1. Healthy People 2010 and Steps to a HealthierUS: Leading Prevention Office of Disease Prevention and Health Promotion U.S. Department of Health and Human Services

2. Overview Healthy People 2010 Healthy People 2010 The President’s HealthierUS Initiative The President’s HealthierUS Initiative DHHS Steps to a HealthierUS Initiative DHHS Steps to a HealthierUS Initiative

3. Build a Healthier Nation Focus on Prevention National Objectives Relationship

4. Healthy People 2010 History History Goals Goals Approach Approach Implementation Implementation www.healthypeople.gov

5. History 1979-The Surgeon General’s Report on Health Promotion and Disease Prevention 1979-The Surgeon General’s Report on Health Promotion and Disease Prevention 1980- Promoting Health/Preventing Disease: Objectives for the Nation 1980- Promoting Health/Preventing Disease: Objectives for the Nation 1990-Healthy People 2000 1990-Healthy People 2000 2000-Healthy People 2010 2000-Healthy People 2010

6. Goals 2 Goals 2 Goals - Increase the quality and years of healthy life - Eliminate health disparities 28 Focus Areas 28 Focus Areas 467 specific objectives 467 specific objectives

7. Approach A set of 10-year, evidenced-based disease prevention and health promotion objectives A set of 10-year, evidenced-based disease prevention and health promotion objectives The result of an extensive collaborative process The result of an extensive collaborative process A systematic approach for promoting Healthy People in Healthy Communities A systematic approach for promoting Healthy People in Healthy Communities –A comprehensive set of national objectives –Addresses all determinants of health –Measures health status

8. A Rich Data Resource Healthy People draws from a variety of data sources Healthy People draws from a variety of data sources Healthy People reviews a large number of data points Healthy People reviews a large number of data points Healthy People is the most comprehensive source of health data in the nation Healthy People is the most comprehensive source of health data in the nation

9. Implementation State Plans – Go Iowa! State Plans – Go Iowa! Consortium Consortium Partnerships Partnerships Progress Reviews Progress Reviews Midcourse Review Midcourse Review Final Review Final Review

10. 10 Midcourse Review – Purpose Report progress toward the national health promotion and disease prevention objectives Report progress toward the national health promotion and disease prevention objectives Opportunity to assess progress toward Healthy People 2010’s two overarching goals Opportunity to assess progress toward Healthy People 2010’s two overarching goals Reveals areas that are facing challenges Reveals areas that are facing challenges

11. Steering Committee Representatives Steering Committee Representatives Administration on Aging Administration on Aging Administration for Children and Families Administration for Children and Families Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality Centers for Disease Control and Prevention Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services Centers for Medicare and Medicaid Services Food and Drug Administration Food and Drug Administration Health Resources and Services Administration Health Resources and Services Administration Indian Health Service Indian Health Service National Institutes of Health National Institutes of Health Substance Abuse and Mental Health Services Administration Substance Abuse and Mental Health Services Administration Other Federal Departments Other Federal Departments United States Department of Agriculture United States Department of Agriculture United States Department of Education United States Department of Education Federal Leadership for Healthy People 2010

12. Build a Healthier Nation Focus on Prevention National Objectives Relationship

13. 13 Headlines

14. 14 Note: Figures represent IFIC tracking of U.S. and International (English-speaking) wire reports and print articles on the issue and do not necessarily reflect the true number of stories. Trends in Obesity-Related Media Coverage

15. HealthierUS The President’s Health and Fitness Initiative The President’s Health and Fitness Initiative Created by Presidential Executive Order – June 2002 Created by Presidential Executive Order – June 2002

16. HealthierUS Executive Order “Uses the resources of the Federal Government to alert Americans to the vital health benefits of simple and modest improvements in physical activity, nutrition and behavior.” “Uses the resources of the Federal Government to alert Americans to the vital health benefits of simple and modest improvements in physical activity, nutrition and behavior.” –Reinvigorated the President’s Council on Physical Fitness and Sports –Directed federal agencies to work together and draw on their collective resources

17. HealthierUS Mission Focus on four health pillars Focus on four health pillars – Be physically active – Eat a nutritious diet – Get preventive screenings – Make healthy choices To prevent disease, disability and death and help Americans lead safer, healthier, longer lives To prevent disease, disability and death and help Americans lead safer, healthier, longer lives

18. 18 Actions Around HealthierUS Reinvigoration of the President’s Council on Physical Fitness and Sports Reinvigoration of the President’s Council on Physical Fitness and Sports Partnerships within the Federal Government Partnerships within the Federal Government –HealthierChildren and Youths –Public Health and Recreation –5 A Day –Healthier Worksite Project

19.  Department of Health and Human Services (lead)  Department of Agriculture  Department of Defense  Department of Education  Department of Housing and Urban Development  Department of the Interior  Department of Labor  Department of Transportation  Department of Veteran Affairs  Environmental Protection Agency  General Services Administration  Office of National Drug Control Policy  Office of Personnel Management Federal Leadership for HealtherUS

