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
7801,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WY,6.4
7802,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,WY,8.6
7803,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,WY,9.600000000000001
7804,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,WY,6.9
7805,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,WY,3.7
7806,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,WY,6.0
7807,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,WY,0.5
7808,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,WY,1.3
7809,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WY,4.3
7810,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,WY,8.3
7811,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,WY,6.9
7812,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,WY,5.6000000000000005
7813,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,WY,5.9
7814,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,WY,7.0
7815,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,WY,5.4
7816,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,WY,6.5
7817,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,WY,5.0
7818,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,WY,5.800000000000001
7819,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,WY,5.800000000000001
7820,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,WY,6.1000000000000005
7821,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,WY,3.5
7822,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,WY,5.1000000000000005
7823,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,WY,7.7
7824,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,WY,2.7
7825,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,WY,4.0
7826,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,WY,3.2
7827,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WY,6.0
7828,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,WY,8.3
7829,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,WY,8.700000000000001
7830,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,WY,7.0
7831,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,WY,3.8000000000000003
7832,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,WY,6.1000000000000005
7833,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WY,0.5
7834,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,WY,1.4000000000000001
7835,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WY,4.3
7836,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,WY,7.800000000000001
7837,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,WY,4.800000000000001
7838,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,WY,5.5
7839,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,WY,5.5
7840,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,WY,7.2
7841,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,WY,5.0
7842,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,WY,3.5
7843,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,WY,4.800000000000001
7844,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,WY,5.1000000000000005
7845,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,WY,4.9
7846,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,WY,4.4
7847,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,WY,3.6
7848,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,WY,5.2
7849,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,WY,8.200000000000001
7850,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,WY,2.7
7851,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,WY,3.9000000000000004
7852,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,WY,3.0
7853,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WY,5.9
7854,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,WY,8.3
7855,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,WY,8.700000000000001
7856,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,WY,6.9
7857,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,WY,3.6
7858,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,WY,5.2
7859,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,WY,0.8
7860,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,WY,1.4000000000000001
7861,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,WY,4.3
7862,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,WY,7.6000000000000005
7863,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,WY,5.0
7864,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,WY,4.4
7865,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,WY,5.0
7866,137.0,2016,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.400000095,4.84,3.94,WY,4.7
7867,138.0,2016,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.199999809,5.41,4.92,WY,4.6000000000000005
7868,150.0,2016,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.400000095,4.74,4.03,WY,3.1
7869,171.0,2016,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.67,3.86,WY,6.9
7870,186.0,2016,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.599999905,6.01,5.28,WY,4.6000000000000005
7871,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,WY,5.4
7872,209.0,2016,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.45,4.51,WY,4.9
7873,210.0,2016,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.300000191,5.78,4.91,WY,4.1000000000000005
7874,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,WY,4.7
7875,230.0,2016,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.100000381,8.47,7.71,WY,7.6000000000000005
7876,234.0,2016,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.78,5.53,WY,2.2
7877,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,WY,3.8000000000000003
7878,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,WY,2.3000000000000003
7879,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WY,5.7
7880,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,WY,8.0
7881,2.0,2015,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.0,7.5600000000000005,6.45,WY,8.8
7882,16.0,2015,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.08,7.47,WY,6.1000000000000005
7883,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,WY,3.3000000000000003
7884,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,WY,5.0
7885,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WY,0.7000000000000001
7886,70.0,2015,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WY,1.3
7887,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,WY,3.2
7888,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,WY,7.5
7889,100.0,2015,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.04,WY,4.4
7890,119.0,2015,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",5.5,6.0200000000000005,4.91,WY,4.5
7891,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,WY,5.1000000000000005
7892,137.0,2015,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.300000191,4.69,3.93,WY,4.9
7893,138.0,2015,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.19,4.79,WY,4.4
7894,150.0,2015,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.65,3.97,WY,4.6000000000000005
7895,171.0,2015,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.75,3.94,WY,7.0
7896,186.0,2015,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.300000191,5.63,4.88,WY,4.3
7897,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,WY,5.2
7898,209.0,2015,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",4.800000191,5.34,4.32,WY,4.9
7899,210.0,2015,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.400000095,5.86,5.04,WY,3.7
7900,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,WY,4.800000000000001
7901,230.0,2015,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.800000191,8.23,7.45,WY,7.5
7902,234.0,2015,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.07,4.63,WY,2.8000000000000003
7903,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,WY,3.6
7904,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,WY,2.1
7905,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WY,5.800000000000001
7906,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,WY,8.5
7907,,2014,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.47,6.23,WY,10.0
7908,,2014,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.11,7.55,WY,6.2
7909,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,WY,3.1
7910,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,WY,4.7
7911,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,WY,1.0
7912,,2014,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WY,1.3
7913,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,WY,2.5
7914,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,WY,7.5
7915,,2014,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.5,7.24,5.8500000000000005,WY,4.5
7916,,2014,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",4.800000191,5.2700000000000005,4.28,WY,4.5
7917,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,WY,5.1000000000000005
7918,,2014,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.199999809,4.5200000000000005,3.81,WY,4.9
7919,,2014,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.29,4.79,WY,4.7
7920,,2014,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.98,WY,3.2
7921,,2014,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.400000095,4.8,3.97,WY,7.1000000000000005
7922,,2014,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.400000095,5.7700000000000005,5.0200000000000005,WY,4.5
7923,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,WY,5.2
7924,,2014,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.5,4.43,WY,5.0
7925,,2014,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.099999905,5.47,4.64,WY,3.4000000000000004
7926,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,WY,4.6000000000000005
7927,,2014,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.900000095,8.26,7.46,WY,7.800000000000001
7928,,2014,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.1000000000000005,4.64,WY,2.1
7929,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,WY,3.6
7930,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,WY,1.5
7931,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WY,5.4
7932,,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,WY,8.3
7933,,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,WY,9.600000000000001
7934,,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,WY,6.1000000000000005
7935,,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,WY,1.9000000000000001
7936,,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,WY,0.5
7937,,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,WY,1.0
7938,,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,WY,1.2000000000000002
