Teaching Prevention 2013: Wright Presentation

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  • Thank you so much for having me talk with you today. I have really enjoyed the opportunity to meet with several of you and learn more about the great work you are doing. I want to say a special thank you to the team at the Association for Prevention Training and Research for hosting this conference and inviting me to speak. I know I stand between you and the end of a very full day. But I do want to take a few minutes to talk with you about the Office of Disease Prevention and Health Promotion, provide you with an update on the Affordable Care Act, and talk about some tools and resources that might be useful to you as you prepare to create effective change over the next year.
  • Located within the Office of the Assistant Secretary for Health, the Office of Disease Prevention and Health Promotion (ODPHP) initiates, develops and coordinates disease prevention and health promotion activities, programs, policies, and information across agencies within the Department of Health and Human Services.By aligning public health policy, science, and communication, ODPHP makes it possible for the HHS Secretary, and often the President, to speak with a single voice on preventing disease and promoting health.ODPHP is comprised of 4 primary Divisions: Prevention Science; Health Communication and eHealth; Healthcare Quality; and Community Strategies.
  • The Prevention Science Division focuses on the physical and nutritional health of our nation. In addition to training tools and education, the two primary projects that they spearhead are the Physical Activity Guidelines for Americans and the Dietary Guidelines for Americans. The 2008Physical Activity Guidelines for Americans is an effort coordinated and released by ODPHP and represents the first federal guidance on the amount and types of physical activity necessaryfor health benefits. We are now building on those original guidelines.-The Physical Activity Guidelines for Americans Midcourse Report: Strategies to Increase Physical Activity Among Youth was recently released by ODPHHP and the President’s Council on Fitness, Sports & Nutrition. -The report is organized around 5 key areas where youth live, learn, and play (e.g., school, preschool and childcare, community, family and home, and primary care).The report highlights for us the critical importance of schools, pre-schools, and other built environments in the quest to increase physical activity time for youth. We also note that multiple stakeholders from a variety of disciplines have an interest in these efforts and should be engaged in future efforts. The report emphasizes the need for additional research, particularly in the family, home and primary care settings. And all of this research is helping us to identify those effective strategies to increase and promote healthy physical activity.
  • The Dietary Guidelines for Americans are published jointly by the Secretaries of HHS and of Agriculture every 5 years. The Dietary Guidelines encourage Americans to focus on eating a healthful diet—one that focuses on foods and beverages that help achieve and maintain a healthy weight, promote health, and prevent disease. The Guidelinesprovide evidence-based nutrition information and advice and serve as the basis for Federal food and nutrition education programs.The next edition of the Guidelines is the 2015 Dietary Guidelines, and ODPHP has a pivotal role as the agency leading this national effort.Although the Guidelines are published every 5 years, the process for updating them takes about 4 ½ years. So this year is already a very active year for our Division of Prevention Science.This year the Secretaries will appoint a slate of national or international experts in the field of human nutrition, energy balance, dietary patterns, and chronic disease to serve as an external advisory committee. They will determine topics for which new scientific information is available and through systematic reviews of the literature will answer a large number of review questions over the course of the next, almost, 2 years.The Committee works through a very transparent process, holding public meetings which will be webcast, so that they can deliberate on the science.The product of their work is a technical report they submit to the Secretaries of HHS and USDA to inform the development of the 2015 Dietary Guidelines for Americans. This will be the next edition of the Federal nutrition policy and the cornerstone for all Federal nutrition program and education initiatives.
  • Our Health Communication and eHealth Division provides an incredible amount of support to our entire office while also taking on some unique projects of their own.ODPHP has several consumer friendly websites that serve as rich resources for the community. The Health Communication Division is responsible for continually updating these websites and keeping them viable.ODPHP also has a strong presence in the social media field. Thanks to the Health Communication Division, you can find us on Twitter, Facebook and LinkedIn.We have also been at the forefront of education on covered preventive services through the Affordable Care Act by helping consumers to link to those services that are directly relevant for them through the tool myhealthfinder.
  • The Health Communication Division also has taken on several projects to promote education for consumers and public health professionals. Healthfinder.gov is an excellent website that promotes wellness and provides consumers with prevention information. And a new project that is coming to fruition is an online public health training program, known as “e-learning”. Keep an eye out for this to be available soon on the Healthy People website!We all know the importance of health literacy. The Health Communication Division has taken a lead role in the HHS activities around health literacy. Through this work they have helped our entire office to really better understand and incorporate health literacy principles in all that we do.