20. Build a Healthier Nation Focus on Prevention National Objectives Relationship

21. Steps to a HealthierUS History History Goals Goals Approach Approach Implementation Implementation www.healthierus.gov/steps

22. Secretary Thompson’s Secretary Thompson’s Prevention Initiative Prevention Initiative Envisions a nation where diseases are prevented when possible, controlled when necessary, and treated when appropriate Envisions a nation where diseases are prevented when possible, controlled when necessary, and treated when appropriate History

23. Chronic Disease Epidemic

24. Chronic diseases account for 75% of the $1.4 trillion we spend on healthcare More than 125 million Americans live with chronic conditions, and millions of new cases are diagnosed each year More than 1.7 million Americans die of a chronic disease each year Statistics

25. Reducing the Burden of Disease Reducing the Burden of Disease  Obesity  Diabetes  Asthma  Cancer  Heart Disease and Stroke Addressing Risk Factors Addressing Risk Factors  Physical Inactivity  Poor Nutrition  Tobacco Use  Youth Risk Taking Steps-Goals

26. Community initiatives Community initiatives Collaboration with the private sector, healthcare groups, and insurance systems Collaboration with the private sector, healthcare groups, and insurance systems Cooperation among policy makers to invest in disease prevention and health promotion Cooperation among policy makers to invest in disease prevention and health promotion Health promotion programs to motivate and support responsible health choices Health promotion programs to motivate and support responsible health choices State and federal policies that invest in the promise of prevention of all Americans State and federal policies that invest in the promise of prevention of all Americans Steps-Approach

27. Administration on Aging Administration on Aging Administration for Children and Families Administration for Children and Families Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality Centers for Disease Control and Prevention Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services Centers for Medicare and Medicaid Services Food and Drug Administration Food and Drug Administration Health Resources and Services Administration Health Resources and Services Administration Indian Health Service Indian Health Service National Institutes of Health National Institutes of Health Substance Abuse and Mental Health Services Administration Substance Abuse and Mental Health Services Administration HHS Agencies Involved in Steps to a HealthierUS

28. Steps-Implementation Community Support Community Support –Fund Steps grants program to support public-private partnerships Collaboration Collaboration –Create synergy among HHS agencies/programs Resources Resources –Provide guidance, tools and expertise Visibility Visibility –Increase awareness of the impact of chronic diseases Policy Policy –Support prevention and behavioral change

29. Steps to a HealthierUS grant program Steps to a HealthierUS grant program Steps Partnerships Steps Partnerships Annual National Prevention Summit Annual National Prevention Summit Media coverage and publications Media coverage and publications Reaching out to business leaders Reaching out to business leaders Town hall meetings across the country Town hall meetings across the country Steps-Nationwide Activities

30. 5-year cooperative agreement program 5-year cooperative agreement program Sponsored by HHS, acting through CDC and combining strengths and resources of all relevant HHS agencies and programs Sponsored by HHS, acting through CDC and combining strengths and resources of all relevant HHS agencies and programs Innovative and effective community-based chronic disease prevention and control programs Innovative and effective community-based chronic disease prevention and control programs Evaluate using Healthy People 2010 objectives Evaluate using Healthy People 2010 objectives Steps-Grant Program

31. Communities Communities Schools Schools Public/Private partnerships Public/Private partnerships Media and IT technologies Media and IT technologies Supportive environments and social networks Supportive environments and social networks Access and utilization of quality health care services Access and utilization of quality health care services Steps-Grant Interventions

32. STEPS Awardees Representing 23 Communities State-coordinated Small Cities/Rural Communities WA—4 counties AZ—3 counties CO—4 counties NY—4 counties Tribes/Tribal Entities Intertribal Council Of Michigan Large Cities/Urban Communities Seattle-King County, WA Salinas-Monterey County, CA Austin-Travis County, TX New Orleans, LA St. Petersburg-Pinellas County, FL Boston, MA Philadelphia, PA

33. Steps-Partnerships Invitation to leaders in business, community and tribal organizations, and state and local government Invitation to leaders in business, community and tribal organizations, and state and local government A way to provide innovative opportunities to promote healthier living A way to provide innovative opportunities to promote healthier living Not a grant or contract award program Not a grant or contract award program StepsPartnerships@osophs.dhhs.gov

34. 34 Steps Portfolio: the why, how, and what of disease prevention Steps Portfolio: the why, how, and what of disease prevention – Promise of Prevention – Prevention Strategies that Work – Prevention Programs in Action HHS Report: Prevention Makes Common Cents HHS Report: Prevention Makes Common Cents – The impact of poor health on businesses – Costs associated with preventable disease www.healthierus.gov/steps Steps - Resources

35. 35 Public-Private Partnerships HHS invites partners to participate in Steps to a HealthierUS

36. Conference

37. Build a Healthier Nation Focus on Prevention National Objectives Relationship

38. Take the first Step today