7939,,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,WY,3.8000000000000003
7940,,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,WY,7.1000000000000005
7941,,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,WY,4.3
7942,,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,WY,2.9000000000000004
7943,,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,WY,5.1000000000000005
7944,,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,WY,4.800000000000001
7945,,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,WY,5.0
7946,,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,WY,2.9000000000000004
7947,,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,WY,7.1000000000000005
7948,,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,WY,4.4
7949,,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,WY,5.4
7950,,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,WY,5.2
7951,,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,WY,3.5
7952,,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,WY,4.3
7953,,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,WY,7.1000000000000005
7954,,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,WY,1.0
7955,,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,WY,3.7
7956,,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,WY,2.5
7645,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WV,6.1000000000000005
7646,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,WV,6.6000000000000005
7647,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,WV,4.3
7648,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,WV,6.800000000000001
7649,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,WV,4.4
7650,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,WV,6.1000000000000005
7651,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,WV,2.7
7652,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,WV,3.0
7653,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WV,3.0
7654,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,WV,8.1
7655,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,WV,6.5
7656,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,WV,5.1000000000000005
7657,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,WV,4.3
7658,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,WV,2.4000000000000004
7659,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,WV,5.7
7660,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,WV,6.2
7661,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,WV,2.4000000000000004
7662,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,WV,7.9
7663,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,WV,7.6000000000000005
7664,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,WV,8.0
7665,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,WV,5.800000000000001
7666,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,WV,5.1000000000000005
7667,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,WV,7.7
7668,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,WV,3.6
7669,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,WV,2.7
7670,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,WV,3.5
7671,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WV,6.2
7672,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,WV,7.1000000000000005
7673,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,WV,5.0
7674,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,WV,7.4
7675,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,WV,4.5
7676,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,WV,6.0
7677,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WV,2.7
7678,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,WV,3.6
7679,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WV,3.0
7680,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,WV,7.5
7681,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,WV,4.2
7682,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,WV,4.9
7683,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,WV,5.300000000000001
7684,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,WV,4.800000000000001
7685,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,WV,5.9
7686,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,WV,4.5
7687,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,WV,4.6000000000000005
7688,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,WV,7.6000000000000005
7689,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,WV,7.300000000000001
7690,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,WV,7.5
7691,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,WV,5.7
7692,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,WV,5.2
7693,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,WV,7.4
7694,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,WV,3.7
7695,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,WV,2.3000000000000003
7696,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,WV,4.5
7697,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WV,6.2
7698,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,WV,7.1000000000000005
7699,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,WV,5.300000000000001
7700,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,WV,7.1000000000000005
7701,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,WV,4.2
7702,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,WV,5.5
7703,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,WV,2.7
7704,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,WV,3.6
7705,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,WV,2.8000000000000003
7706,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,WV,7.6000000000000005
7707,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,WV,4.5
7708,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,WV,5.300000000000001
7709,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,WV,5.2
7710,137.0,2016,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.400000095,4.84,3.94,WV,4.6000000000000005
7711,138.0,2016,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.199999809,5.41,4.92,WV,5.7
7712,150.0,2016,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.400000095,4.74,4.03,WV,4.9
7713,171.0,2016,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.67,3.86,WV,4.6000000000000005
7714,186.0,2016,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.599999905,6.01,5.28,WV,7.0
7715,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,WV,7.300000000000001
7716,209.0,2016,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.45,4.51,WV,8.1
7717,210.0,2016,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.300000191,5.78,4.91,WV,5.0
7718,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,WV,5.4
7719,230.0,2016,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.100000381,8.47,7.71,WV,7.9
7720,234.0,2016,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.78,5.53,WV,3.9000000000000004
7721,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,WV,2.5
7722,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,WV,4.3
7723,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WV,5.9
7724,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,WV,6.9
7725,2.0,2015,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.0,7.5600000000000005,6.45,WV,4.4
7726,16.0,2015,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.08,7.47,WV,7.6000000000000005
7727,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,WV,3.3000000000000003
7728,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,WV,3.8000000000000003
7729,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WV,2.6
7730,70.0,2015,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WV,2.9000000000000004
7731,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,WV,1.2000000000000002
7732,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,WV,7.5
7733,100.0,2015,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.04,WV,5.1000000000000005
7734,119.0,2015,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",5.5,6.0200000000000005,4.91,WV,3.9000000000000004
7735,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,WV,5.300000000000001
7736,137.0,2015,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.300000191,4.69,3.93,WV,5.2
7737,138.0,2015,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.19,4.79,WV,5.6000000000000005
7738,150.0,2015,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.65,3.97,WV,4.800000000000001
7739,171.0,2015,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.75,3.94,WV,4.9
7740,186.0,2015,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.300000191,5.63,4.88,WV,5.5
7741,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,WV,7.1000000000000005
7742,209.0,2015,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",4.800000191,5.34,4.32,WV,7.6000000000000005
7743,210.0,2015,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.400000095,5.86,5.04,WV,5.1000000000000005
7744,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,WV,5.2
7745,230.0,2015,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.800000191,8.23,7.45,WV,7.9
7746,234.0,2015,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.07,4.63,WV,3.2
7747,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,WV,2.7
7748,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,WV,4.2
7749,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WV,5.800000000000001
7750,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,WV,6.7
7751,,2014,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.47,6.23,WV,4.0
7752,,2014,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.11,7.55,WV,7.5
7753,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,WV,2.6
7754,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,WV,2.1
7755,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,WV,2.6
7756,,2014,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WV,2.9000000000000004
7757,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,WV,0.9
7758,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,WV,7.4
7759,,2014,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.5,7.24,5.8500000000000005,WV,5.1000000000000005
7760,,2014,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",4.800000191,5.2700000000000005,4.28,WV,3.5
7761,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,WV,5.300000000000001
7762,,2014,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.199999809,4.5200000000000005,3.81,WV,5.0
7763,,2014,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.29,4.79,WV,5.800000000000001
7764,,2014,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.98,WV,5.0
7765,,2014,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.400000095,4.8,3.97,WV,4.800000000000001
