6.7
2181,,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,ID,8.3
2182,,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,ID,7.1000000000000005
2183,,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,ID,4.7
2184,,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,ID,4.2
2315,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,IL,5.800000000000001
2316,,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,IL,7.6000000000000005
2317,,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,IL,6.7
2318,,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,IL,7.0
2319,,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,IL,3.5
2320,,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,IL,2.8000000000000003
2321,,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,IL,3.5
2322,,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,IL,2.5
2323,,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,IL,3.7
2324,,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,IL,8.0
2325,,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,IL,6.7
2326,,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,IL,4.3
2327,,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,IL,4.7
2328,,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,IL,4.3
2329,,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,IL,5.4
2330,,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,IL,3.0
2331,,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,IL,5.300000000000001
2332,,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,IL,4.4
2333,,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,IL,5.2
2334,,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,IL,4.5
2335,,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,IL,4.1000000000000005
2336,,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,IL,5.800000000000001
2337,,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,IL,8.4
2338,,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,IL,4.4
2339,,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,IL,3.5
2340,,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,IL,3.8000000000000003
2471,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,IN,6.1000000000000005
2472,,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,IN,8.1
2473,,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,IN,8.0
2474,,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,IN,7.1000000000000005
2475,,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,IN,3.5
2476,,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,IN,3.2
2477,,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,IN,2.9000000000000004
2478,,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,IN,2.2
2479,,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,IN,4.2
2480,,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,IN,8.3
2481,,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,IN,6.7
2482,,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,IN,6.0
2483,,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,IN,4.5
2484,,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,IN,4.7
2485,,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,IN,5.2
2486,,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,IN,3.6
2487,,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,IN,3.4000000000000004
2488,,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,IN,4.4
2489,,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,IN,5.7
2490,,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,IN,5.800000000000001
2491,,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,IN,3.6
2492,,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,IN,6.5
2493,,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,IN,8.700000000000001
2494,,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,IN,7.800000000000001
2495,,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,IN,4.0
2496,,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,IN,2.6
2627,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,KS,6.0
2628,,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,KS,7.6000000000000005
2629,,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,KS,6.9
2630,,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,KS,7.0
2631,,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,KS,3.8000000000000003
2632,,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,KS,3.9000000000000004
2633,,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,KS,2.4000000000000004
2634,,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,KS,2.0
2635,,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,KS,4.9
2636,,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,KS,7.4
2637,,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,KS,5.7
2638,,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,KS,2.5
2639,,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,KS,4.6000000000000005
2640,,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,KS,4.1000000000000005
2641,,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,KS,5.1000000000000005
2642,,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,KS,4.2
2643,,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,KS,4.0
2644,,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,KS,6.2
2645,,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,KS,6.4
2646,,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,KS,6.800000000000001
2647,,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,KS,4.1000000000000005
2648,,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,KS,6.1000000000000005
2649,,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,KS,6.7
2650,,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,KS,7.2
2651,,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,KS,4.9
2652,,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,KS,3.3000000000000003
2783,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,KY,6.2
2784,,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,KY,8.0
2785,,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,KY,7.7
2786,,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,KY,7.1000000000000005
2787,,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,KY,3.9000000000000004
2788,,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,KY,5.300000000000001
2789,,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,KY,2.3000000000000003
2790,,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,KY,2.1
2791,,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,KY,3.0
2792,,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,KY,8.3
2793,,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,KY,7.0
2794,,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,KY,5.4
2795,,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,KY,4.6000000000000005
2796,,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,KY,4.2
2797,,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,KY,5.0
2798,,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,KY,4.6000000000000005
2799,,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,KY,4.7
2800,,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,KY,4.7
2801,,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,KY,5.800000000000001
2802,,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,KY,4.9
2803,,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,KY,5.300000000000001
2804,,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,KY,6.5
2805,,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,KY,8.4
2806,,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,KY,7.7
2807,,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,KY,4.2
2808,,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,KY,2.7
