Transcript No Slide Title

Achieving a Healthier U.S. by 2010:
Opportunities and Resources for Communities
Presenter
Title
Agency
Date
Overview
Achieving a Healthier US for 2010

A Prevention Agenda for America



Steps to a HealthierUS
Healthy People 2010
Key Opportunities and Resources




Prevention priorities
Performance management
Partnerships
Public health capacity
A Prevention Agenda for America
Build a Healthier Nation
National Objectives
Focus on Prevention
Background
HealthierUS Mission

Focus on four pillars
 Be physically active
 Eat a nutritious diet
 Get preventive screenings
 Make healthy choices

To prevent disease, disability and
death and help Americans lead
safer, healthier, longer lives
A Prevention Agenda for America
Steps to a HealthierUS

U.S. Department of Health
and Human Services
(HHS) initiative

The Department’s key
focus for promoting
healthy lifestyles

Represents a bold shift in
our health system to
emphasize prevention
A Prevention Agenda for America
Steps to a HealthierUS

Community-focused

Aims to educate
Americans about the
tremendous benefits of
making healthier choices

Supports the President's
Healthier U.S. initiative
www.healthierus.gov/steps
A Prevention Agenda for America
Steps to a HealthierUS


Focuses attention where we can
make a difference

burden of preventable diseases

lifestyle choices
Areas chosen because of their...

rapidly increasing U.S. prevalence

debilitating effects

responsiveness to prevention
measures
www.healthierus.gov/steps
A Prevention Agenda for America
Healthy People 2010

Voluntary national prevention
initiative in its third decade

Set of measurable objectives to
improve the health of
Americans in 28 areas

National targets that public and
private sector partners may
adopt or adapt
www.healthypeople.gov
A Prevention Agenda for America
Healthy People 2010


Also aims to...

improve Americans’ quality and
years of healthy life

eliminate disparities in health
Inclusive resource with 467
measurable prevention and
health promotion objectives

communities set priorities
www.healthypeople.gov
A Prevention Agenda for America
Making the Connections

Healthy People 2010
offers goals, measures,
targets, and a prevention
agenda to achieve the
priorities in Steps

Steps helps communities
reach the public and
partners to achieve the
objectives in Healthy
People 2010
Example:
Prevention Agenda in its Third Decade
Evolution of National Efforts
1979
1980
1987
1990
1997
2000
2002
Surgeon General’s Report, Healthy People
Promoting Health/Preventing Disease
Healthy People 2000 Consortium formed
Healthy People 2000
Business Advisory Council formed
(later Partnership for a Healthy Workforce)
Healthy People 2010
Steps for a HealthierUS
Opportunities
“Effective people are not
problem-minded; they're
opportunity-minded.”
--Stephen R. Covey
Opportunities for Communities
Prevention Priorities

Healthy People 2010 provides focus
on diverse Leading Health Indicators
How
Physical Activity
Overweight & Obesity
Tobacco Use
Substance Abuse
Responsible Sexual
Behavior
Mental Health
Injury and Violence
Environmental Quality
Immunization
Access to Health Care

Narrows the 467 objectives and 28 focus areas to
just 10 lifestyle and other factors responsible for
most preventable deaths

Easy to understand

Used across the country as a starting framework
for planning and action to improve health
Opportunities for Communities
Prevention Priorities
“There’s so much to do!
Where do we begin?”
Burden of Disease
Diabetes
Obesity
Asthma
Heart Disease & Stroke
Cancer
Lifestyle Choices
Poor Nutrition &
Physical Inactivity
Tobacco Use
Youth Risk Taking

Steps provides leadership and
priorities to focus efforts and funding
on key preventable conditions
How

Narrows Leading Health Indictors even further

Community grant program investing in prevention

Executive-level coordination among federal
agencies
Opportunities for Communities
Regional Priorities

Special Healthy People
focus in Region [X] on
[insert topic(s)]

Fact sheets list top
resources to effectively
address Steps-related
priorities selected by
regions, such as:



Diabetes
Obesity
Asthma
Regional fact sheets and events:
www.phf.org/HPtools/regions.htm
Click on Resources
Opportunities for Communities
Performance Management

Together, these initiatives
help the U.S. achieve better
results through use of





Source: Turning Point. From Silos to Systems:
Using Performance Management to Improve the
Public’s Health, 2003.
standards
measures
progress reports
performance improvement direction & models
All four components are
needed for a performance
management system (Turning
Point, 2003)
Opportunities for Communities
Performance Management

Steps focuses on achieving results
and managing resources better to
reduce the burden of disease
How

Defines the performance of our health system not
only in terms of our health outcomes and quality of
life, but also in terms of costs

Strategic, evidenced-based decisions at the
national level to shift efforts for better results and
better return on investment

Models and demonstration projects help show the
best ways to improve performance in health
Opportunities for Communities
Performance Management

Healthy People provides widely used
targets and measures of performance
How

It’s one of the top three frameworks used by states
and communities to measure and manage
performance in public health (Turning Point, 2003)

Objectives set a standard for benchmarking across
the country

Aligned measures in public and private health data
systems (e.g., DATA 2010, HEDIS, Community
Health Status Indicators) aid ongoing tracking and
reporting of progress
Opportunities for Communities
Performance Management

