Measuring Preparedness

Incident
& Information Management

National
Confidence Interval
8.7 - 9.1
National
Preparedness Level
8.9

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

incm: incident management

infm: information management

This is best viewed on desktop.

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
State public health laboratory uses a rapid method (e.g., Health Alert Network (HAN), blast e-mail or fax) to send messages to their 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 - 2016

Limitations

The measure does not evaluate the frequency that the alert network is used or tested for routine or emergency messages, or whether it reaches all sentinel clinical laboratories and other partners in the state.

m84
State all hazards emergency management program is accredited by the Emergency Management Accreditation Program (EMAP)
Measure Name

M84

Measure Source

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

Data date(s)

2014 - 2019

Limitations

The measure does not consider state emergency management programs with conditional accreditation, and some states may choose not to pursue accreditation for various state and local reasons.

m107
Percent of local health departments in the state 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), National Profile of Local Health Departments

Data date(s)

2013 & 2016

Limitations

The measure does not apply to states that do not have local health departments. The measure does not evaluate the quality or robustness of the local emergency management system.

m229
State public health laboratory has a 24/7/365 contact system in place to use in case of an emergency
Measure Name

M229

Measure Source

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

Data date(s)

2012 & 2014

Limitations

The measure does not evaluate the quality or comprehensiveness of the system, or the frequency of the plan being used or tested.

m150
State uses a system for tracking hospital bed availability during emergencies
Measure Name

M150

Measure Source

Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness Program

Data date(s)

2012-2018

Limitations

The measure data is collected by existing state and local reporting systems using secure data entry to measure bed counts during emergencies, and does not replace states' need to evaluate state and local bed count system development and implementation.

m701
Average number of minutes for state health department staff with incident management lead roles to report for immediate emergency response 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 - 2017

Limitations

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

m344
State has adopted or implemented 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 - 2019

Limitations

The measure does not evaluate state capacity to implement the agreement and incorporate out-of-state nurses into medical surge responses. Some states have other limited regional agreements precluding the need for participation in the national Nurse Licensure Compact.

m338
State requires healthcare facilities to report 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

Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN), Healthcare - Associated Infections (HAI) Progress Report

Data date(s)

2012 & 2013

Limitations

The measure does not evaluate the healthcare facility compliance with reporting requirements.

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

M341

Measure Source

CDC Public Health Law Program resources. https://www.cdc.gov/phlp/

Data date(s)

2013

Limitations

The measure does not evaluate the state's legal scope of authority, infrastructure to investigate violations, or other strategies to respond to inappropriate release of personal information.

m342
State law requires healthcare facilities to report communicable diseases to a health department
Measure Name

M342

Measure Source

Centers for Disease Control and Prevention (CDC), Division of Health Informatics and Surveillance (DHIS), National Electronic Disease Surveillance System (NEDSS)

Data date(s)

2013

Limitations

The measure does not evaluate the effectiveness of state monitoring and enforcement of reporting requirements, the timeliness or completeness of reporting, or the ability of the health departments to receive and use the reported information.

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

M345

Measure Source

National Emergency Management Association (NEMA)

Data date(s)

2014

Limitations

The measure does not evaluate state capacity to implement the agreement and incorporate out-of-state health care providers into medical surge responses.

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
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), Public Health Emergency Preparedness and Response Cooperative Agreement Program.

Data date(s)

2012-2018

Limitations

The measure focuses on pre-event planning during a mass dispensing scenario, and does not include planning for broader emergency scenarios, capacity for response-driven public information and risk communication strategies, or capabilities in implementing the plan.

m228
Percent of households in the state with broadband in the home
Measure Name

M228

Measure Source

American Community Survey (ACS), 1-year estimate (GCT2801).

Data date(s)

2012 - 2018

Limitations

The measure focuses only on fixed broadband connections, and does not include an indication of the broadband system's ability to remain operational in a emergency or disaster.

m906
Percent of hospitals in the state that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare or Medicaid EHR Incentive Programs. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region.
Measure Name

M906

Measure Source

The Office of the National Coordinator for Health Information Technology, a division of the U.S. Department of Health and Human Services

Data date(s)

2013 - 2016

Limitations

The measure reflects performance during routine care delivery and may not reflect capabilities in emergency situations.

m907
Percent of office-based medical doctors and doctors of osteopathy in the state that have demonstrated meaningful use of certified electronic health record technology (CEHRT). This includes the demonstration of meaningful use through either the Medicare or Medicaid EHR Incentive Programs.
Measure Name

M907

Measure Source

The Office of the National Coordinator for Health Information Technology, a division of the U.S. Department of Health and Human Services

Data date(s)

2013 - 2016

Limitations

The measure reflects performance during routine care delivery and may not reflect capabilities in emergency situations.

m1001
The state's 911 authorities are capable of processing and interpreting location and caller information using Next Generation 911 infrastructure.
Measure Name

M1001

Measure Source

National 911 Program, Office of Emergency Medical Services (OEMS), National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation (USDOT).

Data date(s)

2014 - 2017, 2019

Limitations

Call centers and first responders may vary in the extent to which Next Generation 911 capabilities are implemented and used.