TABLE 2—
Summary of Domain Values: Local Health Department Preparedness Capacities Survey, 2010–2012
| Preparedness Domain | 2010, Average (95% CI) | 2011, Average (95% CI) | 2012, Average (95% CI) | 2010–2012 Difference |
| Surveillance and investigation | ||||
| No participation | 0.63 (0.60, 0.66) | 0.24 (0.21, 0.28) | 0.45 (0.42, 0.47) | –0.18*** |
| Program participation LHDs | 0.75 (0.71, 0.78) | 0.43 (0.36, 0.51) | 0.49 (0.44, 0.54) | –0.26*** |
| NCLHDA participation | 0.60 (0.56, 0.64) | 0.45 (0.41, 0.48) | 0.48 (0.45, 0.50) | –0.12*** |
| Plans and protocols | ||||
| No participation | 0.71 (0.69, 0.74) | 0.42 (0.37, 0.47) | 0.59 (0.56, 0.62) | –0.12*** |
| Program participation LHDs | 0.76 (0.71, 0.82) | 0.57 (0.48, 0.67) | 0.63 (0.58, 0.68) | –0.14** |
| NCLHDA participation | 0.61 (0.56, 0.65) | 0.68 (0.64, 0.72) | 0.58 (0.54, 0.61) | –0.03 |
| Workforce and volunteers | ||||
| No participation | 0.49 (0.47, 0.51) | 0.24 (0.21, 0.27) | 0.51 (0.49, 0.53) | 0.01 |
| Program participation LHDs | 0.53 (0.49, 0.57) | 0.33 (0.27, 0.39) | 0.53 (0.51, 0.56) | 0.00 |
| NCLHDA participation | 0.47 (0.43, 0.50) | 0.41 (0.38, 0.44) | 0.50 (0.48, 0.52) | 0.03 |
| Communication | ||||
| No participation | 0.63 (0.61, 0.65) | 0.23 (0.19, 0.26) | 0.55 (0.52, 0.57) | –0.09*** |
| Program participation LHDs | 0.67 (0.64, 0.70) | 0.35 (0.29, 0.42) | 0.58 (0.54, 0.62) | –0.09** |
| NCLHDA participation | 0.64 (0.61, 0.67) | 0.45 (0.41, 0.48) | 0.60 (0.57, 0.63) | –0.04 |
| Incident command | ||||
| No participation | 0.80 (0.76, 0.83) | 0.62 (0.58, 0.66) | 0.65 (0.60, 0.69) | –0.15*** |
| Program participation LHDs | 0.85 (0.79, 0.91) | 0.63 (0.55, 0.70) | 0.70 (0.62, 0.78) | –0.15* |
| NCLHDA participation | 0.73 (0.67, 0.79) | 0.54 (0.48, 0.60) | 0.69 (0.63, 0.75) | –0.04 |
| Legal preparedness | ||||
| No participation | 0.71 (0.67, 0.74) | 0.31 (0.26, 0.35) | 0.55 (0.52, 0.58) | –0.15*** |
| Program participation LHDs | 0.79 (0.74, 0.84) | 0.47 (0.39, 0.56) | 0.63 (0.58, 0.69) | –0.15** |
| NCLHDA participation | 0.73 (0.68, 0.78) | 0.55 (0.51, 0.59) | 0.65 (0.61, 0.69) | –0.08** |
| Exercises and emergency events | ||||
| No participation | 0.84 (0.81, 0.88) | 0.41 (0.35, 0.47) | 0.81 (0.77, 0.86) | –0.03 |
| Program participation LHDs | 0.85 (0.79, 0.91) | 0.58 (0.47, 0.70 | 0.87 (0.79, 0.96) | 0.02 |
| NCLHDA participation | 0.92 (0.89, 0.96) | 0.73 (0.67, 0.79) | 0.94 (0.91, 0.97) | 0.02 |
| Corrective action | ||||
| No participation | 0.58 (0.54, 0.62) | 0.37 (0.31, 0.42) | 0.61 (0.56, 0.66) | 0.03 |
| Program participation LHDs | 0.70 (0.63, 0.76) | 0.51 (0.39, 0.62) | 0.66 (0.57, 0.75) | –0.04 |
| NCLHDA participation | 0.67 (0.62, 0.72) | 0.63 (0.57, 0.70) | 0.66 (0.60, 0.73) | –0.01 |
Note. LHD = national comparison local health department participating in a performance improvement program; NCLHDA = North Carolina Local Health Department Accreditation Program.
*P < .05; **P < .01; ***P < .001.