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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7931,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WY,5.4
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7905,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WY,5.800000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7879,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WY,5.7
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7853,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WY,5.9
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7827,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WY,6.0
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7801,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WY,6.4
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7775,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WV,5.6000000000000005
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7749,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WV,5.800000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7723,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WV,5.9
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7697,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WV,6.2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7671,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WV,6.2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7645,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WV,6.1000000000000005
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7619,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WI,6.0
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7593,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WI,6.300000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7567,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WI,6.300000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7541,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WI,6.7
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7515,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WI,6.9
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7489,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WI,6.800000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7463,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,WA,6.0
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7437,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,WA,6.1000000000000005
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7411,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,WA,6.2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7385,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,WA,6.4
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7359,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,WA,6.4
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7333,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,WA,6.5
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7307,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7281,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,VT,6.7
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7255,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,VT,6.800000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7229,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,VT,7.0
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7203,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,VT,7.0
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7177,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,VT,7.2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7151,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,VA,6.300000000000001
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7125,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,VA,6.4
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7099,0.0,2015,overall,,Active,,,Overall Index,NHSPI Index,6.199999809,6.32,6.05,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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7073,0.0,2016,overall,,Active,,,Overall Index,NHSPI Index,6.400000095,6.53,6.29,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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7047,0.0,2017,overall,,Active,,,Overall Index,NHSPI Index,6.5,6.67,6.41,VA,7.2
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
7021,0.0,2018,overall,,Active,,,Overall Index,NHSPI Index,6.699999809,6.8100000000000005,6.55,VA,7.2
7020,,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,UT,3.1
7019,,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,UT,5.0
7018,,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,UT,6.800000000000001
7017,,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,UT,7.300000000000001
7016,,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,UT,6.2
7015,,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,UT,4.5
7014,,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,UT,3.7
7013,,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,UT,4.9
7012,,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,UT,4.9
7011,,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,UT,6.5
7010,,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,UT,3.7
7009,,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,UT,4.6000000000000005
7008,,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,UT,4.5
7007,,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,UT,4.9
7006,,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,UT,7.0
7005,,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,UT,9.8
7004,,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,UT,9.4
7003,,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,UT,7.9
7002,,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,UT,3.2
7001,,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,UT,3.0
7000,,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,UT,4.7
6999,,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,UT,4.800000000000001
6998,,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,UT,6.2
6997,,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,UT,8.0
6996,,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,UT,7.800000000000001
6995,,2013,overall,,Active,,,Overall Index,NHSPI Index,5.900000095,6.07,5.7700000000000005,UT,6.4
6994,,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,UT,2.5
6993,,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,UT,5.0
6992,,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,UT,7.1000000000000005
6991,,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,UT,7.1000000000000005
6990,,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,UT,6.1000000000000005
6989,,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,UT,4.5
6988,,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,UT,3.8000000000000003
6987,,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,UT,5.0
6986,,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,UT,5.300000000000001
6985,,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,UT,6.6000000000000005
6984,,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,UT,3.8000000000000003
6983,,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,UT,4.7
6982,,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,UT,4.6000000000000005
6981,,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,UT,5.0
6980,,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,UT,7.9
6979,,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,UT,9.9
6978,,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,UT,9.600000000000001
6977,,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,UT,5.6000000000000005
6976,,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,UT,3.1
6975,,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,UT,2.9000000000000004
6974,,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,UT,5.800000000000001
6973,,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,UT,4.800000000000001
6972,,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,UT,7.2
6971,,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,UT,8.5
6970,,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,UT,8.3
6969,,2014,overall,,Active,,,Overall Index,NHSPI Index,6.099999905,6.24,5.96,UT,6.6000000000000005
6968,248.0,2015,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,UT,2.7
6967,235.0,2015,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,UT,5.1000000000000005
6966,234.0,2015,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,UT,6.800000000000001
6965,230.0,2015,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,UT,6.800000000000001
6964,223.0,2015,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,UT,5.9
6963,210.0,2015,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,UT,4.800000000000001
6962,209.0,2015,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,UT,3.6
6961,203.0,2015,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,UT,5.0
6960,186.0,2015,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,UT,5.1000000000000005
6959,171.0,2015,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,UT,6.6000000000000005
6958,150.0,2015,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,UT,4.3
6957,138.0,2015,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,UT,4.9