Date: March 15, 2011
FOR IMMEDIATE RELEASE
IOM Report Offers 12 Key Indicators and 24 Objectives to Help Focus Healthy People 2020 Efforts to Improve Americans' Health
WASHINGTON — Healthy People 2020, the U.S. Department of Health and Human Services' master plan for improving the health of the American population over the next decade, covers 42 topics and nearly 600 objectives. A new report from the Institute of Medicine singles out 12 indicators as immediate, major health concerns that should be monitored and 24 objectives that warrant priority attention in the plan's implementation.
The report updates and expands on the 10 leading health indicators that served as priorities for Healthy People 2010. The recommendations on what should be the priorities for the latest version of this decadal health plan reflect the consensus of a committee comprising population health experts, epidemiologists, health statisticians, and others. Indicators provide yardsticks that health experts and policymakers can use to measure progress, and objectives set out clear, concrete goals for improvements.
"This report's recommendations will help policymakers and health professionals at the national and local levels focus their actions aimed at achieving the Healthy People 2020 goals," said committee chair David Nerenz, director, Center for Health Services Research, and director of outcomes research, Neuroscience Institute, Henry Ford Health System, Detroit.
The 12 recommended indicators include measures of access to care and quality of health care services, healthy behaviors, injury, physical and social environments, chronic disease, mental health, responsible sexual behavior, substance abuse, tobacco use, and healthy births.
The 24 objectives that the committee identified are:
· Increase educational achievement of adolescents and young adults.
· Increase the proportion of people with health insurance.
· Increase the proportion of people with a usual primary care provider.
· Increase the proportion of people who receive appropriate evidence-based clinical preventive services.
· Reduce the overall cancer death rate.
· Reduce the number of days the Air Quality Index exceeds 100.
· Increase the proportion of children who are ready for school in all five domains of healthy development: physical development, social-emotional development, language, cognitive development, and approaches to learning.
· Reduce pregnancy rates among adolescents.
· Reduce central-line-associated bloodstream infections.
· Improve the health literacy of the population.
· Reduce coronary heart disease deaths.
· Reduce the proportion of people with hypertension.
· Increase the proportion of sexually active people who use condoms.
· Reduce fatal and nonfatal injuries.
· Reduce the proportion of people who experience major depressive episodes.
· Reduce low birth weight and very low birth weight.
· Reduce the proportion of obese children and adolescents.
· Reduce consumption of calories from solid fats and added sugars by people age 2 and older.
· Increase the proportion of adults who meet current federal guidelines for aerobic physical activity and for muscle-strengthening activity.
· Reduce the proportion of people engaging in binge drinking of alcoholic beverages.
· Reduce past-month use of illicit substances.
· Increase the proportion of adults who get sufficient sleep.
· Reduce tobacco use by adults.
· Reduce the initiation of tobacco use among children, adolescents, and young adults.
Three of the 42 health topics covered by Healthy People 2020 lack objectives. The report suggests specific measures for these topics, which are social determinants of health; health-related quality of life and well-being; and lesbian, gay, bisexual, and transgender health.
The study was sponsored by the U.S. Department of Health and Human Services. Established in 1970 under the charter of the National Academy of Sciences, the Institute of Medicine provides independent, objective, evidence-based advice to policymakers, health professionals, the private sector, and the public. The National Academy of Sciences, National Academy of Engineering, Institute of Medicine, and National Research Council make up the National Academies. For more information, visit http://national-academies.org. A committee roster follows.
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Report in Brief
Pre-publication copies of Leading Health Indicators for Healthy People 2020 are available from the National Academies Press; tel. 202-334-3313 or 1-800-624-6242 or on the Internet at http://www.nap.edu. Reporters may obtain a copy from the Office of News and Public Information (contacts listed above).
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INSTITUTE OF MEDICINE
Board on Population Health and Public Health Practice
Committee on Leading Health Indicators for Healthy People 2020
David R. Nerenz, Ph.D. (chair)
Center for Health Services Research
Henry Ford Health System
Frank J. Chaloupka, Ph.D.
Professor of Economics
Department of Economics
University of Illinois
Michael I. Cohen, M.D.
Professor and University Chairman Emeritus
Department of Pediatrics
Albert Einstein College of Medicine and Montefiore Medical Center
Robert S. Dittus, M.D., M.P.H.
Werthan Professor of Medicine, Assistant Vice Chancellor for Public Health, Associate Dean for
Sciences, and Director of the Center for Health Services, and
Division of General Internal Medicine
Cara V. James, Ph.D.
Disparities Policy Project, and
Barbara Jordan Health Policy Scholars Program
Henry J. Kaiser Family Foundation
Norma Kanarek, Ph.D., M.P.H.
Bloomberg School of Public Health, and
Maryland Cigarette Restitution Fund
Johns Hopkins University
Vicki M. Mays, Ph.D., M.S.P.H
Center on Research, Education, Training, and Strategic Communication on Minority Health
University of California
Marcia Nielsen, Ph.D., M.P.H.
Vice Chancellor for Public Policy and Planning, and
Department of Health Policy and Management
University of Kansas Medical Center
F. Javier Nieto, M.D., Ph.D.
Department of Population Health Sciences, and
Professor of Population Health Sciences and Family Medicine
School of Medicine
University of Wisconsin
Roy G. Parrish, M.D.
Adjunct Associate Professor
Dartmouth Medical School
Steven Teusch, M.D., M.P.H.
Chief Science Officer
Los Angeles County Public Health Department
Scott Young, M.D.
Associate Executive Director for Clinical Care and Innovation,
Care Management Institute
Senior Program Assistant