Measuring Preparedness

Incident
& Information Management

National
Confidence Interval
8.2 - 8.6
National
Preparedness Level
8.4

What it Means

Actions to deploy people, supplies, money and information to the locations where they are most effective in protecting health and safety.

How we Measure it

Incident & Information Management Sub-domains

immac-incident-management-multi-agency-coordination

epiw-emergency-public-information-warning

la-legal-administrative

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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.

Measure
Measure Description
Source
m10
Have you utilized a rapid method (e.g., Health Alert Network (HAN), blast e-mail or fax) to send messages to your sentinel clinical laboratories and other partners?
Measure Name

M10

Measure Source

Association of Public Health Laboratories (APHL), All-Hazards Laboratory Preparedness Survey

Data date(s)

2013 - 2015

Limitations

The measure does not reflect the frequency with which a rapid method may be used regularly and/or in emergencies or whether this function has been tested by a jurisdiction. It mainly reflects an existing capacity to communicate via a single medium (electronic) and in one direction (outward).

m70
Degree to which state has a dispensing prophylaxis plan in place that accounts for all operational elements of a local mass prophylaxis/dispensing plan
Measure Name

M70

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 & 2013

Limitations

The measure focuses narrowly on operational coordination topics and does not include other items such as mutual aid and resource planning. The measure is also incident-specific.

m71
Degree to which a state has a hospital and alternate care facilities coordination plan in place on how to procure emergency medical materiel
Measure Name

M71

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 & 2013

Limitations

The measure only focuses on procurement of materiel and does not address additional multi-agency coordination facets such as information sharing between the public health and healthcare systems. Additionally, this measure is only a measure of the planning component of such coordination, not the implementation or quality of such a plan.

m84
State is Emergency Management Accreditation Program (EMAP)-accredited
Measure Name

M84

Measure Source

Emergency Management Accreditation Program (EMAP), Who Is Accredited?

Data date(s)

2014 & 2015

Limitations

Accreditation is voluntary. Some jurisdictions choose to not seek Emergency Management Accreditation Program (EMAP) accreditation for various state and local reasons. States with conditional accreditation are not considered as accredited for this measure.

m333
State has an animal (livestock and pet) disaster preparedness plan
Measure Name

M333

Measure Source

American Veterinary Medical Association (AVMA), Animal Disaster Plans and Resources by State

Data date(s)

2014 & 2015

Limitations

While a "yes" response regarding a state animal disaster preparedness plan indicates a commitment by the state to address the needs and other important considerations for animals during and following an emergency, the source data also captures additional information related to addressing animal needs that represent a commitment beyond a plan. This additional information varies from state to state and is not captured by "yes/no" responses; the information has the potential for a more quantifiable response.

m107
Percentage of local health departments with an emergency preparedness coordinator {for states with local health departments, excludes Rhode Island and Hawaii}
Measure Name

M107

Measure Source

National Association of County and City Health Officials (NACCHO), 2013 National Profile of Local Health Departments

Data date(s)

2013

Limitations

The measure is collected less frequently than annually. Additionally, some states do not have local health departments and therefore no local health department emergency management coordinators. Lastly, leadership roles themselves do not determine the quality or robustness of an emergency management system.

m222
State health agency participates in the Water Information Sharing and Analysis Center (WaterISAC)
Measure Name

M222

Measure Source

Water Information Sharing and Analysis Center (WaterISAC), State Agencies Participating in WaterISAC

Data date(s)

2013

Limitations

The measure itself focuses narrowly on information sharing pertaining to water-related incidents rather than intelligence information overall. The measure has no published target that specifically identifies that a state public health agency should participate. It does not take into account the other government or public/private water systems that participate in this program.

m229
In case of an emergency, does your {state public health} laboratory have a 24/7/365 contact system in place?
Measure Name

M229

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure narrowly focuses on a system only for the state public health laboratory and does not include the quality of the system in place.

m150
State participates in Hospital Available Beds for Emergencies and Disasters (HAvBED) Program
Measure Name

M150

Measure Source

Assistant Secretary for Preparedness and Response (ASPR), National Hospital Available Beds for Emergencies and Disasters (HAvBED) System

Data date(s)

2012

Limitations

The measure requires data entry into the secure platform from existing state and local reporting systems used to measure bed counts during emergencies. The measure does not replace the need to evaluate state and local bed count system development and implementation.

m334
Does state have a climate change adaptation plan?
Measure Name

M334

Measure Source

Center for Climate and Energy Solutions (C2ES), State and Local Climate Adaptation

Data date(s)

2014 & 2015

Limitations

The measure is an indicator of state planning for climate change; however, it only indicates if a state has a plan. The quality of the plan is not evaluated. The degree to which the plan is being implemented is also not evaluated.

m72
{Degree to which} training, exercise, and evaluation plans are compliant with guidelines set forth by the Homeland Security Exercise and Evaluation Program
Measure Name

M72

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 & 2013

Limitations

The measure does not address if adequate preparedness plans are in place. It also does not determine the degree to which response plans are tested and evaluated.

