{"rowid": 1, "obsid": "0.0", "Year": 2018, "Item Name": "overall", "Item Type": "", "Item Status": "Active", "Relevant Domain": "", "Relevant Subdomain": "", "Item  Name": "Overall Index", "Item Description": "NHSPI Index", "National_score": "6.699999809", "Upper CI": "6.8100000000000005", "Lower CI": "6.55", "State": "AK", "State_score": "5.9"}
{"rowid": 2, "obsid": "1.0", "Year": 2018, "Item Name": "HSS", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "HSS", "Item  Name": "Health Security Surveillance ", "Item Description": "Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.", "National_score": "8.300000191", "Upper CI": "8.56", "Lower CI": "8.040000000000001", "State": "AK", "State_score": "8.9"}
{"rowid": 3, "obsid": "2.0", "Year": 2018, "Item Name": "PHSEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "PHSEI", "Item  Name": "Health Surveillance & Epidemiological\u00a0Investigation", "Item Description": "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.", "National_score": "7.199999809", "Upper CI": "7.76", "Lower CI": "6.69", "State": "AK", "State_score": "8.200000000000001"}
{"rowid": 4, "obsid": "16.0", "Year": 2018, "Item Name": "BMLT", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "BMLT", "Item  Name": "Biological Monitoring & Laboratory Testing ", "Item Description": "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.", "National_score": "8.399999619", "Upper CI": "8.69", "Lower CI": "8.05", "State": "AK", "State_score": "8.8"}
{"rowid": 5, "obsid": "39.0", "Year": 2018, "Item Name": "CPE", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CPE", "Item  Name": "Community Planning & Engagement Coordination ", "Item Description": "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.", "National_score": "4.900000095", "Upper CI": "5.2", "Lower CI": "4.62", "State": "AK", "State_score": "4.1000000000000005"}
{"rowid": 6, "obsid": "40.0", "Year": 2018, "Item Name": "CSCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CSCC", "Item  Name": "Cross-Sector / Community Collaboration", "Item Description": "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.", "National_score": "6.800000191", "Upper CI": "7.36", "Lower CI": "6.16", "State": "AK", "State_score": "5.2"}
{"rowid": 7, "obsid": "49.0", "Year": 2018, "Item Name": "ARP", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "ARP", "Item  Name": "Children & Other At-Risk Populations", "Item Description": "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.", "National_score": "3.099999905", "Upper CI": "3.45", "Lower CI": "2.79", "State": "AK", "State_score": "1.8"}
{"rowid": 8, "obsid": "70.0", "Year": 2018, "Item Name": "MVDE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "MVDE", "Item  Name": "Management of Volunteers during Emergencies ", "Item Description": "The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction\u2019s response to incidents of health significance", "National_score": "2.599999905", "Upper CI": "2.97", "Lower CI": "2.14", "State": "AK", "State_score": "1.3"}
{"rowid": 9, "obsid": "91.0", "Year": 2018, "Item Name": "SCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "SCC", "Item  Name": "Social Capital & Cohesion", "Item Description": "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 \u201cbelongingness\u201d among residents.", "National_score": "4.400000095", "Upper CI": "4.83", "Lower CI": "4.0", "State": "AK", "State_score": "5.800000000000001"}
{"rowid": 10, "obsid": "99.0", "Year": 2018, "Item Name": "IIM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "IIM", "Item  Name": "Incident & Information Management", "Item Description": "Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.", "National_score": "8.699999809", "Upper CI": "8.94", "Lower CI": "8.52", "State": "AK", "State_score": "7.800000000000001"}
{"rowid": 11, "obsid": "100.0", "Year": 2018, "Item Name": "INCM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INCM", "Item  Name": " Incident Management ", "Item Description": "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.", "National_score": "7.300000191", "Upper CI": "7.930000000000001", "Lower CI": "6.62", "State": "AK", "State_score": "4.800000000000001"}
{"rowid": 12, "obsid": "119.0", "Year": 2018, "Item Name": "INFM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INFM", "Item  Name": "Information Management ", "Item Description": "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.", "National_score": "7.199999809", "Upper CI": "7.76", "Lower CI": "6.58", "State": "AK", "State_score": "5.6000000000000005"}
{"rowid": 13, "obsid": "126.0", "Year": 2018, "Item Name": "HD", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HD", "Item  Name": "Healthcare Delivery", "Item Description": "Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.", "National_score": "4.900000095", "Upper CI": "5.12", "Lower CI": "4.64", "State": "AK", "State_score": "3.8000000000000003"}
