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PHI-11.8 Data Details

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PHI-11.8 Increase the proportion of tribal and state public health agencies that provide or assure comprehensive laboratory services in support of emergency response

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Comprehensive Laboratory Services Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
69 (2008)
Target: 
76
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of states participating in the survey that meet the defined standards/criteria for emergency response

Denominator: 

Number of states participating in the survey

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2008 Comprehensive Laboratory Services Survey:

    [NUMERATOR:]

    From July 2006 to July 2008, did your laboratory sponsor any LRN sentinel (clinical laboratory) training in your state? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your laboratory have ready access to current contact information as well as the capabilities of all sentinel clinical laboratories in your state? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Do you provide or assure performance measurement in place to assess the competency of sentinel laboratories to rule out BT agents (using mock/surrogate agents)? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Have you utilized your rapid method (Health Alert Network (HAN), blast e-mail or fax) to send messages to your LRN sentinel laboratories and other partners? [Please check all that apply. Total possible points: 1]

    1. Yes, for outbreaks (0.25)
    2. Yes, or routine updates (0.25)
    3. Yes, for training events, such as providing training calendar (0.25)
    4. Other (Please specify): (0.25)
    5. No (0)

    Do you conduct drills or exercises with your sentinel clinical laboratories, first responders and other state agencies to test your state lab’s 24/7 emergency response system? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your laboratory have an emergency response advisory committee or equivalent group in place? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your laboratory have a 24/7/365 contact system in place? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your state public health laboratory currently have an intra-state courier system (non-mail) that is available 24 hours/day for specimen pick-up and delivery? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your laboratory have a continuity of operations plan (COOP)? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your SPHL have the capability to screen for radionuclides in samples? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Does your laboratory provide or assure testing for the following sample types in the event of suspected chemical terrorism? [Total possible points: 1]

    Clinical Specimens

    • Blood
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Fecal
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Nasal
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Serum
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Urine
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure (0)

    Environmental Samples

    • Air
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Food
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Soil
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Surfaces
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Water
    1. Provide testing (0.1)
    2. Assure testing (0.1)
    3. Neither provide nor assure testing (0)
  • Other (Please specify)
    1. Provide testing (0)
    2. Assure testing (0)
    3. Neither provide nor assure testing (0)

    Please indicate the number of preparedness exercises that your SPHL conducted during the past two fiscal years. [In each category, points are awarded for completing at least 1 exercise. Total possible points: 2]

    • Bioterrorism
    1. Table-top exercises (0.25)
    2. Drills (0.25)
    3. Functional Exercise (0.5)
    4. Full-Scale Exercise (0.5)
  • Chemical Terrorism
    1. Table-top exercises (0.25)
    2. Drills (0.25)
    3. Functional Exercise (0.5)
    4. Full-Scale Exercise (0.5)
  • Radiological Terrorism
    1. Table-top exercises (0.25)
    2. Drills (0.25)
    3. Functional Exercise (0.5)
    4. Full-Scale Exercise (0.5)
  • Pandemic flu preparedness
    1. Table-top exercises (0.25)
    2. Drills (0.25)
    3. Functional Exercise (0.5)
    4. Full-Scale Exercise (0.5)
  • Other
    1. Table-top exercises (0)
    2. Drills (0)
    3. Functional Exercise (0)
    4. Full-Scale Exercise (0)
Data Collection Frequency: 
Biennial
Methodology Notes: 

    The Comprehensive Laboratory Services Survey (CLSS) is a biennial evaluation of 50 state public health laboratories and the District of Columbia public health laboratory in the provision of comprehensive laboratory services. (For this objective, the term “State” includes the District of Columbia.) Survey questions were developed by a workgroup of the Laboratory Systems and Standards Committee of the Association of Public Health Laboratories (APHL). The Committee consists of current and retired public health laboratory directors, members of academia, and other laboratory practitioners.

    In the list of questions used to obtain the baseline data, the point values shown after each response are used to score the questions. A laboratory is determined to provide or assure comprehensive laboratory services in support of the essential public health service if it scores at least 70% of the possible points. The data shown are the percent of state public health laboratories that score at least 70% of the possible points.

Caveats and Limitations: 
At this time, data for Tribal agencies are not collected. However, if data should become available, the information will be included.
Trend Issues: 
Estimates from 2008 are based on DC and 48 states excluding ID and KS. 2010 estimates are based on 49 states excluding FL. DC did not participate in the 2010 survey. Estimates for 2012 are are based on 42 states and DC excluding AK, DE, MD, ND, NJ, SC, UT, and WA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2013, the objective statement was revised so that it could "stand-alone" without the PHI-11 objective header. In 2014, the original baseline was revised from 61 percent to 69 percent to correct a calculation error. The target was adjusted from 67.0 percent to 76 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. Association of Public Health Laboratories (APHL).