Measuring Preparedness

Community
Planning & Engagement Coordination

National
Confidence Interval
4.6 - 5.2
National
Preparedness Level
4.9

What it Means

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.

How we Measure it

Community Planning & Engagement Coordination Sub-domains

cscc: cross sector community collaboration

arp: children other at risk populations

mvde: management of volunteers during emergencies

scc: social capital cohesion

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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.

Measure
Measure Description
Source
m87
State health department is accredited by the Public Health Accreditation Board (PHAB)
Measure Name

M87

Measure Source

Public Health Accreditation Board (PHAB), Health Departments in e-PHAB

Data date(s)

2013 - 2018

Limitations

The measure does not reflect health departments that are in process of achieving accreditation.

m501
Percent of the state's population served by a comprehensive public health system, as determined through the National Longitudinal Survey of Public Health Systems
Measure Name

M501

Measure Source

National Longitudinal Survey of Public Health Systems (NLSPHS), National Association of County and City Health Officials (NACCHO), and Area Resource File (ARF) data analyzed by PMO and affiliated personnel.

Data date(s)

2012, 2014 & 2016

Limitations

Data are self-reported by local health department representatives and may reflect differences in perspective and interpretation among respondents.

m9031
Percent of hospitals in the state that participate in health care preparedness coalitions supported through the federal Hospital Preparedness Program of the Office of the Assistant Secretary for Preparedness and Response
Measure Name

M9031

Measure Source

Division of National Healthcare Preparedness Programs in the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services

Data date(s)

2013 - 2017

Limitations

The measure does not evaluate the quality or comprehensiveness of participation in the health care preparedness coalitions.

m9032
Percent of emergency medical service agencies in the state that participate in health care preparedness coalitions supported through the federal Hospital Preparedness Program of the Office of the Assistant Secretary for Preparedness and Response
Measure Name

M9032

Measure Source

Division of National Healthcare Preparedness Programs in the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services

Data date(s)

2013 - 2017

Limitations

The measure does not evaluate the quality or comprehensiveness of participation in the health care preparedness coalitions.

m9033
Percent of emergency management agencies in the state that participate in health care preparedness coalitions supported through the federal Hospital Preparedness Program of the Office of the Assistant Secretary for Preparedness and Response
Measure Name

M9033

Measure Source

Division of National Healthcare Preparedness Programs in the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services

Data date(s)

2013 - 2017

Limitations

The measure does not evaluate the quality or comprehensiveness of participation in the health care preparedness coalitions.

m9034
Percent of local health departments in the state that participate in health care preparedness coalitions supported through the federal Hospital Preparedness Program of the Office of the Assistant Secretary for Preparedness and Response
Measure Name

M9034

Measure Source

Division of National Healthcare Preparedness Programs in the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services

Data date(s)

2013 - 2017

Limitations

The measure does not evaluate the quality or comprehensiveness of participation in the health care preparedness coalitions.

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.

Measure
Measure Description
Source
m163
Number of pediatricians per 100,000 population under 18 years old in the state
Measure Name

M163

Measure Source

U.S. Health Resources & Services Administration (HRSA), Area Health Resources Files (AHRF)

Data date(s)

2010, 2015-2016

Limitations

The measure does not consider mutual aid plans that may be in place for healthcare facilities to supplement the number of available pediatricians in the event of an emergency.

m164
Number of obstetricians and gynecologists per 100,000 female population in the state
Measure Name

M164

Measure Source

U.S. Health Resources & Services Administration (HRSA), Area Health Resources Files (AHRF)

Data date(s)

2010, 2015-2016

Limitations

The measure does not consider mutual aid plans that may be in place for healthcare facilities to supplement the number of available obstetricians and gynecologists in the event of an emergency.

m170
Percent of state children (0-18 years) who reside within 50 miles of a pediatric trauma center, including out-of-state centers
Measure Name

M170

Measure Source

American Hospital Association (AHA), AHA Annual Survey of Hospitals data and U.S. Census population data analyzed by PMO personnel.