{"rowid": 14, "obsid": "137.0", "Year": 2018, "Item Name": "PC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "PC", "Item  Name": "Prehospital Care", "Item Description": "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.", "National_score": "4.0", "Upper CI": "4.6000000000000005", "Lower CI": "3.39", "State": "AK", "State_score": "2.9000000000000004"}
{"rowid": 15, "obsid": "138.0", "Year": 2018, "Item Name": "HPS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HPS", "Item  Name": "Hospital and Physician Services", "Item Description": "Hospital and physician services refers to care for a patient who is formally admitted (or \u201chospitalized\u201d) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.", "National_score": "5.599999905", "Upper CI": "5.8100000000000005", "Lower CI": "5.32", "State": "AK", "State_score": "3.6"}
{"rowid": 16, "obsid": "150.0", "Year": 2018, "Item Name": "LTC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "LTC", "Item  Name": "Long-Term Care", "Item Description": "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.", "National_score": "6.0", "Upper CI": "6.3500000000000005", "Lower CI": "5.7", "State": "AK", "State_score": "7.1000000000000005"}
{"rowid": 17, "obsid": "171.0", "Year": 2018, "Item Name": "MBH", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "MBH", "Item  Name": "Mental & Behavioral Healthcare", "Item Description": "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.", "National_score": "3.799999952", "Upper CI": "4.17", "Lower CI": "3.44", "State": "AK", "State_score": "4.0"}
{"rowid": 18, "obsid": "186.0", "Year": 2018, "Item Name": "HC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HC", "Item  Name": "Home Care ", "Item Description": "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.", "National_score": "6.599999905", "Upper CI": "6.91", "Lower CI": "6.23", "State": "AK", "State_score": "2.9000000000000004"}
{"rowid": 19, "obsid": "203.0", "Year": 2018, "Item Name": "CM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CM", "Item  Name": " Countermeasure Management ", "Item Description": "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.", "National_score": "6.5", "Upper CI": "6.76", "Lower CI": "6.2", "State": "AK", "State_score": "4.5"}
{"rowid": 20, "obsid": "209.0", "Year": 2018, "Item Name": "MMMDD", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "MMMDD", "Item  Name": "Medical Materiel Management, Distribution, & Dispensing", "Item Description": "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.", "National_score": "6.5", "Upper CI": "6.890000000000001", "Lower CI": "6.05", "State": "AK", "State_score": "3.5"}
{"rowid": 21, "obsid": "210.0", "Year": 2018, "Item Name": "CUE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CUE", "Item  Name": "Countermeasure Utilization & Effectiveness", "Item Description": "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.", "National_score": "5.0", "Upper CI": "5.36", "Lower CI": "4.57", "State": "AK", "State_score": "3.5"}
{"rowid": 22, "obsid": "223.0", "Year": 2018, "Item Name": "EOH", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EOH", "Item  Name": "Environmental & Occupational Health", "Item Description": "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.", "National_score": "6.699999809", "Upper CI": "7.0200000000000005", "Lower CI": "6.46", "State": "AK", "State_score": "6.0"}
{"rowid": 23, "obsid": "230.0", "Year": 2018, "Item Name": "FWS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "FWS", "Item  Name": "Food & Water Security", "Item Description": "The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.", "National_score": "8.199999809", "Upper CI": "8.620000000000001", "Lower CI": "7.87", "State": "AK", "State_score": "6.800000000000001"}
{"rowid": 24, "obsid": "234.0", "Year": 2018, "Item Name": "EM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EM", "Item  Name": "Environmental Monitoring", "Item Description": "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", "National_score": "6.099999905", "Upper CI": "6.72", "Lower CI": "5.42", "State": "AK", "State_score": "4.0"}
{"rowid": 25, "obsid": "235.0", "Year": 2018, "Item Name": "PEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "PEI", "Item  Name": "Physical Environment and Infrastructure", "Item Description": "Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.", "National_score": "5.900000095", "Upper CI": "6.49", "Lower CI": "5.38", "State": "AK", "State_score": "6.4"}
