Healthy People 2020

1. Healthy People 2020 A Resource for Promoting Health and Preventing Disease Throughout the Nation Greater Lowell Health Alliance November 8, 2011 Presenter: Laura Hillier, MPH Northeast Center for Healthy Communities

2. Today’s Presentation • Background and History of Healthy People • Development of Healthy People 2020 • Healthy People 2020 Framework, Topic Areas, and Objectives • Using Healthy People 2020

3. Healthy People Background and History

4. What Is Healthy People? • Comprehensive set of national 10-year objectives • Framework for public health priorities and actions to align public health goals across the nation Non-Aligned Effort Aligned Effort Random Acts of Innovations

5. What Is Healthy People? • A national agenda that communicates a vision for improving health and achieving health equity. • A set of specific, measurable objectives with targets to be achieved over the decade. • These objectives are organized within distinct Topic Areas.

6. Key Features of Healthy People • Creates a comprehensive, strategic framework that unites health promotion and disease prevention issues under a single umbrella. • Requires tracking of data-driven outcomes to monitor progress and to motivate, guide, and focus action. • Engages a network of multidisciplinary, multisectoral stakeholders at all levels. • Guides national research, program planning, and policy effortsto promote health and prevent disease. • Establishes accountability requiring all PHS grants to demonstrate support of Healthy People objectives.

7. How Stakeholders Are Using Healthy People • Data tool for measuring program performance • Framework for program planning and development • Goal setting and agenda building • Teaching public health courses • Benchmarks to compare State and local data • Way to develop nontraditional partnerships

8. Federally Led, Stakeholder- Driven Process HHS Secretary’s Advisory Committee HHS ODPHP Federal Interagency Workgroup (28 Federal Agencies) State and Local Governments (50 State Coordinators) National-Level Stakeholders, Including Members of the Healthy People Consortium (2,200+ Volunteers) Community-Based Organizations, Community Health Clinics, Social Service Organizations, etc. Individuals, Families, and Neighborhoods Across America

9. History of Healthy People • 1979—ASH/SG Julius Richmond establishes first national prevention agenda: Healthy People: Surgeon General’s Report on Health Promotion and Disease Prevention • HP 1990—Promoting Health/Preventing Disease: Objectives for the Nation • HP 2000—Healthy People 2000: National Health Promotion and Disease Prevention Objectives • HP 2010—Healthy People 2010: Objectives for Improving Health • Healthy People 2020– Launched December 2010

10. Evolution of Healthy People

11. Healthy People 2020 Development, Framework, Topic Areas, and Objectives

12. Stakeholder Input • Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 • Public Meetings • Public Comment Web Site • Healthy People Consortium • Federal Interagency Workgroup (FIW)

13. Healthy People 2020… • Builds on a foundation of three decades of work in health promotion and disease prevention objectives aimed at improving the health of all Americans.  • Is grounded in science, guided by public input, and designed to measure progress. • Seeks to improve health outcomes through prevention strategies that address “ecological contexts” and determinants of health.

14. Healthy People 2010 Goals Goal 1: Increase the quality and years of healthy life Goal 2: Eliminate health disparities Goal 3: Protect health throughout all stages of life Goal 4: Make our environments healthier (address determinants of health)

16. Involving Non-Health Sectors To Address Determinants of Health • Healthy People 2020 will emphasize involving sectors outside health, including: • Education • Housing • Environment • Transportation • Labor • Agriculture

17. 1. Access to Health Services 2. Adolescent Health* 3. Arthritis, Osteoporosis, and Chronic Back Conditions 4. Blood Disorders and Blood Safety* 5. Cancer 6. Chronic Kidney Disease 7. Dementias, Including Alzheimer’s Disease* 8. Diabetes 9. Disability and Health 10. Early and Middle Childhood* 11. Educational and Community-Based Programs 12. Environmental Health 13. Family Planning 14. Food Safety * New Topic Area for 2020 Healthy People 2020 Topic Areas