Healthy People tracks our nation’s
progress over time
How

Mid-course progress reviews

Conclusions from Healthy People 2000
15% achieved or exceeded
44% moving in right direction
18% moving in wrong direction
8% mixed or no change
15% cannot be assessed
Healthy People 2000:
Performance in Our Last Decade

Targets achieved






child mortality (infant mortality close)
adolescent mortality
overall cancer mortality
cholesterol levels
maternal and infant health
Moving in wrong direction


overweight, physical activity
diabetes
Opportunities for Communities
Partnerships

Steps opens doors to working with
partners in the private sector and other
government agencies
How

Federal Register notice garnered over 75
partnerships and growing

Citing a shared commitment to the Steps initiative
as directed by Executive order and federal
leadership can be a “way in” with local government
agencies (e.g., departments of education, housing)

Steps communication tools show the benefits of
prevention to the private sector’s bottom line
Opportunities for Communities
Partnerships

Healthy People opens doors to working
with already committed business and
community partners
How

Hundreds of businesses and organizations have
already signed up as partners in...
– Partnership for a Healthy Workforce
– Healthy People Consortium

Citing a shared commitment to Healthy People and
the 2010 “Prevention Pledge” signed by an
organization’s national headquarters can be a “way
in” with local chapters

Momentum from decades of involvement
Opportunities for Communities
Partnerships

Healthy People 2010 goal to eliminate
disparities sparks new alliances
How

Potential partnerships with civic organizations and
others outside of the health community
– racial and ethnic minority groups
– women’s or men’s groups
– groups for people with disabilities
– young or older Americans groups
– others

Collaboration on strategies to address social
determinants of health
Opportunities for Communities
Partnerships

Special marketing tools to reach
issue-oriented partners
How

New Healthy People “companion documents” and
web sites help segment the Healthy People market
– by population (e.g., women)
– by setting (e.g., campus, workplace)
– by focus area or issue (e.g., CVD, workforce
development)

Communication tools show how Healthy People
relates to potential partners’ top priorities at
www.health.gov/healthypeople
Opportunities for Communities
Public Health Capacity

Healthy People helps communities
explain and strengthen underlying
public health capacity
How

Incorporates capacity targets in many chapters
related to coordination, healthcare professional
training, research, and monitoring of disease

Includes a landmark set of Public Health
Infrastructure objectives (Chapter 23) needed to
better protect the public’s health, such as
– a prepared public health workforce
– access to data and laboratory services
– modern laws and performance standards
Selected Resources
“If the only tool you have is a
hammer, all of your problems
will look like nails.”
--Mark Twain
Steps to A HealthierUS
Website
Information about

The Steps initiative

Targeted chronic diseases
and lifestyle choices

Successful models for
action
www.healthierus.gov/steps
Healthy People 2010
Website
Information about

The Healthy People initiative

Tracking data (DATA 2010)

Progress reviews

Partner organizations

Companion documents

Implementation resources
www.healthypeople.gov
The Prevention Portfolio

Publications outline Secretary
Thompson’s emphasis on
prevention in America

The Power of Prevention
Prevention Programs In Action

Prevention Strategies That Work


Access promising prevention
strategies, fact sheets, and tools to
make the case for prevention and
healthy lifestyle choices
www.healthierus.
gov/steps/
Click on
Publications
Prevention Makes
Common “Cents”

Summarizes recent research on
the prevalence, effects, and costs
of preventable conditions






Overweight and obesity
Diabetes
Cardiovascular disease
Asthma
Tobacco use
Highlights award-winning business
prevention programs that reap
returns on their investment
http://aspe.hhs.gov/
health/prevention/
Evidence-based Practices:
Clinical

Put Prevention Into Practice, U.S. Public
Health Service

Program to increase the appropriate use of clinical
preventive services, such as screening tests,
immunizations, and counseling

Based on U.S. Preventive Services Task Force
evidence-based recommendations for primary care
clinicians, Guide to Clinical Preventive Services

Clinician handbooks, posters, reminder cards,
consumer fact sheets, and other resources
www.ahrq.gov/clinic/ppipix.htm
Evidence-based Practices:
Community

Guide to Community Preventive
Services, Task Force on
Community Preventive Services

Straightforward recommendations
about community strategies to improve
the health of populations

Based on thorough reviews of research
on selected behaviors, health
conditions, and environmental factors
www.thecommunityguide.org/
Healthy People 2010 Toolkit:
A Field Guide to Health Planning
Available Online
www.health.gov/
healthypeople/state/
toolkit
A Field Guide
to Health Planning
In Print
http://bookstore.phf.org
Healthy People 2010 Toolkit
7 Action Areas

Building the Foundation: Leadership and Structure

Identifying and Securing Resources

Identifying and Engaging Community Partners

Setting Health Priorities and Establishing Objectives

Obtaining Baseline Measures, Setting Targets, and
Measuring Progress

Managing and Sustaining the Process

Communicating Health Goals and Objectives
Other Resources

Prevention Report



Office of Disease Prevention and
Health Promotion, HHS
Sign up at
http://odphp.osophs.dhhs.gov/pubs/prevrpt
healthfinder®

HHS gateway to reliable health information
resources from over 1,700 carefully
selected government agencies and
nonprofit organizations

Searchable by the 2010 focus areas
Summary

Steps and Healthy People initiatives
help communities achieve and
measure improved health, with
special opportunities related to:





Prevention priorities
Performance management
Partnerships
Public health capacity
National and regional resources
help communities address priorities