{"rowid": 26, "obsid": "248.0", "Year": 2018, "Item Name": "WR", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "WR", "Item  Name": "Workforce Resiliency", "Item Description": "Actions taken to protect workers and emergency responders from\u00a0health\u00a0hazards while on the job", "National_score": "4.699999809", "Upper CI": "5.15", "Lower CI": "4.25", "State": "AK", "State_score": "5.0"}
{"rowid": 27, "obsid": "0.0", "Year": 2017, "Item Name": "overall", "Item Type": "", "Item Status": "Active", "Relevant Domain": "", "Relevant Subdomain": "", "Item  Name": "Overall Index", "Item Description": "NHSPI Index", "National_score": "6.5", "Upper CI": "6.67", "Lower CI": "6.41", "State": "AK", "State_score": "5.7"}
{"rowid": 28, "obsid": "1.0", "Year": 2017, "Item Name": "HSS", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "HSS", "Item  Name": "Health Security Surveillance ", "Item Description": "Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.", "National_score": "8.399999619", "Upper CI": "8.6", "Lower CI": "8.11", "State": "AK", "State_score": "8.8"}
{"rowid": 29, "obsid": "2.0", "Year": 2017, "Item Name": "PHSEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "PHSEI", "Item  Name": "Health Surveillance & Epidemiological\u00a0Investigation", "Item Description": "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.", "National_score": "7.300000191", "Upper CI": "7.84", "Lower CI": "6.8100000000000005", "State": "AK", "State_score": "8.1"}
{"rowid": 30, "obsid": "16.0", "Year": 2017, "Item Name": "BMLT", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "BMLT", "Item  Name": "Biological Monitoring & Laboratory Testing ", "Item Description": "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.", "National_score": "8.399999619", "Upper CI": "8.73", "Lower CI": "8.120000000000001", "State": "AK", "State_score": "8.8"}
{"rowid": 31, "obsid": "39.0", "Year": 2017, "Item Name": "CPE", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CPE", "Item  Name": "Community Planning & Engagement Coordination ", "Item Description": "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.", "National_score": "4.900000095", "Upper CI": "5.19", "Lower CI": "4.62", "State": "AK", "State_score": "3.9000000000000004"}
{"rowid": 32, "obsid": "40.0", "Year": 2017, "Item Name": "CSCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CSCC", "Item  Name": "Cross-Sector / Community Collaboration", "Item Description": "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.", "National_score": "6.699999809", "Upper CI": "7.3100000000000005", "Lower CI": "6.13", "State": "AK", "State_score": "4.6000000000000005"}
{"rowid": 33, "obsid": "49.0", "Year": 2017, "Item Name": "ARP", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "ARP", "Item  Name": "Children & Other At-Risk Populations", "Item Description": "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.", "National_score": "3.099999905", "Upper CI": "3.46", "Lower CI": "2.81", "State": "AK", "State_score": "1.9000000000000001"}
{"rowid": 34, "obsid": "70.0", "Year": 2017, "Item Name": "MVDE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "MVDE", "Item  Name": "Management of Volunteers during Emergencies ", "Item Description": "The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction\u2019s response to incidents of health significance", "National_score": "2.599999905", "Upper CI": "3.02", "Lower CI": "2.19", "State": "AK", "State_score": "1.3"}
{"rowid": 35, "obsid": "91.0", "Year": 2017, "Item Name": "SCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "SCC", "Item  Name": "Social Capital & Cohesion", "Item Description": "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 \u201cbelongingness\u201d among residents.", "National_score": "4.400000095", "Upper CI": "4.83", "Lower CI": "4.0", "State": "AK", "State_score": "5.800000000000001"}
{"rowid": 36, "obsid": "99.0", "Year": 2017, "Item Name": "IIM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "IIM", "Item  Name": "Incident & Information Management", "Item Description": "Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.", "National_score": "8.600000381", "Upper CI": "8.81", "Lower CI": "8.35", "State": "AK", "State_score": "7.7"}
{"rowid": 37, "obsid": "100.0", "Year": 2017, "Item Name": "INCM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INCM", "Item  Name": " Incident Management ", "Item Description": "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.", "National_score": "6.800000191", "Upper CI": "7.53", "Lower CI": "6.08", "State": "AK", "State_score": "4.5"}
{"rowid": 38, "obsid": "119.0", "Year": 2017, "Item Name": "INFM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INFM", "Item  Name": "Information Management ", "Item Description": "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.", "National_score": "7.0", "Upper CI": "7.61", "Lower CI": "6.43", "State": "AK", "State_score": "5.6000000000000005"}