2939,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,LA,5.6000000000000005
2940,,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,LA,7.1000000000000005
2941,,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,LA,6.300000000000001
2942,,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,LA,6.300000000000001
2943,,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,LA,3.9000000000000004
2944,,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,LA,5.6000000000000005
2945,,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,LA,2.9000000000000004
2946,,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,LA,1.5
2947,,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,LA,2.3000000000000003
2948,,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,LA,7.6000000000000005
2949,,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,LA,6.7
2950,,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,LA,2.2
2951,,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,LA,4.2
2952,,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,LA,3.0
2953,,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,LA,4.6000000000000005
2954,,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,LA,4.9
2955,,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,LA,4.4
2956,,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,LA,5.4
2957,,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,LA,5.1000000000000005
2958,,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,LA,3.9000000000000004
2959,,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,LA,4.9
2960,,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,LA,5.9
2961,,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,LA,7.0
2962,,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,LA,4.4
2963,,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,LA,6.5
2964,,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,LA,3.6
3095,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MA,6.300000000000001
3096,,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,MA,8.3
3097,,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,MA,8.4
3098,,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,MA,7.2
3099,,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,MA,4.9
3100,,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,MA,4.2
3101,,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,MA,4.1000000000000005
3102,,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,MA,6.9
3103,,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,MA,4.1000000000000005
3104,,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,MA,7.9
3105,,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,MA,6.300000000000001
3106,,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,MA,4.3
3107,,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,MA,4.3
3108,,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,MA,3.0
3109,,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,MA,5.6000000000000005
3110,,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,MA,4.3
3111,,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,MA,3.4000000000000004
3112,,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,MA,5.6000000000000005
3113,,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,MA,6.2
3114,,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,MA,4.7
3115,,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,MA,6.9
3116,,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,MA,5.6000000000000005
3117,,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,MA,6.4
3118,,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,MA,3.0
3119,,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,MA,7.300000000000001
3120,,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,MA,4.0
3251,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MD,6.5
3252,,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,MD,7.7
3253,,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,MD,6.4
3254,,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,MD,7.6000000000000005
3255,,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,MD,4.3
3256,,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,MD,3.7
3257,,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,MD,4.1000000000000005
3258,,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,MD,3.2
3259,,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,MD,5.1000000000000005
3260,,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,MD,8.700000000000001
3261,,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,MD,9.600000000000001
3262,,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,MD,3.7
3263,,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,MD,5.300000000000001
3264,,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,MD,4.800000000000001
3265,,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,MD,5.6000000000000005
3266,,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,MD,5.7
3267,,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,MD,5.5
3268,,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,MD,4.9
3269,,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,MD,5.9
3270,,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,MD,4.800000000000001
3271,,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,MD,5.7
3272,,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,MD,7.7
3273,,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,MD,8.8
3274,,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,MD,7.4
3275,,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,MD,8.3
3276,,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,MD,4.5
3407,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,ME,6.300000000000001
3408,,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,ME,7.7
3409,,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,ME,8.200000000000001
3410,,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,ME,5.800000000000001
3411,,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,ME,4.6000000000000005
3412,,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,ME,5.9
3413,,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,ME,2.9000000000000004
3414,,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,ME,2.0
3415,,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,ME,5.4
3416,,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,ME,7.300000000000001
3417,,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,ME,4.5
3418,,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,ME,3.6
3419,,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,ME,4.800000000000001
3420,,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,ME,5.2
3421,,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,ME,5.7
3422,,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,ME,3.6
3423,,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,ME,2.7
3424,,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,ME,6.5
3425,,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,ME,6.6000000000000005
3426,,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,ME,6.1000000000000005
3427,,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,ME,5.800000000000001
3428,,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,ME,7.4
3429,,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,ME,8.5
3430,,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,ME,7.7
3431,,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,ME,7.300000000000001
3432,,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,ME,4.4
3563,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MI,6.4
3564,,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,MI,8.8