7766,,2014,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.400000095,5.7700000000000005,5.0200000000000005,WV,5.9
7767,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,WV,7.300000000000001
7768,,2014,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.5,4.43,WV,7.5
7769,,2014,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.099999905,5.47,4.64,WV,5.7
7770,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,WV,5.800000000000001
7771,,2014,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.900000095,8.26,7.46,WV,8.8
7772,,2014,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.1000000000000005,4.64,WV,4.4
7773,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,WV,2.7
7774,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,WV,4.0
7775,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WV,5.6000000000000005
7776,,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,WV,6.6000000000000005
7777,,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,WV,4.3
7778,,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,WV,7.0
7779,,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,WV,2.8000000000000003
7780,,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,WV,1.9000000000000001
7781,,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,WV,2.6
7782,,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,WV,3.1
7783,,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,WV,2.0
7784,,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,WV,7.2
7785,,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,WV,5.0
7786,,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,WV,2.5
7787,,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,WV,5.1000000000000005
7788,,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,WV,4.800000000000001
7789,,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,WV,5.6000000000000005
7790,,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,WV,4.6000000000000005
7791,,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,WV,4.7
7792,,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,WV,5.9
7793,,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,WV,6.7
7794,,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,WV,7.0
7795,,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,WV,4.7
7796,,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,WV,5.0
7797,,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,WV,7.800000000000001
7798,,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,WV,3.3000000000000003
7799,,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,WV,2.7
7800,,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,WV,3.2
7489,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WI,6.800000000000001
7490,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,WI,8.8
7491,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,WI,7.4
7492,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,WI,9.5
7493,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,WI,5.1000000000000005
7494,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,WI,7.5
7495,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,WI,3.3000000000000003
7496,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,WI,0.7000000000000001
7497,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WI,5.7
7498,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,WI,8.8
7499,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,WI,7.9
7500,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,WI,6.5
7501,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,WI,4.9
7502,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,WI,3.4000000000000004
7503,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,WI,6.5
7504,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,WI,5.9
7505,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,WI,3.0
7506,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,WI,7.5
7507,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,WI,6.1000000000000005
7508,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,WI,6.2
7509,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,WI,4.4
7510,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,WI,7.4
7511,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,WI,8.4
7512,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,WI,8.4
7513,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,WI,6.0
7514,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,WI,5.0
7515,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WI,6.9
7516,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,WI,8.9
7517,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,WI,7.4
7518,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,WI,9.600000000000001
7519,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,WI,4.6000000000000005
7520,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,WI,6.1000000000000005
7521,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WI,3.3000000000000003
7522,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,WI,0.7000000000000001
7523,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WI,5.7
7524,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,WI,8.8
7525,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,WI,8.1
7526,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,WI,6.4
7527,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,WI,5.0
7528,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,WI,4.7
7529,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,WI,6.7
7530,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,WI,2.7
7531,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,WI,3.1
7532,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,WI,6.9
7533,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,WI,6.7
7534,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,WI,6.2
7535,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,WI,5.9
7536,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,WI,7.4
7537,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,WI,8.6
7538,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,WI,8.4
7539,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,WI,6.1000000000000005
7540,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,WI,4.4
7541,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WI,6.7
7542,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,WI,8.8
7543,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,WI,7.300000000000001
7544,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,WI,9.5
7545,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,WI,4.6000000000000005
7546,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,WI,6.0
7547,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,WI,3.3000000000000003
7548,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,WI,0.7000000000000001
7549,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,WI,5.800000000000001
7550,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,WI,9.0
7551,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,WI,8.6
7552,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,WI,6.5
7553,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,WI,4.7
7554,137.0,2016,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.400000095,4.84,3.94,WI,4.6000000000000005
7555,138.0,2016,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.199999809,5.41,4.92,WI,6.300000000000001
7556,150.0,2016,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.400000095,4.74,4.03,WI,2.9000000000000004
7557,171.0,2016,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.67,3.86,WI,2.9000000000000004
7558,186.0,2016,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.599999905,6.01,5.28,WI,6.0
7559,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,WI,6.2
7560,209.0,2016,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.45,4.51,WI,6.2
7561,210.0,2016,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.300000191,5.78,4.91,WI,4.4
7562,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,WI,7.2
7563,230.0,2016,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.100000381,8.47,7.71,WI,8.4
7564,234.0,2016,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.78,5.53,WI,8.4
7565,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,WI,6.1000000000000005
7566,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,WI,3.9000000000000004
7567,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WI,6.300000000000001
7568,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,WI,8.200000000000001
7569,2.0,2015,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.0,7.5600000000000005,6.45,WI,7.300000000000001
7570,16.0,2015,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.08,7.47,WI,8.0
7571,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,WI,4.1000000000000005
7572,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,WI,5.4
7573,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WI,3.3000000000000003
7574,70.0,2015,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WI,0.6000000000000001
7575,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,WI,4.4
7576,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,WI,7.9
7577,100.0,2015,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.04,WI,5.4
7578,119.0,2015,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",5.5,6.0200000000000005,4.91,WI,5.6000000000000005
7579,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,WI,4.5
7580,137.0,2015,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.300000191,4.69,3.93,WI,4.3
7581,138.0,2015,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.19,4.79,WI,6.0
7582,150.0,2015,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.65,3.97,WI,2.8000000000000003
7583,171.0,2015,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.75,3.94,WI,2.8000000000000003
7584,186.0,2015,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.300000191,5.63,4.88,WI,5.5
7585,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,WI,6.300000000000001
7586,209.0,2015,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",4.800000191,5.34,4.32,WI,6.300000000000001
7587,210.0,2015,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.400000095,5.86,5.04,WI,4.7
7588,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,WI,7.2
7589,230.0,2015,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.800000191,8.23,7.45,WI,8.5
7590,234.0,2015,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.07,4.63,WI,8.5
7591,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,WI,6.2
7592,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,WI,3.3000000000000003
7593,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WI,6.300000000000001
