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Importance of Data: Connecting the Dots Between Healthy People 2020 and Affordable Care Act


Importance of Data: Connecting the Dots Between Healthy People 2020 and Affordable Care Act USPHS Scientific & Training Symposium New Orleans, LA – PowerPoint PPT presentation

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Title: Importance of Data: Connecting the Dots Between Healthy People 2020 and Affordable Care Act

Importance of Data Connecting the Dots Between
Healthy People 2020 and Affordable Care Act
  • USPHS Scientific Training Symposium
  • New Orleans, LA
  • June 21, 2011
  • CDR Samuel Wu, Pharm.D.
  • Senior Public Health Advisor
  • Office of Special Health Affairs
  • Office of Health Equity

  • Describe what is Healthy People 2020
  • Describe how data are the foundation in creating
    and supporting public health initiatives
  • Describe how law is implemented through the
    process of review and feedback of various

Healthy People
What is Healthy People
  • A national agenda that communicates a vision for
    improving health and achieving health equity
  • A set of specific, measurable objectives with
    targets to be achieved over the decade
  • Objectives are organized within distinct Topic

History of Healthy People
  • 1979ASH/SG Julius Richmond establishes first
    national prevention agenda Healthy People
    Surgeon Generals Report on Health Promotion and
    Disease Prevention
  • HP 1990Promoting Health/Preventing Disease
    Objectives for the Nation
  • HP 2000Healthy People 2000 National Health
    Promotion and Disease Prevention Objectives
  • HP 2010Healthy People 2010 Objectives for
    Improving Health
  • Healthy People 2020 Launched December 2010

Evolution of Healthy People
Target Year 1990 2000 2010 2020
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 15 22 28 42
Objectives 226 312 467 gt 580
39 Topic areas with objectives
Key Features of Healthy People
  • Creates a comprehensive health promotion and
    disease strategic framework
  • Tracks data-driven outcomes to monitor progress
  • Engages a network of stakeholders at all levels
  • Guides national research, program planning, and
    policy efforts to promote health and prevent
  • Establishes accountability requiring all PHS
    grants to demonstrate support of Healthy People

Federally Led, Stakeholder-Driven
HHS Secretarys Advisory Committee
State Local Governments (50 state coordinators)
National-level Stakeholders, including members of
the Healthy People Consortium (2,200
Community-Based Organizations, Community Health
Clinics, Social Service Organizations, etc.
Individuals, Families, Neighborhoods across
Aligns Strategic Public HealthGoals and Efforts
Across the Nation
Non-Aligned Effort Random Acts of Innovation
Aligned Effort Strategic Goals
Healthy People
How Stakeholders Use Healthy People
  • Data tool for measuring program performance
  • Framework for program planning development
  • Goal setting and agenda building
  • Teaching public health courses
  • Benchmarks to compare national, state, and local
  • Way to develop nontraditional partnerships

Healthy People 2020
Healthy People 2020 Vision
  • A society in which all people live long, healthy

Healthy People 2020 Mission
  • Identify nationwide health improvement priorities
  • 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
  • Engage multiple sectors to take actions to
    strengthen policies and improve practices that
    are driven by the best available evidence and
  • Identify critical research, evaluation, and data
    collection needs

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Focus on Determinants of Health
  • A renewed focus on identifying, measuring,
    tracking, and reducing health disparities through
    a determinants of health approach

Health Disparity
  • A particular type of health difference that is
    closely linked with social, economic, and/or
    environmental disadvantage. Health disparities
    adversely affect groups of people who have
    systematically experienced greater obstacles to
    health based on their racial or ethnic group
    religion socioeconomic status gender age
    mental health cognitive, sensory, or physical
    disability sexual orientation or gender
    identity geographic location or other
    characteristics historically linked to
    discrimination or exclusion.

Healthy Equity
  • Attainment of the highest level of health for all
    people. Achieving health equity requires valuing
    everyone equally with focused and ongoing
    societal efforts to address avoidable
    inequalities, historical and contemporary
    injustices, and the elimination of health and
    health care disparities.

