Healthy People 2020

1. Healthy People 2020 A Resource for Promoting Health and Preventing Disease throughout the Nation

2. Today�s Presentation: Background and History of Healthy People Development of Healthy People 2020 Healthy People 2020 Framework and Determinants of Health Healthy People 2020 Web Redesign and Communication Efforts

3. HEALTHY PEOPLE BACKGROUND AND HISTORY

4. 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. Often called a �roadmap� for nationwide health promotion and disease prevention efforts, Healthy People is about understanding where we are now, and taking informed action to get where we want to go over a ten-year period.Often called a �roadmap� for nationwide health promotion and disease prevention efforts, Healthy People is about understanding where we are now, and taking informed action to get where we want to go over a ten-year period.

5. History of Healthy People 1979 � ASH/SG Dr. Julius Richmond establishes 1st national prevention agenda: Healthy People: The 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 For three decades, Healthy People has provided a comprehensive set of national ten-year objectives that have served as a framework for public health activities at all levels and across the public health community. Healthy People has evolved as the Nation�s public health priorities have changed. For three decades, Healthy People has provided a comprehensive set of national ten-year objectives that have served as a framework for public health activities at all levels and across the public health community. Healthy People has evolved as the Nation�s public health priorities have changed.

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 multi-disciplinary, multi-sectoral stakeholders at all levels. Guides national research, program planning, and policy efforts to promote health and prevent disease. Establishes accountability requiring all HHS 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 & development Goal setting and agenda building Teaching public health courses Benchmarks to compare national, state and local data and health among populations Way to develop nontraditional partnerships

8. Healthy People is led by the Department of Health and Human Services (HHS), with an Advisory Committee providing input to the Secretary of HHS. It has been used as strategic management tool by the Federal Government, States, communities, and many other stakeholders. These stakeholders have a direct influence on and provide ongoing input to the Healthy People development and implementation process. Healthy People is led by the Department of Health and Human Services (HHS), with an Advisory Committee providing input to the Secretary of HHS. It has been used as strategic management tool by the Federal Government, States, communities, and many other stakeholders. These stakeholders have a direct influence on and provide ongoing input to the Healthy People development and implementation process.

9. The number of objectives has increased with each decade. Healthy People 1990 set forth 226 objectives, Healthy People 2000 included 312 objectives, Healthy People 2010 identified 467 objectives with 1,000 measures, and Healthy People 2020 has nearly 600 objectives with over 1,300 measures.The number of objectives has increased with each decade. Healthy People 1990 set forth 226 objectives, Healthy People 2000 included 312 objectives, Healthy People 2010 identified 467 objectives with 1,000 measures, and Healthy People 2020 has nearly 600 objectives with over 1,300 measures.

10. HEALTHY PEOPLE 2020 DEVELOPMENT, FRAMEWORK, TOPIC AREAS AND OBJECTIVES

11. 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) In addition to the Advisory Committee, public input was sought during a series of 6 regional meetings that were held across the country in 2008. Throughout the Healthy People development process, input was solicited through formal public comment periods. Within the Federal government, the Federal Interagency Workgroup (FIW) was charged with drafting the initial framework and objectives. This workgroup included representatives from across HHS as well as from other Federal agencies. In addition to the Advisory Committee, public input was sought during a series of 6 regional meetings that were held across the country in 2008. Throughout the Healthy People development process, input was solicited through formal public comment periods. Within the Federal government, the Federal Interagency Workgroup (FIW) was charged with drafting the initial framework and objectives. This workgroup included representatives from across HHS as well as from other Federal agencies.

12. 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 social and physical determinants of health.

13. Healthy People 2020 Mission 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.

14. Healthy People 2020 Mission (con�t) 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.

15. This graphic depicts the ecological and determinants approach that Healthy People 2020 takes in framing the national health objectives. The concept of determinants describes how the conditions in which we live and work--such our physical and social environments and access to health services--and our individual behavior and biology can impact our health. The graphic illustrates the fundamental degree of overlap among the determinants of health, as well as emphasize their collective impact and influence on health outcomes and conditions. The framework also underscores a continued focus on population disparities, including those categorized by race/ethnicity, socioeconomic status, gender, age, disability status, sexual orientation, and geographic location. This graphic depicts the ecological and determinants approach that Healthy People 2020 takes in framing the national health objectives. The concept of determinants describes how the conditions in which we live and work--such our physical and social environments and access to health services--and our individual behavior and biology can impact our health. The graphic illustrates the fundamental degree of overlap among the determinants of health, as well as emphasize their collective impact and influence on health outcomes and conditions. The framework also underscores a continued focus on population disparities, including those categorized by race/ethnicity, socioeconomic status, gender, age, disability status, sexual orientation, and geographic location.

16. Determinants of Health video tutorial Video tutorial explains the concept of determinants of health and how they relate to Healthy People 2020. Modeled on previous static graphic.Video tutorial explains the concept of determinants of health and how they relate to Healthy People 2020. Modeled on previous static graphic.

17. Determinants of Health video tutorial The concept of interventions and outcomes along with a continuous cycle of assessment, monitoring, evaluation and dissemination is introduced.The concept of interventions and outcomes along with a continuous cycle of assessment, monitoring, evaluation and dissemination is introduced.

18. Determinants Across the Lifespan Tutorial emphasizes determinants across all stages of life.Tutorial emphasizes determinants across all stages of life.

19. Involving Non-Health Sectors to Address Determinants of Health Healthy People 2020 will emphasize involving sectors outside of health including: Agriculture Education Environment Housing Labor Transportation This new emphasis is based on research conducted about Healthy People with various stakeholders.This new emphasis is based on research conducted about Healthy People with various stakeholders.