{"rowid": 39, "obsid": "126.0", "Year": 2017, "Item Name": "HD", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HD", "Item  Name": "Healthcare Delivery", "Item Description": "Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.", "National_score": "4.800000191", "Upper CI": "4.99", "Lower CI": "4.58", "State": "AK", "State_score": "3.9000000000000004"}
{"rowid": 40, "obsid": "137.0", "Year": 2017, "Item Name": "PC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "PC", "Item  Name": "Prehospital Care", "Item Description": "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.", "National_score": "4.5", "Upper CI": "5.03", "Lower CI": "4.05", "State": "AK", "State_score": "3.4000000000000004"}
{"rowid": 41, "obsid": "138.0", "Year": 2017, "Item Name": "HPS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HPS", "Item  Name": "Hospital and Physician Services", "Item Description": "Hospital and physician services refers to care for a patient who is formally admitted (or \u201chospitalized\u201d) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.", "National_score": "5.400000095", "Upper CI": "5.62", "Lower CI": "5.2", "State": "AK", "State_score": "4.4"}
{"rowid": 42, "obsid": "150.0", "Year": 2017, "Item Name": "LTC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "LTC", "Item  Name": "Long-Term Care", "Item Description": "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.", "National_score": "4.300000191", "Upper CI": "4.71", "Lower CI": "3.92", "State": "AK", "State_score": "7.1000000000000005"}
{"rowid": 43, "obsid": "171.0", "Year": 2017, "Item Name": "MBH", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "MBH", "Item  Name": "Mental & Behavioral Healthcare", "Item Description": "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.", "National_score": "3.700000048", "Upper CI": "4.07", "Lower CI": "3.36", "State": "AK", "State_score": "3.1"}
{"rowid": 44, "obsid": "186.0", "Year": 2017, "Item Name": "HC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HC", "Item  Name": "Home Care ", "Item Description": "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.", "National_score": "6.199999809", "Upper CI": "6.58", "Lower CI": "5.91", "State": "AK", "State_score": "2.6"}
{"rowid": 45, "obsid": "203.0", "Year": 2017, "Item Name": "CM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CM", "Item  Name": " Countermeasure Management ", "Item Description": "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.", "National_score": "6.0", "Upper CI": "6.29", "Lower CI": "5.62", "State": "AK", "State_score": "3.5"}
{"rowid": 46, "obsid": "209.0", "Year": 2017, "Item Name": "MMMDD", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "MMMDD", "Item  Name": "Medical Materiel Management, Distribution, & Dispensing", "Item Description": "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.", "National_score": "5.099999905", "Upper CI": "5.59", "Lower CI": "4.61", "State": "AK", "State_score": "2.0"}
{"rowid": 47, "obsid": "210.0", "Year": 2017, "Item Name": "CUE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CUE", "Item  Name": "Countermeasure Utilization & Effectiveness", "Item Description": "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.", "National_score": "5.5", "Upper CI": "5.89", "Lower CI": "5.03", "State": "AK", "State_score": "2.9000000000000004"}
{"rowid": 48, "obsid": "223.0", "Year": 2017, "Item Name": "EOH", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EOH", "Item  Name": "Environmental & Occupational Health", "Item Description": "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.", "National_score": "6.599999905", "Upper CI": "6.890000000000001", "Lower CI": "6.32", "State": "AK", "State_score": "6.1000000000000005"}
{"rowid": 49, "obsid": "230.0", "Year": 2017, "Item Name": "FWS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "FWS", "Item  Name": "Food & Water Security", "Item Description": "The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.", "National_score": "8.300000191", "Upper CI": "8.620000000000001", "Lower CI": "7.91", "State": "AK", "State_score": "7.0"}
{"rowid": 50, "obsid": "234.0", "Year": 2017, "Item Name": "EM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EM", "Item  Name": "Environmental Monitoring", "Item Description": "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", "National_score": "6.199999809", "Upper CI": "6.79", "Lower CI": "5.54", "State": "AK", "State_score": "4.1000000000000005"}