7594,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,WI,8.3
7595,,2014,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.47,6.23,WI,6.7
7596,,2014,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.11,7.55,WI,8.8
7597,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,WI,4.0
7598,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,WI,4.800000000000001
7599,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,WI,3.3000000000000003
7600,,2014,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WI,0.6000000000000001
7601,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,WI,4.7
7602,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,WI,8.0
7603,,2014,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.5,7.24,5.8500000000000005,WI,6.0
7604,,2014,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",4.800000191,5.2700000000000005,4.28,WI,5.2
7605,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,WI,4.6000000000000005
7606,,2014,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.199999809,4.5200000000000005,3.81,WI,4.4
7607,,2014,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.29,4.79,WI,6.2
7608,,2014,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.98,WI,2.4000000000000004
7609,,2014,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.400000095,4.8,3.97,WI,3.0
7610,,2014,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.400000095,5.7700000000000005,5.0200000000000005,WI,5.9
7611,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,WI,6.2
7612,,2014,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.5,4.43,WI,6.1000000000000005
7613,,2014,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.099999905,5.47,4.64,WI,4.7
7614,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,WI,7.1000000000000005
7615,,2014,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.900000095,8.26,7.46,WI,8.4
7616,,2014,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.1000000000000005,4.64,WI,8.5
7617,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,WI,6.2
7618,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,WI,2.8000000000000003
7619,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WI,6.0
7620,,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,WI,7.9
7621,,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,WI,5.7
7622,,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,WI,8.9
7623,,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,WI,3.1
7624,,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,WI,1.5
7625,,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,WI,3.3000000000000003
7626,,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,WI,0.6000000000000001
7627,,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,WI,5.9
7628,,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,WI,7.9
7629,,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,WI,6.2
7630,,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,WI,4.3
7631,,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,WI,4.6000000000000005
7632,,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,WI,4.4
7633,,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,WI,6.0
7634,,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,WI,2.4000000000000004
7635,,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,WI,3.0
7636,,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,WI,5.7
7637,,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,WI,6.1000000000000005
7638,,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,WI,6.1000000000000005
7639,,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,WI,4.4
7640,,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,WI,7.2
7641,,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,WI,8.5
7642,,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,WI,8.5
7643,,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,WI,6.2
7644,,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,WI,3.3000000000000003
7333,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WA,6.5
7334,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,WA,8.5
7335,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,WA,7.5
7336,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,WA,8.700000000000001
7337,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,WA,5.2
7338,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,WA,7.4
7339,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,WA,2.8000000000000003
7340,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,WA,2.6
7341,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WA,5.2
7342,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,WA,8.1
7343,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,WA,3.9000000000000004
7344,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,WA,8.9
7345,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,WA,4.0
7346,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,WA,1.7000000000000002
7347,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,WA,5.5
7348,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,WA,5.2
7349,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,WA,3.2
7350,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,WA,6.800000000000001
7351,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,WA,6.300000000000001
7352,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,WA,5.4
7353,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,WA,6.1000000000000005
7354,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,WA,7.6000000000000005
7355,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,WA,7.2
7356,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,WA,7.4
7357,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,WA,8.5
7358,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,WA,6.2
7359,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WA,6.4
7360,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,WA,8.4
7361,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,WA,7.2
7362,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,WA,8.700000000000001
7363,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,WA,5.2
7364,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,WA,7.300000000000001
7365,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WA,2.9000000000000004
7366,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,WA,2.6
7367,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,WA,5.2
7368,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,WA,8.200000000000001
7369,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,WA,4.2
7370,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,WA,8.8
7371,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,WA,4.1000000000000005
7372,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,WA,2.4000000000000004
7373,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,WA,5.2
7374,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,WA,4.0
7375,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,WA,3.8000000000000003
7376,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,WA,6.7
7377,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,WA,5.4
7378,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,WA,3.4000000000000004
7379,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,WA,6.300000000000001
7380,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,WA,7.5
7381,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,WA,7.1000000000000005
7382,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,WA,7.5
7383,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,WA,8.700000000000001
7384,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,WA,5.7
7385,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WA,6.4
7386,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,WA,8.6
7387,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,WA,7.7
7388,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,WA,8.700000000000001
7389,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,WA,5.0
7390,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,WA,7.1000000000000005
7391,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,WA,2.9000000000000004
7392,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,WA,2.7
7393,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,WA,4.6000000000000005
7394,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,WA,8.200000000000001
7395,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,WA,4.7
7396,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,WA,8.200000000000001
7397,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,WA,3.7
7398,137.0,2016,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.400000095,4.84,3.94,WA,1.5
7399,138.0,2016,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.199999809,5.41,4.92,WA,5.1000000000000005
7400,150.0,2016,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.400000095,4.74,4.03,WA,4.6000000000000005
7401,171.0,2016,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.67,3.86,WA,3.8000000000000003
7402,186.0,2016,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.599999905,6.01,5.28,WA,5.4
7403,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,WA,5.6000000000000005
7404,209.0,2016,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.45,4.51,WA,3.4000000000000004
7405,210.0,2016,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.300000191,5.78,4.91,WA,6.9
7406,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,WA,7.5
7407,230.0,2016,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.100000381,8.47,7.71,WA,7.4
7408,234.0,2016,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.78,5.53,WA,7.5
7409,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,WA,8.8
7410,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,WA,5.300000000000001
7411,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WA,6.2
7412,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,WA,8.6
7413,2.0,2015,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.0,7.5600000000000005,6.45,WA,7.6000000000000005
7414,16.0,2015,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.08,7.47,WA,8.6
7415,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,WA,4.800000000000001
7416,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,WA,7.300000000000001
7417,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,WA,3.1
7418,70.0,2015,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WA,2.6
7419,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,WA,2.7
7420,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,WA,8.3
7421,100.0,2015,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.04,WA,5.0
7422,119.0,2015,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",5.5,6.0200000000000005,4.91,WA,8.0