20. Healthy People 2020 Objectives Represent quantitative values to be achieved over the decade Organized within the Topic Areas Managed by Federal agencies Supported by scientific evidence Address population disparities Data driven and prevention oriented The Healthy People 2020 proposed objectives were made available online for public comment in the fall of 2009 on the Healthy People Web site. Each individual comment was then reviewed and discussed before the Federal Interagency Workgroup (FIW).The Healthy People 2020 proposed objectives were made available online for public comment in the fall of 2009 on the Healthy People Web site. Each individual comment was then reviewed and discussed before the Federal Interagency Workgroup (FIW).

21. Sample Objective: Cancer

22. HEALTHY PEOPLE 2020 WEB REDESIGN AND COMMUNICATION EFFORTS

24. Web Redesign for 2020 Vision: Create an engaging, user-centered Web site that gives new and existing users of Healthy People a platform to learn, collaborate, plan, and implement strategies to reach the 2020 objectives. Phased approach beginning with December 2010 launch

25. Approach User-centered New emphasis on making Healthy People accessible to more people Plain language reviews Information for new users

26. Methods: developed through formative research and usability testing Healthfinder: 4 years� formative research; utilized health literacy principals (an individual's ability to read, understand and use healthcare information to make decisions and follow instructions for treatment). Award-winning site today. Healthfinder: 4 years� formative research; utilized health literacy principals (an individual's ability to read, understand and use healthcare information to make decisions and follow instructions for treatment). Award-winning site today.

27. Phase I: Key Features Determinants of health � integrated & featured Tagged topic area relationships Tagged relationships to evidence-based interventions Integration of data on the HP site Implementation and planning resources New media - tools and video Data integration: no longer have to link to Data 2010 Tagged relationships: USPTF�s Clinical Guide & CDC�s Community Guide by topic area New media: HP Twitter, LinkedIn accounts; streaming HHS YouTube channel; Future: Facebook, content syndication, e-learningData integration: no longer have to link to Data 2010 Tagged relationships: USPTF�s Clinical Guide & CDC�s Community Guide by topic area New media: HP Twitter, LinkedIn accounts; streaming HHS YouTube channel; Future: Facebook, content syndication, e-learning

29. Modeled After �myhealthfinder� tool

32. Tagged Topic Area Relationships -�Amazon.com� Approach Example: If a user is in the �Nutrition and Weight Status� Topic Area, a box on the page reads: Related Topic Areas: Food Safety, Diabetes, Physical Activity, etc.

34. Tagged relationships to evidence-based interventions from: U.S. Preventive Services Task Force Clinical Guide Recommendations on clinical preventive health care services (e.g., screening, counseling, and preventive medications) CDC Guide to Community Preventive Services Program/policy interventions at the community level Healthfinder.gov Quick Guide to Healthy Living Health information for consumers At the topic area level for Phase 1. Explicit references/recommendations were mapped to specific HP objectives. If such a relationship existed at the objective level, the intervention was included in the EBR for that Topic Area.�At the topic area level for Phase 1. Explicit references/recommendations were mapped to specific HP objectives. If such a relationship existed at the objective level, the intervention was included in the EBR for that Topic Area.�

36. �Learn More� links directly to related intervention

37. Data Integration: HP2010 required external linking to Data2010

38. HP2020: HHS Health Indicators Warehouse (HIW) A data hub of a collaborative effort among gov and non-gov partners Goal: to establish a network of community health data, indicators, and interventions Purpose: help Americans understand health and the healthcare system in their communities Provides access to data via an API (Application Programming Interface) Two distinct web services: RESTful and SOAP

40. When the indicators warehouse is ready in early 2011, there will be a fourth �Data� tab in the Objectives section where the API will pull in relevant data to the Healthy People Web site. Users can search the HIW by HP objectives and population-based categories (SES, geography, etc.)When the indicators warehouse is ready in early 2011, there will be a fourth �Data� tab in the Objectives section where the API will pull in relevant data to the Healthy People Web site. Users can search the HIW by HP objectives and population-based categories (SES, geography, etc.)

41. Content has been repurposed from HP2010; updated for 2020 to include broader range of resources.Content has been repurposed from HP2010; updated for 2020 to include broader range of resources.

42. Each section has guidelines for the designated stage, �field notes� from a state example, printable tools and links to external resources (e.g., KU [Univ. of Kansas], Community Toolkit, NCI�s Pink Book [health communication resource], CDC, RWJF, etc.) Planning and Funding resources: links to HP state plans from 2010, gov funding opportunitiesEach section has guidelines for the designated stage, �field notes� from a state example, printable tools and links to external resources (e.g., KU [Univ. of Kansas], Community Toolkit, NCI�s Pink Book [health communication resource], CDC, RWJF, etc.) Planning and Funding resources: links to HP state plans from 2010, gov funding opportunities

44. New Media Healthy People on Twitter (@gohealthypeople) Healthy People on LinkedIn HHS YouTube channel Healthy People Facebook Considering Content Syndication Healthy People online Community Collaborative Community Collaborative: an online venue for HP stakeholders to share best practices and ideas Looking for other ways to expand our reach in the futureCommunity Collaborative: an online venue for HP stakeholders to share best practices and ideas Looking for other ways to expand our reach in the future

46. Long-Term Vision: Phase 2 One-stop shop for HP Stakeholders that provides: Full integration with HHS HIW with population-based data Evidence-based implementation strategies for objectives Personalized information based on specific needs Tools for orgs/communities to create plans and implementation strategies Venue for e-learning activities and Webinars

47. Questions? Emmeline.Ochiai@hhs.gov Kimber.Wukitsch@hhs.gov www.healthypeople.gov