{"rowid": 51, "obsid": "235.0", "Year": 2017, "Item Name": "PEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "PEI", "Item  Name": "Physical Environment and Infrastructure", "Item Description": "Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.", "National_score": "5.199999809", "Upper CI": "5.79", "Lower CI": "4.61", "State": "AK", "State_score": "6.300000000000001"}
{"rowid": 52, "obsid": "248.0", "Year": 2017, "Item Name": "WR", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "WR", "Item  Name": "Workforce Resiliency", "Item Description": "Actions taken to protect workers and emergency responders from\u00a0health\u00a0hazards while on the job", "National_score": "4.599999905", "Upper CI": "5.0", "Lower CI": "4.13", "State": "AK", "State_score": "5.4"}
{"rowid": 53, "obsid": "0.0", "Year": 2016, "Item Name": "overall", "Item Type": "", "Item Status": "Active", "Relevant Domain": "", "Relevant Subdomain": "", "Item  Name": "Overall Index", "Item Description": "NHSPI Index", "National_score": "6.400000095", "Upper CI": "6.53", "Lower CI": "6.29", "State": "AK", "State_score": "5.6000000000000005"}
{"rowid": 54, "obsid": "1.0", "Year": 2016, "Item Name": "HSS", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "HSS", "Item  Name": "Health Security Surveillance ", "Item Description": "Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.", "National_score": "8.199999809", "Upper CI": "8.42", "Lower CI": "8.01", "State": "AK", "State_score": "8.9"}
{"rowid": 55, "obsid": "2.0", "Year": 2016, "Item Name": "PHSEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "PHSEI", "Item  Name": "Health Surveillance & Epidemiological\u00a0Investigation", "Item Description": "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.", "National_score": "6.900000095", "Upper CI": "7.4", "Lower CI": "6.43", "State": "AK", "State_score": "8.3"}
{"rowid": 56, "obsid": "16.0", "Year": 2016, "Item Name": "BMLT", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "BMLT", "Item  Name": "Biological Monitoring & Laboratory Testing ", "Item Description": "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.", "National_score": "8.5", "Upper CI": "8.75", "Lower CI": "8.2", "State": "AK", "State_score": "8.8"}
{"rowid": 57, "obsid": "39.0", "Year": 2016, "Item Name": "CPE", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CPE", "Item  Name": "Community Planning & Engagement Coordination ", "Item Description": "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.", "National_score": "4.599999905", "Upper CI": "4.94", "Lower CI": "4.3500000000000005", "State": "AK", "State_score": "3.6"}
{"rowid": 58, "obsid": "40.0", "Year": 2016, "Item Name": "CSCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CSCC", "Item  Name": "Cross-Sector / Community Collaboration", "Item Description": "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.", "National_score": "6.099999905", "Upper CI": "6.72", "Lower CI": "5.5", "State": "AK", "State_score": "4.3"}
{"rowid": 59, "obsid": "49.0", "Year": 2016, "Item Name": "ARP", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "ARP", "Item  Name": "Children & Other At-Risk Populations", "Item Description": "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.", "National_score": "3.200000048", "Upper CI": "3.5300000000000002", "Lower CI": "2.83", "State": "AK", "State_score": "2.1"}
{"rowid": 60, "obsid": "70.0", "Year": 2016, "Item Name": "MVDE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "MVDE", "Item  Name": "Management of Volunteers during Emergencies ", "Item Description": "The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction\u2019s response to incidents of health significance", "National_score": "2.700000048", "Upper CI": "3.19", "Lower CI": "2.22", "State": "AK", "State_score": "1.3"}
{"rowid": 61, "obsid": "91.0", "Year": 2016, "Item Name": "SCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "SCC", "Item  Name": "Social Capital & Cohesion", "Item Description": "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 \u201cbelongingness\u201d among residents.", "National_score": "4.0", "Upper CI": "4.34", "Lower CI": "3.56", "State": "AK", "State_score": "4.6000000000000005"}
{"rowid": 62, "obsid": "99.0", "Year": 2016, "Item Name": "IIM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "IIM", "Item  Name": "Incident & Information Management", "Item Description": "Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.", "National_score": "8.399999619", "Upper CI": "8.64", "Lower CI": "8.22", "State": "AK", "State_score": "7.6000000000000005"}
{"rowid": 63, "obsid": "100.0", "Year": 2016, "Item Name": "INCM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INCM", "Item  Name": " Incident Management ", "Item Description": "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.", "National_score": "6.699999809", "Upper CI": "7.41", "Lower CI": "6.09", "State": "AK", "State_score": "4.7"}
