2
Contents
• NHSPI™ Overview and Background
• The 2014 NHSPI™
• 2014 NHSPI™ Results
• Using the NHSPI™ Results
• Future Direction and Next Steps
3
What is the National Health Security Preparedness Index™ (NHSPI™)?
A first of its kind tool to annually measure and advance our preparedness
Examines health security preparedness of the nation by collectively looking at states
Evolving focus on public health, healthcare, and more
4
Why an Index?
• Evaluates levels of complex things – economy (e.g., Consumer Price Index), health (e.g., Well-Being Index), etc.
• Provides more meaningful information groupings than sum of individual parts or measures
5
Why is the Index Important?
Provides the most
comprehensive set of measures
to date
Assesses how well we are
prepared for emergencies
Guides improvement
efforts
Enhances understanding of what health security entails
• Before NHSPI™, many different benchmarks measured numerous aspects of preparedness
• No composite picture on topic existed
• Complexity of preparedness has made understanding and assessing it confusing to most audiences
6
Why the Index is UniqueGuiding Principles for DevelopmentOn Health Security:
1. Includes many influencing factors of our nation’s health security
2. Emphasizes shared responsibility for our nation's health security among the whole community, including all sectors and jurisdictions
3. Uses broad PPD-8 preparedness definition
4. Incorporates fundamental disaster risk reduction and primary prevention concepts
On Index Development:
5. Is practical and of greater use than what we currently have
6. Builds on public-use data; no added data collection burdens to practitioners
7. Aligns with existing national health security and preparedness capabilities / frameworks
8. Aims to reflect health security preparedness of states and the nation
9. Includes a transparent process of continuous improvement, stakeholder involvement, and real-world experience
On Index Use:
10. Groups information into more meaningful picture than sum of its parts
11. Advances the science of measuring health security preparedness
7
MethodologyCalculate Values and
Produce Annual NHSPI™
Input from Stakeholders;
Refinement of Model
Develop Structure, Incorporate New Areas
Identify and Evaluate Measures
8
Practice Experts + Academic Experts + Policy Experts
Stakeholder Review and Engagement
Refined and Expanded Index
Structure
Vetted Candidate Measures
through Expert Groups
Populated Index Structure with
Applicable Measures
State PreparednessDirectors and
Colleagues
NHSPITM Workgroup
Members
Representatives from 48 National
Associations
Commitment to thoroughness, transparency, and stakeholder engagement.
2014 NHSPI™ Development Process
9
Contents
• NHSPI™ Overview and Background
• The 2014 NHSPI™
• 2014 NHSPI™ Results
• Using the NHSPI™ Results
• Future Direction and Next Steps
10
2014 NHSPI™: What’s New
The NHSPI™ has expanded in both scope and depth
Updated and new data to better reflect the current cycle of protection, mitigation, preparedness, response, and recovery
2014 Index has 6 domains, 18 sub-domains, and 194 measures building upon 2013 structure
Major structural changes:
New domain:Environmental & Occupational Health
Overhaul: Healthcare Delivery (previously Surge
Management) domain
New sub-domain: Legal & Administrative
12
Contents
• NHSPI™ Overview and Background
• The 2014 NHSPI™
• 2014 NHSPI™ Results
• Using the NHSPI™ Results
• Future Direction and Next Steps
13
2014 NHSPI™:Results for the Nation
Domain Sub-domain National Results State RangeHealth Security Surveillance 7.8 6.0 – 9.2
Health Security Surveillance & Epi Investigation 7.9 5.8 – 9.9Biological Monitoring & Laboratory Testing 7.6 5.8 – 9.3
Community Planning & Engagement 6.7 5.3 – 8.8
Cross Sector / Community Collaboration 6.4 2.0 – 10Children & At-Risk Populations 5.8 2.4 – 8.4Management of Volunteers During Emergencies 6.0 4.4 – 9.6Social Capital & Cohesion 8.4 7.1 – 9.6
Incident & Information Management 8.1 6.6 – 9.5
Incident Management & Multi-Agency Coordination 8.2 6.3 – 9.7Emergency Public Information &Warning 8.0 5.1 – 9.7Legal & Administrative 8.1 5.9 – 10
Healthcare Delivery 6.5 5.5 – 7.4Pre-hospital Care 6.6 3.2 – 8.7Inpatient Care 5.8 3.5 – 7.3
Long-Term Care 6.2 4.3 – 7.7Mental & Behavioral Healthcare 6.0 4.3 – 7.9Home Care 8.0 6.9 – 9.4
Countermeasure Management 9.1 7.5 – 9.7
Medical Materiel Management, Distribution, & Dispensing 9.4 7.2 – 10Countermeasure Utilization & Effectiveness 8.8 7.8– 9.7
