TUSCALOOSA, ALABAMA - MAY 06, 2011: Members of a search and recovery team, made up of firefighters and rescue personnel from Louisiana and Alabama, search tornado devastated areas in Tuscaloosa. Many people lost everything when their homes were destroyed by a powerful tornado that hit Tuscaloosa, Alabama.
TUSCALOOSA, ALABAMA - MAY 06, 2011: Members of a search and recovery team, made up of firefighters and rescue personnel from Louisiana and Alabama, search tornado devastated areas in Tuscaloosa. Many people lost everything when their homes were destroyed by a powerful tornado that hit Tuscaloosa, Alabama.

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

RWJF-produced Green and White check box / check mark (checkmark) icon meant to denote evaluation for use on RWJF.org
MP reviewed 7/28/16

2021 Index

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

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