Healthy People 2020 The National Prevention Strategy Foundations for Health Throughout the Nation Penelope Slade-Sawyer HHS Office of the Assistant Secretary for Health

Healthy People ■ Healthy People  Health goals for our nation since 1980  A comprehensive set of 10-year health promotion and disease prevention objectives aimed at improving health.  Grounded in the notion that establishing objectives and providing benchmarks to track progress over time can motivate, guide and focus attention.

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

Evolution of Healthy People 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/ Measures 226/NA312/NA467/1,000>580/ * With objectives

Healthy People 2020 Framework

“Determinants of Health” Understanding a Broader View

Implementing Healthy People

Topic Area Specific Interventions and Resources

Healthy People Leading Health Indicators Targeted health priorities illuminating individual behaviors, physical and social environmental factors, and health systems Process –IOM Recommendations = starting point for HHS and Advisory Committee discussions –Advisory Committee and OASH recommendations to Secretary –HHS Launch October 2011 Topics –Access to Health Services –Clinical Preventive Services –Environmental Quality –Injury and Violence –Maternal, Infant, and Child Health –Mental Health –Nutrition, Physical Activity, and Obesity –Oral Health –Reproductive and Sexual Health –Social Determinants –Substance Abuse –Tobacco use

LHI Tab

Ways To Connect With Healthy People 2020 ■ Follow Healthy People on ■ Connect with Healthy People on LinkedIn ■ Healthy People 2020 on YouTube ■ Subscribe to updates ■ Join the Healthy People Consortium at ■ Join the Healthy People listserv at

Healthy People 2020: Model for Federal Collaboration ■ HHS Strategic Plans –National HIV/AIDS Strategy –HHS Tobacco Control Strategic Plan –Flu Vaccination –Environmental Justice Strategy ■ PHS Grants Policy ■ Affordable Care Act (Health Reform) –National Prevention Strategy –Metrics and Evlauation Group (ASPE) –Key National Indicators (GAO) ■ Performance Metrics (ASFR)

National Prevention Strategy On June 10, 2010 President Obama established the National Prevention, Health Promotion, and Public Health Council, known as the National Prevention Council. Chaired by U.S. Surgeon General Regina Benjamin, the National Prevention Council is comprised of 17 Federal department and agency heads responsible for coordinating and leading prevention, wellness, and health promotion efforts across the Federal government and the Nation.

National Prevention Strategy ■ An initiative of the Affordable Care Act that identifies goals, priorities, recommendations, and measures for improving health through prevention ■ Grounds recommendations in evidence-based practice ■ Aligns and focuses federal prevention and health promotion efforts. ■ Aligns with existing national efforts, such as: –Healthy People 2020 –National Quality Strategy –First Lady’s “Let’s Move!” campaign –America’s Great Outdoor Initiative

Empowered People ■ Provide people with tools and information to make healthy choices. ■ Promote positive social interactions and support healthy decision making. ■ Engage and empower people and communities to plan and implement prevention policies and programs. ■ Improve education and employment opportunities.

Priorities ■ Tobacco Free Living ■ Preventing Drug Abuse and Excessive Alcohol Use ■ Healthy Eating ■ Active Living ■ Mental and Emotional Well-Being ■ Reproductive and Sexual Health ■ Injury and Violence Free Living

Active Living -- Recommendations ■ Encourage community design and development that supports physical activity. ■ Promote and strengthen school and early learning policies and programs that increase physical activity. ■ Facilitate access to safe, accessible, and affordable places for physical activity. ■ Support workplace policies and programs that increase physical activity. ■ Assess physical activity levels and provide education, counseling, and referrals.

NPS Implementation Resources: Indicators/Key Documents IndicatorCurrent10- Year Target Proportion of the nation’s public and private schools that provide access to their physical activity spaces and facilities for all persons outside of normal school hours 28.8%31.7% Key Documents - Physical Activity Guidelines for Americans -The White House Task Force on Childhood Obesity Report to the President

Example of Actions: Active Living Promote the development of transportation options and systems that encourage active transportation and accommodate diverse needs. Support adoption of active living principles in community design, such as mixed land use, compact design, and inclusion of safe and accessible parks and green space. Support coordinated, comprehensive, and multi-component programs and policies to encourage physical activity and physical education, especially in schools and early learning centers. Federal Government will…

Partners Can …. Support schools and early learning centers in meeting physical activity guidelines. States, Tribal, local, Territorial governments Conduct physical activity assessments, provide counseling, and refer patients to allied health care or health and fitness professionals. Health Care Systems, Insurers, and Clinicians Adopt policies and programs that promote walking, bicycling, and use of public transportation. Businesses and Employers Engage in at least 150 minutes of moderate- intensity activity each week (adults) or at least one hour of activity each day (children). Individuals and Families

Implementation Resources: Evidence By Recommendation Recommendation Supporting Evidence-Based Interventions ACTIVE LIVING Encourage community design and development that supports physical activity. CG: Environmental and Policy Approaches to Increase Physical Activity: Community-Scale Urban Design Land Use Policies. CG: Environmental and Policy Approaches to Increase Physical Activity: Street-Scale Urban Design Land Use Policies. CG: (Expanding Evidence) Environmental and Policy Approaches to Increase Physical Activity: Transportation and Travel Policies and Practices. CG: (Expanding Evidence) The available studies do not provide sufficient evidence to determine if the intervention is, or is not, effective. This lack of evidence does NOT mean that the intervention does not work, but that additional research is needed to determine whether the intervention is effective. HP: (Developmental) Increase legislative policies for the built environment that enhance access to and availability of physical activity opportunities

NPS Implementation Resources: Evidence by Recommendation

Resources ■ Healthy People website: ■ Follow Healthy People on ■ Contact Healthy People: ■ Leading Health Indicator App Challenge website: or ■ The State of Aging and Health in America website: ■ Older Americans 2010: Key Indicators of Well-Being: fault.aspx fault.aspx

Resources (cont.) ■ National Healthcare Quality and Disparities Reports: ■ Enhancing Use of Clinical Preventive Services Among Older Adults: ■ _Resources/DOCS/AoA_DiversityToolkit_full.pdf _Resources/DOCS/AoA_DiversityToolkit_full.pdf ■ National Prevention Strategy: ategy/report.pdf ategy/report.pdf