National Health Security Preparedness Index (NHSPI)

This program received support from the Foundation between 2014 and 2018.

Strengthening national health security and preparedness to help build a Culture of Health.

NHSPI is an annual assessment of the nation’s day-to-day community health and preparedness for managing health emergencies.

The Preparedness Index analyzes more than 140 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.

National Health Security Preparedness Index

2021 Index

The NHSPI Toolkit includes key findings, health security data, index methodology, and more.

Explore 2021 Release Resources

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