  • ODPHP’s newest division is the Healthcare Quality Division. This division includes two primary teams with specific goals focused on adverse drug events and healthcare associated infections.The Adverse Drug Events team has just begun to convene a Federal Interagency Steering Committee to address the key national issues around this topic. We are moving towards the development of an action plan with clearly defined goals and objectives.In 2010, the Healthcare Associated Infections team developed and released an action plan entitled “National Action Plan to Prevent HAI: Roadmap to Elimination.” This action plan is being updated in response to changing medical knowledge in the field and feedback from key partners. We really see this as a “living document” to move us closer towards the elimination of healthcare associated infections.
  • On this slide, you can see our new goals for the HAI action plan. We have set our goals at a 5 year interval but plan to monitor them closely to determine where we can work closely with our national network of experts to make additional progress.
  • The Community Strategies Division is primarily responsible for the development, implementation, and tracking of Healthy People. Healthy People is the set of 10-year national objectives that has been evolving since 1979. The almost 1200 Healthy People 2020 objectives and their targets are backed by science and data is tracked to monitor changes over time.The Community Services Division is also responsible for outreach and engagement of communities to promote health and prevent disease. As part of both of these efforts, this Division is at the forefront of the work being done related to the Social Determinants of Health.
  • So, let’s talk a little about the Affordable Care Act.The first question most people have is: why did we need the health care law? The answer is that we had a health insurance market that didn’t always work so well for American families. We needed a new system to help families get access to affordable and comprehensive coverage. The health care law builds on what works in our health care system. And it benefits us as a nation by making improvements in several key areas. It increases access to affordable health care. It makes health care more affordable. It strengthens Medicare. It improves patient rights and protections. And it lays the foundation for 2014 when features like the Health Insurance Marketplace will go into effect.The Affordable Care Act also created the National Prevention Council and called for the development of the National Prevention Strategy to realize the benefits of prevention for all Americans’ health. The National Prevention Strategy is critical to the prevention focus of the Affordable Care Act and builds on the law’s efforts to lower health care costs, improve the quality of care, and provide coverage options for the uninsured. The National Prevention Strategy is closely tied to Healthy People 2020 and its 1200 objectives- moving the entire nation towards better health.The Affordable Care Act is already making a difference in the lives of millions of Americans. Since the law passed, millions of seniors have access to affordable prescription drugs and are taking advantage of free annual wellness visits. Millions more Americans now have access to preventive services with no co-pay.
  • In this field of health promotion and disease prevention, we are keenly aware of the critical importance of preventive services. Prior to the Affordable Care Act, Americans used preventive services at about half the recommended rate. Yet chronic diseases – which are responsible for 7 of 10 deaths among Americans each year and account for 75% of the nation’s health spending – often are preventable. The Affordable Care Act adds to the array of preventive services that people can take advantage of to take charge of their own health.There are 16 covered preventive services for adults; 22 for women, including pregnant women; and 27 for children. This is a huge step in helping American families take charge of their health.
  • As you know, the Affordable Care Act is not centered around a one-time event. This is a major shift in the way our country promotes health and prevents disease and needs to occur in stages. In 2013, we are rolling out the Health Insurance Marketplace. Through the Health Insurance Marketplace, millions of uninsured Americans will be able to find health insurance that meets their needs and fits the way they live. The Marketplace will give Americans who are uninsured or who buy their own coverage a whole new way to shop for insurance. Enrollment begins October 1st and we have much work to do to help others really understand the benefits they can find through this system. In 2014, American families can expect to see new tax credits become available. These tax credits are meant to help the middle class afford insurance that will help lead them to better health.I encourage you to become more familiar with these and other aspects of the Affordable Care Act and help educate others. At ODPHP we are working closely with the Centers for Medicare and Medicaid Services (CMS) to help get the word out about these opportunities. Over the next several months we will become even more involved with getting people to register for healthcare- and for some it will be the first healthcare they have ever had. So what does all this mean for you? We each play a role in health promotion, disease prevention, and healthcare quality. And education is a huge part of this role. It is fantastic to have the programs and initiatives that we do. And the new healthcare law has the potential to impact millions more Americans. But without tools for education and implementation, it is challenging to make a real difference. I want to share with you now some of the tools that I think will help you over the next year in making a difference in your communities.
  • In order to improve our nation’s health in this decade, we need to see broad-based engagement with initiatives such as Healthy People 2020 and the Dietary Guidelines for Americans, and the services available through the Affordable Care Act.I want to briefly share with you some tools and resources that can help you as you effect change in the year ahead.
