Briefing Slides

1. Briefing Slides Version Date: December 19, 2013

2. Contents • NHSPI™ Overview and Background • The 2013 NHSPI™ • What the 2013 Results Tell Us • 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 Initial focus on public health, health care, 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? • 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 Assesses how well we are prepared for emergencies Provides the most comprehensive set of measures to date Guides improvement efforts Includes many elements and sectors

6. Uses of the Index

7. The NHSPI™ Team Steering Committee Chair: Dr. John Lumpkin (Robert Wood Johnson Foundation)Leading NHSPI™ development and implementation The Project Management Office (ASTHO, CDC) manages NHSPI™ development and implementation More than 25 organizations actively involved in developing the NHSPI™ Governance Workgroup Chair: Dr. Tom Inglesby (U. of Pittsburgh Medical Center, Center for Health Security) Leading transition of NHSPI™ ownership Subject Matter Workgroups • Model Design Workgroup • Chair: Dr. Jonathan Links (Johns Hopkins Medicine) • Selecting NHSPI™ measures • Developing Index Structure • Validating and further developing Index • Stakeholder Communications Workgroup • Chair: Dr. Catherine Slemp (W. Va. Bureau for Public Health (ret.)) • Sharing information with and gathering feedback from stakeholders • Continuing to engage stakeholders

8. The NHSPI™ Development Process Practice Experts + Academic Experts + Policy Experts Populated Index Structure with existing, applicable measures Searched hundreds of data sources for potential measures Developed Index Structure Stakeholder Review and Engagement State preparedness directors & colleagues NHSPITMworkgroup members Representatives from 48 national associations Commitment to thoroughness, transparency, and stakeholder engagement.

9. Methodology • NHSPI™ • 1. Select measures • Research and identify • Examine against quality criteria • 3. Stakeholder input • 2. Develop structure • Group related measures into sub-domains • Group related sub-domains into domains

10. Contents • NHSPI™ Overview and Background • The 2013 NHSPI™ • What the 2013 Results Tell Us • Using the NHSPI™ Results • Future Direction and Next Steps

11. 2013 NHSPI™ Structure The 2013 IndexGroups related measures (128 total) into 14 sub-domains and related sub-domains into 5 domains

12. Contents • NHSPI™ Overview and Background • The 2013 NHSPI™ • What the 2013 Results Tell Us • Using the NHSPI™ Results • Future Direction and Next Steps

13. 2013 NHSPI™ Results at NHSPI.org

14. 2013 NHSPI™ Results for the Nation

15. 2013 NHSPI™ Results for the States

16. 2013 NHSPI™ Results Overarching Messages

17. 2013 NHSPI™ National Results Strengths Three areas (i.e., domains) of health security preparedness strength:  Result: 9.0 Result: 7.8 Result: 7.3 10 5 0 10 5 0 10 5 0 HealthSurveillance • Incident &InformationManagement CountermeasureManagement

18. 2013 NHSPI™ National Results Strengths Core areas (i.e., sub-domains) bolstering these strengths are: Result: 9.3 Result: 8.7 Result: 8.0 Result: 7.7 Result: 7.6 Result: 7.5 10 5 0 10 5 0 10 5 0 10 5 0 10 5 0 10 5 0 Health SecuritySurveillance & Epidemiologic Investigation Laboratory Testing Incident Management &Multi-AgencyCoordination EmergencyPublicInformation &Warning Medical MaterielManagement,Distribution, &Dispensing CountermeasureUtilization &Effectiveness

19. 2013 NHSPI™ National Results Areas in Greater Need of Development Two key areas (i.e., domains) in greater need of development: Result: 6.1 Result: 5.8 10 5 0 10 5 0 CommunityPlanning &Engagement SurgeManagement

20. 2013 NHSPI™ National Results Areas in Greater Need of Development The areas (i.e., sub-domains) needing the most work are: Result: 5.9 Result: 5.9 10 5 0 10 5 0 10 5 0 10 5 0 Result: 4.9 Result: 3.7 Cross-Sector/CommunityCollaboration Management ofVolunteersDuringEmergencies Acute & PrimaryCare Mental &BehavioralHealth Care

21. Contents • NHSPI™ Overview and Background • The 2013 NHSPI™ • What the 2013 Results Tell Us • Using the NHSPI™ Results • Future Direction and Next Steps

22. Who Can Use the NHSPI™? • 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.

23. Contents • NHSPI™ Overview and Background • The 2013 NHSPI™ • What the 2013 Results Tell Us • Using the NHSPI™ Results • Future Direction and Next Steps

24. The Future of the NHSPI™ – Annual Release The NHSPI™ will continue to evolve with expanded input from stakeholders, experience from use, and changing demands of health security preparedness. • Incorporate additional sectors: • Environmental and Occupational Health, Congregate Care, Chronic and Long Term Care, etc. Future releases may: Explore additional data sources Add tools to support Index use Consider weighting of components

25. Future Direction – Areas Under Construction 2014 NHSPITM (v.2.0)1 Additional Domain8 Additional Sub-domains2 Overarching Areas165 + Total Indicators 2013 NHSPITM (v.1.0)5 Domains - 14 Sub-domains128 Active Indicators

26. Built by the Community, for the Community Stakeholders will continue to shape the Index!Receive updates and share ideas at www.nhspi.org.

27. For More Information Website www.nhspi.org General Inquiriesnhspi-info@astho.org Media Inquiries Scott Briscoe ASTHO Senior Director, Communications and Marketing sbriscoe@astho.org 571-527-3173

28. APPENDIX

29. NHSPI™: GUIDING PRINCIPLES FOR DEVELOPMENT

30. What Makes the Index Development Process Unique?

31. TOP 10 MYTHS ABOUT THE NHSPI™

32. Top 10 Myths about the NHSPI™ • 1. A simple roll-up of PHEP and HPP performance measures X • 2. Measures the 62 awardee jurisdictions from PHEP cooperative agreement X 3. Intended for federal funding decisions X • 4. Going to be a “Super TAR Score” X • 5. One more thing for state Preparedness Directors to collect data / report on X

33. Top 10 Myths about the NHSPI™ • 6. State public health departments are accountable / responsible for state’s score X • 7. Created in a vacuum X • 8. Will replace grant-based performance measures X • 9. “One-and-done”; does not need future revision X • 10. Used to rank states (and / or Preparedness Directors) X

34. HOW CAN WE USE THE NHSPI™

35. The NHSPI™ Informs Policy Decisions Researchers and Academics Policymakers • Practitioners Communicators

36. The NHSPI™ Supports Quality Improvement and Shared Responsibility Researchers and Academics Policymakers • Practitioners Communicators

37. The NHSPI™ Calls for Research to Advance Preparedness and Measurement Researchers and Academics Policymakers • Practitioners Communicators

38. The NHSPI™ Expands Understanding of Health Security Preparedness Researchers and Academics Policymakers • Practitioners Communicators

39. WHAT THE 2013 NHSPI™ RESULTS TELL US

40. [Insert state]2013 NHSPI™ Key Messages • [Insert • Overall results and highlights. What the NHSPI™ results suggest about a state • Strengths. What was found and why these areas are strengths • Potential areas for greater development. What was found and what these results mean • Using the data. Ways the state anticipates using the results and their importance to preparedness efforts]

41. NHSPI™ RESOURCES

42. NHSPI™ Resources Tools available to guide and support Index discussions: