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Phase II: Approval of Recommendations to HHS & Discussion of Topic Areas Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives.

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Presentation on theme: "Phase II: Approval of Recommendations to HHS & Discussion of Topic Areas Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives."— Presentation transcript:

1 Phase II: Approval of Recommendations to HHS & Discussion of Topic Areas
Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020 Committee Chair: Jonathan Fielding, MD, MPH, MA, MBA Director, Los Angeles County Department of Public Health & Health Officer, Los Angeles County

2 Ad Hoc Group on Topic Areas
Group Chair: Patrick Remington, MD, PhD University of Wisconsin Population Health Institute

3 Evolution of Healthy People - 1
1990 Health Objectives Healthy People 2000 Healthy People 2010† Healthy People 2020 (proposed) Vision Healthy People in healthy communities Healthy people in healthy communities A society in which all people live long, health lives Goals Reduce mortality among infants by 35% Reduce mortality among children aged 1 to 14 years by 20% Reduce mortality among adolescents, young adults (15 to 24) by 20% Reduce mortality among adults by 25% Increase independence and quality of life among older adults (65 and over), reducing days of restricted activity Increase the years of healthy life for Americans Reduce disparities in health among different population groups Achieve access to preventive health services for all Americans Increase the quality and years of healthy life Eliminate health disparities Eliminate preventable disease, disability, injury, and premature death Achieve health equity and eliminate health disparities Create social and physical environments that promote good health for all Promote healthy development and healthy behaviors at every life stage

4 Evolution of Healthy People - 2
1990 Health Objectives Healthy People 2000 Healthy People 2010† Healthy People 2020 (proposed) Categories Preventive Services Health Protection Health Promotion Enabling Goals Data and Surveillance Promote healthy behaviors Protect health Assure access to quality health care Strengthen community prevention Mission To improve health through policy and practice, Healthy People will: 1. Identify nationwide health improvement priorities; 2. Increase public awareness and understanding of the determinants of health, disease and disability, and the opportunities for progress; 3. Provide measurable objectives and goals that can be used at the national, state, and federal levels; 4. Identify critical research and data collection needs

5 Evolution of Healthy People - 3
1990 Health Objectives Healthy People 2000 Healthy People 2010† Healthy People 2020 (proposed) 15 “Priority Areas” (Preventive Services- 5 ) H. blood pressure control (Etc.) (Health Protection-5) Toxic agent and radiation control (Health Promotion-5) Smoking and health 22 “Priority Areas” Cancer Clinical Preventive services Diabetes and chronic disabling conditions Educational and community-based programs Etc. 28 “Focus Areas” Access to quality health services* Arthritis, osteoporosis, and chronic back conditions Chronic kidney disease Diabetes Disability and secondary conditions TBD

6 Proposed Definitions for HP 2020
Vision: A single, broad statement of what society will look like in 2020 Goal: The broad result toward which effort is directed Focus Area/ Topic Area: Points of entry for the community into the healthy people framework Priorities: Priorities are given attention before competing alternatives.

7 Discussion of Topic Areas
Thoughts about recommendations for FIW Shifting from HP 2010 topic areas to 2020 Mapping to determinants Next steps Drafting categories Timeline for finalization and approval

8 Update on HHS Activities
Rear Admiral Penelope Slade-Sawyer, PT, MSW Director, Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services

9 Current Healthy People 2020: Mission Statement
Vision Statement A society in which all people live long, healthy lives. Mission Statement Healthy People 2020 strives to: Identify nationwide health improvement priorities; Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress; Provide measurable objectives and goals that are applicable at the national, state, and local levels; Engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge; Identify critical research, evaluation, and data collection needs

10 Current Healthy People 2020: 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, attain, achieve, realize] quality of life, healthy development and healthy behaviors across all life stages.

