Desired Outcomes for the Meeting

1. Phase II: Update on Phase II Contributions of the Committee & Focus of Activities in Months to Come Secretary’s Advisory Committee on National Health Promotion & 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 April 1, 2010

2. Desired Outcomes for the Meeting • Discuss the connection between HP2020 and health reform • Review Phase II progress of the Advisory Committee • Obtain feedback and an update from HHS • Discuss and vote on recent products of Subcommittee work • Hear a summary of the Healthy People 2010 User Study • Discuss the Committee’s work for the coming months.

3. CER Research ARRA CPPW Community Health Data Initiative Healthy People 2020 Health Reform Opportunities for Innovation: Health Promotion & Disease Prevention

4. Health Reform: Some Key Components • Establishment of key national indicators • National Prevention, Health Promotion and Public Health Council • Within HHS, chaired by the Surgeon General • Members will include Secretaries of HHS, Agriculture, Education, Transportation, Housing, Director of Domestic Policy Council, Administrator of EPA, and others. • Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Advisory group to the Council) • Within HHS, reports to the Surgeon General • No more than 25 non-federal members, to be appointed by the President • Responsible for developing the policy and plans for Council to consider; • National Prevention and Health Promotion Strategy • Due one year from date of enactment (March 23, 2011) • Developed by the Advisory Group Chairperson, in consultation with the Council • Set goals and objectives for improving the health of the U.S. • Report on Progress would be due on July 1, 2010, and annually thereafter through January 15, 2015.

5. Health Reform… • Council’s Report will include : • List of national priorities on health promotion & disease prevention to address lifestyle behavior modification • Strategies to achieve Healthy People goals for nutrition, exercise and smoking cessation and 5 leading-disease killers in the U.S.; • Specific science-based initiatives to achieve the aforementioned measurable goals of Healthy People 2010; • Specific plans to consolidate Federal health programs & Centers to promote healthy behavior and reduce risk (eliminating those ineffective in meeting priority goals of Healthy People 2010; • Specific plans to ensure that all public health programs are based on science-based guidelines developed by the CDC; • Periodic Reviews (not less than every 5 years) of federal disease prevention and health promotion programs

6. ARRA- Communities Putting Prevention to Work

7. Community Health Data Initiativehttp://www.cdc.gov/nchs/data_access/chdi.htm • Collaborative of government & non-government partners • Establishes “a network of suppliers and demanders of community health data, indicators, and interventions.” • Purpose is to help Americans understand health and health care system performance in their communities. • Sample Indicator Reports and Initiatives: • America’s Children: Key Indicators of Well-being, 2009 • Chronic Disease Indicators • Health, United States, 2009 • Healthy People • Older Americans 2008

8. Committee Recommendations Submitted During Phase II

9. Outstanding Items Discussed, but not formally approved by Committee vote

10. Healthy People 2020 Update RADM Penelope Slade-Sawyer Office of Disease Prevention and Health PromotionUS Department of Health and Human Services Secretary’s Advisory CommitteeApril 1, 2010

11. Update on HHS Activities HHS Response to Committee Recommendations FIW Progress and Activities Status of the Healthy People 2020 Objectives

12. Proposed HP 2020 Topic Areas Access to Health Services Adolescent Health Arthritis, Osteoporosis, and Chronic Back Conditions Blood Disorders and Blood Safety Cancer Chronic Kidney Diseases Dementias, Including Alzheimer’s Disease Diabetes Disability and Health

13. Proposed HP 2020 Topic Areas Early and Middle Childhood Educational and Community-Based Programs Environmental Health Family Planning Food Safety Genomics Global Health Health Communication and Health IT Healthcare-Associated Infections

14. Proposed HP 2020 Topic Areas Hearing and Other Sensory or Communication Disorders (Ear, Nose, Throat - Voice, Speech, and Language) Heart Disease and Stroke HIV Immunization and Infectious Diseases Injury and Violence Prevention Maternal, Infant and Child Health Medical Product Safety Mental Health and Mental Disorders Nutrition and Weight Status

15. Proposed HP 2020 Topic Areas Occupational Safety and Health Older Adults Oral Health Preparedness Public Health Infrastructure Physical Activity and Fitness Public Health Infrastructure Quality of Life and Well Being

16. Proposed HP 2020 Topic Areas Respiratory Diseases Sexually Transmitted Diseases Social Determinants of Health Substance Abuse Tobacco Use Vision

17. Update on HHS Activities Update on the Launch & Timeline Plans for 2012 National Meeting Guidance to FACA for the Coming Months

18. Updates on Subcommittee Activitiesand Voting on Recommendations Jonathan Fielding, Committee Chair

19. Status of Subcommittees

20. Draft Recommendations to be Finalized and Approved Today

21. Ad Hoc Group on Social Determinants of Health Abby King, PhDAd Hoc Group ChairStanford University

22. Recent Activities of Ad Hoc Group on Social Determinants of Health Met twice (October 2009, February 2010) to discuss concrete examples that HHS could use to work across topic areas. The Subcommittee could provide more specific suggestions directly to the FIW if needed. Guidance could be developed on how the FIW can incorporate social determinants of health into implementation strategies for HP2020.