Environmental & Occupational Health 5.9 3.3 – 8.3Food & Water Security 6.7 4.1 – 9.7Environmental Monitoring 5.2 1.5 – 7.1
Overall Index Results: 7.4 Overall State Range: 6.5 - 8.2
17
2014 NHSPI™ National ResultsStrengthsThree areas (i.e., domains) of health security preparedness strength:
Incident &Information
Management
Result: 9.1
CountermeasureManagement
Result: 8.1 Result: 7.8
Health SecuritySurveillance
18
2014 NHSPI™ National ResultsStrengthsSix relative areas (i.e., sub-domains) of health security preparedness strength:
CountermeasureManagement
Medical Materiel
Management, Distribution,& Dispensing
Result: 9.4
CountermeasureUtilization &Effectiveness
Result: 8.8
Incident & InformationManagement
Incident Management &
Multi-AgencyCoordination
Result: 8.2 Result: 8.1
Legal &Administrative
Health SecuritySurveillance
HealthSurveillance &
EpidemiologicalInvestigation
Biological Monitoring &
LaboratoryTesting
Result: 7.9 Result: 7.6
19
2014 NHSPI™ National ResultsAreas in Greater Need of DevelopmentThree key areas (i.e., domains) in greater need of development:
Environmental &Occupational
Health
HealthcareDelivery
Community Planning &
Engagement
Result: 5.9Result: 6.5 Result: 6.7
20
2014 NHSPI™ National ResultsAreas in Greater Need of DevelopmentThree relative areas (i.e., sub-domains) reflecting need for work:
Environmental &Occupational
HealthHealthcare
Delivery
Community Planning &
Engagement
Result: 5.2
Environmental Monitoring
Inpatient Care
Result: 5.8 Result: 5.8
Children & OtherAt-Risk
Populations
25
Contents
• NHSPI™ Overview and Background
• The 2014 NHSPI™
• 2014 NHSPI™ Results
• Using the NHSPI™ Results
• Future Direction and Next Steps
26
Who is the NHSPI™ for?Emergency
Management Personnel
City and Regional Planners
Healthcare Preparedness Staff
Community Coalitions and
Advocacy Groups
Federal and State Legislative Staff
Public Health, and more…
The Index is intended to be used to:• Support quality improvement,• Inform resource and policy decisions,• Enhance collaboration and strengthen shared responsibility, and• Advance the science of measuring preparedness.
27
NHSPI™: Driving Dialogue Around Results
Examine results at the national
or state level
Examine results in relation to national averages and broad groupings of state results
Areas of relative strength and areas for further development
Stakeholder dialogue offers greater context and can galvanize improvement efforts
28
Beyond the Numbers
Usefulness also lies in NHSPI™ content and structure
Understanding the types of efforts required to advance health security preparedness
Emphasizing relationship between the strength of everyday systems and disaster response capability
Guiding inquiry needed for informed resource and policy decisions
Fostering new partnerships and collaborations
Serving as a call for addressing gaps in measurement and advancing preparedness science
29
Too soon for formal evaluation, though comments and early experience suggest:
Sharper understanding of what is involved in health security
Renewed interest in system assessment
Opportunities for new collaborations around preparedness
What Effect is It Having?
30
Contents
• NHSPI™ Overview and Background
• The 2014 NHSPI™
• 2014 NHSPI™ Results
• Using the NHSPI™ Results
• Future Direction and Next Steps
31
New Leadership from RWJF The Robert Wood Johnson Foundation (RWJF)
will take over as owner and manager of the NHSPI™ in late 2014 University of Kentucky selected as the new Program
Management Office
National Advisory Committee appointments in process (replaces current Steering Committee)
RWJF and UK are committed to remaining engaged with current stakeholders and expanding engagement with new sectors
32
The NHSPI™ will continue to evolve with input from stakeholders, experience from use, and model refinements.
Future Directions
The Future of the NHSPI™
Incorporate additional sectors
Model refinement and validation
Expand tools to support use
Build capability for trending
33
Stakeholders will continue to shape the Index!Receive updates and share ideas at www.nhspi.org.
Send input on the Index
structure and uses
Join the NHSPI™ mailing list
View the NHSPI™
calendar of events
Built by the Community, for the Community
34
For More InformationWebsitewww.nhspi.org
General [email protected]
Media InquiriesScott Briscoe ASTHOSenior Director, Communications and [email protected]
For inquiries relating to the transition in leadership:Alexis LevyCommunications Officer, Robert Wood Johnson [email protected]