3565,,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,MI,8.1
3566,,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,MI,8.8
3567,,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,MI,4.7
3568,,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,MI,6.5
3569,,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,MI,3.3000000000000003
3570,,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,MI,1.9000000000000001
3571,,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,MI,4.4
3572,,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,MI,7.9
3573,,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,MI,6.7
3574,,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,MI,3.6
3575,,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,MI,4.5
3576,,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,MI,4.9
3577,,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,MI,5.1000000000000005
3578,,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,MI,3.4000000000000004
3579,,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,MI,3.8000000000000003
3580,,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,MI,4.5
3581,,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,MI,5.7
3582,,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,MI,5.6000000000000005
3583,,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,MI,3.8000000000000003
3584,,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,MI,6.4
3585,,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,MI,8.4
3586,,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,MI,6.9
3587,,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,MI,4.2
3588,,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,MI,3.4000000000000004
3719,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MN,6.1000000000000005
3720,,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,MN,7.9
3721,,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,MN,6.4
3722,,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,MN,8.3
3723,,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,MN,4.1000000000000005
3724,,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,MN,2.9000000000000004
3725,,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,MN,2.9000000000000004
3726,,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,MN,4.0
3727,,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,MN,6.2
3728,,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,MN,7.300000000000001
3729,,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,MN,3.9000000000000004
3730,,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,MN,4.3
3731,,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,MN,5.1000000000000005
3732,,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,MN,5.0
3733,,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,MN,5.300000000000001
3734,,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,MN,5.300000000000001
3735,,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,MN,4.2
3736,,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,MN,6.1000000000000005
3737,,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,MN,6.1000000000000005
3738,,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,MN,5.0
3739,,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,MN,6.0
3740,,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,MN,6.5
3741,,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,MN,8.5
3742,,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,MN,7.2
3743,,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,MN,4.1000000000000005
3744,,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,MN,3.4000000000000004
3875,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MO,6.4
3876,,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,MO,8.4
3877,,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,MO,8.6
3878,,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,MO,7.2
3879,,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,MO,3.6
3880,,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,MO,3.2
3881,,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,MO,2.9000000000000004
3882,,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,MO,2.2
3883,,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,MO,4.5
3884,,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,MO,8.4
3885,,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,MO,8.8
3886,,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,MO,3.3000000000000003
3887,,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,MO,5.300000000000001
3888,,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,MO,5.1000000000000005
3889,,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,MO,5.300000000000001
3890,,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,MO,3.7
3891,,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,MO,6.0
3892,,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,MO,6.0
3893,,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,MO,6.7
3894,,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,MO,6.6000000000000005
3895,,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,MO,5.4
3896,,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,MO,5.800000000000001
3897,,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,MO,7.9
3898,,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,MO,5.6000000000000005
3899,,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,MO,3.4000000000000004
3900,,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,MO,3.1
4031,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MS,5.1000000000000005
4032,,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,MS,5.9
4033,,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,MS,2.5
4034,,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,MS,6.9
4035,,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,MS,2.4000000000000004
4036,,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,MS,0.8
4037,,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,MS,3.0
4038,,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,MS,1.1
4039,,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,MS,3.4000000000000004
4040,,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,MS,8.200000000000001
4041,,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,MS,9.4
4042,,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,MS,1.5
4043,,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,MS,4.7
4044,,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,MS,3.7
4045,,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,MS,4.6000000000000005
4046,,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,MS,5.7
4047,,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,MS,5.800000000000001
4048,,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,MS,4.2
4049,,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,MS,3.8000000000000003
4050,,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,MS,1.5
4051,,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,MS,4.4
4052,,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,MS,5.1000000000000005
4053,,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,MS,6.6000000000000005
4054,,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,MS,3.6
4055,,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,MS,4.6000000000000005
4056,,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,MS,3.2
4187,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,MT,5.300000000000001
4188,,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,MT,6.6000000000000005
4189,,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,MT,5.5
4190,,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,MT,5.9
