<?xml version="1.0" encoding="UTF-8" standalone="no"?><metadata xml:lang="en">
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        <idCitation>
            <resTitle Sync="TRUE">EMPower_ExportFeatures</resTitle>
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        <idAbs>&lt;blockquote&gt;&lt;p&gt;This layer provides a spatial overview of populations with functional and access needs based on Medicare data at the ZIP Code level. It is designed to support emergency preparedness, response, and recovery efforts by highlighting individuals who rely on electricity-dependent durable medical equipment (DME), respiratory support devices, home-based care, and other critical healthcare services.&lt;/p&gt;
&lt;p&gt;Data categories include:&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Total Medicare beneficiaries&lt;/li&gt;
&lt;li&gt;Home health and hospice services&lt;/li&gt;
&lt;li&gt;In-facility and at-home dialysis&lt;/li&gt;
&lt;li&gt;Oxygen tanks, O₂ concentrators, ventilators, and BiPAPs&lt;/li&gt;
&lt;li&gt;Electricity-dependent devices and dual-dependency indicators&lt;/li&gt;
&lt;li&gt;Mobility-related equipment needs&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;Each ZIP Code includes population context (total residents, housing units, and Medicare enrollees) to help planners assess risk and prioritize outreach before, during, and after power outages or other disasters.&lt;/p&gt;
&lt;p&gt;This dataset is based on HHS ASPR’s emPOWER Program framework and intended for use by public health agencies, emergency managers, healthcare coalitions, and support partners.&lt;/p&gt;
&lt;/blockquote&gt;</idAbs>
        <idPurp>This layer displays Medicare beneficiary counts and electricity-dependent equipment needs at the ZIP Code level to support emergency planning and response efforts.</idPurp>
        <idCredit>Data provided by the U.S. Department of Health and Human Services (HHS), Administration for Strategic Preparedness and Response (ASPR), emPOWER Program.
Additional spatial and demographic context from the U.S. Census Bureau.</idCredit>
        <resConst>
            <Consts>
                <useLimit>&lt;p&gt;Use of this data is governed by the emPOWER Program Terms of Use.&lt;/p&gt;
&lt;p&gt;This dataset is provided for &lt;strong&gt;public health and emergency preparedness and response purposes only&lt;/strong&gt;. It may not be used to identify or contact individuals and should not be combined with other data to attempt individual identification.&lt;/p&gt;
&lt;p&gt;Users must:&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Use the data in accordance with applicable federal and state privacy laws.&lt;/li&gt;
&lt;li&gt;Understand that values represent &lt;strong&gt;historic service/device usage&lt;/strong&gt; by Medicare beneficiaries and may not reflect real-time needs.&lt;/li&gt;
&lt;li&gt;Recognize that &lt;strong&gt;counts may be rounded or suppressed&lt;/strong&gt; by CMS for privacy protection.&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;The full Terms of Use can be found at:&lt;br /&gt;
&lt;a target='_new'&gt;https://empowermap.hhs.gov/&lt;/a&gt;&lt;/p&gt;</useLimit>
            </Consts>
        </resConst>
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                    <udom Sync="TRUE">Coordinates defining the features.</udom>
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                <attrlabl Sync="TRUE">Zipcode</attrlabl>
                <attalias Sync="TRUE">Zipcode</attalias>
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                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
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            <attr>
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                <attrtype Sync="TRUE">Double</attrtype>
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                <attscale Sync="TRUE">0</attscale>
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                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
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                <attalias Sync="TRUE">Decennial Population Count (100%)</attalias>
                <attrtype Sync="TRUE">Double</attrtype>
                <attwidth Sync="TRUE">8</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">CENTLON</attrlabl>
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                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
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                <attalias Sync="TRUE">Centroid Latitude</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">11</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">INTPTLON</attrlabl>
                <attalias Sync="TRUE">Internal Point Longitude</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">12</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">INTPTLAT</attrlabl>
                <attalias Sync="TRUE">Internal Point Latitude</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">11</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Zip_Code</attrlabl>
                <attalias Sync="TRUE">Zip Code</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">County_FIPS_Code</attrlabl>
                <attalias Sync="TRUE">County FIPS Code</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">County</attrlabl>
