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Leading Health Indicators for Healthy People 2020: Letter Report (2011)

Chapter: Appendix B: 24 Selected Objectives with Subobjectives

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Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
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Appendix B
24 Selected Objectives with Subobjectives

AHS 5: Increase educational achievement of adolescents and young adults.

AH 5.1: Increase the proportion of students who graduate with a regular diploma 4 years after starting 9th grade. Baseline: 74.9 percent. Target: 10 percent improvement. Data Source: Common Core of Data (CCD), State Nonfiscal Survey of Public Elementary/Secondary Education, ED, IES, NCES

AH 5.2: Increase the proportion of students who are served under the Individuals with Disabilities Education Act who graduate high school with a diploma. Baseline: 59.3 percent of students aged 14 to 21 years. Target: 10 percent improvement. Data Source: Individuals with Disabilities Education Act, ED, OSEP, DANS

AH 5.3: Increase the proportion of students whose reading skills are at or above the proficient achievement level for their grade.

AH 5.3.1: Fourth (4th) grade Baseline: 33.0 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.3.2: Eighth (8th) grade. Baseline: 32.4 percent. Target: 10 percent. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.3.3: Twelfth (12th) grade. Baseline: 35.4 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

AH 5.4: Increase the proportion of students whose mathematics skills are at or above the proficient achievement level for their grade.

AH 5.4.1: Fourth (4th) grade. Baseline: 39.1 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.4.2: Eighth (8th) grade. Baseline: 33.9 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.4.3: Twelfth (12th) grade. Baseline: 23.0 percent. Target: 10 percent improvement. Data Source: National Assessment of Educational Progress, ED, IES, NCES

AH 5.5: Increase the proportion of adolescents who consider their school work to be meaningful and important. Baseline: 26.6 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

AH 5.6: Decrease school absenteeism among adolescents due to illness or injury. Baseline: 14.6 percent. Target: 10 percent improvement. Data Source: (National Health Interview Survey (NHIS), CDC, NCHS.

AHS 1: Increase the proportion of persons with health insurance.

AHS 1.1: Medical insurance. Baseline: 82.3 percent. Target: 100 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS

AHS 1.2: (Developmental) Dental insurance. No baseline or target given. Data Source: National Health Interview Survey (NHIS), CDC, NCHS

AHS 1.3: (Developmental) Prescription drug insurance. No baseline or target given. Data Source: National Health Interview Survey (NHIS), CDC, NCHS

AHS 3: Increase the proportion of persons with a usual primary care provider. Baseline: 76.3 percent. Target: 83.9 percent. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ


AHS 7: (Developmental) Increase the proportion of persons who receive appropriate evidence-based clinical preventive services. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

C 1: Reduce the overall cancer death rate. Baseline: 178.4 cancer deaths per 1,000 population. Target: 10 percent improvement. Data Source: National Vital Statistics System (NVSS), CDC, NCHS


EH 1: Reduce the number of days the Air Quality Index (AQI) exceeds 100. Baseline: 11 days exceeded 100 on the Air Quality Index (AQI) in 2008. Target: 10 days. Data Source: Air Quality System (formerly the Aerometric Information Retrieval System), EPA


EMC 1: (Developmental) Increase the proportion of children who are ready for school in all five domains of healthy development: physical development, social-emotional development, approaches to learning, language, and cognitive development. No baseline or target given. Data Source: National Survey of Children’s Health (NSCH), HRSA, MCHS; CDC, NCHS; National Household Education Surveys (NHES), ED


FP 8: Reduce pregnancy rates among adolescent females.

FP 8.1: Reduce the pregnancy rate among adolescent females aged 15 to 17 years. Baseline: 40.2 pregnancies per 1,000. Target: 10 percent improvement. Data Source: Abortion Provider Survey, Guttmacher Institute; Abortion Surveillance Data, CDC, NCCDPHP; National Vital Statistics System–Natality (NVSS–N), CDC, NCHS; National Survey of Family Growth (NSFG), CDC, NCHS

FP 8.2: Reduce the pregnancy rate among adolescent females aged 18 to 19 years. Baseline: 117.7 pregnancies per 1,000. Target: 10 percent improvement. Data Source: Abortion Provider Survey, Guttmacher Institute; National Vital Statistics System (NVSS), CDC, NCHS; National Survey of Family Growth (NSFG), CDC, NCHS; Abortion Surveillance Data, CDC, NCCDPHP

HA 1: Reduce central line-associated bloodstream infections (CLABSI). Baseline: 1.0 Standardized Infection Ratio (SIR). Target: 0.25 SIR or 75 percent reduction. Data Source: National Healthcare Safety Network (NHSN), CDC


HC/HIT 1: (Developmental) Improve the health literacy of the population.

