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Phase II Guidance for Target-Setting and Healthy People 2020 Topic Areas. Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020 Committee Chair : Jonathan Fielding, MD, MPH, MA, MBA Director, Los Angeles County Department of Public Health &
Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020
Committee Chair: Jonathan Fielding, MD, MPH, MA, MBA
Director, Los Angeles County Department of Public Health &
Health Officer, Los Angeles County
March 26, 2009
Rear Admiral Penelope Slade-Sawyer, PT, MSW
Director, Office of Disease Prevention and Health Promotion
U.S. Department of Health and Human Services
Status of Phase I
HHS timeline for development of the objectives and public engagement
Work of the HHS Workgroup Coordinators
Activities of the Federal Interagency Workgroup (FIW)
Sources of input on development of objectives
President and Chief Executive Officer
State of the USA
How does SUSA relate to the Healthy People 2020 process?
1. Proposed definition and poll results
Guidance to Help the Subcommittee on Target-settingPrepare Draft Recommendations
Should some objectives be tied to assumptions about other objectives?
Example: Where evidence suggests that effectiveness depends on a multi-level intervention.
How can logic models be used?
Should one target be set for the entire population? Or should targets be set based on the current status of subpopulations?
Example: the “better than best” approach uses a single target.
When should modeling be used?
Subcommittee Chair: Patrick Remington, MD, MPH
University of Wisconsin Population Health Institute
Committee Chair, Jonathan Fielding, MD, MPH, MA, MBA
Should objectives related to a given topic link determinants, to risk factors, to outcomes?
The Subcommittee considered connecting objectives to the framework by aligning Topic Areas with 5 broad categories of the framework:
Broad determinants; Individuals across the life course; Outcomes; Assessment, monitoring, evaluation, dissemination; Interventions.
This approach was dropped because these five categories are not mutually exclusive.
Based on the roles of HP 2010 Focus Areas, HP2020 Topic Areas can be said to serve the following functions:
*Note: There is currently a one-to-one correspondence between “Focus Areas” and HHS “Working groups” that develop, track and monitor objectives in each area.
2.Managerial: Topic Areas are assigned by HHS to “lead agencies” within the Federal government. Lead agencies coordinate the process of developing Topic Area objectives, and are responsible for tracking, monitoring, and periodically reporting on those objectives over the course of a decade.
3. Communication: Topic areas enable users to locate the content they are seeking by organizing Healthy People information in a user-friendly way.
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
17. Chronic kidney disease
20. Heart disease/stroke
22. Injury & violence prevention
23. Mental health/mental disorders
24. Oral health
25. Respiratory diseases
27. Vision & hearing
28. Maternal, infant, & child health
Physical activity & fitness
Arthritis, Osteoporosis, Chronic back conditions
Chronic Kidney Disease
Mental health/ mental Disorders
Occupational safety & health
Heart disease/ stroke
Public health infrastructure
Nutrition & overweight
Medical product safety.
Topic Areas Poll: Choosing Topic Areas2. HP2010 Categories: majority voted to retain with revisionsSee “Topic Areas Poll” Report for Proposed Revisions
Access to quality health services
Immunization & Infectious disease
Education & community-based programs
Vision & hearing
Maternal, infant & child health
Injury & violence prevention
Health equity/ disparities
Quality of Life
Healthy People Community
Overall measure for the U.S.
Social and Economic Determinants