Phase II: Approval of Recommendations to HHS & Discussion of Topic Areas

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

4. Evolution of Healthy People - 2

5. Evolution of Healthy People - 3

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

10. Current Healthy People 2020: Overarching Goals

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

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

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.

26. Linking Framework to Topic Areas

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