7423,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,WA,3.7
7424,137.0,2015,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.300000191,4.69,3.93,WA,2.2
7425,138.0,2015,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.19,4.79,WA,4.800000000000001
7426,150.0,2015,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.65,3.97,WA,4.0
7427,171.0,2015,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.75,3.94,WA,3.8000000000000003
7428,186.0,2015,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.300000191,5.63,4.88,WA,3.9000000000000004
7429,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,WA,5.2
7430,209.0,2015,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",4.800000191,5.34,4.32,WA,3.5
7431,210.0,2015,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.400000095,5.86,5.04,WA,5.7
7432,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,WA,7.1000000000000005
7433,230.0,2015,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.800000191,8.23,7.45,WA,7.7
7434,234.0,2015,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.07,4.63,WA,5.7
7435,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,WA,8.9
7436,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,WA,4.800000000000001
7437,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WA,6.1000000000000005
7438,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,WA,8.6
7439,,2014,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.47,6.23,WA,7.7
7440,,2014,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.11,7.55,WA,8.6
7441,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,WA,5.0
7442,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,WA,7.4
7443,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,WA,2.9000000000000004
7444,,2014,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,WA,2.6
7445,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,WA,3.7
7446,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,WA,7.5
7447,,2014,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.5,7.24,5.8500000000000005,WA,4.4
7448,,2014,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",4.800000191,5.2700000000000005,4.28,WA,4.7
7449,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,WA,3.8000000000000003
7450,,2014,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.199999809,4.5200000000000005,3.81,WA,2.3000000000000003
7451,,2014,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.29,4.79,WA,5.1000000000000005
7452,,2014,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.98,WA,4.0
7453,,2014,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.400000095,4.8,3.97,WA,3.8000000000000003
7454,,2014,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.400000095,5.7700000000000005,5.0200000000000005,WA,3.7
7455,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,WA,5.2
7456,,2014,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.5,4.43,WA,3.5
7457,,2014,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.099999905,5.47,4.64,WA,5.5
7458,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,WA,7.0
7459,,2014,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.900000095,8.26,7.46,WA,8.0
7460,,2014,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.1000000000000005,4.64,WA,5.7
7461,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,WA,8.9
7462,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,WA,4.0
7463,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WA,6.0
7464,,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,WA,8.3
7465,,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,WA,7.6000000000000005
7466,,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,WA,7.9
7467,,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,WA,5.1000000000000005
7468,,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,WA,6.800000000000001
7469,,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,WA,3.0
7470,,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,WA,2.5
7471,,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,WA,5.800000000000001
7472,,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,WA,7.4
7473,,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,WA,4.9
7474,,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,WA,3.4000000000000004
7475,,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,WA,3.7
7476,,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,WA,2.4000000000000004
7477,,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,WA,5.1000000000000005
7478,,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,WA,4.0
7479,,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,WA,3.5
7480,,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,WA,3.4000000000000004
7481,,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,WA,5.1000000000000005
7482,,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,WA,3.4000000000000004
7483,,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,WA,5.7
7484,,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,WA,7.0
7485,,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,WA,8.0
7486,,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,WA,5.6000000000000005
7487,,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,WA,8.9
7488,,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,WA,3.8000000000000003
7177,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,VT,7.2
7178,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,VT,9.4
7179,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,VT,10.0
7180,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,VT,8.5
7181,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,VT,6.0
7182,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,VT,9.1
7183,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,VT,4.0
7184,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,VT,2.7
7185,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,VT,5.0
7186,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,VT,8.5
7187,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,VT,5.4
7188,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,VT,8.6
7189,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,VT,5.300000000000001
7190,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,VT,3.7
7191,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,VT,6.7
7192,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,VT,7.0
7193,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,VT,4.0
7194,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,VT,7.2
7195,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,VT,6.6000000000000005
7196,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,VT,6.2
7197,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,VT,5.800000000000001
7198,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,VT,7.0
7199,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,VT,7.6000000000000005
7200,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,VT,6.5
7201,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,VT,6.7
7202,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,VT,5.800000000000001
7203,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,VT,7.0
7204,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,VT,9.4
7205,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,VT,10.0
7206,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,VT,8.4
7207,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,VT,5.9
7208,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,VT,8.9
7209,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,VT,3.9000000000000004
7210,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,VT,2.5
7211,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,VT,5.0
7212,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,VT,8.5
7213,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,VT,5.4
7214,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,VT,8.6
7215,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,VT,5.6000000000000005
7216,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,VT,4.1000000000000005
7217,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,VT,6.2
7218,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,VT,5.0
7219,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,VT,6.0
7220,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,VT,7.800000000000001
7221,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,VT,5.5
7222,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,VT,3.6
7223,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,VT,6.4
7224,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,VT,7.0
7225,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,VT,7.300000000000001
7226,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,VT,6.5
7227,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,VT,6.7
7228,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,VT,6.0
7229,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,VT,7.0
7230,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,VT,9.4
7231,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,VT,10.0
7232,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,VT,8.6
7233,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,VT,5.9
7234,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,VT,8.9
7235,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,VT,3.9000000000000004
7236,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,VT,2.3000000000000003
7237,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,VT,4.800000000000001
7238,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,VT,8.8
7239,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,VT,6.6000000000000005
7240,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,VT,8.3
7241,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,VT,5.2
7242,137.0,2016,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.400000095,4.84,3.94,VT,3.9000000000000004
7243,138.0,2016,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.199999809,5.41,4.92,VT,6.9
7244,150.0,2016,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.400000095,4.74,4.03,VT,5.300000000000001
7245,171.0,2016,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.67,3.86,VT,3.1
7246,186.0,2016,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.599999905,6.01,5.28,VT,7.6000000000000005
7247,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,VT,5.7
7248,209.0,2016,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.45,4.51,VT,3.8000000000000003
7249,210.0,2016,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.300000191,5.78,4.91,VT,6.7
7250,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,VT,6.6000000000000005