18. 15. Genomics* 16. Global Health* 17. Healthcare-Associated Infections* 18. Health Communication and Health Information Technology 19. Health-Related Quality of Life* 20. Hearing and Other Sensory or Communication Disorders 21. Heart Disease and Stroke 22. HIV 23. Immunization and Infectious Diseases 24. Injury and Violence Prevention 25. Lesbian, Gay, Bisexual and Transgender Health Issues* 26. Maternal, Infant and Child Health 27. Medical Product Safety 28. Mental Health and Mental Disorders * New Topic Area for 2020 Healthy People 2020 Topic Areas (continued)

19. 29. Nutrition and Weight Status 30. Occupational Safety and Health 31. Older Adults* 32. Oral Health 33. Physical Activity 34. Preparedness* 35. Public Health Infrastructure 36. Respiratory Diseases 37. Sexually Transmitted Diseases 38. Sleep Health* 39. Social Determinants of Health* 40. Substance Abuse 41. Tobacco Use 42. Vision * New Topic Area for 2020 Healthy People 2020 Topic Areas (continued)

20. Healthy People 2020Leading Health Indicators • Access to Health Services • Clinical Preventive Services • Environmental Quality • Injury and Violence • Maternal, Infant and Child Health • Mental Health • Nutrition, Physical Activity and Obesity • Oral Health* • Reproductive and Sexual Health • Social Determinants of Health • Tobacco Use • Substance Abuse *New in 2020

21. MassachusettsLeading Health Indicators 2010 • Physical Activity* • Overweight and Obesity* • Tobacco Use* • Substance Abuse* • Responsible Sexual Behavior* • Mental Health* • Injury and Violence* • Environmental Quality* • Immunization • Access to health care* * HP2020 Leading Indicators

22. Sample Objective: Cancer • Objective C-1: Reduce the overall cancer death rate. • Target: 162.6 deaths per 100,000 population. • Baseline: 180.7 cancer deaths per 100,000 population occurred in 2006 (age adjusted to the year 2000 standard population). • Target Setting Method: 10 percent improvement. • Data Source: National Vital Statistics System (NVSS), CDC, NCHS.

23. Implementing Healthy People 2020

24. Ways To Use Healthy People 2020 • Go online: visit http://www.healthypeople.gov, a user-centered Web site that provides a platform to learn, collaborate, plan, and implement strategies to reach the 2020 objectives. • Integrate Healthy People 2020 into your programs, initiatives, special events, publications, and meetings. • Use Healthy People as a tool to engage partners at all levels of government, across sectors, and in the community. • Use Healthy People 2020 in health program planning.

25. Ways To Connect With Healthy People Join the Healthy People Consortium, a diverse and dedicated group of organizations committed to achieving Healthy People 2020's health goals and objectives. Learn about Healthy People activities at the Federal, State, local, and tribal levels. Get guidance on how agencies or organizations can use Healthy People objectives to help their communities. Gain access to timely information and resources. Sign up at www.healthypeople.gov.

26. Ways To Connect With Healthy People (continued) Follow Healthy People on Twitter (@gohealthypeople). Connect with Healthy People on LinkedIn. Join the Healthy People listserv. Visit www.healthypeople.gov for up-to-date information and announcements. E-mail: HP2020@hhs.gov.

27. Healthy People 2020: Looking Ahead Web-based interactive resource to expand reach and usability (www.healthypeople.gov). Dynamic system to accommodate changing health needs and priorities. “Health in All Policies” approach. Integration of social and physical environment determinants of health across multiple disciplines and sectors. Spring 2012: Healthy People Implementation Conference.

28. Engaging Sectors in Healthy People 2020 • Business • Community • Education • Environment • Health Care • Housing • Public Health

29. How Businesses Can Use Healthy People To Improve the Health of Their Employees and Communities • Understand priority health issues that may impact the productivity of your employees and affect the health of your community. • Use the Healthy People objectives as guidance for developing worksite wellness programs, and to benchmark employee health against that of the Nation. • Use the objectives to talk with your employees about the health issues that affect the well-being, productivity, and health care costs of employees. • By getting involved, you can help to make the United States a Nation of Healthy People living in healthier communities.