HC/HIT 1.1: Increase the proportion of persons who report their health care provider always gave them easy-to-understand instructions about what to do to take care of their illness or health condition. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

HC/HIT 1.2: Increase the proportion of persons who report their health care provider always asked them to describe how they will follow the instructions. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ

HC/HIT 1.3: Increase the proportion of persons who report their health care providers’ office always offered help in filling out a form. No baseline or target given. Data Source: Medical Expenditure Panel Survey (MEPS), AHRQ

HDS 2: Reduce coronary heart disease deaths. Baseline: 126.0 CHD deaths per 1,000. Target: 20 percent improvement. Data Source: National Vital Statistics System–Mortality (NVSS–M), CDC, NCHS


HDS 5: Reduce the proportion of persons in the population with hypertension.

HDS 5.1: Reduce the proportion of adults with hypertension. Baseline: 29.9 percent aged 18 years and older. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS 5.2: Reduce the proportion of children and adolescents with hypertension. Baseline: 3.5 percent aged 8 to 17 years. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HIV 17: Increase the proportion of sexually active persons who use condoms.

HIV 17.1: Unmarried females aged 15 to 44 years. Baseline: 34.5 percent. Target: 10 percent improvement. Data Source: National Survey of Family Growth (NSFG), CDC, NCHS)

HIV 17.2: Unmarried males aged 15 to 44 years. Baseline: 55.2 percent. Target: 10 percent improvement. Data Source: National Survey of Family Growth (NSFG), CDC, NCHS

IVP 1: Reduce fatal and nonfatal injuries.

IVP 1.1: Reduce fatal injuries. Baseline: 59.2 deaths per 100,000. Target: 10 percent improvement. Data Source: National Vital Statistics System–Mortality (NVSS–M), CDC, NCHS

IVP 1.2: Reduce hospitalization for nonfatal injuries. Baseline: 617.6 per 100,000. Target: 10 percent improvement. Data Source: National Hospital Discharge Survey (NHDS), CDC, NCHS

IVP 1.3: Reduce emergency department visits for nonfatal injuries. Baseline: 8370.4 per 100,000. Target: 10 percent improvement.

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

Data Source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS

MHMD 4: Reduce the proportion of persons who experience major depressive episode (MDE).

MHMD 4.1: Adolescents aged 12 to 17 years. Baseline: 8.3 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health, SAMHSA

MHMD 4.2: Adults aged 18 years and older. Baseline: 6.8 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health, SAMHSA

MICH 8: Reduce low birth weight (LBW) and very low birth weight (VLBW).

MICH 8.1: Low birth weight (LBW) Baseline: 8.2 percent of live births. Target: 5 percent improvement. Data Source: National Vital Statistics System (NVSS), CDC, NCHS

MICH 8.2: Very low birth weight (VLBW) Baseline: 1.5 percent of live births. Target: 5 percent improvement. Data Source: National Vital Statistics System (NVSS), CDC, NCHS

NWS 10: Reduce the proportion of children and adolescents who are considered obese.

NWS 10.1: Children aged 2 to 5 years Baseline: 10.7 percent. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

NWS 10.2: Children aged 6 to 11 years Baseline: 17.4 percent. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

NWS 10.3: Adolescents aged 12 to 19 years Baseline: 17.9 percent. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

NWS 10.4: Children and adolescents aged 2 to 19 years Baseline: 16.2 percent. Target: 10 percent improvement. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

NWS 17: Reduce consumption of calories from solid fats and added sugars in the population aged 2 years and older.

NWS 17.1: Reduce consumption of calories from solid fats. Baseline: 18.9 percent of daily calorie intake. Target: 16.7 percent. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

NWS 17.2: Reduce consumption of calories from added sugars. Baseline: 15.7 percent of daily calorie intake. Target: 10.8 percent. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS

NWS 17.3: Reduce consumption of calories from solid fats and added sugars. Baseline: 34.6 percent of daily calorie intake. Target: 29.8 percent. Data Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS

PA 2: Increase the proportion of adults who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity.