11 Desired Outcomes for the Meeting
Recommendations on: Immediate HHS Actions in support of the Health Objectives System Specifications for relational database and User Interface Proposed focus/topic area categories Finalized charges for subcommittees

12 Ad Hoc Group on Immediate Phase II Recommendations for HHS
Group Chair: Lisa Iezzoni, MD, MSc Harvard Medical School [Presented by Dr. Jonathan Fielding]

13 Recommendations for Immediate HHS Actions in Support of HP
Maintain and build our nation’s ability to monitor population health at the local, state, and national levels… Design and start building an Internet-based public health information infrastructure… Improve the evidence base for policies and programs that can…improve collective health and reduce health disparities. Assess the health consequences of the economic downturn. Determine manpower needed to assure a strong public health infrastructure and to implement evidence-based programs and policies at the national, state, and local levels.

14 Subcommittee on System Specifications
Subcommittee Chair: Ronald Manderscheid, PhD SRA International

15 Report on Outcomes of Subcommittee Work
Purpose of and approach to the report Changes since the last version (January 7-8, 2009) User-centered design & process Recommended next steps for the user interface Issues to be resolved before report is sent to HHS Ready for final vote to approve?

16 Charges of the Phase II Subcommittees
Priorities (AK, DM) How do we think about priorities at the national, state, and local level? Topic Areas & Objectives (PR) Organize the list of HP 2010 objectives into homogenous categories. Add any that are missing. Implementation (AT, EM) Reflect on the range of potential users at the national, state, and community levels. What are their needs for tools, aids, and guidance for communities? Evidence & Target-Setting (PR) Transparent process for target-setting that communities can use to set their own objectives. Evidence-based public health practices. Data & IT Issues (RM) Interface with NCHS to determine needs/ capabilities. Issues related to working with partners for data. Longer-term issues re: the role of Health IT.

17 Key Dates for Deliverables
Topic Area categories: March, 2009 Target-setting Methodology: April, 2009 Final inclusion criteria for evidence-based resources: May, 2009 Implementation strategies: June-July, 2009

18 Map of Committee/ Subcommittee Activity for Phase II
Committee Vice-Chair: Shiriki Kumanyika, PhD University of Pennsylvania School of Medicine

19 Healthy People 2020 Mission:
To improve health through strengthening policy and practice, Healthy People will: Identify nationwide health improvement priorities; Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress; Provide measurable objectives and goals that can be used at the national, state, and local levels; Engage multiple sectors to take actions that are driven by the best available evidence and knowledge; Identify critical research and data collection needs.

20 “Categories” for HP 2020 Objectives
Mission Statement Potential “Category” Identify nationwide health improvement priorities; Priorities Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress Determinants Provide measurable objectives and goals that can be used at the national, state, and local levels; Standards and Tools Engage multiple sectors to take actions that are driven by the best available evidence and knowledge; Evidence and Knowledge Identify critical research and data collection needs. Data Sources

21 Categories as Doorways into Objectives
“Priorities” Learn about National priorities, or set own priorities at the state or local level. “Determinants” Obtain information about factors contributing to the disease/ issue of highest priority.

22 Categories as Doorways into Objectives
“Standards and Tools” Obtain standards or tools to set state or local objectives that are aligned with the national objectives. “Evidence and Knowledge” Obtain information about evidence/ knowledge-based public health practices that can be used to achieve objectives of interest

23 Categories as Doorways into Objectives
“Data Sources” Link to credible federal, state, or local data sources for current data for tracking progress on priority issues.

24 Subcommittee Activities by Category
Subcommittees’ Phase II Work overlaps and is not siloed. Potential “Category” Phase II Subcommittees Priorities Priorities (AK, DM) Determinants Topic Areas & Objectives (PR) Standards and Tools Implementation (AT, EM) Evidence and Knowledge Evidence & Target-Setting (PR) Data Sources Data & IT Issues (RM)

25

26 Linking Framework to Topic Areas
Components of Action Model Key Elements Determinants, broad Social, economic, cultural; environmental; health systems; living and working; social, family, & community Individuals across the life course Individual status Outcomes Behavioral; risk factors, diseases, conditions; injuries; well-being and QoL; health equity Assessment, monitoring, evaluation, dissemination Interventions Programs, policies and information

27 Discussion and Next Steps
Remaining work on topic areas Next steps for subcommittees Next Committee meeting dates Thursday, March 26: 12:00-2:00 PM (ET) Monday, April 20th: 12:00- 2:00 PM (ET) Friday, May 15th: 1:00 PM- 3:00 PM (ET) Other issues


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