                <attalias Sync="TRUE">County</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">8000</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">State_FIPS_Code</attrlabl>
                <attalias Sync="TRUE">State FIPS Code</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">State</attrlabl>
                <attalias Sync="TRUE">State</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">8000</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Medicare_Beneficiaries_in_Zip_Code</attrlabl>
                <attalias Sync="TRUE"># Medicare Beneficiaries in Zip Code</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__In_Facility_ESRD__Dialysis__3_months_</attrlabl>
                <attalias Sync="TRUE"># In-Facility ESRD 
Dialysis
(3 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Oxygen_Services__Tanks___13_months_</attrlabl>
                <attalias Sync="TRUE"># Oxygen Services [Tanks]
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Home_Health___3_months_</attrlabl>
                <attalias Sync="TRUE"># Home Health 
(3 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__At_Home_Hospice__3_months_</attrlabl>
                <attalias Sync="TRUE"># At-Home Hospice
(3 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Electricity_Dependent_Devices_and_DME</attrlabl>
                <attalias Sync="TRUE"># Electricity-Dependent Devices and DME</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Cardiac_Devices__5_years_</attrlabl>
                <attalias Sync="TRUE"># Cardiac Devices
(5 years)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Ventilators__13_months_</attrlabl>
                <attalias Sync="TRUE"># Ventilators
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__BiPAPs__13_months_</attrlabl>
                <attalias Sync="TRUE"># BiPAPs
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__O2_Concentrators____36_months_</attrlabl>
                <attalias Sync="TRUE"># O2 Concentrators  
(36 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Enteral_Feeding__13_months_</attrlabl>
                <attalias Sync="TRUE"># Enteral Feeding
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__IV_Infusion_Pumps__13_months_</attrlabl>
                <attalias Sync="TRUE"># IV Infusion Pumps
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Suction_Pumps__13_months_</attrlabl>
                <attalias Sync="TRUE"># Suction Pumps
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__At_Home_ESRD__Dialysis__3_months_</attrlabl>
                <attalias Sync="TRUE"># At-Home ESRD 
Dialysis
(3 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Motorized_Wheelchairs__or_Scooters__13_months_</attrlabl>
                <attalias Sync="TRUE"># Motorized Wheelchairs 
or Scooters
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Electric_Beds__13_months_</attrlabl>
                <attalias Sync="TRUE"># Electric Beds
(13 months)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__In_Facility_ESRD_Dialysis_and__Any_DME</attrlabl>
                <attalias Sync="TRUE"># In-Facility ESRD Dialysis and 
Any DME</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Oxygen_Services__Tanks__and_Any_DME</attrlabl>
                <attalias Sync="TRUE"># Oxygen Services [Tanks] and Any DME</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Home_Health_and_Any_DME</attrlabl>
                <attalias Sync="TRUE"># Home Health and Any DME</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__At_Home_Hospice__and_Any_DME</attrlabl>
                <attalias Sync="TRUE"># At-Home Hospice 
and Any DME</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">F__Electricity_Dependent_Devices_DME_and_Any_Healthcare_Service</attrlabl>
                <attalias Sync="TRUE"># Electricity Dependent Devices/DME and Any Healthcare Service</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Boxes_and_Unknowns_</attrlabl>
                <attalias Sync="TRUE"> Boxes and Unknowns)</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Shape_Length</attrlabl>
                <attalias Sync="TRUE">Shape_Length</attalias>
                <attrtype Sync="TRUE">Double</attrtype>
                <attwidth Sync="TRUE">8</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="TRUE">Length of feature in internal units.</attrdef>
                <attrdefs Sync="TRUE">Esri</attrdefs>
                <attrdomv>
                    <udom Sync="TRUE">Positive real numbers that are automatically generated.</udom>
                </attrdomv>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Shape_Area</attrlabl>
                <attalias Sync="TRUE">Shape_Area</attalias>
                <attrtype Sync="TRUE">Double</attrtype>
                <attwidth Sync="TRUE">8</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="TRUE">Area of feature in internal units squared.</attrdef>
                <attrdefs Sync="TRUE">Esri</attrdefs>
                <attrdomv>
                    <udom Sync="TRUE">Positive real numbers that are automatically generated.</udom>
                </attrdomv>
            </attr>
        </detailed>
    </eainfo>
    <mdDateSt Sync="TRUE">20240820</mdDateSt>
    <Binary>
        <Thumbnail>
            <Data 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</Data>
        </Thumbnail>
    </Binary>
</metadata>