{"rowid": 64, "obsid": "119.0", "Year": 2016, "Item Name": "INFM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INFM", "Item  Name": "Information Management ", "Item Description": "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.", "National_score": "6.300000191", "Upper CI": "6.92", "Lower CI": "5.75", "State": "AK", "State_score": "5.0"}
{"rowid": 65, "obsid": "126.0", "Year": 2016, "Item Name": "HD", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HD", "Item  Name": "Healthcare Delivery", "Item Description": "Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.", "National_score": "4.699999809", "Upper CI": "4.93", "Lower CI": "4.51", "State": "AK", "State_score": "3.6"}
{"rowid": 66, "obsid": "137.0", "Year": 2016, "Item Name": "PC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "PC", "Item  Name": "Prehospital Care", "Item Description": "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.", "National_score": "4.400000095", "Upper CI": "4.84", "Lower CI": "3.94", "State": "AK", "State_score": "3.8000000000000003"}
{"rowid": 67, "obsid": "138.0", "Year": 2016, "Item Name": "HPS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HPS", "Item  Name": "Hospital and Physician Services", "Item Description": "Hospital and physician services refers to care for a patient who is formally admitted (or \u201chospitalized\u201d) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.", "National_score": "5.199999809", "Upper CI": "5.41", "Lower CI": "4.92", "State": "AK", "State_score": "3.7"}
{"rowid": 68, "obsid": "150.0", "Year": 2016, "Item Name": "LTC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "LTC", "Item  Name": "Long-Term Care", "Item Description": "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.", "National_score": "4.400000095", "Upper CI": "4.74", "Lower CI": "4.03", "State": "AK", "State_score": "5.300000000000001"}
{"rowid": 69, "obsid": "171.0", "Year": 2016, "Item Name": "MBH", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "MBH", "Item  Name": "Mental & Behavioral Healthcare", "Item Description": "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.", "National_score": "4.300000191", "Upper CI": "4.67", "Lower CI": "3.86", "State": "AK", "State_score": "3.4000000000000004"}
{"rowid": 70, "obsid": "186.0", "Year": 2016, "Item Name": "HC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HC", "Item  Name": "Home Care ", "Item Description": "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.", "National_score": "5.599999905", "Upper CI": "6.01", "Lower CI": "5.28", "State": "AK", "State_score": "1.6"}
{"rowid": 71, "obsid": "203.0", "Year": 2016, "Item Name": "CM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CM", "Item  Name": " Countermeasure Management ", "Item Description": "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.", "National_score": "5.800000191", "Upper CI": "6.16", "Lower CI": "5.53", "State": "AK", "State_score": "3.3000000000000003"}
{"rowid": 72, "obsid": "209.0", "Year": 2016, "Item Name": "MMMDD", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "MMMDD", "Item  Name": "Medical Materiel Management, Distribution, & Dispensing", "Item Description": "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.", "National_score": "5.0", "Upper CI": "5.45", "Lower CI": "4.51", "State": "AK", "State_score": "2.2"}
{"rowid": 73, "obsid": "210.0", "Year": 2016, "Item Name": "CUE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CUE", "Item  Name": "Countermeasure Utilization & Effectiveness", "Item Description": "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.", "National_score": "5.300000191", "Upper CI": "5.78", "Lower CI": "4.91", "State": "AK", "State_score": "2.2"}
{"rowid": 74, "obsid": "223.0", "Year": 2016, "Item Name": "EOH", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EOH", "Item  Name": "Environmental & Occupational Health", "Item Description": "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.", "National_score": "6.5", "Upper CI": "6.79", "Lower CI": "6.22", "State": "AK", "State_score": "6.1000000000000005"}
{"rowid": 75, "obsid": "230.0", "Year": 2016, "Item Name": "FWS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "FWS", "Item  Name": "Food & Water Security", "Item Description": "The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.", "National_score": "8.100000381", "Upper CI": "8.47", "Lower CI": "7.71", "State": "AK", "State_score": "7.2"}
{"rowid": 76, "obsid": "234.0", "Year": 2016, "Item Name": "EM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EM", "Item  Name": "Environmental Monitoring", "Item Description": "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", "National_score": "6.199999809", "Upper CI": "6.78", "Lower CI": "5.53", "State": "AK", "State_score": "4.1000000000000005"}
