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Pages 1-8

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From page 1...
... Like its predecessors, Healthy People 2030 (HP2030) includes a conceptual framework, a large set of objectives organized by topics, and a smaller set of high-level priority measures called Leading Health Indicators (LHIs)
From page 2...
... The committee reviewed past and current Healthy People materials, both those developed by HHS and the current Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (SAC) , and prior National Academies reports.
From page 3...
... Finding 4: The committee finds that the developmental objective per capita public health funding would elevate the profile of an often overlooked component of "health spending" writ large, and given the growing research and attention to data challenges, the measure's reli ability and validity will likely be confirmed over the coming decade. How the Proposed LHIs Differ from Past Sets The Healthy People objectives and the Healthy People LHIs are used by agencies at all levels of government and in the private sector to guide various population health improvement agendas.
From page 4...
... are included in the draft objectives for HP2030, and they will be monitored by different agencies at different levels of government in the course of HP2030 implementation even if they may not be included among the small number of final LHIs.6 Third, the recommended LHIs are to a lesser extent than ever before linked with the health care delivery system's capabilities and its metrics. Rather, many of the LHIs are indicators of how people live their lives in the United States -- shaped by the broad context of policies, systems, 4  See https://www.gih.org/publication/the-nations-leading-health-indicators-­ easuring m progress-taking-action (accessed December 18, 2019)
From page 5...
... from birth to age 17 4 Self-rated health Increase the mean healthy Health and Well-Being Across days (CDC HRQOL–14 the Lifespan: Physical Health Healthy Days) 5 Well-being Increase proportion thriving Health and Well-Being Across on Cantril's Self-Anchored the Lifespan: Physical Health Striving Scale 6 Disability Reduce the percentage of Health and Well-Being Across adults aged 65 years and the Lifespan: Physical Health over with limitations in daily activities 7 Mental disability Reduce the rate of mental Health and Well-Being Across disability the Lifespan: Mental Health 8 Substance use SU-2030-03 Reduce drug Health and Well-Being Across overdose deaths the Lifespan: Physical Health 9 Unintentional IVP-2030-03 Reduce Increasing Knowledge and injury deaths unintentional injury deaths Action: Physical Health 10 All cancer deaths C-2030-01 Reduce the Health and Well-Being Across overall cancer death rate the Lifespan: Physical Health 11 Suicide MHMD-2030-01 Reduce the Health and Well-Being Across suicide rate the Lifespan: Mental Health 12 Firearm-related IVP-2030-12 Reduce firearm- Health and Well-Being Across mortality related deaths the Lifespan: Physical Health 13 Maternal MICH-2030-04 Reduce Closing Gaps: Health Equity mortality rate maternal deaths continued
From page 6...
... 14 Mental health Reduce percentage of adults Health and Well-Being Across who reported their mental the Lifespan: Mental Health health was not good on 14 or more days in the past 30 days (i.e., frequent mental distress) 15 Oral health OH-2030-08 Increase the Health and Well-Being Across access proportion of children, the Lifespan: Physical Health adolescents, and adults who use the oral health care system 16 Reproductive FP-2030-07 Increase the Health and Well-Being Across health care proportion of sexually active the Lifespan: Access to Quality services adolescents aged 15 to 19 Public Health and Clinical Care years who use any method Systems of contraception at first intercourse 17 HIV incidence HIV-2030-03 Reduce Health and Well-Being Across the number of new HIV the Lifespan: Physical Health diagnoses among persons of all ages 18 Tobacco TU-2030-13 Reduce the use Increasing knowledge and of any tobacco products by action: Evidence-based laws, adolescents policies, and practices 19 Obesity NWS-2030-03 Reduce the Health and Well-Being Across proportion of children and the Lifespan: Physical Health adolescents aged 2 to 19 years who have obesity 20 Alcohol use SU-2030-13 Reduce the Health and Well-Being Across proportion of people with the Lifespan: Physical Health alcohol use disorder in the past year 21 Immunization Increase the proportion of Increasing knowledge and 19–35-month-old children action: Evidence-based laws, up to date on DTaP, MMR, policies, and practices (also polio, Hib, HepB; varicella, public health successes)
From page 7...
... 23 Ambulatory Reduce discharges for Health and Well-Being Across care-sensitive ambulatory care-sensitive the Lifespan: Access to Quality conditions/ conditions per 1,000 Public Health and Clinical Care avoidable Medicare enrollees (CMS-2) Systems hospitalization 24 Medical AHS-2030-01 Increase the Health and Well-Being Across insurance proportion of persons with the Lifespan: Access to Quality coverage medical insurance Public Health and Clinical Care Systems 25 Affordable SDOH-2030-04 Reduce the Cultivating Healthier housing proportion of all households Environments: Social that spend more than Environment 30 percent of income on housing 26 Environment Improve the Environmental Cultivating Healthier Quality Index Environments: Physical Environment 27 Environment Lower the Heat Cultivating Healthier Vulnerability Index Environments: Physical Health 28 Education AH-2030-04 Improve the Cultivating Healthier fourth grade reading level Environments: Social Environment 29 Poverty SDOH-2030-03 Reduce the Cultivating Healthier proportion of persons living Environments: Economic in poverty Environment 30 Food security NWS-2030-01 Reduce Cultivating Healthier household food insecurity Environments: Social Environment 31 Civic Increase the proportion of Cultivating Healthier engagement voting eligible population Environments: Social that votes Environment 32 Social Lower the Neighborhood Closing Gaps: Health Equity environment Disinvestment Index 33 Social Reduce the level of Closing Gaps: Health Equity environment residential segregation captured by the Index of Dissimilarity continued
From page 8...
... 34 Social Reduce the level of Closing Gaps: Health Equity environment residential segregation captured by the Isolation Index NOTE: CHR = County Health Rankings; CMS-2 = a chronic conditions composite measure developed by Centers for Medicare & Medicaid Services; DTaP = diphtheria; Hep B = h­ patitis B; Hib = Haemophilus influenzae type B; HIV = human immunodeficiency virus; e MMR = measles, mumps, rubella.


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