Initial Evaluation of the Cities Readiness Initiative (2009) R20090403A

Title Page
......Page 1
Copyright
......Page 2
FIGURES......Page 9
TABLES......Page 11
CRI HAS IMPROVED READINESS FOR MASS COUNTERMEASURE DISPENSING......Page 13
CRI Impacts on Other Programs and on Operational Capabilities Could Not Be Assessed......Page 14
Continue development of systems for measurement and evaluation.......Page 15
Continue improvements in technical assistance and assessment.......Page 16
ACKNOWLEDGMENTS......Page 17
ABBREVIATIONS......Page 19
1.1. OVERVIEW OF THE CITIES READINESS INITIATIVE......Page 20
1.2. FOCUS OF THIS STUDY......Page 21
Table 1.1. Original CRI Pilot Sites (entered in 2004) State Pilot Site......Page 22
1.3. STRUCTURE OF THIS REPORT......Page 23
2.1. CONCEPTUAL FRAMEWORK HELPED IDENTIFY KEY ASPECTS OF READINESS......Page 24
Figure 2.1. Conceptual Framework......Page 25
2.2.1. Quantitative Comparisons Between CRI Sites with Different Levels of Exposure to the Program......Page 26
2.2.2. Qualitative Comparisons Between CRI and Non-CRI Sites......Page 27
2.3. QUALITATIVE DATA CAME FROM SEVERAL SOURCES......Page 28
2.4. SUMMARY AND LIMITATIONS......Page 30
3.1. APPROACH FOR CONDUCTING THE ANALYSIS......Page 32
3.2.1. CRI MSAs Show Improved Preparedness Over Time......Page 33
Table 3.1. Functional Comparison of CRI Sites......Page 34
3.2.3. Implementation/Coordination Has Lagged Behind Planning......Page 35
3.3. LIMITATIONS AND PROMISE OF FUTURE TAR DATA ANALYSIS......Page 36
3.4. CONCLUSIONS......Page 37
4.1. CRI INCREASED STAFF TIME DEDICATED TO COUNTERMEASURE DISPENSING......Page 38
4.2. CRI ENABLED NEEDS ASSESSMENT, TRAINING, AND PURCHASE OF SYSTEMS AND SUPPLIES......Page 39
4.3. FUNDING HAS HAD SPILLOVER BENEFITS AT THE STATE LEVEL......Page 40
4.5. CONCLUSION......Page 41
5.1. PRE-CRI COUNTERMEASURE DISPENSING PLANS LACKED SPECIFICITY......Page 44
5.2.2. CRI MSAs Adapted Training to Plans......Page 45
5.2.4. Improvements Are Still Needed in the Area of Public Information and Communication......Page 46
5.3.1. Local Assessment Was a Unique and Important Component of the CRI Program......Page 47
5.3.3. Some CRI Sites Expressed Concern About Inflexibility in Applying Program Requirements......Page 48
5.3. CONCLUSIONS......Page 49
6.1. CRI IMPROVED THE NATURE AND EXTENT OF LOCAL PREPAREDNESS PARTNERSHIPS......Page 50
6.1.1. CRI Strengthened Preexisting Preparedness Partnerships at Most Sites......Page 51
6.1.2. CRI-Related Efforts to Improve Regional Integration Often Face Barriers......Page 52
6.2.1. CRI’s Impact on State-Local Relations......Page 53
6.3. CONCLUSION......Page 54
7.1. MANY JURISDICTIONS HAVE ADOPTED STREAMLINED POD DESIGNS......Page 56
Figure 7.1. Regular and Rapid POD Models Compared......Page 57
7.1.3. Drive-Through Dispensing......Page 58
7.1.5. Modified Standards of Care......Page 59
7.3. CONCLUSIONS......Page 60
8.1. CURRENT EXERCISE-BASED ASSESSMENTS ARE LIMITED AS EVALUATION TOOLS......Page 62
8.3. TOWARD A MORE EFFECTIVE APPROACH TO ASSESSING CRI’S IMPACT ON OPERATIONAL CAPABILITIES......Page 63
8.4. SUMMARY......Page 64
9.1. CRI HAS IMPROVED READINESS FOR MASS COUNTERMEASURE DISPENSING......Page 66
9.1.2. Community Factors Affect Implementation of CRI......Page 67
9.1.3. CRI Impacts on Other Programs and on Operational Capabilities......Page 68
9.2.1. Reassess Impact and Renewal of the Program After Two to Three Years......Page 69
.......Page 70
9.2.3. Continue Improvements in Technical Assistance and Assessment......Page 71
9.3. CONCLUSION......Page 72
APPENDIX A: TABLES OF CRI PLANNING METROPOLITAN STATISTICAL AREAS Table A.1. CRI Pilot and Other Early-Entrant Planning MSAs......Page 74
Table A.2. Late-Entrant Planning MSAs......Page 75
B.2. THE CRI PLANNING SCENARIO......Page 76
Table B.1. CRI Funding History Year Total ($ millions) Number of Awardees......Page 77
B.3. ASSESSMENT AND ACCOUNTABILITY......Page 78
B.4. TECHNICAL ASSISTANCE......Page 79
B.5. A THREE-YEAR PROGRAM CYCLE......Page 80
C.1. NONRANDOM QUOTA SAMPLING WAS EMPLOYED TO ENSURE DIVERSITY ACROSS SITES......Page 82
C.2. DATA-COLLECTION STRATEGIES HELPED ENSURE CONSISTENT AND TARGETED DATA COLLECTION ACROSS SITES......Page 83
C.3. QUALITATIVE ANALYSIS FOCUSED ON IDENTIFYING THEMES RELATED TO THE IMPACT OF CRI......Page 84
APPENDIX D: SITE-VISIT DISCUSSION GUIDE Activities Prior to Site Visit......Page 86
Project overview and consent:......Page 87
Discussion guide:......Page 88
Table D.1. Topics to Cover in Open-Ended Interviews......Page 89
APPENDIX E: CURRENT LOCAL TECHNICAL ASSISTANCE REVIEW TOOL......Page 90
DIVISION OF STRATEGIC NATIONAL STOCKPILE LOCAL TECHNICAL ASSISTANCE REVIEW......Page 91
REFERENCES......Page 112