m335
State has statewide and/or county animal response team(s)
Measure Name

M335

Measure Source

RedRover, Animal Response Teams

Data date(s)

2013 - 2015

Limitations

While a "yes" response indicates a state's commitment to addressing the issues that arise regarding animals and pets during and following an emergency, the extent to which a team is integrated into the overall state plan and activities is not clearly indicated, nor is the resource commitment toward this team and this issue. There may be some ambiguity when considering this measure. The title implies a yes/no with regard to "a state team," but the source listings include a mix of state, county, and local teams. In a few cases, it appears no state level team is indicated but one or more county teams are listed. A state that has answered "yes" should be interpreted to mean a state has any combination of state, regional, or county/local teams.

m701
Average number of minutes for state public health staff with incident management lead roles to report for immediate duty
Measure Name

M701

Measure Source

Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response (OPHPR), National Snapshot of Public Health Preparedness

Data date(s)

2011 - 2013

Limitations

The measure has no apparent limitations.

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.

Measure
Measure Description
Source
m64
Degree to which a state has a public information and communication plan developed for a mass prophylaxis campaign
Measure Name

M64

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 & 2013

Limitations

The measure only accounts for pre-event planning during a mass dispensing scenario and does not account for planning towards broader emergency scenarios. In addition, the measures does not account for emergent, response-driven public information and risk communication strategies or the implementation of previously developed frameworks.

m228
Percentage of households with broadband in the home
Measure Name

M228

Measure Source

American Community Survey (ACS), 1-year estimate (GCT2801) and Current Population Survey (CPS), Computer and Internet Supplement data analyzed by PMO personnel.

Data date(s)

2012, 2013, & 2014

Limitations

The measure itself only focuses on fixed connections and in the health security context therefore relies upon the assumption that during a public health emergency broadband remain operational.

The capabilities and capacities responsible for assisting in the execution of preparedness and response activities, incident management systems, and decision-making authority. This sub-domain includes:improving efficiencies in daily operationsreducing administrative barriers during response operationsensuring efficient acquisition of resources, use of emergency funds, and implementation of legal and liability protective measures needed to take action during an incident affecting health security

Measure
Measure Description
Source
m338
State requires facility reporting of healthcare-associated infections to the Centers for Disease Control and Prevention's (CDC's) National Health Safety Network (NHSN) or other systems
Measure Name

M338

Measure Source

Data date(s)

2012 & 2013

Limitations

The measure evaluates whether healthcare facilities are required to report healthcare associated infections to the NHSN. The measure does not evaluate the healthcare facilities' compliance with the reporting requirements.

m340
Who must report foodborne illness within the state? {Number out of the following reporting source types}: clinical laboratories, physicians, hospitals, nurses, physician assistants, and/or other healthcare provides (e.g., chiropractors, veterinarians)
Measure Name

M340

Measure Source

Public Health Law Research (PHLR), Temple University. Robert Wood Johnson Foundation (RWJF), LawAtlas: State Foodborne Illness Reporting Laws Map

Data date(s)

2013

Limitations

The measure is limited to if the state has a specific law that requires foodborne illnesses or related conditions be reported by these providers. The measure does not evaluate the completeness or timeliness of the disease reporting.

m341
State law include{s} a general provision regulating the release of personally identifiable information (PII) held by the health department
Measure Name

M341

Measure Source

Public Health Law Research (PHLR), Temple University. Robert Wood Johnson Foundation (RWJF), LawAtlas: State Foodborne Illness Reporting Laws Map

Data date(s)

2013

Limitations

The measure only assesses whether or not a law is in place. It does not capture the scope of the authorization. It does not measure the infrastructure in place to implement investigation, control, and other response strategies.

m342
State law requires communicable diseases to be reported to a health department
Measure Name

M342

Measure Source

Public Health Law Research (PHLR), Temple University. Robert Wood Johnson Foundation (RWJF), LawAtlas: State Foodborne Illness Reporting Laws Map

Data date(s)

2013

Limitations

The measure only evaluates whether a state requires communicable disease reporting to state or local health officials. The measure does not evaluate the timeliness or completeness of the required reporting, nor how effective the state is in monitoring and enforcing the requirements. It does not evaluate the ability of the health department to receive and use the reported information.

m344
State has adopted the Nurse Licensure Compact (NLC)
Measure Name

M344

Measure Source

National Council of State Boards of Nursing (NCSBN), Nurse Licensure Compact (NLC) Member States

Data date(s)

2014 & 2015

Limitations

The measure covers only the reduced administrative burden states gain from membership in the Nurse Licensure Compact. It does not measure individual state capacity to incorporate out-of-state nurses into medical surge responses. Additionally, some states may have existing agreements in place, similar to but smaller in scope, than the Nurse Licensure Compact.

m345
State has adopted Emergency Management Assistance Compact (EMAC) legislation
Measure Name

M345

Measure Source

National Emergency Management Association (NEMA), What is EMAC?

Data date(s)

2014

Limitations

All states are signatory to the EMAC; therefore, this score cannot be improved.