4191,,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,MT,2.2
4192,,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,MT,0.30000000000000004
4193,,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,MT,1.9000000000000001
4194,,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,MT,0.7000000000000001
4195,,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,MT,4.800000000000001
4196,,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,MT,7.2
4197,,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,MT,4.6000000000000005
4198,,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,MT,2.7
4199,,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,MT,4.2
4200,,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,MT,3.4000000000000004
4201,,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,MT,4.3
4202,,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,MT,3.9000000000000004
4203,,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,MT,4.7
4204,,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,MT,5.800000000000001
4205,,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,MT,6.2
4206,,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,MT,6.2
4207,,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,MT,4.4
4208,,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,MT,5.800000000000001
4209,,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,MT,7.6000000000000005
4210,,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,MT,3.9000000000000004
4211,,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,MT,4.9
4212,,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,MT,4.6000000000000005
4343,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NC,5.9
4344,,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,NC,7.1000000000000005
4345,,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,NC,6.2
4346,,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,NC,6.4
4347,,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,NC,3.2
4348,,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,NC,2.1
4349,,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,NC,3.2
4350,,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,NC,1.6
4351,,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,NC,4.4
4352,,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,NC,8.9
4353,,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,NC,8.8
4354,,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,NC,5.9
4355,,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,NC,4.2
4356,,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,NC,3.3000000000000003
4357,,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,NC,4.800000000000001
4358,,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,NC,5.5
4359,,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,NC,3.7
4360,,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,NC,5.0
4361,,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,NC,6.1000000000000005
4362,,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,NC,5.0
4363,,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,NC,6.1000000000000005
4364,,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,NC,6.4
4365,,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,NC,8.700000000000001
4366,,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,NC,6.1000000000000005
4367,,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,NC,5.0
4368,,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,NC,3.0
4499,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,ND,6.2
4500,,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,ND,7.4
4501,,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,ND,5.800000000000001
4502,,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,ND,7.4
4503,,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,ND,5.300000000000001
4504,,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,ND,7.0
4505,,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,ND,1.9000000000000001
4506,,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,ND,6.7
4507,,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,ND,4.0
4508,,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,ND,7.6000000000000005
4509,,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,ND,6.0
4510,,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,ND,2.8000000000000003
4511,,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,ND,5.1000000000000005
4512,,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,ND,5.2
4513,,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,ND,4.5
4514,,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,ND,5.1000000000000005
4515,,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,ND,4.7
4516,,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,ND,7.0
4517,,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,ND,6.2
4518,,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,ND,5.6000000000000005
4519,,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,ND,5.5
4520,,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,ND,5.7
4521,,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,ND,7.7
4522,,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,ND,5.1000000000000005
4523,,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,ND,3.3000000000000003
4524,,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,ND,3.6
4655,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NE,6.6000000000000005
4656,,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,NE,8.5
4657,,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,NE,8.0
4658,,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,NE,8.0
4659,,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,NE,4.800000000000001
4660,,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,NE,6.2
4661,,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,NE,2.8000000000000003
4662,,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,NE,3.1
4663,,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,NE,4.800000000000001
4664,,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,NE,8.4
4665,,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,NE,8.9
4666,,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,NE,2.9000000000000004
4667,,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,NE,4.800000000000001
4668,,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,NE,4.3
4669,,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,NE,4.7
4670,,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,NE,4.800000000000001
4671,,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,NE,4.800000000000001
4672,,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,NE,6.1000000000000005
4673,,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,NE,6.6000000000000005
4674,,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,NE,6.0
4675,,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,NE,5.9
4676,,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,NE,6.6000000000000005
4677,,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,NE,8.9
4678,,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,NE,7.1000000000000005
4679,,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,NE,4.4
4680,,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,NE,3.3000000000000003
4811,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NH,5.9
4812,,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,NH,6.6000000000000005
4813,,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,NH,5.0
4814,,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,NH,6.2
4815,,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,NH,3.4000000000000004
4816,,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,NH,1.6