7251,230.0,2016,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.100000381,8.47,7.71,VT,7.1000000000000005
7252,234.0,2016,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.78,5.53,VT,5.5
7253,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,VT,6.6000000000000005
7254,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,VT,5.7
7255,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,VT,6.800000000000001
7256,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,VT,8.6
7257,2.0,2015,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.0,7.5600000000000005,6.45,VT,8.8
7258,16.0,2015,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.08,7.47,VT,7.6000000000000005
7259,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,VT,5.6000000000000005
7260,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,VT,9.1
7261,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,VT,4.0
7262,70.0,2015,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,VT,1.2000000000000002
7263,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,VT,3.8000000000000003
7264,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,VT,8.8
7265,100.0,2015,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.04,VT,7.0
7266,119.0,2015,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",5.5,6.0200000000000005,4.91,VT,8.0
7267,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,VT,4.9
7268,137.0,2015,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.300000191,4.69,3.93,VT,4.1000000000000005
7269,138.0,2015,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.19,4.79,VT,5.6000000000000005
7270,150.0,2015,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.65,3.97,VT,5.0
7271,171.0,2015,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.75,3.94,VT,3.8000000000000003
7272,186.0,2015,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.300000191,5.63,4.88,VT,7.4
7273,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,VT,5.7
7274,209.0,2015,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",4.800000191,5.34,4.32,VT,4.4
7275,210.0,2015,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.400000095,5.86,5.04,VT,5.9
7276,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,VT,6.7
7277,230.0,2015,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.800000191,8.23,7.45,VT,6.7
7278,234.0,2015,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.07,4.63,VT,6.300000000000001
7279,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,VT,6.5
7280,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,VT,6.1000000000000005
7281,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,VT,6.7
7282,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,VT,8.9
7283,,2014,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.47,6.23,VT,8.700000000000001
7284,,2014,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.11,7.55,VT,8.5
7285,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,VT,4.3
7286,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,VT,5.7
7287,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,VT,3.8000000000000003
7288,,2014,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,VT,1.2000000000000002
7289,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,VT,3.3000000000000003
7290,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,VT,8.8
7291,,2014,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.5,7.24,5.8500000000000005,VT,7.2
7292,,2014,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",4.800000191,5.2700000000000005,4.28,VT,7.7
7293,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,VT,5.300000000000001
7294,,2014,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.199999809,4.5200000000000005,3.81,VT,4.2
7295,,2014,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.29,4.79,VT,6.4
7296,,2014,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.98,VT,5.5
7297,,2014,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.400000095,4.8,3.97,VT,4.3
7298,,2014,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.400000095,5.7700000000000005,5.0200000000000005,VT,7.0
7299,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,VT,6.0
7300,,2014,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.5,4.43,VT,5.0
7301,,2014,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.099999905,5.47,4.64,VT,5.800000000000001
7302,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,VT,6.6000000000000005
7303,,2014,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.900000095,8.26,7.46,VT,6.4
7304,,2014,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.1000000000000005,4.64,VT,6.6000000000000005
7305,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,VT,6.5
7306,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,VT,5.4
7307,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,VT,6.5
7308,,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,VT,8.6
7309,,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,VT,8.5
7310,,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,VT,7.800000000000001
7311,,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,VT,4.0
7312,,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,VT,3.9000000000000004
7313,,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,VT,3.8000000000000003
7314,,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,VT,1.1
7315,,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,VT,5.1000000000000005
7316,,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,VT,8.700000000000001
7317,,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,VT,7.0
7318,,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,VT,7.4
7319,,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,VT,5.1000000000000005
7320,,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,VT,4.1000000000000005
7321,,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,VT,6.0
7322,,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,VT,4.6000000000000005
7323,,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,VT,4.6000000000000005
7324,,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,VT,6.6000000000000005
7325,,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,VT,6.300000000000001
7326,,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,VT,5.9
7327,,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,VT,5.2
7328,,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,VT,6.7
7329,,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,VT,6.6000000000000005
7330,,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,VT,6.6000000000000005
7331,,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,VT,6.4
7332,,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,VT,5.800000000000001
7021,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,VA,7.2
7022,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,VA,9.3
7023,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,VA,8.700000000000001
7024,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,VA,9.5
7025,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,VA,5.2
7026,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,VA,6.7
7027,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,VA,3.6
7028,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,VA,3.2
7029,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,VA,5.1000000000000005
7030,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,VA,9.5
7031,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,VA,9.0
7032,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,VA,8.8
7033,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,VA,5.300000000000001
7034,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,VA,4.9
7035,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,VA,6.1000000000000005
7036,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,VA,5.4
7037,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,VA,4.1000000000000005
7038,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,VA,6.800000000000001
7039,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,VA,6.4
7040,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,VA,5.1000000000000005
7041,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,VA,6.800000000000001
7042,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,VA,7.800000000000001
7043,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,VA,9.5
7044,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,VA,7.9
7045,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,VA,6.4
7046,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,VA,5.300000000000001
7047,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,VA,7.2
7048,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,VA,9.700000000000001
7049,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,VA,9.600000000000001
7050,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,VA,9.600000000000001
7051,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,VA,5.2
7052,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,VA,6.6000000000000005
7053,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,VA,3.6
7054,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,VA,3.5
7055,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,VA,5.1000000000000005
7056,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,VA,9.700000000000001
7057,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,VA,9.8
7058,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,VA,8.700000000000001
7059,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,VA,5.4
7060,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,VA,6.5
7061,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,VA,5.9
7062,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,VA,3.2
7063,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,VA,3.4000000000000004
7064,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,VA,6.6000000000000005
7065,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,VA,5.5
7066,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,VA,3.8000000000000003
7067,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,VA,5.9
7068,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,VA,7.800000000000001
7069,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,VA,9.3
7070,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,VA,7.9
7071,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,VA,6.800000000000001
7072,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,VA,5.6000000000000005
7073,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,VA,6.800000000000001
7074,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,VA,8.5
7075,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,VA,6.6000000000000005
7076,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,VA,9.5
7077,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,VA,4.5
