National Health Security Preparedness Index

The National Health Security Preparedness Index (NHSPI) is an annual assessment of the nation’s day-to-day community health and preparedness for managing health emergencies, including disease outbreaks and natural disasters.

The Preparedness Index analyzes more than 130 measures—such as hazard planning in public schools, monitoring food and water safety, wireless 9-1-1 capabilities, flu vaccination rates, and numbers of paramedics and hospitals—to calculate a composite score that provides the most comprehensive picture of health security and preparedness available.

Originally developed by the U.S. Centers for Disease Control and Prevention, responsibility for the Index transferred to the Robert Wood Johnson Foundation in January 2015, with the Program Management Office Personnel Office located at the University of Kentucky. Expert workgroups provide input and feedback on Index production throughout the year, while a National Advisory Committee provides guidance to the Foundation and Program Management Office on strategic issues.


Michael T. Childress
NHSPI Program Manager

(859) 257-2912

Melissa Blair
RWJF Media Contact


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Deep Inequities Exist in States’ Preparedness for Public Health Emergencies, 2017 Index Shows

April 20, 2017

RWJF released results of the 2017 National Health Security Preparedness Index, which found that the United States scored a 6.8 on a 10-point scale for preparedness—a 1.5 percent improvement over the last year.


Is the Nation Ready for an Emergency?

April 25, 2016

The 2016 findings from the National Health Security Preparedness Index aim to help local governments, public health departments and others find ways to better protect communities across the nation from the health impacts of disasters.


Nation’s Preparedness For Public Health Emergencies Is Improving

April 25, 2016

An annual assessment of the National Health Security Preparedness Index shows the nation is relatively well-prepared for managing an emergency, although performance on some measures in specific states can be improved.

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