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Healthy People 2020: Preparing for a New Decade Geri Tebo Office of Disease Prevention and Health Promotion, HHS January 20, 2011.

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Presentation on theme: "Healthy People 2020: Preparing for a New Decade Geri Tebo Office of Disease Prevention and Health Promotion, HHS January 20, 2011."— Presentation transcript:

1 Healthy People 2020: Preparing for a New Decade Geri Tebo Office of Disease Prevention and Health Promotion, HHS January 20, 2011

2 What is Healthy People? National agenda that communicates a vision, mission and overarching goals, supported by topic areas and specific objectives for improving the population’s health.

3 Aligned Effort Strategic Goals Healthy People Random Acts of Innovation Non-Aligned Effort Healthy People: Aligns Strategic Public Health Goals and Efforts Across the Nation

4 Target Year Overarching Goals Decrease mortality: infants-adults Increase independence among older adults Increase span of healthy life Reduce health disparities Achieve access to preventive services for all Increase quality and years of healthy life Eliminate health disparities Attain high quality, longer lives free of preventable disease… Achieve health equity, eliminate disparities… Create social and physical environments that promote good health… Promote quality of life, healthy development, healthy behaviors across life stages… Topic Areas * # Objectives > 580 Evolution of Healthy People *39 Topic areas with objectives

5 Key Features of Healthy People Creates a comprehensive strategic framework uniting 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 on public health. Establishes accountability requiring all PHS grants to demonstrate support of Healthy People objectives.

6 Healthy People 2010: Pros and Cons Strengths Collaboration and consensus Diverse users Public access to data via internet Science- and evidence-based Data-driven: measurable objectives with targets Challenges Encyclopedic approach versus targeted effort Data source funding and development Implementation plan Technical assistance

7 State & Local Governments (50 state coordinators) Community-Based Organizations, Community Health Clinics, Social Service Organizations, etc. National-level Stakeholders, including members of the Healthy People Consortium (2,200+ organizations) Federal Interagency Workgroup (28 federal agencies) Healthy People: Federally Led, Stakeholder Driven Individuals, Families, & Neighborhoods across America HHS Secretary’s Advisory Committee

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9 Healthy People 2020: Mission ▫Healthy People 2020 strives to:  Identify nationwide health improvement priorities;  Increase public awareness and understanding of determinants of health, disease, disability and opportunities for progress;  Provide measurable objectives and goals applicable at national, state, and local levels;  Engage multiple sectors to take actions to strengthen policies and improve practices driven by best available evidence and knowledge;  Identify critical research, evaluation, and data collection needs.

10 Healthy People 2020: New Topic Areas Life stages ▫Adolescent Health, Early and Middle Childhood, Older Adults Blood disorders and Blood Safety Dementia, including Alzheimer's Disease Genomics Global Health Healthcare-Associated Infections LGBT Health Preparedness Health-Related Quality of Life and Well-being Sleep Health Social Determinants of Health

11 Overview of Health Disparities Achieve health equity, eliminate disparities, and improve the health of all groups. Definition: a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage

12 For all Americans, other influences on health include the availability of and access to: A high-quality education Nutritious food Decent and safe housing Affordable, reliable public transportation Culturally sensitive health care providers Health insurance Clean water and nonpolluted air

13 Disparities by race and ethnicity African Americans and American Indians/Alaska Natives have higher rates of infant mortality and diabetes. A higher percentage of Asian Americans live in poverty than do non-Hispanic whites. Native Hawaiians/Other Pacific Islanders have much higher rates of cancer and hepatitis. Hispanics have higher rates of obesity, HIV/AIDS, and smoking.

14 Disparities by gender Women have higher rates of obesity, arthritis, osteoporosis, some mental disorders, and autoimmune diseases, such as lupus and multiple sclerosis than men. Women, especially those in their childbearing years, continue to be the fastest growing segment of the population to be infected with HIV or diagnosed with AIDS. An estimated 25 percent of people living with HIV in the United States are women. Because women can experience the symptoms of a heart attack differently than men, they may be misdiagnosed, or women may not realize they are having a heart attack until it is too late.

15 Disparities by gender More men die from heart disease, cancer, influenza and pneumonia, chronic liver disease, diabetes, and AIDS than women. More men die prematurely from violence (homicide and suicide) and accidents than women. Men abuse alcohol and drugs at higher rates than women. More men than women smoke tobacco. Men are more likely to delay routine checkups and ignore symptoms of a health problem than women.

16 Lesbian, Gay, Bisexual, and Transgender Populations LGBT youth are 2 to 3 times more likely to attempt suicide. LGBT youth are more likely to be homeless. Lesbians are less likely to get preventive services for cancer. Elderly LGBT individuals face additional barriers to health because of isolation and a lack of social services and culturally competent providers. LGBT populations have some of the highest rates of tobacco use

17 Persons With Disabilities or Special Health Care Needs Adults with disabilities are more likely to be obese or overweight and have high blood pressure and high cholesterol than other adults. The rates of substance abuse among people with disabilities are about 2 to 4 times greater than that of the general population. Research has shown that women with disabilities have a higher risk for emotional, physical, and sexual abuse than do women without disabilities.

18 Geographic Location: Rural Residents Rural residents face a number of barriers in accessing quality health services, and they experience significant health disparities. Compared with their urban counterparts, rural residents were more likely to: Report being in fair to poor health Live with a chronic disease such as diabetes Die from heart disease Be admitted to a hospital for uncontrolled diabetes

19 Geographic Location: Urban Residents Concentrated poverty Higher levels of indoor and outdoor pollution, such as noise and air pollution from motor vehicle traffic and industry, and indoor exposure to allergens, carcinogens, and lead Overcrowding, leading to higher rates of infectious diseases

20 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. Healthy People 2020 Online

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25 Healthy People 2020 link to Data Warehouse ▪ Health Indicators Warehouse (HIW): contains national, state and community health data plus data on successful interventions by indicator. Will include data never previously released, and will be delivered in a structured, standardized, machine- readable, easily accessible way, free of charge and intellectual property constraint

26 Health Indicators Warehouse Available 1/21/11 Will include: ▫HP 2020 data ▫CMS data ▫MATCH data ▫CHSI

27 Healthy People 2020: Looking Ahead Release of LEADING HEALTH INDICATORS Spring 2011 Healthy People 2010 Final Report - Fall 2011 Healthy People Users Conference - Spring 2012 Continued development of implementation plan and resources

28 Healthy People 2020 FOR MORE INFORMATION: Office of Disease Prevention and Health Promotion US Department of Health and Human Services


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