  • Healthy People Curriculum ToolkitWe recently partnered with APTR and Temple University to create the Healthy People Curriculum Toolkit. For a long time, we have known that schools and public health programs are using Healthy People to help educate their students. What we haven’t known, however, is what is being taught or the scope of these efforts. The curriculum toolkit is in its beginning stage and will serve as a 14 module tool that schools and programs can use as a comprehensive tool or as stand alone modules to educate students on the importance of Healthy People in this field. A key component of the toolkit will be hands-on strategies to really bring Healthy People to life and demonstrate how it can be effectively implemented. Look for the toolkit in the fall of 2013!Leading Health Indicators The Leading Health Indicators (LHIs) are a smaller set of Healthy People indicators that are recognized as major influences or threats on the public’s health. And our goal for the LHIs is to motivate action within and across various sectors to improve the health of the overall population.Every other month we offer a webinar that highlights an LHI and a community organization that is making strides in addressing these issues. And each month we send out an e-bulletin that provides education on the topic with updated data and strategies to impact these issues.
  • Data 2020At ODPHP, we are firm believers in the power of data. Healthy People has taken on a new project that will launch this spring entitled “Data 2020.” Data 2020 will bring the data to life for Healthy People. On healthypeople.gov, you will find data that is up-to-date and accessible for each of the objectives currently being tracked. When possible, users will be able to see any disparities that might exist to help tailor their own programs and efforts. We are really excited about this new tool and hope that you find it useful as you look at the data, tailor it to your interest areas, and think about ways we can move the needle on these objectives.Evidence-based ResourcesData is important to show us where we are and where we need to focus our efforts. But without resources and strategies, data doesn’t take us all the way home. Healthypeople.gov will soon house a new tool entitled “Evidence-based Resources.” Each of the 42 topics areas of Healthy People has been tasked with identifying resources that have evidence to show their effectiveness towards impacting the Healthy People objectives. These resources will serve as a directory for users to really identify those strategies that they can apply to their own communities. We hope to have this new feature launched early this spring.
  • Sharing LibraryAnother new feature that Healthy People is launching is the Sharing Library. This library will house successful implementation stories of strategies and programs that impact Healthy People objectives. We anticipate that these stories will share new and innovative ideas to help communities get started on their own successful implementation.Eat Healthy Be Active Community WorkshopsBased on the Dietary Guidelines for Americans, 2010 and 2008 Physical Activity Guidelines for Americans, ODPHP developed six one-hour workshop modules. Each workshop includes a lesson plan, learning objectives, talking points, hands-on activities, videos, and handouts. The workshops are designed for community educators, health promoters, dietitians/nutritionists, cooperative extension agents, and others to teach to adults in a wide variety of community settings.
  • Health.govHealth.gov is an ODPHP managed website that houses many resources related to health promotion, including the Physical Activity Guidelines and the Dietary Guidelines.Healthfinder.govHealthfinder.gov is a web-based consumer tool for up-to-date health related information. The goal of healthfinder.gov is to provide easy to understand health information and tools to help you and those you care about stay healthy. As a website fully funded by the government, you can feel confident in knowing the quality is high and non-commercial. It is a great source to educate others on key health issues related to specific populations.
  • So, I’ve given you a lot of information. And now you might be saying, “So what? How would this work for me? My colleagues?”My answer is to use the steps here. Think about the important issues for your population and your colleagues. Then, think about ways to work with agencies and other organizations in your community to address them. Consider the tools I’ve mentioned. You are on the forefront of the public health field. You have a huge task in front of you to positively influence the field today and strengthen it for generations to come. Don’t neglect those other environments that influence your ability to impact public health and healthcare. By making those connections with the broader environment, and teaching tomorrow’s public health professionals to do the same, we are creating systems that will last and improve the health of our nation.