{"rowid": 77, "obsid": "235.0", "Year": 2016, "Item Name": "PEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "PEI", "Item  Name": "Physical Environment and Infrastructure", "Item Description": "Actions taken to reduce health hazards in the physical environment, including elements of the natural and built environment.", "National_score": "5.199999809", "Upper CI": "5.78", "Lower CI": "4.61", "State": "AK", "State_score": "6.300000000000001"}
{"rowid": 78, "obsid": "248.0", "Year": 2016, "Item Name": "WR", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "WR", "Item  Name": "Workforce Resiliency", "Item Description": "Actions taken to protect workers and emergency responders from\u00a0health\u00a0hazards while on the job", "National_score": "4.400000095", "Upper CI": "4.78", "Lower CI": "3.93", "State": "AK", "State_score": "5.1000000000000005"}
{"rowid": 79, "obsid": "0.0", "Year": 2015, "Item Name": "overall", "Item Type": "", "Item Status": "Active", "Relevant Domain": "", "Relevant Subdomain": "", "Item  Name": "Overall Index", "Item Description": "NHSPI Index", "National_score": "6.199999809", "Upper CI": "6.32", "Lower CI": "6.05", "State": "AK", "State_score": "5.2"}
{"rowid": 80, "obsid": "1.0", "Year": 2015, "Item Name": "HSS", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "HSS", "Item  Name": "Health Security Surveillance ", "Item Description": "Actions to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.", "National_score": "8.0", "Upper CI": "8.23", "Lower CI": "7.73", "State": "AK", "State_score": "8.3"}
{"rowid": 81, "obsid": "2.0", "Year": 2015, "Item Name": "PHSEI", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "PHSEI", "Item  Name": "Health Surveillance & Epidemiological\u00a0Investigation", "Item Description": "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.", "National_score": "7.0", "Upper CI": "7.5600000000000005", "Lower CI": "6.45", "State": "AK", "State_score": "8.1"}
{"rowid": 82, "obsid": "16.0", "Year": 2015, "Item Name": "BMLT", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HSS", "Relevant Subdomain": "BMLT", "Item  Name": "Biological Monitoring & Laboratory Testing ", "Item Description": "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.", "National_score": "7.800000191", "Upper CI": "8.08", "Lower CI": "7.47", "State": "AK", "State_score": "7.5"}
{"rowid": 83, "obsid": "39.0", "Year": 2015, "Item Name": "CPE", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CPE", "Item  Name": "Community Planning & Engagement Coordination ", "Item Description": "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.", "National_score": "4.199999809", "Upper CI": "4.53", "Lower CI": "3.92", "State": "AK", "State_score": "3.5"}
{"rowid": 84, "obsid": "40.0", "Year": 2015, "Item Name": "CSCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "CSCC", "Item  Name": "Cross-Sector / Community Collaboration", "Item Description": "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.", "National_score": "5.599999905", "Upper CI": "6.25", "Lower CI": "4.94", "State": "AK", "State_score": "3.9000000000000004"}
{"rowid": 85, "obsid": "49.0", "Year": 2015, "Item Name": "ARP", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "ARP", "Item  Name": "Children & Other At-Risk Populations", "Item Description": "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.", "National_score": "3.099999905", "Upper CI": "3.46", "Lower CI": "2.81", "State": "AK", "State_score": "2.0"}
{"rowid": 86, "obsid": "70.0", "Year": 2015, "Item Name": "MVDE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "MVDE", "Item  Name": "Management of Volunteers during Emergencies ", "Item Description": "The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction\u2019s response to incidents of health significance", "National_score": "2.700000048", "Upper CI": "3.18", "Lower CI": "2.18", "State": "AK", "State_score": "1.7000000000000002"}
{"rowid": 87, "obsid": "91.0", "Year": 2015, "Item Name": "SCC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CPE", "Relevant Subdomain": "SCC", "Item  Name": "Social Capital & Cohesion", "Item Description": "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 \u201cbelongingness\u201d among residents.", "National_score": "2.599999905", "Upper CI": "3.0300000000000002", "Lower CI": "2.15", "State": "AK", "State_score": "4.4"}
{"rowid": 88, "obsid": "99.0", "Year": 2015, "Item Name": "IIM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "IIM", "Item  Name": "Incident & Information Management", "Item Description": "Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.", "National_score": "8.300000191", "Upper CI": "8.52", "Lower CI": "8.03", "State": "AK", "State_score": "7.4"}
