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Criteria for Selecting the Leading Health Indicators for Healthy People 2030 (2019) / Chapter Skim
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Appendix D: Criteria for Selecting a Set of Leading Health Indicators
Pages 49-52

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From page 49...
... for Healthy People 2030 will be drawn from the core objectives because core objectives are defined as having valid, reliable, and timely data sources, as well as evidence-based interventions through which their targets can be met. The Committee proposes a set of criteria for selecting Healthy People 2030 LHIs that are informed by the Healthy People 2030 Framework, including the vision, mission, foundational principles, overarching goals, and plan of action.
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From page 50...
... Public health burden directly supports the mission of Healthy People 2030, which is to "promote, strengthen, and evaluate the nation's efforts to improve the health and well-being of all people." The second criterion focuses on the magnitude of the health disparity and the degree to which health equity would be achieved if the LHI target were met. It directly supports the overarching goal to "eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all." The third criterion emphasizes the role of the LHIs in serving as a sentinel and bellwether for the state of the nation's health and as a warning or harbinger of threats.
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From page 51...
... p Achievement of balance between upstream root causes and measures of high-priority health states in the final set of the LHIs can be guided by the foundational principle that "healthy physical, social, and economic environments strengthen the potential to achieve health and well-being." The final two criteria in phase 2 emphasize the importance that the LHIs as a set resonate with diverse stakeholders who must take action. This notion is specified in the foundational principle "promoting and achieving the nation's health and well-being is a shared responsibility that is distributed across the national, state, tribal, and community levels, including the public, private, and not-for-profit sectors," and the centrality of Healthy People 2030 as "a component of decision making and policy formulation across all sectors." Description of Application Unlike the core objectives, the LHIs do not exist in isolation from one another.
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From page 52...
... As various sets of potential LHIs are constructed during this phase, it is likely and indeed recommended that iterative movement between phase 1 and phase 2 take place until the final set of the LHIs is selected. For example, it is possible that what emerges from the initial phase 1 process may not adequately balance the upstream root causes of poor health and well-being and measures of high-priority health states.
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Key Terms

  • core objectives
  • health burden
  • poor health
  • root causes
  • upstream root

  • health states
  • foundational principle
  • directly supports
  • foundational principles
  • achieve health

  • shared responsibility
  • health indicators
  • attaining lives
  • initial phase
  • ranked scores

  • initial set
  • lhi candidates
  • approach helps
  • assessed according
  • core objective

  • preventable disease
  • lives free
  • selecting healthy
  • burden directly
  • committee proposes

  • leading health
  • overarching goals
  • policy formulation
  • attain health
  • quantitative approach


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