Measuring Preparedness

Countermeasure
Management

National
Confidence Interval
6.8 - 7.2
National
Preparedness Level
7

What it Means

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.

How we Measure it

Countermeasure Management Sub-domains

mmmdd: medical materiel management distribution dispensing

cue: countermeasure utilization effectiveness

npi: non pharmaceutical intervention

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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.

Measure
Measure Description
Source
m60
Degree to which state has developed a plan including Strategic National Stockpile (SNS) elements
Measure Name

M60

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The measure only considers the content and adequacy of a written plan and does not evaluate if the state has the resources and ability to implement the plan in a timely and effective manner.

m61
Degree to which a state has demonstrated ability to manage the Strategic National Stockpile (SNS), including updated staffing, call-down exercises, Incident Command System (ICS) integration, testing, and notification of volunteers
Measure Name

M61

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The measure considers a roster and notification protocol for key staff and volunteers needed to implement the state's SNS plan. It does not measure the number of staff or volunteers that would actually be available during an emergency.

m62
Level of completeness and utility of state plans and procedures in place for requesting Strategic National Stockpile (SNS) material from local authorities
Measure Name

M62

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The measure considers the completeness of state plans to distribute SNS assets to local health departments but it does not measure if the state and local health departments have the capacity to implement the plan.

m63
Degree to which a state has communications plans in place for Strategic National Stockpile (SNS) usage
Measure Name

M63

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

A limitation of the measure, which is a state-level score reported by the Centers for Disease Control and Prevention (CDC) after conducting technical assistance reviews with states, is that important variations in local readiness across the state may not be readily apparent. Additionally, the measure indicates the degree to which the state has completed a plan, but it does not address the quality of that the plan or whether it has been tested and improved.

m65
Degree to which a state has completed security planning for coordination of medical countermeasures dispensing, management, and mass prophylaxis
Measure Name

M65

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The measure indicates the degree to which the state has completed a plan, but it does not address the quality of that the plan or whether it has been tested and improved.

m66
Degree to which a state has demonstrated receipt, stage, and store (RSS) plans and procedures developed to coordinate all logistics concerning Strategic National Stockpile (SNS) material
Measure Name

M66

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The bulk of on-the-ground work to receive, stage, store, move, track, and keep secure SNS supplies happens at the local level and depends on people and technology in many different places throughout the state. A limitation of the measure, which is a state-level score reported by the Centers for Disease Control and Prevention (CDC) after conducting technical assistance reviews with states, is that important variations in local readiness across the state may not be readily apparent.

m67
Degree to which state is observed to have a controlling inventory procedure in place, including an Inventory Management System (IMS) to track Strategic National Stockpile (SNS) material
Measure Name

M67

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The bulk of on-the-ground work to receive, stage, store, move, track, and keep secure SNS supplies happens at the local level and depends on people and technology in many different places throughout the state. A limitation of the measure, which is a state-level score reported by the Center for Disease Control and Prevention (CDC) after conducting technical assistance reviews with states, is that important variations in local readiness across the state may not be readily apparent.

m69
Degree to which state has distribution plans and procedures in place for physical delivery of Strategic National Stockpile (SNS) assets from the receipt, stage, and store (RSS) facility to sites
Measure Name

M69

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR)

Data date(s)

2012 - 2014

Limitations

The bulk of on-the-ground work to receive, stage, store, move, track, and keep secure SNS supplies happens at the local level and depends on people and technology in many different places throughout the state. Although the measure addresses the state's responsibility to tackle the cross-jurisdictional challenges and barriers, a limitation is that it is a state-level score reported by the Centers for Disease Control and Prevention (CDC) after conducting technical assistance reviews with states and important variations in local readiness across the state may not be readily apparent.

m161
Number of pharmacists per 100,000 population
Measure Name

M161

Measure Source

Bureau of Labor Statistics (BLS), Occupational Employment Statistics (OES)

Data date(s)

2012 - 2015

Limitations

The measure may underrepresent the number of pharmacists available to respond during an emergency. The measure is a ratio of the number of pharmacists per 100,000 people in the state, not the total number. It does not account for any mutual aid arrangements with neighboring states that could boost the number of pharmacists available for disaster response.

m270
Percentage of hospital facilities in the state that participate in a group purchasing arrangement
Measure Name

M270

Measure Source

American Hospital Association (AHA), Annual Survey of Hospitals

Data date(s)

2011 - 2013

Limitations

There is no single factor that affects shortages of drugs and/or other medical supplies. There are combinations of economic and non-economic factors that create gaps in the supply chain.

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.

Measure
Measure Description
Source
m24
The average percentage of children ages 19-35 months who have received these individual vaccinations: four or more doses of diphtheria, tetanus, and pertussis vaccine, three or more doses of poliovirus vaccine, one or more doses of any measles-containing vaccine, and three or more doses of Hepatitis B vaccine
Measure Name

M24

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHC), National Immunization Survey (NIS)

Data date(s)

2012 - 2015

Limitations

The measure is for routine vaccine preventable disease in pre-school age children and may not reflect the vaccination rates for a severe emerging disease.

m32
Senior seasonal flu vaccination rate
Measure Name

M32

Measure Source

Centers for Disease Control and Prevention (CDC), National Immunization Survey (NIS) and the Behavioral Risk Surveillance System (BRFSS), FluVaxView State, Regional, and National Vaccination Report

Data date(s)

2013 - 2016

Limitations

The measure has no apparent limitations.

m33
Senior pneumococcal vaccination rate
Measure Name

M33

Measure Source

Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System Survey Questionnaire (BRFSS). Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Survey data analyzed by PMO personnel.

Data date(s)

2012 - 2015

Limitations

The measure has no apparent limitations.

m34
Pediatric seasonal flu vaccination rate
Measure Name

M34

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHC), National Immunization Survey (NIS)

Data date(s)

2012 - 2016

Limitations

This measure only includes children aged six months to four years old, so coverage of the pediatric population is incomplete. The measure is for routine seasonal influenza and may not reflect the coverage rates for a severe emerging disease.

m35
Adult seasonal flu vaccination rate
Measure Name

M35

Measure Source

Centers for Disease Control and Prevention (CDC), National Immunization Survey (NIS) and the Behavioral Risk Surveillance System (BRFSS), FluVaxView State, Regional, and National Vaccination Report

Data date(s)

2013 - 2016

Limitations

This measure is for routine seasonal influenza and may not reflect vaccination coverage rates for a severe emerging disease.

The guidance, recommendations, and resources to address all-hazards to contain the spread of communicable disease, injury, and exposure using community mitigation strategies such as: isolation and quarantine restrictions on movement and travel advisory/warnings; school closure; social distancing; external decontamination; hygiene; precautionary protective behaviors.

Measure
Measure Description
Source
m530
Percent of employed population with some type of paid time off (PTO) benefit
Measure Name

M530

Measure Source

Current Population Survey (CPS), Annual Social and Economic Supplement (ASEC) data analyzed by PMO personnel.

Data date(s)

2012 - 2015

Limitations

This is survey data and can require special skill to estimate and interpret.

m531
Percent of employed population engaging in some work from home by telecommuting
Measure Name

M531

Measure Source

Current Population Survey (CPS), Work Schedules Supplement data analyzed by PMO personnel.

Data date(s)

2011 - 2013, 2015

Limitations

This is survey data and can require special skill to estimate and interpret.

m705
Percent of employed (16 and older) who work from home
Measure Name

M705

Measure Source

American Community Survey (ACS), 1-year estimate (Table B08128)

Data date(s)

2012 - 2015

Limitations

This measure might not fully capture the number of individuals who can work at home on a "part-time" basis.