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National Health Security Preparedness Index Launched

Witness or presenter:
Tom Inglesby, MD
Testimony Date:
December 04, 2013
Date posted:
February 18, 2014
Publication type:
Testimony and briefings
Event Type:
Special Event

NHSPI launch

The NHSPI was launched with a public briefing & held at the Dirksen Senate Office building. Center director Tom Inglesby chair of the NHSPI Governance Workgroup, co-chaired the event. Pictured, L to R: Ali Khan, Director, Office of Public Health Preparedness and Response, CDC; John Lumpkin, Senior Vice President and Director, Health Care Group, RWJF; Tom Inglesby; Jim Craig, Director, Health Protection, Mississippi DOH; Catherine Slemp, Public Health Consulting, West Virginia State Health Officer (ret.); Bruce Clements, Public Health Preparedness Director, Texas Department of State Health Services

First-of-its-kind US Preparedness Index Shows Great Strengths and Challenges in Protecting Nation’s Health During Disasters

NHSPI Press Release: December 4, 2013

[Washington, DC] – The Association for State and Territorial Health Officials (ASTHO), in partnership with the Centers for Disease Control and Prevention (CDC) and 20 development partners, today announced the release of the National Health Security Preparedness Index™ (NHSPI™), a new way to measure and advance the nation’s readiness to protect people during a disaster. The Index results will be updated annually.

The NHSPI™ measures the health security preparedness of the nation by looking collectively at existing state-level data from a wide variety of sources. Uses of the Index include guiding quality improvement, informing policy and resource decisions, and encouraging shared responsibility for preparedness across a community.

“Few things are as important as protecting people’s health and safety in times of emergency,” said Ali S. Khan, M.D., M.P.H., Director of CDC’s Office of Public Health Preparedness and Response. “This first-of-its-kind Index allows us to gauge how prepared we are as a nation, and as individual states, to prevent, protect against, mitigate, respond to, and recover from public health threats.”

2013 NHSPI™ results show that substantial health security preparedness capability exists across the nation, reflecting important gains made in recent years. While areas of strength differ from state to state, overall Index results vary only moderately across states, indicating that each state takes these responsibilities seriously.

The 2013 Index results identify the nation’s strengths:

  • Health Surveillance – detecting and investigating health threats

  • Incident and Information Management – the ability to mobilize resources and coordinate emergency response across a community

  • Countermeasure Management – the ability to manage and use medications and other materials to prevent or treat health problems resulting from a variety of high risk exposures

Efforts to sustain and build upon these strengths, many put in place over the past decade, are critical to our nation’s health security.

The 2013 Index results also reveal areas in greatest need of development and work yet to be done:

  • Community Planning and Engagement – the ability of communities to engage the full network of neighborhoods, schools, community-based organizations, government agencies, and citizens to prepare for, respond to, and recover from a disaster

  • Surge Management – the ability to rapidly expand health and medical services during disasters to meet the needs of large numbers of seriously ill, injured, at risk, or displaced persons

In these areas, continued work, investment, and development of new and innovative approaches are critical to securing the health of the nation.

The NHSPI™ was developed by a Steering Committee, chaired by John R. Lumpkin, M.D., M.P.H., of the Robert Wood Johnson Foundation (RWJF), and three workgroups comprised of more than 75 experts from public health, emergency management, private sector, nonprofits, government, and academia.

“Policymakers, practitioners, researchers, communicators, and others interested in strengthening the health security of states and the nation are invited to explore and utilize the NHSPI™,” said Dr. Lumpkin. “Exploring the Index can deepen understanding of what influences our national health security and what is needed to sustain and advance it.”

The 2013 NHSPI™ is primarily made up of public health and health care system measures. Over time, other sectors and concepts may be incorporated as new partners are engaged and data are identified. For example, environmental and occupational health, the pre-event health status of a community, and federal contributions to state preparedness are new areas now being considered for inclusion in the next version of the Index.

“The NHSPI™ was developed by the community, for the community. We invite new partners to join the effort, making it an even stronger tool for measuring and advancing our nation’s preparedness for disasters,” said Dr. Lumpkin.

The National Health Security Preparedness Index™ (NHSPI™),, is a new way to measure and advance our nation’s preparedness. The Index examines the health security preparedness of the nation by looking collectively at the health security preparedness of states. Index results are updated annually.

Development Partners

American Public Health Association
American Red Cross
Association of Public Health Laboratories
Association of Schools and Programs of Public Health
Association of State and Territorial Health Officials
Center for Infectious Disease Research & Policy
Council of State and Territorial Epidemiologists
Fleishman Hillard
International Association of Emergency Managers
National Association of County and City Health Officials
National Association of State EMS Officials
National Emergency Management Association
National Public Health Information Coalition
Preparedness and Emergency Response Research Centers (from the following institutions: Emory University, Harvard University, Johns Hopkins University, University of California - Los Angeles, University of Minnesota, University of North Carolina at Chapel Hill, University of Pittsburgh, University of Washington)
Robert Wood Johnson Foundation
The Boston Consulting Group
Trust for America's Health
University of North Carolina, School of Medicine, Department of Emergency Medicine
UPMC Center for Health Security



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