30. Topic Areas Relevant to Businesses • Educational and Community-Based Programs • Nutrition and Weight Status • Occupational Safety and Health • Physical Activity • Vision

31. How Community Members Can Use Healthy People To Improve the Health of Their Communities • Understand how health issues are changing in your community over time. • Compare the health of your community to that of other communities and the Nation. • Use this information to talk with leaders in your area about the health issues that are important to you. • Sound the alarm when problems are getting worse, or are not improving fast enough. • By getting involved, you can help make the United States a Nation of Healthy People living in healthier communities. • Go to www.healthypeople.gov for specific objectives related to community health within the Topic Areas.

32. How Educators Can Use Healthy People To Integrate Prevention Into Education • Understand how prevention can be integrated across the continuum of education—starting from the earliest ages. • Understand the correlation between educational status and health status. • Use the Healthy People objectives in curriculum development. • Contribute to national progress on the Healthy People objectives by working with public health partners at Federal, State, and local levels to achieve important educational goals (e.g., improved high school graduation rates) that will result in improved population health outcomes.

33. Topic Areas Relevant to Education • Adolescent Health, Early and Middle Childhood • Educational and Community-Based Programs • Health Communication and Health IT • Nutrition and Weight Status • Physical Activity • Public Health Infrastructure • Tobacco Use

34. How Environmental Health Professionals Can Use Healthy People To Improve Population Health and the Environment • Understand how environmental health issues can be integrated across various sectors and Healthy People objectives. • E.g., eliminate elevated blood lead levels in children, reduce indoor allergen levels, increase use of alternative modes of transportation for work. • Understand the correlation between educational status, physical environment, and health status. • Contribute to national progress by working with public health and environmental health partners at the Federal, State, and local levels to achieve important environmental goals (e.g., reduce air toxic emissions) that will result in improved population health outcomes.

35. Topic Areas Relevant to the Environment • Cancer • Educational and Community-Based Programs • Environmental Health • Occupational Safety • Respiratory Diseases

36. How Health Care Providers Can UseHealthy People To Improve Population Health • Understand how health care and health services fit into the context of population health. • Contribute to national progress on the Healthy People objectives by offering patients relevant counseling, education, and other preventive services. • Find objectives that pertain to your specific areas of specialization. • Understand how your patient population compares with the U.S. population as a whole. • Learn about key issues within each Topic Area that are important to address on a national level. • Go to www.healthypeople.gov for specific objectives related to health care within the Topic Areas.

37. How People Working on Housing Issues Can Use Healthy People To Improve Population Health • Understand the relationship between the built environment and health (e.g., exposure to lead, mold, overcrowding). • Find objectives that pertain to your specific areas of programmatic interest. • Contribute to national progress by working with public health partners and housing advocates at the Federal, State, and local levels to achieve important housing related goals (e.g., reduce number of housing units that have moderate or severe physical problems) that will result in improved population health outcomes.

38. Topic Areas Relevant to Housing • Disability and Health • Environmental Health • Educational and Community-Based Programs • Health-Related Quality of Life • Social Determinants of Health

39. How State and Local Public Health Professionals Can Use Healthy People To Improve Population Health • Understand how State and local efforts can align with Federal efforts to improve population health. • Contribute to national progress on the objectives by aligning Federal, State, and local programs with Healthy People 2020. • Find objectives that pertain to your specific areas of programmatic interest. • Understand how your State or locality compares with the U.S. population as a whole. • Learn about key issues that are important to address on a national level. • Go to www.healthypeople.govfor specific objectives related to public health within the Topic Areas.

40. Factors Influencing Health and US Health Expenditures Medical Care (96%) Source: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

41. Health Impact Pyramid

42. Contact Information Healthy People 2020 www.healthypeople.gov Laura Hillier, MPH Northeast Center for Healthy Communities lhillier@glfhc.org www.nc4hc.org