Healthy People 2020 Update

Transcription

1 Healthy People 2020 Update Based on Advisory Committee Meeting, Sept 17-18, 2009, Washington, DC Health & Wellness Webinars From HPCareer.Net & IDWellness Lunch & Learn LIVE Jim Grizzell, MBA, MA, CHES, ACSM-HFS October 2,

2 Jim Grizzell s Bio Jim Grizzell has over 28 years experience in developing, implementing and evaluating of costeffective worksite and university wellness programs. His most recent experience was as a contractor to assist in the development of programs and train civilian health educators for the US Air Force. Previous work includes directing Chevron Oil Company s first employee wellness program, a Johnson & Johnson site employee wellness program and managing a health club for Brunswick Corporation. He directed the health promotion program for over 12 years for Cal Poly Pomona. Currently Jim consults on developing evidence-based cost-effective health programs to improve employee and student health, reduce health care costs, and reduce absenteeism, and increase productivity and academic performance. He teaches online and classroom academic courses on health policy and management, consumer health, stress management and social marketing for Cal Poly and George Washington University. Jim has a bachelor s degree in business administration, master s degree in exercise science, and MBA and is working on a doctorate in public health. His certifications include Certified Health Education Specialist and Health / Fitness Specialist. He is a Fellow in the American 2 College Health Association. 2 2

3 Agenda History and progress Vision, mission, goals, objectives Creating a set of national priorities Social determinants of health Implementation strategies and evidence-based actions Participate, comment, get more information 3 3

4 History Surgeon General s report Preparing for

5 HHS Activities Approved vision, mission, overarching goals, framework, guiding principles Topic areas Objective development Public engagement October 22, Kansas City, KS November 7, Philadelphia, PA November 20, Seattle, WA 5 5

6 Approved by the Secretary Vision Statement A society in which all people live long, healthy lives. Healthy People 2020 will: Identify nationwide health improvement priorities; Mission Statement 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; 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 6 6

7 Approved by the Secretary Overarching Goals Eliminate preventable disease, disability, injury, and premature death. Achieve health equity, eliminate health disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote healthy development and healthy behaviors across every life stages. 7 7

8 Developing Healthy People 2020 Sources of input Objective Development Process Input Public Comment Consortium Members Secretary s Advisory Committee Federal Interagency Workgroup 2020 Planning Workgroups 8 8

9 Healthy People 2010 Focus Areas 1. Access to quality health services 2. Education & community-based programs 3. Family planning 4. Food safety 5. Health communications 6. Immunization & inf. disease 7. Medical product safety 8. Public health infrastructure 9. Environmental health 10. Occupational safety & health 11. Nutrition & overweight 12. Physical activity & fitness 13. Substance abuse 14. Tobacco use 15. Arthritis 16. Cancer 17. Chronic kidney disease 18. Diabetes 19. Disability 20. Heart disease/stroke 21. HIV 22. Injury & violence prevention 23. Mental health/mental disorders 24. Oral health 25. Respiratory diseases 26. STDs 27. Vision & hearing 28. Maternal, infant, & child health 9

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11 Proposed Approach to Link Topic Areas to the HP2020 Framework Proposed Topic Areas for HP2020 Programs and Policies Social, Economic, and Environmental Determinants Health Behaviors Disease, Mental Disorders, Disability, and Injury Life Stages and Health Outcomes Access to health care X X X X Quality of health care X X X X Reproductive Health X X X X X 11 11

12 Priority Setting Matrix

13 Healthy People 2010 Objective Clinical Preventive Care 1-1. Increase the proportion of persons with health insurance Target: 100 percent Baseline: 83 percent of persons under age 65 years were covered by health insurance in 1997 (age adjusted to the year 2000 standard population) Target setting method: Total coverage. Data source: National Health Interview Survey (NHIS), CDC, NCHS 13

14 Healthy People 2010 Objective Weight Status and Growth Increase the proportion of adults who are at a healthy weight Target: 60 percent Baseline: 42 percent of adults aged 20 years and older were at a healthy weight (defined as a body mass index [BMI] equal to or greater than 18.5 and less than 25) in Target setting method: Better than the best Data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS 14

15 Determinants of Health Individual Patient education, Group presentations, Health fairs Social Interactions with people, Societal attitudes, norms and expectations Policies in settings/places Community, businesses, campuses Physical environment Natural and built 15

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17 Action Model for Achieving Health Promotion Goals Determinants of Health Planning Outcomes** ** Needs assessment Market research and strategy Interventions* Policies Programs Services Health marketing Over the life span Monitor and evaluate for: Behavioral outcomes Specific risk factors, disease, and conditions Injuries Well-being and health-related Quality of Life Health equity Feedback Loop Assess effectiveness, Disseminate, Refine Feedback Loop * Cost Effective: Evidence-based, -informed; ROI >1:1; <$50,000 QALY; ** SMART: Specific, measurable, achievable, realistic, time-specific Developed by Jim Grizzell, MBA, MA, CHES, ACSM-HFS; jimgrizzell@healthedpartners.org, (909)

18 Evidence-based Activities Provide guidance on actions to achieve targets Tie goals and objectives to E-B interventions Foundations for EB public health Define EBPH Resources for identifying EBPH 18

19 Participate, Comment, Get More Information Comment Register for public meetings Healthy Campus 2000, 2010 and 2020 History and process Presentations and mid-course review 19

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22 Get More Information Advisory Committee call & meeting Handouts and slides Healthy Campus 2000, 2010 and 2020 History and process Presentations and mid-course review Action Model Idea for Healthy Campus 22

23 Questions 23

24 Contact Information Jim Grizzell MBA, MA, CHES, ACSM-HFS Fellow, American College Health Association Phone (909) Web ww.twitter.com/jimgrizzell 24