Data date(s)

2012 - 2017

Limitations

The measure does not indicate the capacity of the trauma center, such as the number of available pediatric trauma beds or inpatient treatment beds for the care of pediatric patients.

m53b
Percent of youth who missed one or more days of school in past month due to concerns about safety
Measure Name

M53B

Measure Source

Youth Risk Behavior Survey

Data date(s)

2011, 2013, 2015 & 2017

Limitations

The measure is self-reported and does not distinguish reasons for safety concerns.

The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of healthcare, medical, and support staff volunteers to support the jurisdiction’s response to incidents of health significance

Measure
Measure Description
Source
m36
State participates in Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Program and has a state volunteer registry
Measure Name

M36

Measure Source

Assistant Secretary for Preparedness and Response (ASPR), The Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)

Data date(s)

2014

Limitations

The measure does not evaluate the quality or comprehensiveness of the volunteer registry, indicate whether it has been used during exercises or responses, or reflect state capacity for volunteer surge during emergencies.

m266
Percent of the state's population who live in a county with a Community Emergency Response Teams (CERT)
Measure Name

M266

Measure Source

Federal Emergency Management Agency (FEMA), Citizen Corps Community Emergency Response Teams (CERT), and U.S. Census data analyzed by PMO personnel.

Data date(s)

2012 - 2014, 2016

Limitations

The measure does not evaluate the quality or comprehensiveness of the CERT, including leadership strength, local and governmental agency support, or participation by multiple sectors.

m346
Number of total Medical Reserve Corps members per 100,000 population in the state
Measure Name

M346

Measure Source

Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel.

Data date(s)

2012 - 2014, 2016 - 2018

Limitations

The measure does not evaluate the quality of the MRC management and current status of licensed/credentialed/trained members, or include other formal and informal systems of registering, credentialing, and managing health and medical volunteers such as ESAR-VHP (Emergency System for the Advance Registration of Volunteer Health Professionals).

m176
Number of Medical Reserve Corps (MRC) members who are physicians per 100,000 population in the state
Measure Name

M176

Measure Source

Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel.

Data date(s)

2015 - 2018

Limitations

The measure does not evaluate the quality of the MRC management and current status of physician members who are licensed, credentialed, and received emergency response training.

m179
Number of Medical Reserve Corps (MRC) members who are nurses or advanced practice nurses per 100,000 population in the state
Measure Name

M179

Measure Source

Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel.

Data date(s)

2015 - 2018

Limitations

The measure does not evaluate the quality of the MRC management and current status of nurses or advanced practice nurses who are licensed, credentialed, and received emergency response training.

m186
Number of Medical Reserve Corps (MRC) members who are other health professionals per 100,000 population in the state
Measure Name

M186

Measure Source

Medical Reserve Corps (MRC), MRC Units Database and Census Bureau data analyzed by PMO personnel.

Data date(s)

2015 - 2018

Limitations

The measure does not evaluate the quality of the MRC management and current status of other health professionals who are licensed, credentialed, and received emergency response training.

The community social capital that helps society function effectively, including social networks between individuals, neighbors, organizations, and governments, and the degree of connection and sense of “belongingness” among residents.

Measure
Measure Description
Source
m175
Percent of voting-eligible population in the state participating in the highest office election
Measure Name

M175

Measure Source

United States Election Project, General Election Turnout Rates

Data date(s)

2012, 2014 & 2016

Limitations

The ideal numerator is total ballots counted (voting eligible population is the denominator), but these data are not available for all jurisdictions. Therefore, the Index uses a measure of the total votes cast for the highest office (e.g., presidential, gubernatorial, or congressional election).

m188
Percent of adults in the state who volunteer in their communities
Measure Name

M188

Measure Source

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

Data date(s)

2012 - 2015, 2017

Limitations

Data do not reflect the frequency, regularity or sustainability of volunteering, and respondents may be inclined to over-report their volunteerism.

m189
Number of annual volunteer hours per state resident, 15 years and older
Measure Name

M189

Measure Source

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

Data date(s)

2012 - 2015, 2017

Limitations

Respondents may be inclined to over-report the number of hours they volunteer. Also, certain communities that have strong social cohesion may have a low reported rate, such as settings where both parents work full-time and may not have time to volunteer.