{"rowid": 89, "obsid": "100.0", "Year": 2015, "Item Name": "INCM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INCM", "Item  Name": " Incident Management ", "Item Description": "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.", "National_score": "6.800000191", "Upper CI": "7.53", "Lower CI": "6.04", "State": "AK", "State_score": "4.3"}
{"rowid": 90, "obsid": "119.0", "Year": 2015, "Item Name": "INFM", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "IIM", "Relevant Subdomain": "INFM", "Item  Name": "Information Management ", "Item Description": "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.", "National_score": "5.5", "Upper CI": "6.0200000000000005", "Lower CI": "4.91", "State": "AK", "State_score": "4.4"}
{"rowid": 91, "obsid": "126.0", "Year": 2015, "Item Name": "HD", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HD", "Item  Name": "Healthcare Delivery", "Item Description": "Actions to ensure access to high quality medical services across the continuum of care during and after disasters and emergencies.", "National_score": "4.599999905", "Upper CI": "4.8100000000000005", "Lower CI": "4.43", "State": "AK", "State_score": "3.4000000000000004"}
{"rowid": 92, "obsid": "137.0", "Year": 2015, "Item Name": "PC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "PC", "Item  Name": "Prehospital Care", "Item Description": "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.", "National_score": "4.300000191", "Upper CI": "4.69", "Lower CI": "3.93", "State": "AK", "State_score": "3.7"}
{"rowid": 93, "obsid": "138.0", "Year": 2015, "Item Name": "HPS", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HPS", "Item  Name": "Hospital and Physician Services", "Item Description": "Hospital and physician services refers to care for a patient who is formally admitted (or \u201chospitalized\u201d) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution.", "National_score": "5.0", "Upper CI": "5.19", "Lower CI": "4.79", "State": "AK", "State_score": "3.5"}
{"rowid": 94, "obsid": "150.0", "Year": 2015, "Item Name": "LTC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "LTC", "Item  Name": "Long-Term Care", "Item Description": "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.", "National_score": "4.300000191", "Upper CI": "4.65", "Lower CI": "3.97", "State": "AK", "State_score": "4.800000000000001"}
{"rowid": 95, "obsid": "171.0", "Year": 2015, "Item Name": "MBH", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "MBH", "Item  Name": "Mental & Behavioral Healthcare", "Item Description": "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.", "National_score": "4.300000191", "Upper CI": "4.75", "Lower CI": "3.94", "State": "AK", "State_score": "2.7"}
{"rowid": 96, "obsid": "186.0", "Year": 2015, "Item Name": "HC", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "HD", "Relevant Subdomain": "HC", "Item  Name": "Home Care ", "Item Description": "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.", "National_score": "5.300000191", "Upper CI": "5.63", "Lower CI": "4.88", "State": "AK", "State_score": "2.3000000000000003"}
{"rowid": 97, "obsid": "203.0", "Year": 2015, "Item Name": "CM", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CM", "Item  Name": " Countermeasure Management ", "Item Description": "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.", "National_score": "5.800000191", "Upper CI": "6.140000000000001", "Lower CI": "5.47", "State": "AK", "State_score": "3.5"}
{"rowid": 98, "obsid": "209.0", "Year": 2015, "Item Name": "MMMDD", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "MMMDD", "Item  Name": "Medical Materiel Management, Distribution, & Dispensing", "Item Description": "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.", "National_score": "4.800000191", "Upper CI": "5.34", "Lower CI": "4.32", "State": "AK", "State_score": "1.8"}
{"rowid": 99, "obsid": "210.0", "Year": 2015, "Item Name": "CUE", "Item Type": "Subdomain", "Item Status": "Active", "Relevant Domain": "CM", "Relevant Subdomain": "CUE", "Item  Name": "Countermeasure Utilization & Effectiveness", "Item Description": "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.", "National_score": "5.400000095", "Upper CI": "5.86", "Lower CI": "5.04", "State": "AK", "State_score": "3.2"}
{"rowid": 100, "obsid": "223.0", "Year": 2015, "Item Name": "EOH", "Item Type": "Domain", "Item Status": "Active", "Relevant Domain": "EOH", "Relevant Subdomain": "EOH", "Item  Name": "Environmental & Occupational Health", "Item Description": "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.", "National_score": "6.199999809", "Upper CI": "6.46", "Lower CI": "5.8500000000000005", "State": "AK", "State_score": "4.6000000000000005"}