1.1 The Healthy People Initiative

Question 1

Healthy People Intiative

Answer 1

• A vision of overarching goals in the US supported by topic areas and specific objectives for improving population health and health equity
• Personal habits determine whether a person will be healthy, sick, live a long life or die prematurely

Question 2

Healthy People Vision

Answer 2

• People in society will live a long healthy life

Question 3

First Report of HP Intiative

Answer 3

• Eliminate cigarettes
• Reduce alcohol misuse
• Reduce excess calories, fat, salt and sugar
• Moderate exercise
• Periodic screening for high blood pressure and certain cancer
• Adherence to speed laws and use of seatbelts

Question 4

Age Related Risk Focus

Answer 4

• There are different problems at different stages of life with different preventative actions
  Adolescents - Accidents and violence
  Late Adult/Old Age - Chronic disease

Question 5

Promoting Health/Preventing Disease Objective (1980)

Answer 5

• Age related goals for Healthy People

Question 6

Healthy People Findings

Answer 6

• Risk factors that contribute to major chronic diseases are largely preventable
• US populations health status can be measured by life expectancy, death rates and health insurance coverage

Question 7

Healthy People Initiative Achievements

Answer 7

• Reduction of major causes of death such as heart disease and cancer
• Reduction in Infant and Maternal Mortality
• Reduction of risk factors such as tobacco, hypertension, elevated cholesterol, increasing childhood vaccinations.

Question 8

Healthy People 2020 Mission

Answer 8

• Identify health improvement priorities
• Increase public awareness and understanding of health, disease, disability, and opportunity for progress.
• Provide measurable objectives and goals
• Engage multiple sectors to strengthen policies and improve practices driven by EBP
• Identify research, evaluation, and data collection needs

Question 9

HP Initiative Data to Examine Goals

Answer 9

Developmental Data - Missing data or data that has not yet been measured

Measurable Data - Data that is valid and reliable

US Government Trends

Question 10

SDOH (Social Determinants of Health)

Answer 10

• Used to determine health status of a population
• Includes genetics, individual behavior, policy making, social conditions and healthcare access
• Explains health status of a population through their environment.
• Includes where they are born, live, learn, work, play, worship, and age.

Question 11

SDOH Categories

Answer 11

• Education access and quality
• Healthcare quality
• Neighborhood and built environment
• Social and community context
• Economic stability

Question 12

Core Objectives

Answer 12

• Measurable objectives
• Objectives for high priority health issues
• Linked to EBP

Question 13

Developmental Objectives

Answer 13

• Also reflective of high priority health issues
• Linked to EBP
• They are not yet supported by a reliable baseline data

Question 14

Research Objectives

Answer 14

• Objectives with high health or economic burden but are not yet linked with EBP

Question 15

HP 2030 Objectives

Answer 15

• Health Conditions
• Health Behavior
• Populations
• Setting and Systems
• Social Determinants of Health

Question 16

Upstreamist in Healthcare

Answer 16

• People who think how to systematically address the social determinants of health and integrate that with healthcare and medicine.

Question 17

Population Health

Answer 17

• Health outcomes of groups of individuals
• These groups include geographical populations, employee groups, ethnic groups, disabled people, prisoners, etc.
• Measured by life expectancy, mortality rates, health and functional status, disease burden, behavioral and psychological factors (smoking, cholesterol, blood pressure, diet).

Question 18

Triple-Aim

Answer 18

Addresses the following concerns simultaneously

• Improvement of patient-care experience
• Improvement of health of a population
• Reduction of per-capita healthcare costs