The document discusses strategies for health promotion education in the 21st century. It emphasizes the need for vertical and horizontal alignment of standards, assessments, and curricula. Vertical alignment means developing content that prepares students for success at higher grade levels and beyond. Horizontal alignment creates connections between standards, assessments, and curricula across different subject areas. Some examples given include aligning health course material with university representatives, offering dual credit for practical assessments completed at community colleges, using information technology commonly found in health fields, incorporating writing assignments, and providing practical lab experiences.