Whats New in Healthy People 2020
  • New Topic Areas (13)
  • Focus on determinants of health
  • Web-based
  • Data linked to the Health Indicators Warehouse

Healthy People 2020 Topic Areas
  • 1. Access to Health Services
  • 2. Adolescent Health
  • 3. Arthritis, Osteoporosis, and Chronic Back
  • 4. Blood Disorders and Blood Safety
  • 5. Cancer
  • 6. Chronic Kidney Disease
  • 7. Dementias, Including Alzheimers Disease
  • 8. Diabetes
  • 9. Disability and Health
  • 10. Early and Middle Childhood
  • 11. Educational and Community-Based Programs
  • 12. Environmental Health
  • 13. Family Planning
  • 14. Food Safety

New for 2020
Healthy People 2020 Topic Areas (continued)
  • 15. Genomics
  • 16. Global Health
  • 17. Healthcare-Associated Infections
  • 18. Health Communication and Health Information
  • 19. Health-Related Quality of Life
  • 20. Hearing and Other Sensory or Communication
  • 21. Heart Disease and Stroke
  • 22. HIV
  • 23. Immunization and Infectious Diseases
  • 24. Injury and Violence Prevention
  • 25. Lesbian, Gay, Bisexual and Transgender
    Health Issues
  • 26. Maternal, Infant and Child Health
  • 27. Medical Product Safety

New for 2020
Healthy People 2020 Topic Areas (continued)
  • 28. Mental Health and Mental Disorders
  • 29. Nutrition and Weight Status
  • 30. Occupational Safety and Health
  • 31. Older Adults
  • 32. Oral Health
  • 33. Physical Activity
  • 34. Preparedness
  • 35. Public Health Infrastructure
  • 36. Respiratory Diseases
  • 37. Sexually Transmitted Diseases
  • 38. Sleep Health
  • 39. Social Determinants of Health
  • 40. Substance Abuse
  • 41. Tobacco Use
  • 42. Vision

New for 2020
New Topic Areas
  • Adolescent Health
  • Blood Disorders and Blood Safety
  • Dementias, including Alzheimers Disease
  • Early and Middle Childhood
  • Genomics
  • Global Health
  • Healthcare-Associated Infections
  • Health-Related Quality of Life and Well-Being
  • Lesbian, Gay, Bisexual, and Transgender Health
  • Older Adults
  • Preparedness
  • Sleep Health
  • Social Determinants of Health

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About the Data
Data Source
  • A national census of events (like the National
    Vital Statistics System)
  • Nationally representative sample surveys (like
    the National Health Interview Survey)

Data Collection Instruments
  • Surveys
  • Federal
  • National Health Interview Survey (NHIS)
  • National Health and Nutrition Examination Survey
  • National Survey on Family and Growth (NSFG)
  • State
  • Behavioral Risk Factor Surveillance System
  • Youth Risk Behavior Surveillance System (YRBSS)
  • California Health Interview Survey (CHIS)

Affordable Care Act
Section 4302Understanding Health Disparities
Data Collection and Analysis
Section 4302
  • Calls for the Secretary to develop standards for
    uniform data collection on
  • Race
  • Ethnicity
  • Sex
  • Primary language
  • Disability
  • Empowers Secretary to require inclusion of
    additional demographic data on departmental
    surveys and health data collection activities
  • To be implemented not later than 2 years after
    the enactment

4302 Implementation Process
  • ACA Prevention Implementation Workgroup
  • Oversaw implementation of Section 4302
  • ACA Prevention Implementation Section 4302
  • Charged with producing the recommendations
  • HHS Data Council
  • Proposed recommended data standards under the
    request of 4302 Subgroup
  • Section 4302 Standards Workgroup
  • Led the task of developing standards

4302 Implementation Process (continued)
  • Public listening sessions
  • LGBT Public Engagement Listening Session
  • Public Health/Academia Listening Session
  • Minority Stakeholders Listening Sessions
  • IOM Report
  • Race, Ethnicity, and Language Data
    Standardization for Health Care Quality
    Improvement (2009)

4302 Recommendations Report
  • Draft report with OASH for submission to the
  • Public comment
  • Review of comments and revision of standards
  • Implementation agenda
  • Timeline
  • Funding considerations

Connecting the Dots
  • Affordable Care Acts Section 4302 provides an
    opportunity to collect granular data on all
    federal surveys
  • These data can be used to support additional or
    new measurable objectives in Healthy People 2020

  • Data alone cannot reduce disparities, but it can
    serve as a foundation to our efforts to
    understand the causes, design effective
    responses, and evaluate our progress.

  • Office of Disease Prevention and Health Promotion
  • Office of Minority Health
  • CAPT Magda Barini-Garcia, MD, MPH
  • CAPT Deborah Willis-Fillinger, MD

CDR Samuel
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