Healthy People 2020

Foundation Health Measures

* General health status *Health-related quality of life and well being *Determinants of Health *Disparities

What are the 12 topic areas?

1. Access to Health Services 2. Clinical Preventive Services 3. Environmental Quality 4. Injury and Violence 5. Maternal, Infant, and Child Health 6. Mental Health 7. Nutrition, Physical Activity, and Obesity 8. Oral Health 9. Reproductive and Sexual Health 10. Social Determinants 11. Substance Abuse 12. Tobacco

Environmental Quality

1. Air Quality Index (AQI) exceeding 100 2. Children aged 3 to 11 years exposed to secondhand smoke

Injury and Violence

1.Fatal injuries 2.Homicides

High Priority

26 Leading Health Indicators (LHI) new for Healthy People 2020 in 12 topic areas

How many Leading Health Indicators are present?

26 and there are 12 topic areas

How many area topics are available?

42 Topic Areas

What is the Vision?

A society in which all people live long, healthy lives

Substance Abuse

Adolescents using alcohol or any illicit drugs during the past 30 days Adults engaging in binge drinking during the past 30 days

Substance Abuse

Adolescents using alcohol or any illicit drugs during the past 30 days Adults engaging in binge drinking during the past 30 days Education on chemical dependency

Clinical Preventive Services

Adult diabetic population with an A1C value greater than 9 % Providing patient education on insulin administration techniques and self-monitoring blood glucose (SMBG) Providing MTMs Insulin dose titration under collaborative practice agreements

Tobacco

Adults who are current cigarette smokers Adolescents who smoked cigarettes in the past 30 days

Tobacco

Adults who are current cigarette smokers Providing individual and group smoking cessation counseling Counseling on OTC nicotine replacement therapy products

Nutrition, Physical Activity and Obesity

Adults who meet current Federal physical activity guidelines for aerobic physical activity and muscle-strengthening activity Adults who are obese Children and adolescents who are considered obese Total vegetable intake for persons aged 2 years and older

Clinical Preventive Services

Adults with hypertension whose blood pressure is under control Providing MTMs Providing regular blood pressure screenings in communities Managing antihypertensive medication regimens under collaborative practice agreements

Assess

Assess the needs of your community Questions to Ask and Answer: Who is affected and how? What resources do we have? What resources do we need? Assess both needs and assets (resources) in your community Work together as a coalition to set priorities Start collecting state and local data to paint a realistic picture of community needs

MAP IT

Framework for implementation

What is the mission

Identify nationwide health improvement priorities Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress

Implement

Implement a plan to reach Healthy People 2020 objectives Questions to Ask and Answer: Are we following our plan? What can we do better? First, create a detailed workplan with steps and timeline Next, consider identify a single point of contact to manage the process and ensure the job will get done Get the word out: develop a communication plan

Immunization

Increase the percentage of adults aged 18 and older who are vaccinated annually against seasonal influenza Pharmacist-provided flu clinics Immunization services at pharmacy

Maternal, Infant and Child Health

Infant deaths Preterm births

General Health Status

Life expectancy Healthy life expectancy Years of potential life lost Physically and mentally unhealthy days Self-assessed health status Limitation of activity Chronic disease prevalence

Mobilize

Mobilize partners Questions to Ask and Answer: What is the vision and mission of the coalition? Why do I want to bring people together? Who should be represented? Who are the potential partners (organizations and businesses) in my my community? Start by mobilizing key individuals and organizations into a coalition Next, identify roles for partners and assign responsibilities

What is Healthy People 2020?

Nationwide health promotion and disease prevention goals Released by the U.S. Department of Health and Human Services

Leading Health Indicators are

New to Healthy People 2020 ¶ A small set of high-priority health issues that represent significant health threats to the public's health

Oral Health

Persons aged 2 years and older who used the oral health care system in the past 12 months

Access to Health Services

Persons with medical insurance Persons with a usual primary care provider

Health-Related Quality of Life and Well-Being

Physical, mental, and social health-related quality of life Well-being / satisfaction Participating in common activities

Plan

Questions to Ask and Answer: What is our goal? What do we need to do to reach our goal? Who will do it? How will we know when we have reached our goal? A good plan includes clear objectives and concrete steps to achieve them Consider your intervention Think about how you will measure your progress

Disparities

Race / ethnicity Gender Physical and mental ability Geography

Reproductive and Sexual Health

Sexually active females aged 15-44 years who received reproductive health services in the past 12 months Persons living with HIV who know their aerostats

Social Determinants

Students who graduate with a regular diploma 4 years after starting ninths grade

Mental Health

Suicides Adolescents who experience major depressive episodes (MDEs)

Track

Track your community's response Questions to Ask and Answer: Are we evaluating our work? Did we follow the plan? What did we change? Did we reach our goal? Plan regular evaluations to measure and track your progress over time Do not forget to share your progress (and successes) with your community

Determinants of Health

¶A range of personal, social, economic, and environmental factors that influence health status •Biology •Genetics •Individual behavior •Access to health services •Environments

What is the development?

¶The result of a multiyear process that reflects input from a diverse group of individuals and organizations ¶Objective development and selection process •Reliable data source •Baseline measure •Target for specific improvements to be achieved by the year 2020 ¶Federal Interagency Workgroup U.S. Department of Health Human Service Lead Federal Agencies ¶Public comments

4 Previous Healthy People Initiatives

•1979 Surgeon General's Report: Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention •Healthy People 1990: Promoting Health/Preventing Disease: Objectives for the Nation •Healthy People 2000: National Health Promotion and Disease Prevention Objectives •Healthy People 2010: Objectives for Improving Health

Clinical Preventive Services

•Adults who receive a colorectal cancer screening based on most recent guidelines •Adults with hypertension whose blood pressure is under control •Adult diabetic population with an A1C value greater than 9 percent •Children aged 19 to 35 months who receive recommended doses of diphtheria, tetnus, and pertussis (DTaP); polio; measles, mumps, and rubella (MMR); Haemophilus influenza type b (Hib); hepatitis B; varicella; and pneumococcal conjugate (PCV) vaccines

Overarching Goals

•Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death •Achieve health equity, eliminate disparities, and improve the health of all groups •Create social and physical environments that promote good health for all •Promote quality of life, healthy development, and health behaviors across all life stages

Mission

•Provide measurable objectives and goals that are applicable at the national, State, and local levels •Encourage multiple sectors to take actions to strengthen policies and improve practices that are driven best available evidence and knowledge •Identify critical research, evaluation and data collection needs

What is Healthy People 2020

•Science-based, 10-year national objectives for improving the health of all Americans •Encourage collaborations across communities and sectors •Empower individuals toward making informed health decisions •Measure the impact of prevention activities