4817,,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,NH,3.7
4818,,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,NH,3.1
4819,,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,NH,4.6000000000000005
4820,,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,NH,7.4
4821,,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,NH,4.0
4822,,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,NH,4.9
4823,,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,NH,5.2
4824,,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,NH,4.9
4825,,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,NH,5.9
4826,,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,NH,3.3000000000000003
4827,,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,NH,4.800000000000001
4828,,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,NH,6.2
4829,,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,NH,6.6000000000000005
4830,,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,NH,5.5
4831,,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,NH,6.9
4832,,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,NH,7.0
4833,,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,NH,8.5
4834,,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,NH,7.2
4835,,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,NH,6.2
4836,,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,NH,4.1000000000000005
4967,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NJ,5.800000000000001
4968,,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,NJ,7.800000000000001
4969,,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,NJ,7.2
4970,,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,NJ,7.0
4971,,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,NJ,3.3000000000000003
4972,,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,NJ,1.4000000000000001
4973,,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,NJ,3.9000000000000004
4974,,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,NJ,3.3000000000000003
4975,,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,NJ,3.5
4976,,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,NJ,7.800000000000001
4977,,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,NJ,5.7
4978,,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,NJ,4.3
4979,,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,NJ,4.5
4980,,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,NJ,3.4000000000000004
4981,,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,NJ,5.5
4982,,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,NJ,5.5
4983,,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,NJ,4.3
4984,,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,NJ,3.8000000000000003
4985,,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,NJ,5.7
4986,,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,NJ,5.0
4987,,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,NJ,4.800000000000001
4988,,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,NJ,6.1000000000000005
4989,,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,NJ,7.2
4990,,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,NJ,5.4
4991,,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,NJ,6.1000000000000005
4992,,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,NJ,3.6
5123,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NM,5.7
5124,,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,NM,8.9
5125,,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,NM,8.5
5126,,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,NM,8.6
5127,,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,NM,2.7
5128,,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,NM,1.9000000000000001
5129,,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,NM,2.3000000000000003
5130,,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,NM,1.4000000000000001
5131,,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,NM,3.8000000000000003
5132,,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,NM,7.7
5133,,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,NM,6.7
5134,,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,NM,2.4000000000000004
5135,,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,NM,4.2
5136,,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,NM,4.4
5137,,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,NM,3.9000000000000004
5138,,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,NM,3.2
5139,,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,NM,3.7
5140,,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,NM,6.300000000000001
5141,,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,NM,4.7
5142,,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,NM,2.9000000000000004
5143,,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,NM,5.2
5144,,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,NM,6.300000000000001
5145,,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,NM,8.200000000000001
5146,,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,NM,7.4
5147,,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,NM,3.9000000000000004
5148,,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,NM,3.0
5279,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NV,5.4
5280,,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,NV,7.2
5281,,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,NV,5.300000000000001
5282,,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,NV,7.6000000000000005
5283,,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,NV,3.5
5284,,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,NV,3.7
5285,,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,NV,2.9000000000000004
5286,,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,NV,2.3000000000000003
5287,,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,NV,2.6
5288,,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,NV,8.0
5289,,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,NV,7.300000000000001
5290,,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,NV,3.0
5291,,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,NV,3.8000000000000003
5292,,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,NV,3.3000000000000003
5293,,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,NV,3.9000000000000004
5294,,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,NV,3.6
5295,,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,NV,4.5
5296,,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,NV,3.8000000000000003
5297,,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,NV,3.7
5298,,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,NV,2.5
5299,,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,NV,2.7
5300,,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,NV,6.7
5301,,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,NV,8.700000000000001
5302,,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,NV,6.2
5303,,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,NV,5.6000000000000005
5304,,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,NV,3.9000000000000004
5435,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,NY,6.1000000000000005
5436,,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,NY,7.7
5437,,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,NY,6.6000000000000005
5438,,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,NY,7.5
5439,,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,NY,4.5
5440,,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,NY,6.0
5441,,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,NY,4.0
5442,,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,NY,2.7
