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State and Local Public Health Departments Governmental public health departments are responsible for creating and maintaining conditions that keep people healthy. A local health department may be locally governed, part of a region or district, be an office or an administrative unit of the state health department, or a hybrid of these. Furthermore, each community has a unique \"public health system\" comprising individuals and public and private entities that are engaged in activities that affect the public's health. (Excerpted from the Operational Definition of a functional local health department, National Association of County and City Health Officials, November 2005) Please reference http://www.naccho.org/topics/infrastructure/accreditation/upload/OperationalDefinitionBrochure-2.pdf for more information. Facilities involved in direct patient care are intended to be excluded from this dataset; however, some of the entities represented in this dataset serve as both administrative and clinical locations. This dataset only includes the headquarters of Public Health Departments, not their satellite offices. Some health departments encompass multiple counties; therefore, not every county will be represented by an individual record. Also, some areas will appear to have over representation depending on the structure of the health departments in that particular region. Visiting nurses are represented in this dataset if they are contracted through the local government to fulfill the duties and responsibilities of the local health organization. Effort was made by TechniGraphics to verify whether or not each health department tracks statistics on communicable diseases. Records with \"-DOD\" appended to the end of the [NAME] value are located on a military base, as defined by the Defense Installation Spatial Data Infrastructure (DISDI) military installations and military range boundaries. \"#\" and \"*\" characters were automatically removed from standard fields populated by TechniGraphics. Double spaces were replaced by single spaces in these same fields. Text fields in this dataset have been set to all upper case to facilitate consistent database engine search results. All diacritics (e.g., the German umlaut or the Spanish tilde) have been replaced with their closest equivalent English character to facilitate use with database systems that may not support diacritics. The currentness of this dataset is indicated by the [CONTDATE] field. 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The North Carolina State Center for Health Statistics in cooperation with the Division of Facility Services in the Department of Health and Human Services, developed the GIS data set, Medical Facility Point Locations, to identify locations of health and medical facilities for the entire State of North Carolina. 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A nursing home is commonly referred to as a skilled nursing facility, long term care (LTC) facility, or rest home, and may have a different standardized name throughout the United States, but is most commonly referred to as a nursing home. A nursing home traditionally offers 24-hour (skilled) nursing to the elderly or to disabled patients having a variety of medical conditions who require personal care services above that of an assisted living but do not require hospitalization. The personal care services provided may or may not include, but are not limited to: skilled nursing, long term inpatient care, room and board, meals, laundry, and assistance with: dressing, grooming, getting in and out of bed, medications, bathing, and toileting. For purposes of this dataset, an assisted living facility is defined as a facility where the elderly, who are not related to the operator, reside and receive care, treatment, or services. Although not at the level of a nursing home, the services are above the level of an independent living community. They may include several hours per week of supportive care, personal care, or nursing care per resident. Generally, an assisted living facility offers help in daily living (laundry, cooking, cleaning, etc.) and personal assistance (bathing, eating, clothing, etc.). Many assisted living facilities offer assistance with medication and a lesser level of nursing care than what is offered at a nursing home. Assisted living facilities may be regulated by size restrictions depending on which type of assisted living facility it is considered to be in the state in which it exists. For example, Adult Family Homes in Wisconsin have between 3-4 elderly residents while Community Based Residential Facilities have 5 or more. Almost every state has different terminology to describe their version of the assisted living facility system. The structures in which assisted living facilities exist are varied as well. Depending on the type, an assisted living facility may operate out of a personal residence or a nursing home style structure, and it may be set up as apartment style living or as a campus setting in a continuing care retirement community. Multiple assisted living facilities may exist at one location or may be co-located with nursing homes and/or other similar health care facilities. If a facility is licensed by a state and holds multiple licenses, it is represented once in this dataset for each license, even if the licenses are for the same location. This dataset does not include retirement communities, adult daycare facilities, or rehabilitation facilities. Nursing Homes that are operated by and co-located with a hospital are also excluded because the locations are included in the hospital dataset. Records with &quot;-DOD&quot; appended to the end of the [NAME] value are located on a military base, as defined by the Defense Installation Spatial Data Infrastructure (DISDI) military installations and military range boundaries. &quot;#&quot; and &quot;*&quot; characters were automatically removed from standard fields populated by TechniGraphics. Double spaces were replaced by single spaces in these same fields. Text fields in this dataset have been set to all upper case to facilitate consistent database engine search results. All diacritics (e.g., the German umlaut or the Spanish tilde) have been replaced with their closest equivalent English character to facilitate use with database systems that may not support diacritics. The currentness of this dataset is indicated by the [CONTDATE] field. Based on this field, the oldest record dates from 09/22/2009 and the newest record dates from 01/08/2010.<div><br /></div><div><span style='font-family: &quot;Avenir Next W01&quot;, &quot;Avenir Next W00&quot;, &quot;Avenir Next&quot;, Avenir, &quot;Helvetica Neue&quot;, sans-serif; font-size: 17px; background-color: rgb(255, 255, 255);'>Homeland Security Use Cases: Use cases describe how the data may be used and help to define and clarify requirements. 1. A resource for evacuation planning and emergency management in the event of an emergency. 2. A threat against nursing homes has been identified and measures must be taken to protect these types of facilities. 3. 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