7078,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,VA,4.5
7079,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,VA,3.6
7080,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,VA,3.5
7081,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,VA,4.9
7082,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,VA,9.4
7083,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,VA,8.8
7084,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,VA,8.700000000000001
7085,126.0,2016,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.699999809,4.93,4.51,VA,5.5
7086,137.0,2016,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.400000095,4.84,3.94,VA,6.9
7087,138.0,2016,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.199999809,5.41,4.92,VA,5.7
7088,150.0,2016,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.400000095,4.74,4.03,VA,3.0
7089,171.0,2016,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.67,3.86,VA,4.2
7090,186.0,2016,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.599999905,6.01,5.28,VA,5.9
7091,203.0,2016,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.16,5.53,VA,5.5
7092,209.0,2016,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.45,4.51,VA,4.0
7093,210.0,2016,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.300000191,5.78,4.91,VA,5.7
7094,223.0,2016,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.5,6.79,6.22,VA,7.7
7095,230.0,2016,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.100000381,8.47,7.71,VA,9.1
7096,234.0,2016,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.78,5.53,VA,7.9
7097,235.0,2016,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.78,4.61,VA,6.7
7098,248.0,2016,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.400000095,4.78,3.93,VA,5.4
7099,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,VA,6.7
7100,1.0,2015,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.0,8.23,7.73,VA,8.6
7101,2.0,2015,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.0,7.5600000000000005,6.45,VA,8.0
7102,16.0,2015,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.08,7.47,VA,8.200000000000001
7103,39.0,2015,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.199999809,4.53,3.92,VA,3.9000000000000004
7104,40.0,2015,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.599999905,6.25,4.94,VA,3.2
7105,49.0,2015,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,VA,3.6
7106,70.0,2015,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,VA,3.9000000000000004
7107,91.0,2015,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0300000000000002,2.15,VA,3.4000000000000004
7108,99.0,2015,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.300000191,8.52,8.03,VA,9.4
7109,100.0,2015,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.04,VA,9.4
7110,119.0,2015,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",5.5,6.0200000000000005,4.91,VA,7.6000000000000005
7111,126.0,2015,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.43,VA,5.5
7112,137.0,2015,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.300000191,4.69,3.93,VA,6.9
7113,138.0,2015,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.19,4.79,VA,5.6000000000000005
7114,150.0,2015,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.65,3.97,VA,3.7
7115,171.0,2015,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.300000191,4.75,3.94,VA,4.2
7116,186.0,2015,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.300000191,5.63,4.88,VA,5.4
7117,203.0,2015,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.800000191,6.140000000000001,5.47,VA,5.4
7118,209.0,2015,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",4.800000191,5.34,4.32,VA,3.7
7119,210.0,2015,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.400000095,5.86,5.04,VA,6.0
7120,223.0,2015,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.199999809,6.46,5.8500000000000005,VA,7.6000000000000005
7121,230.0,2015,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.800000191,8.23,7.45,VA,9.200000000000001
7122,234.0,2015,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.07,4.63,VA,8.0
7123,235.0,2015,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.7700000000000005,4.6000000000000005,VA,6.7
7124,248.0,2015,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.900000095,4.3100000000000005,3.5100000000000002,VA,4.6000000000000005
7125,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,VA,6.4
7126,,2014,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",7.900000095,8.22,7.66,VA,8.0
7127,,2014,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.47,6.23,VA,6.7
7128,,2014,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",7.800000191,8.11,7.55,VA,8.3
7129,,2014,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.099999905,4.34,3.7800000000000002,VA,3.7
7130,,2014,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",5.199999809,5.7700000000000005,4.61,VA,3.0
7131,,2014,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.39,2.77,VA,3.5
7132,,2014,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.18,2.18,VA,3.9000000000000004
7133,,2014,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",2.599999905,3.0,2.12,VA,2.9000000000000004
7134,,2014,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.100000381,8.31,7.8500000000000005,VA,9.3
7135,,2014,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.5,7.24,5.8500000000000005,VA,9.4
7136,,2014,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",4.800000191,5.2700000000000005,4.28,VA,7.2
7137,,2014,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.599999905,4.8100000000000005,4.42,VA,4.800000000000001
7138,,2014,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.199999809,4.5200000000000005,3.81,VA,4.5
7139,,2014,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.0,5.29,4.79,VA,5.5
7140,,2014,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.98,VA,3.7
7141,,2014,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",4.400000095,4.8,3.97,VA,4.2
7142,,2014,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",5.400000095,5.7700000000000005,5.0200000000000005,VA,5.4
7143,,2014,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",5.699999809,6.1000000000000005,5.4,VA,5.6000000000000005
7144,,2014,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.0,5.5,4.43,VA,4.3
7145,,2014,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.099999905,5.47,4.64,VA,5.7
7146,,2014,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.099999905,6.37,5.76,VA,7.5
7147,,2014,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",7.900000095,8.26,7.46,VA,9.3
7148,,2014,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",5.400000095,6.1000000000000005,4.64,VA,7.9
7149,,2014,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.75,4.58,VA,6.7
7150,,2014,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,3.400000095,3.77,3.04,VA,3.9000000000000004
7151,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,VA,6.300000000000001
7152,,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,VA,7.800000000000001
7153,,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,VA,7.5
7154,,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,VA,6.7
7155,,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,VA,3.8000000000000003
7156,,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,VA,2.3000000000000003
7157,,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,VA,3.6
7158,,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,VA,4.0
7159,,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,VA,4.6000000000000005
7160,,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,VA,9.200000000000001
7161,,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,VA,9.4
7162,,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,VA,6.5
7163,,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,VA,4.7
7164,,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,VA,4.5
7165,,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,VA,5.4
7166,,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,VA,3.6
7167,,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,VA,4.3
7168,,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,VA,4.800000000000001
7169,,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,VA,5.4
7170,,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,VA,4.2
7171,,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,VA,5.2
7172,,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,VA,7.5
7173,,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,VA,9.1
7174,,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,VA,7.9
7175,,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,VA,6.7
7176,,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,VA,4.1000000000000005
6865,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,UT,7.1000000000000005
6866,1.0,2018,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.300000191,8.56,8.040000000000001,UT,8.4
6867,2.0,2018,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.199999809,7.76,6.69,UT,7.9
6868,16.0,2018,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.69,8.05,UT,8.0
6869,39.0,2018,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.2,4.62,UT,5.800000000000001
6870,40.0,2018,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.800000191,7.36,6.16,UT,7.9
6871,49.0,2018,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.45,2.79,UT,3.0
6872,70.0,2018,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,2.97,2.14,UT,3.0
6873,91.0,2018,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,UT,7.2
6874,99.0,2018,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.699999809,8.94,8.52,UT,9.4
6875,100.0,2018,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",7.300000191,7.930000000000001,6.62,UT,8.6
6876,119.0,2018,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.199999809,7.76,6.58,UT,9.0
6877,126.0,2018,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.900000095,5.12,4.64,UT,6.5
6878,137.0,2018,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.0,4.6000000000000005,3.39,UT,6.1000000000000005
6879,138.0,2018,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.599999905,5.8100000000000005,5.32,UT,5.7
6880,150.0,2018,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",6.0,6.3500000000000005,5.7,UT,6.5
6881,171.0,2018,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.799999952,4.17,3.44,UT,7.7
6882,186.0,2018,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.599999905,6.91,6.23,UT,7.1000000000000005
6883,203.0,2018,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.5,6.76,6.2,UT,5.300000000000001
6884,209.0,2018,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",6.5,6.890000000000001,6.05,UT,4.9