PA 2.1: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for at least 150 minutes/week, or 75 minutes/week of vigorous intensity, or an equivalent combination. Baseline: 43.5 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS

PA 2.2: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for more than 300 minutes/week, or more than 150 minutes/week of vigorous intensity, or an equivalent combination. Baseline: 28.4 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS

PA 2.3: Increase the proportion of adults who perform muscle-strengthening activities on 2 or more days of the week. Baseline: 21.9 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS

PA 2.4: Increase the proportion of adults who meet the objective for aerobic physical activity and for muscle-strengthening activity. Baseline: 18.2 percent. Target: 10 percent improvement. Data Source: National Health Interview Survey, CDC, NCHS

SA 14: Reduce the proportion of persons engaging in binge drinking of alcoholic beverages.

SA 14.1: Reduce the proportion of students engaging in binge drinking during the past 2 weeks—high school seniors. Baseline: 25.2 percent. Target: 10 percent improvement. Data Source: Monitoring the Future Survey (MTF), NIH

SA 14.2: Reduce the proportion of students engaging in binge drinking during the past 2 weeks—college students. Baseline: 40 percent. Target: 10 percent improvement. Data Source: Monitoring the Future Survey (MTF), NIH

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

SA 14.3: Reduce the proportion of persons engaging in binge drinking during the past month—adults aged 18 years and older. Baseline: 27 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

SA 14.4: Reduce the proportion of persons engaging in binge drinking during the past month—adolescents aged 12 to 17 years. Baseline: 9.4 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

SA 13: Reduce past-month use of illicit substances.

SA 13.1: Reduce the proportion of adolescents reporting use of alcohol or any illicit drugs during the past 30 days. Baseline: 18.3 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

SA 13.2: Reduce the proportion of adolescents reporting use of marijuana during the past 30 days. Baseline: 6.7 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

SA 13.3: Reduce the proportion of adults reporting use of any illicit drug during the past 30 days. Baseline: 7.9 percent. Target: 10 percent improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

SH 4: Increase the proportion of adults who get sufficient sleep. Baseline: 69.6 percent. Target: 70.9 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS


TU 1: Reduce tobacco use by adults.

TU 1.1: Cigarette smoking Baseline: 20.6 percent. Target: 12.0 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS

TU 1.2: Smokeless tobacco products. Baseline: 2.3 percent. Target: 0.3 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS

TU 1.3: Cigars. Baseline: 2.2 percent. Target: 0.2 percent. Data Source: National Health Interview Survey (NHIS), CDC, NCHS

TU 3: Reduce the initiation of tobacco use among children, adolescents, and young adults.

TU 3.1: Children and adolescents aged 12 to 17 years—Tobacco products. Baseline: 7.7 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×

TU 3.2: Children and adolescents aged 12 to 17 years—Cigarettes. Baseline: 6.2 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

TU 3.3: Children and adolescents aged 12 to 17 years—Smokeless tobacco products. Baseline: 2.5 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

TU 3.4: Children and adolescents aged 12 to 17 years—Cigars. Baseline: 4.8 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

TU 3.5: Young adults aged 18 to 25 years—Tobacco products. Baseline: 10.8 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

TU 3.6: Young adults aged 18 to 25 years—Cigarettes. Baseline: 8.3 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

TU 3.7: Young adults aged 18 to 25 years—Smokeless tobacco products. Baseline: 2.2 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

TU 3.8: Young adults aged 18 to 25 years—Cigars. 6.1 percent. Target: 2 percentage point improvement. Data Source: National Survey on Drug Use and Health (NSDUH), SAMHSA

Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 77
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 78
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 79
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 80
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 81
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 82
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 83
Suggested Citation:"Appendix B: 24 Selected Objectives with Subobjectives." Institute of Medicine. 2011. Leading Health Indicators for Healthy People 2020: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/13088.
×
Page 84
Leading Health Indicators for Healthy People 2020: Letter Report Get This Book
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For the past three decades, the Department of Health and Human Services (HHS) has issued a national agenda aimed at improving the health of all Americans over each 10-year span. Under each of these Healthy People initiatives, HHS established health targets and monitored how well people were reaching them over time.

In response to a request from the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) established the Committee on Leading Health Indicators for Healthy People 2020 to develop and recommend 12 indicators and 24 objectives for consideration by HHS for guiding a national health agenda and for consideration for inclusion in Healthy People 2020. The work of the committee built upon the 1999 IOM report, Leading Health Indicators for Healthy People 2010, and on the work of the Committee on the State of the USA Health Indicators. Leading Health Indicators for Healthy People 2020 lays out the proposed agenda for the current decade, which will end in 2020.

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