1. National Health Security Preparedness Index Briefing Slides

2. What is the NHSPI? A new way to measure and advance health security preparedness Examines preparedness of the states and nation 2

3. Why is the Index Important? Most comprehensive set of measures to date Assesses how well we are prepared for emergencies Guides improvement efforts Includes many elements and sectors 3

4. Intended Uses of the Index 1. Support quality improvement 2. Enhance collaboration and increase shared responsibility 3. Inform policy and resource decisions4. Advance preparedness science 4

5. 5 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 The NHSPI Team More than 25 organizations actively involved in developing the NHSPI The Project Management Office (ASTHO, CDC) manages NHSPI development and implementation Steering Committee Chair: Dr. John Lumpkin (Robert Wood Johnson Foundation) Leading NHSPI development and implementation Chair: Dr. John Lumpkin (Robert Wood Johnson Foundation) Leading NHSPI development and implementation Governance Workgroup Chair: Dr. Tom Inglesby (U. of Pittsburgh Medical Center, Center for Health Security) Leading transition of NHSPI ownership

6. 6 2013 NHSPI 2013 Index 5 Domains 14 Sub-domains Sub-domains are Groupings of Measures (128 Total) 2013 Index Structure

7. 2013 NHSPI Results for the Nation 7

8. 2013 NHSPI Results – National Strengths 8 Three areas (i.e., domains) of health security preparedness strength: Incident & Information Management Result: 7.3 Health Surveillance Result: 7.7 Result: 9.0 Countermeasure Management 10 5 0 10 5 0 10 5 0

9. 2013 NHSPI Results – Areas in Greater Need of Development 9 Two key areas (i.e., domains) in greater need of development: Result: 6.1 Community Planning & Engagement 10 5 0 10 5 0 Result: 5.8 Surge Management

10. The Future of the NHSPI The NHSPI will continue to evolve with expanded input from stakeholders, experience from use, and changing demands of health security preparedness. 10 Explore additional data sources Incorporate additional sectors Consider weighting of components Future releases may include: Add tools to support Index use

11. 11 Future Direction – Areas Under Construction The 2013 Index 5 Domains - 14 Sub-domains 128 Active Measures Future Index 1 Additional Domain 8 Additional Sub-domains 2 Overarching Areas 165 + Total Measures,,,,

12. Built by the Community, for the Community Stakeholders will continue to shape the Index! Receive updates and share ideas at www.NHSPI.org.www.NHSPI.org Send input on the Index Structure and uses Join the NHSPI mailing list View NHSPI calendar of events 12

13. Top Ten 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 3. Intended for federal funding decisions 4. Going to be a “Super TAR Score” X X X 5. One more thing for state Preparedness Directors to collect data / report on X 13

14. Top Ten Myths about the NHSPI 6. State public health departments are accountable / responsible for state’s score X 7. Created in a vacuum 8. Will replace grant-based performance measures 9. “One-and-done”; does not need future revision X X X 10. Used to rank states (and / or Preparedness Directors) X 14

15. Sneak Peek 15 http://http://www.nhspi.org