6885,210.0,2018,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.0,5.36,4.57,UT,3.7
6886,223.0,2018,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.699999809,7.0200000000000005,6.46,UT,6.6000000000000005
6887,230.0,2018,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.199999809,8.620000000000001,7.87,UT,6.1000000000000005
6888,234.0,2018,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.099999905,6.72,5.42,UT,7.300000000000001
6889,235.0,2018,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.900000095,6.49,5.38,UT,7.0
6890,248.0,2018,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.699999809,5.15,4.25,UT,4.3
6891,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,UT,6.800000000000001
6892,1.0,2017,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.399999619,8.6,8.11,UT,8.3
6893,2.0,2017,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",7.300000191,7.84,6.8100000000000005,UT,7.6000000000000005
6894,16.0,2017,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.399999619,8.73,8.120000000000001,UT,8.0
6895,39.0,2017,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.900000095,5.19,4.62,UT,5.7
6896,40.0,2017,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.699999809,7.3100000000000005,6.13,UT,7.6000000000000005
6897,49.0,2017,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.099999905,3.46,2.81,UT,3.0
6898,70.0,2017,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.599999905,3.02,2.19,UT,3.0
6899,91.0,2017,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.400000095,4.83,4.0,UT,7.2
6900,99.0,2017,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.600000381,8.81,8.35,UT,9.5
6901,100.0,2017,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.800000191,7.53,6.08,UT,9.0
6902,119.0,2017,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",7.0,7.61,6.43,UT,8.8
6903,126.0,2017,HD,Domain,Active,HD,HD,Healthcare Delivery,Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.,4.800000191,4.99,4.58,UT,5.6000000000000005
6904,137.0,2017,PC,Subdomain,Active,HD,PC,Prehospital Care,"Prehospital care is generally provided by emergency medical services (EMS) and, includes 911 and dispatch, emergency medical response, field assessment and care, and transport (usually by ambulance or helicopter) to a hospital and between healthcare facilities.",4.5,5.03,4.05,UT,6.6000000000000005
6905,138.0,2017,HPS,Subdomain,Active,HD,HPS,Hospital and Physician Services,Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.,5.400000095,5.62,5.2,UT,5.2
6906,150.0,2017,LTC,Subdomain,Active,HD,LTC,Long-Term Care,"Long-term care refers to a continuum of medical and social services designed to support the needs of people living permanently or for an extended period in a residential setting with chronic health problems that affect their ability to perform everyday activities. This includes skilled nursing facilities, rehabilitation services, etc.",4.300000191,4.71,3.92,UT,3.4000000000000004
6907,171.0,2017,MBH,Subdomain,Active,HD,MBH,Mental & Behavioral Healthcare,"Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.",3.700000048,4.07,3.36,UT,5.1000000000000005
6908,186.0,2017,HC,Subdomain,Active,HD,HC,Home Care ,"Home care is clinical and nonclinical care that allows a person with special needs to stay in their home. It may also be assumed to include the management of patient care needs for those patients not sick enough to require hospitalization or long-term care, or for whom hospitalization is not deemed to be of benefit. Other examples of home care include, but are not limited to: skilled nursing visits, respiratory care services, provision of durable medical equipment, hospice, and pharmacist services.",6.199999809,6.58,5.91,UT,6.5
6909,203.0,2017,CM,Domain,Active,CM,CM, Countermeasure Management ,"Actions to store and deploy medical and pharmaceutical products that prevent and treat the effects of hazardous substances and infectious diseases, including vaccines, prescription drugs, masks, gloves, and medical equipment.",6.0,6.29,5.62,UT,5.0
6910,209.0,2017,MMMDD,Subdomain,Active,CM,MMMDD,"Medical Materiel Management, Distribution, & Dispensing","The ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) before and during an incident and recover and account for unused medical materiel after an incident. This capability includes managing the research, development, and procurement of medical countermeasures in addition to the management and distribution of medical countermeasures.",5.099999905,5.59,4.61,UT,3.7
6911,210.0,2017,CUE,Subdomain,Active,CM,CUE,Countermeasure Utilization & Effectiveness,The level to which the community has achieved preparedness for vaccination and immunization and the level to which the community completes a course of countermeasure usage or follows through in the use of an intervention. This also covers the resultant outcome from the appropriate use of the intervention.,5.5,5.89,5.03,UT,4.9
6912,223.0,2017,EOH,Domain,Active,EOH,EOH,Environmental & Occupational Health,"Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.",6.599999905,6.890000000000001,6.32,UT,6.300000000000001
6913,230.0,2017,FWS,Subdomain,Active,EOH,FWS,Food & Water Security,"The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.",8.300000191,8.620000000000001,7.91,UT,6.9
6914,234.0,2017,EM,Subdomain,Active,EOH,EM,Environmental Monitoring,"The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends",6.199999809,6.79,5.54,UT,7.300000000000001
6915,235.0,2017,PEI,Subdomain,Active,EOH,PEI,Physical Environment and Infrastructure,"Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.",5.199999809,5.79,4.61,UT,5.1000000000000005
6916,248.0,2017,WR,Subdomain,Active,EOH,WR,Workforce Resiliency,Actions taken to protect workers and emergency responders from health hazards while on the job,4.599999905,5.0,4.13,UT,3.7
6917,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,UT,6.7
6918,1.0,2016,HSS,Domain,Active,HSS,HSS,Health Security Surveillance ,"Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.",8.199999809,8.42,8.01,UT,8.700000000000001
6919,2.0,2016,PHSEI,Subdomain,Active,HSS,PHSEI,Health Surveillance & Epidemiological Investigation,"The creation, maintenance, support, and strengthening of passive and active surveillance to: identify, discover, locate, and monitor threats, disease agents, incidents, and outbreaks provide relevant information to stakeholders monitoring/investigating adverse events related to medical countermeasures. The sub-domain includes the ability to successfully expand these systems and processes in response to incidents of health significance.",6.900000095,7.4,6.43,UT,8.0
6920,16.0,2016,BMLT,Subdomain,Active,HSS,BMLT,Biological Monitoring & Laboratory Testing ,"The ability of agencies to conduct rapid and accurate laboratory tests to identify biological, chemical, and radiological agents to address actual or potential exposure to all hazards, focusing on testing human and animal clinical specimens. Support functions include discovery through: active and passive surveillance (both pre- and post-event), characterization, confirmatory testing data, reporting investigative support, ongoing situational awareness. Laboratory quality systems are maintained through external quality assurance and proficiency testing.",8.5,8.75,8.2,UT,8.6
6921,39.0,2016,CPE,Domain,Active,CPE,CPE,Community Planning & Engagement Coordination ,"Actions to develop and maintain supportive relationships among government agencies, community organizations, and individual households; and to develop shared plans for responding to disasters and emergencies.",4.599999905,4.94,4.3500000000000005,UT,5.0
6922,40.0,2016,CSCC,Subdomain,Active,CPE,CSCC,Cross-Sector / Community Collaboration,"The coordination necessary to engage community-based organizations and social networks through collaboration among agencies primarily responsible for providing direct health-related services; partners include public health, healthcare, business, education, and emergency management in addition to federal and nonfederal entities necessary to facilitate an effective and efficient return to routine delivery of services.",6.099999905,6.72,5.5,UT,5.6000000000000005
6923,49.0,2016,ARP,Subdomain,Active,CPE,ARP,Children & Other At-Risk Populations,"Actions to protect individuals specifically recognized as at-risk in the Pandemic and All-Hazards Preparedness Act (i.e., children, senior citizens, and pregnant women), and those who may need additional response assistance including those who have disabilities, live in institutionalized settings, are from diverse cultures, have limited English proficiency (or are non-English-speaking), are transportation disadvantaged, have chronic medical disorders, and have pharmacological dependency; all of whom require additional needs before, during, and after an incident in the functional areas of communication, medical care, maintaining independence, supervision, and transportation.",3.200000048,3.5300000000000002,2.83,UT,3.0
6924,70.0,2016,MVDE,Subdomain,Active,CPE,MVDE,Management of Volunteers during Emergencies ,"The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance",2.700000048,3.19,2.22,UT,3.0
6925,91.0,2016,SCC,Subdomain,Active,CPE,SCC,Social Capital & Cohesion,"The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.",4.0,4.34,3.56,UT,6.9
6926,99.0,2016,IIM,Domain,Active,IIM,IIM,Incident & Information Management,"Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.",8.399999619,8.64,8.22,UT,9.3
6927,100.0,2016,INCM,Subdomain,Active,IIM,INCM, Incident Management ,"The ability to establish and maintain a unified and coordinated operational structure with processes that appropriately integrate all critical stakeholders and support the execution of core capabilities and incident objectives. This sub-domain includes the capability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable management system consistent with the National Incident Management System and coordinating activities above the field level by sharing information, developing strategy and tactics, and managing resources to assist with coordination of operations in the field.",6.699999809,7.41,6.09,UT,8.6
6928,119.0,2016,INFM,Subdomain,Active,IIM,INFM,Information Management ,"The ability to develop systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, warnings, and notifications to the public using a whole-community approach. This sub-domain includes using risk communication methods to support the use of clear, consistent, accessible, and culturally and linguistically appropriate methods to effectively relay information regarding any threat or hazard, the actions taken, and the assistance available.",6.300000191,6.92,5.75,UT,8.4