# Presentation: 923744

## Healthy People 2010 Midcourse Review

- Emmeline Ochiai
- NCHS Data User’s Conference
- July 13, 2004

## Healthy People Initiative

-      History
-      Purpose
-      Design
-      Approach

## Healthy People 2010

-      Goals
-      Objectives
-  	  Focus Areas

**Notes:**
Goals – Increase years and quality of life and eliminate health disparities

## Healthy People 2010

-   	Data Sources
-  	Objectives:
- 	Measurable & Developmental

**Notes:**

Measurable: Objectives with established baseline data in 2000
Developmental: Objectives without baseline data in 2000
	Developmental objectives address an area of acknowledged health concern, but lacked data at the beginning of the decade; for example, objective 13-17, to “Reduce new cases of perinatally acquired HIV infection.”  At publication, 30 percent of Healthy People 2010's 467 objectives were developmental. 

## Healthy People 2010

*Implementation *

- State Plans
- International Plans
- Consortium
- Partnerships
- Progress Reviews
**Midcourse Review**
- Final Review

##  Decade-at-a-Glance

**2000**

**2005**

**2010**

**Midcourse Review **

**Final Review **

-  Decade-at-a-Glance

**Progress Reviews**

**Progress Reviews**

## Midcourse Review

*Purpose *

-  Report progress toward the national 	health promotion and disease 	prevention objectives
- 	Assess progress toward
*	** **Healthy People 2010*’s two
- 		overarching goals

## Midcourse Review

*Purpose *

- 3. Determine which developmental 	objectives and subobjectives will be 	retained or eliminated for lack of 	baseline data
- 4. Reveals areas that are facing 	challenges
- 5. 	Monitor trends

## Midcourse Review:Tracking 

- Trends:
-  	Which objectives are moving towards their 	targets?
-  	Which objectives are moving away from their  	targets?
-  	Which objective measures show no change?
-  	Are there objective measures for which 	progress cannot be assessed?

## Midcourse Review:Tracking 

- Gaps:
-  	Have the objectives progressed towards the
-  		elimination of disparities?
-  	Data gaps, i.e., among population groups
-  	Data sources

## Midcourse ReviewModifications

- Modifications are made in the following ways:
- Changes in wording, text, or language of an objective
- Use of a new and/or different data source
- Moving developmental objective to measurable
- Dropping objectives or subobjectives if data is not available
- Correction of errors and omissions

## Midcourse ReviewModification Rationale

- Ensure that the objectives reflect the most current science and data, remain relevant and data reflect the *Healthy People 2010 *in order to
- Accurately present the data sources and what is measured
- Assess the progress towards HP2010’s goals, and ensure sure that the nation is moving closer to meeting the goals for 2010

## Percent of Objectives with Proposed Revisions

**Notes:**
Changes are proposed for 49% of the 467 objectives in HP2010, 16% of the 467 objectives are changes to measurable objective and 29% are proposed changes to developmental objectives. 

## Midcourse ReviewIssues 

- 	Baselines for Developmental Objectives
-  	Population Data

**Notes:**
Developmental Objectives  When published in November 2000, HP2010 stated: “Developmental objectives with no baseline at the midcourse will be dropped.” Developmental objectives for which data is being collected, being analyzed, or otherwise is funded by 12/31/04 will remain in HP2010/not be dropped from HP2010 at the Midcourse. 

Population Data  Because eliminating health disparities is a goal of Healthy People 2010, the standard data table used to display the baseline status of population groups and subpopulations will not be revised; individual populations and subpopulations in the data templates will not be removed if data are not collected, not analyzed or not reliable. 

TSM for Targets Met  There are objectives for which the targets have been met.  For example, objective 27-21a “increase the proportion of federal and state tax on cigarettes.”  In 2000, the baseline was 63 cents and the 2010 target of $2 has been met.  The issue is whether to reset the target when the original target has been met by mid-decade.  With HP2000, targets that were met by mid-decade were re-set.  In contrast, with HP2010, should an objective meet its 2010 target, it will be recognized as achieved, remain unchanged and efforts will be made to exceed the 2010 target. 

## Midcourse ReviewPopulation Template

## Midcourse ReviewTSM Issues 

- 	Target Setting – Target Met
-  	Target Setting – Baseline but no trend data

## Midcourse ReviewTimeline

-  	Public Comment Period: August to 	September 2005
-  	Midcourse Review Release: 2006