23. Ad Hoc Group on Social Determinants:Recommendation #1 Encourage and support the FIW’s role in: Operationalizing the cross-cutting elements of HP2020 that pertain to physical and social environments and extend beyond the health field. Making it a priority to focus on social determinants that will impact multiple determinants of health.

24. Ad Hoc Group on Social Determinants:Specific Steps to Prompt Action on SDOH Identify and disseminate planning models that have been adapted to focus on social determinants. Specify concrete sets of steps for promoting local, state, and national policies to address social and environmental determinants of health and eliminate or mitigate determinants that harm health. Incorporate planning models from other relevant fields (e.g., public health, education, transportation, housing, law enforcement, etc.) and both the public and private sectors.

25. Ad Hoc Group on Social Determinants:Recommendation #2 Identify and select specific measures that can be used to track processes and impacts related to initiatives to influence social determinants. Such tools should be applicable to both: The population at-large, and Subpopulations that experience health disparities.

26. Ad Hoc Group on Social Determinants:Recommendation #3 Provide: Practical and useful information collection tools related to these identified measures, where available; Examples of ways to synthesize the relevant data.

27. Ad Hoc Group on Social Determinants:Recommendation #4 Wherever possible, give specific examples for topic areas that demonstrate how programs and policies to affect SDOH can be implemented.

28. Ad Hoc Group on Social Determinants:Recommendation #5 Evaluate recommendations and activities being undertaken by other nations in the social and environmental determinants arena.

29. Next Steps • Amendments to recommendations? • Vote to approve?

30. Subcommittee on Priorities David Meltzer, MD, PhDSubcommittee Co-ChairUniversity of Chicago Abby King, PhDSubcommittee Co-ChairStanford University

31. Recent Activity, Subcommittee on Priorities • Met three times between October and March. • Determined that, given the sheer number of objectives, it is necessary to give users tools to prioritize among them. • There is an opportunity cost when one does not make choices.

32. Recent Activity, Subcommittee on Priorities • The Subcommittee has proposed a multi-level approach to priority-setting, based on the following ideas: • Public health priorities should be set by localities, states, and at the national level; • Processes used to set priorities should engage civic participation; • HHS should identify national priorities for the coming decade.

33. Proposed Approach to Priority-Setting Priority-setting should be conducted for: • Interventions to address specific topic areas (e.g., “Cancer” or “Early and Middle Childhood”); • Interventions to address the major risk and protective factors for common diseases; • Interventions that address determinants of health outside the traditional health sector.

34. Recommendations of the Subcommittee • Priorities should be set at each level of government—federal, state, and local. • Each level should incorporate public input into its priority-setting processes. • Priority-setting should be informed by specific criteria (e.g., overall burden, preventability, potential to reduce health disparities, and cost-effectiveness).

35. Next Steps • Amendments to recommendations? • Vote to approve?

36. Subcommittee on Strategic Communications W. Douglas Evans, PhD Subcommittee Chair George Washington University

37. Strategic Communications Five meetings since October Ron Mandersheid, Eva Moya, and Doug Evans attended from the committee Worked on developing strategic communication objectives and strategies Started from previous audience matrix Input from ongoing ODPHP/HHS activities and research

38. HHS activities and research Linda Harris presented Healthfinder.gov Reaches health professionals and general public, includes Twitter account Synthesizes evidence into actionable information for multiple audiences Offers opportunity for HP2020 communication research Who uses it? For what? What is social media contribution? Does use lead to behavior change?

39. Other activities Big ODPHP partnership component Partnerships can be leveraged to build HP2020 awareness and utilization ODPHP audience research Recommendations for Health IT and strategic communications Develop HHS plan for public health IT infrastructure Should include plans for HP2020 strategic communications capabilities

40. Example of expanded audience matrix elements

41. Next Steps • Amendments to recommendations? • Vote to approve?

42. Subcommittee on Action Steps and Evidence Jonathan Fielding,MD, MPH, MA, MBA Subcommittee Co-Chair Los Angeles County Department of Public Health Steven Teutsch, MD, MPHSubcommittee Co-Chair Los Angeles County Department of Public Health

43. Subcommittee on ASE: Charge • How can HHS best show HP 2020 stakeholders how to use the exhaustive list of objectives? • How can HHS maximize its adoption and use? • What processes can HHS use to ensure that action steps included in HP 2020 are grounded in solid scientific evidence?

44. Subcommittee on ASE: Members • Martin Fenstersheib, Santa Clara County • David Fleming, Seattle King County • George Isham, HealthPartners, Inc. • Lynn Silver, New York City

45. Healthy People 2010 User Study [Alternate slide set]

46. Summary and Next Steps • Subcommittee charges • Future meeting dates and plans