NATION’S ABILITY TO MANAGE HEALTH EMERGENCIES RISES

About News & Events Contact Us Subscribe

About Contact Us

Access the new 2021 Index release data, available as of September 28, 2021.

View the 2021 Index Release View the 2021 Release Key Findings

The Index combines measures from multiple sources and perspectives to offer a broad view of the health protections in place for the nation as a whole and for each U.S. state. The Index identifies strengths as well as gaps in the protections needed to keep people safe and healthy in the face of large-scale public health threats, and it tracks how these protections vary across the United States and change over time.

Select a Data Set

2013

2014

2015

2016

2017

2018

2019

2020

6.8

confidence interval

6.7 - 7.0

0 National Preparedness Level 10

Key Findings for 2021 Release

Preparedness by Domain

Health Security
Surveillance

8.4

National Confidence Interval: 8.2 - 8.7

Community Planning & Engagement

5.4

National Confidence Interval: 5.1 - 5.7

Incident & Information Management

8.9

National Confidence Interval: 8.7 - 9.1

Healthcare
Delivery

5.0

National Confidence Interval: 4.8 - 5.2

Countermeasure Management

6.2

National Confidence Interval: 5.9 - 6.6

Environmental & Occupational Health

6.9

National Confidence Interval: 6.6 - 7.2

*Full details of the Index methodological approach for the 2021 release are available here. The Index is an ongoing analysis, so periodic changes may occur.

Drawing data from 64 sources, the National Health Security Preparedness Index is the most comprehensive look at each state's preparedness to date. It is also the first national index that looks at the nation’s health security by collectively measuring the preparedness of the states. The display of results on the NHSPI website takes into account both preparedness and model complexities; however, states face varying threats, apply preparedness principles in locally relevant ways, and have unique interdependencies. Explore the interactive map below to understand the range of influences on America’s health security and preparedness.

View by Domain
- Overall
- Health Care Delivery
- Countermeasure Management
- Environmental & Occupational Health
- Health Security Surveillance
- Community Planning & Engagement Coordination
- Incident & Information Management
Jump to a State Profile

Select a Data Set

2013

2014

2015

2016

2017

2018

2019

2020

Key

Above National Average

Meets National Average

Below National Average

Loading Map Data...

See Data by State

Select a state profile below

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho

Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri

Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania

Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Drawing data from 64 sources, the NHSPI is the most comprehensive look at each state's preparedness to date. It is also the first national index that looks at the nation’s health security by collectively measuring the preparedness of the states. Each face varying threats, apply preparedness principles in locally relevant ways, and have unique interdependencies. The display of results on the NHSPI website takes into account both preparedness and model complexities; however, states face varying threats, apply preparedness principles in locally relevant ways, and have unique interdependencies. Explore the interactive map below to understand the range of influences on America’s health security.

Tap a State for Data Set

Alabama

About the Index

Blog