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Analysis of the Cities Readiness Initiative
Rand Health Quarterly
|January 14, 2017
Summary
The Centers for Disease Control and Prevention's (CDC) Cities Readiness Initiative (CRI) shows strong state capacity for distributing medications during emergencies. However, conclusive evidence of CRI's impact is lacking, and large-scale readiness testing is needed.
Area of Science:
- Public Health Emergency Preparedness
- Biosecurity and Bioterrorism Response
- Health Policy and Management
Background:
- The Centers for Disease Control and Prevention's (CDC) Cities Readiness Initiative (CRI) aims to enhance community response to public health emergencies.
- CRI provides resources to improve the rapid delivery of life-saving medications within 48 hours of a federal decision.
Purpose of the Study:
- To assess the current operational capabilities of communities in meeting CRI goals.
- To determine if CRI has demonstrably improved communities' ability to meet the 48-hour medical countermeasure delivery goal.
Main Methods:
- Analysis of community capacities and operational capabilities related to the CRI program.
- Evaluation of performance across Metropolitan Statistical Areas and specific functional areas.
Main Results:
- Overall state capacity appears strong, with indications that CRI has improved it, though data are not conclusive.
- Significant variation exists in performance across different Metropolitan Statistical Areas and functional areas.
- Current testing of operational capabilities is not sufficiently scaled to measure readiness for the 48-hour scenario.
Conclusions:
- Jurisdictions should conduct larger-scale drills to accurately measure readiness for rapid medical countermeasure deployment.
- Recommendations include enhancing CDC feedback, utilizing non-CRI sites for comparison, and assessing program cost-effectiveness.
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