  • Teaching Prevention 2013: Wright Presentation

    1. 1. Health Promotion and Disease Prevention: Looking to the Future March 12, 2013
    2. 2. Agenda■ Office of Disease Prevention and Health Promotion overview■ Staying up to date with the Affordable Care Act■ Tools and resources for success■ Your charge for 2013
    3. 3. Office of Disease Prevention andHealth Promotion (ODPHP)■ Prevention Science Division■ Health Communication and eHealth Division■ Healthcare Quality Division■ Community Strategies Division
    4. 4. Prevention Science Division:Physical Activity Guidelines MidcourseReport School Preschool Primary and Care Childcare Centers Family and Community Home
    5. 5. Dietary Guidelines forAmericans■ Serves as the lead agency for 2015, in collaboration with USDA■ Appoints 2015 Dietary Guidelines Advisory Committee■ Holds public meetings for Committee deliberations; Transparent process■ Creates Advisory Report in 2014 to inform the development of the 2015 Dietary Guidelines for Americans
    6. 6. Health Communication andeHealth Division■ Supports ODPHP’s web presence – HealthyPeople.gov, healthfinder.gov, health.gov■ Supports ODPHP’s social media outreach – Twitter, Facebook and LinkedIn■ Provides consumers easy access to ACA covered preventive services decision support at myhealthfinder
    7. 7. Health Communication andeHealth Division■ Provides consumers easy to use wellness and prevention information at healthfinder.gov■ Initiating elearning training courses on key public health issues■ Co-leads HHS health literacy activities
    8. 8. Healthcare Quality Division■ Adverse Drug Events – Developing action plan■ Healthcare Associated Infections (HAI) – Consistent with Affordable Care Act – Releasing revised plan
    9. 9. HAI Action Plan: 2013 Goals National 5-year Metric Source Prevention TargetCentral Line-Associated Bloodstream Infections (CLABSI) NHSN 50% reductionCentral Line Insertion Practices (CLIP) Adherence NHSN 100% adherenceClostridium difficile (hospitalizations) HCUP 30% reductionClostridium difficile infections NHSN 30% reductionCatheter-Associated Urinary Tract Infections (CAUTIs) NHSN 25% reductionMRSA invasive infections (population) EIP 50% reductionMRSA bacteremia (hospital) NHSN 25% reductionSurgical site infections (SSIs) NHSN 25% reductionSurgical Care Improvement Process Measures Adherence (SCIP) SCIP 95% adherence
    10. 10. Community Strategies Division■ Leads Healthy People■ Engages communities in Disease Prevention and Health Promotion■ Co-leads Social Determinants of Health Work Group
    11. 11. Healthy People: Aligns Strategic PublicHealth Goals and Efforts Across the NationNon-Aligned Effort Aligned EffortRandom Acts of Innovation Healthy People
    12. 12. Affordable Care Act Increases access to affordable care Makes health care more affordable Strengthens Medicare Improves patient rights and protections Lays the foundation for 2014 Creates National Prevention Strategy
    13. 13. Affordable Care Act: PreventiveServices 16 preventive services for adults  Blood pressure; colorectal cancer; depression 22 preventive services for women, including pregnant women  Breastfeeding; contraception; well-woman visits 27 preventive services for children  Autism; lead; obesity
    14. 14. Affordable Care Act: What’sNext?■ Coming in 2013: The Health Insurance Marketplace Individuals and small businesses can buy affordable and qualified health benefit plans in this new transparent and competitive insurance marketplace. Open enrollment begins October 1, 2013.■ Coming in 2014: Tax Credits for Families Tax credits to help the middle class afford insurance will become available for those with income between 100% and 400% of the poverty line who are not eligible for other affordable coverage.
    15. 15. Tools and Resources forSuccess■ Healthy People Curriculum Toolkit■ Leading Health Indicators■ Data 2020■ Evidence-based Resources■ Sharing Library■ Eat Healthy Be Active Community Workshops■ Health.gov■ Healthfinder.gov
    16. 16. Tools and Resources forSuccessHealthy People Curriculum Toolkit■ 14 modules to assist public health schools and programs to teach Healthy People■ Partnership with APTR and Temple University■ Available fall 2013Leading Health Indicators■ Small set of health issues that are recognized as major influences on the public’s health■ Represent major determinants of health across the life stages
    17. 17. Tools and Resources forSuccessData 2020■ Updated and accessible data for Healthy People objectives■ Identifies disparitiesEvidence-based Resources■ Resources for each Healthy People topic area shown to be effective■ Directory of implementation programs and strategies
    18. 18. Tools and Resources forSuccessSharing Library■ Implementation stories■ Ideas to get communities startedEat Healthy Be Active Community Workshops■ Six, one-hour community workshops■ Based on Dietary Guidelines for Americans, 2010 and 2008 Physical Activity Guidelines
    19. 19. Tools and Resources forSuccessHealth.gov■ Includes key resources- the Physical Activity Guidelines and the Dietary GuidelinesHealthfinder.gov■ Consumer friendly website■ Updated health information for key population groups
    20. 20. Charge for the Year■ Stay up-to-date■ Educate yourself and others■ Identify the tools that work for you
    21. 21. Ways To Connect With ODPHP■ Visit our websites: – http://www.odphp.osophs.dhhs.gov – http://www.health.gov – http://healthfinder.gov – http://www.healthypeople.gov■ Follow ODPHP on Twitter – @gohealthypeople – @healthfinder■ ODPHP on YouTube■ Join the Healthy People Consortium at www.healthypeople.gov■ APTR-ODPHP Prevention Health Policy Residency Rotation Program■ Luther L. Terry Senior Fellowship in Preventive Medicine

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