5443,,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,NY,2.4000000000000004
5444,,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,NY,7.5
5445,,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,NY,5.7
5446,,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,NY,3.2
5447,,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,NY,4.4
5448,,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,NY,3.3000000000000003
5449,,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,NY,5.1000000000000005
5450,,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,NY,4.4
5451,,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,NY,4.2
5452,,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,NY,5.9
5453,,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,NY,5.5
5454,,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,NY,4.9
5455,,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,NY,4.5
5456,,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,NY,7.1000000000000005
5457,,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,NY,9.0
5458,,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,NY,8.0
5459,,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,NY,5.2
5460,,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,NY,3.7
5591,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,OH,5.5
5592,,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,OH,6.300000000000001
5593,,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,OH,3.9000000000000004
5594,,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,OH,6.4
5595,,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,OH,4.0
5596,,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,OH,3.9000000000000004
5597,,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,OH,3.4000000000000004
5598,,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,OH,2.9000000000000004
5599,,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,OH,4.2
5600,,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,OH,7.7
5601,,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,OH,6.2
5602,,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,OH,3.4000000000000004
5603,,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,OH,4.0
5604,,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,OH,2.4000000000000004
5605,,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,OH,5.300000000000001
5606,,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,OH,4.4
5607,,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,OH,3.7
5608,,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,OH,5.5
5609,,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,OH,5.800000000000001
5610,,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,OH,5.4
5611,,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,OH,4.5
5612,,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,OH,4.7
5613,,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,OH,5.9
5614,,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,OH,3.8000000000000003
5615,,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,OH,3.9000000000000004
5616,,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,OH,2.7
5747,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,OK,5.9
5748,,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,OK,7.4
5749,,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,OK,6.0
5750,,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,OK,7.300000000000001
5751,,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,OK,3.6
5752,,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,OK,3.7
5753,,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,OK,2.2
5754,,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,OK,3.8000000000000003
5755,,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,OK,3.1
5756,,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,OK,7.800000000000001
5757,,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,OK,7.300000000000001
5758,,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,OK,2.3000000000000003
5759,,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,OK,4.4
5760,,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,OK,4.7
5761,,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,OK,4.7
5762,,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,OK,4.2
5763,,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,OK,3.0
5764,,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,OK,5.4
5765,,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,OK,5.9
5766,,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,OK,5.300000000000001
5767,,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,OK,5.2
5768,,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,OK,6.2
5769,,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,OK,8.5
5770,,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,OK,7.0
5771,,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,OK,3.7
5772,,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,OK,2.5
5903,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,OR,5.9
5904,,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,OR,7.5
5905,,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,OR,6.9
5906,,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,OR,6.6000000000000005
5907,,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,OR,4.5
5908,,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,OR,4.6000000000000005
5909,,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,OR,3.1
5910,,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,OR,3.1
5911,,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,OR,5.9
5912,,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,OR,7.300000000000001
5913,,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,OR,3.9000000000000004
5914,,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,OR,4.4
5915,,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,OR,4.2
5916,,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,OR,3.9000000000000004
5917,,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,OR,4.9
5918,,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,OR,1.8
5919,,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,OR,5.4
5920,,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,OR,3.1
5921,,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,OR,5.9
5922,,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,OR,5.7
5923,,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,OR,4.3
5924,,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,OR,5.9
5925,,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,OR,7.5
5926,,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,OR,2.2
5927,,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,OR,7.300000000000001
5928,,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,OR,4.9
6059,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,PA,5.9
6060,,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,PA,7.2
6061,,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,PA,5.4
6062,,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,PA,7.300000000000001
6063,,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,PA,3.9000000000000004
6064,,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,PA,4.6000000000000005
6065,,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,PA,3.4000000000000004
6066,,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,PA,1.6
6067,,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,PA,3.7
6068,,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,PA,8.0
6069,,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,PA,6.800000000000001
6070,,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,PA,3.9000000000000004