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FY 2023 Annual Performance Plan and Report - Strategic Goal 2: Objective 2.3








  
  
    

  
      



Fiscal Year 2023
Released March, 2022

**Topics on this page:** Objective 2.3: Enhance promotion of healthy behaviors to reduce occurrence and disparities in preventable injury, illness, and death | Objective 2.3 Table of Related Performance Measures

Objective 2.3: Enhance promotion of healthy behaviors to reduce occurrence and disparities in preventable injury, illness, and death

HHS supports strategies to promote healthy behaviors to reduce the occurrence of and disparities in preventable injury, illness, and death.  The Department develops, communicates, and disseminates information to improve health literacy about the benefits of healthy behaviors.  HHS leverages resources, partnerships, and collaborations to support healthy behaviors that improve health conditions and reduce disparities in health outcomes.  HHS also advances and applies research and data insights to inform evidence-based prevention, intervention, and policy approaches to address disparities in preventable injury, illness, and death.

The Office of the Secretary leads this objective.  The following divisions are responsible for implementing programs under this strategic objective: AHRQ, ACF, ACL, ASFR, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, and SAMHSA.  The narrative below provides a brief summary of any past work towards these objectives and strategies planned to improve or maintain performance on these objectives.

Objective 2.3 Table of Related Performance Measures

*Reduce the annual adult per-capita combustible tobacco consumption in the United States.  (Lead Agency - CDC; Measure ID - 4.6.2a)*
	FY 2016
			FY 2017
			FY 2018
			FY 2019
			FY 2020
			FY 2021
			FY 2022
			FY 202325Target
			1,145
			1,128
			967
			903
			838
			817
			755
			693Result
			1,164
			1,114
			1,061
			1,004
			1,004
			Jul 31, 2022
			Jul 31, 2023
			Jul 31, 2024Status
			Target Not Met but Improved
			Target Exceeded
			Target Not Met but Improved
			Target Not Met but Improved
			Target Not Met
			Pending
			Pending
			PendingAlthough cigarette smoking remains the leading cause of preventable disease and death in the United States, the tobacco26
 product use landscape continues to diversify to include multiple combustible tobacco products, including cigars, cigarillos and little cigars, pipe tobacco, roll-your-own tobacco, and hookah.  Per capita combustible tobacco product consumption remained unchanged from 1,004 cigarette equivalents in FY 2019 to 1,004 cigarette equivalents in FY 2020.  CDC will continue to work to decrease combustible tobacco consumption in the U.S.

CDC recommendations to help reduce tobacco consumption include: raising the price of tobacco products, providing access to cessation services, protecting everyone’s right to breathe clean air, and mass-reach media campaigns warning about the dangers of tobacco use.  CDC strategies to promote these interventions include providing funding to 50 states, Washington, DC, 8 U.S territories and 26 tribes/tribal organizations through the National Tobacco Control Program and supporting grantees to implement Best Practices for Comprehensive Tobacco Control Programs.  CDC also funds the Tips From Former Smokers Campaign,® a national campaign profiling real people who live with serious health effects due to smoking and secondhand smoke exposure.

*Increase the proportion of adults (age 18 and older) that engage in leisure-time physical activity.  (Lead Agency - CDC; Measure ID - 4.11.9)*
	FY 2016
			FY 2017
			FY 2018
			FY 2019
			FY 2020
			FY 2021
			FY 2022
			FY 2023Target
			73.2 %
			73.5 %
			73.8 %
			
			74.4 %
			
			75 %Result
			73.1 %
			74.1 %
			74.6 %
			
			73.9%
			
			Dec 31, 2023Status
			Target Not Met but Improved
			Target Exceeded
			Target Exceeded
			
			Target Not Met
			
			PendingThe proportion of adults who engage in leisure-time physical activity increased from 63.8% in FY 2008 to 73.9% in FY 2020.  CDC’s Active People, Healthy NationSM is a national initiative to help 27 million Americans become more physically active by 2027.  CDC used percent improvement target setting methodology to set a goal of a 0.3% increase per year for the proportion of adults (age 18 and older) that engage in leisure-time physical activity.   This translates to a 0.6% increase every two years and is consistent with administration of the National Health Interview Survey (NHIS), the survey used to collect this data, which is administered every two years instead of annually.

CDC funds states, communities, and organizations with national reach to design communities that are safe and easy for people of all ages and abilities to be physically active.  In addition, CDC trains states and communities to implement strategies to improve the walkability of communities.  For example, the CDC funded Walkability Action Institute has trained 51 teams that potentially reach over 40 million people.  CDC will continue to promote the critical need for safe and easy places for physical activity to take place and help implement high impact strategies for walking and walkable communities like Complete Streets and Safe Routes to Schools.  As of December 2021, over 1,600 Complete Streets policies, including those adopted by 35 state governments plus the Commonwealth of Puerto Rico, and Washington D.C., have been reported to the National Complete Streets Coalition.

*Percentage of adult health center patients with diagnosed hypertension whose blood pressure is under adequate control (less than 140/90) (Lead Agency - HRSA; Measure ID - 1010.07)*
	FY 2016
			FY 2017
			FY 2018
			FY 2019
			FY 2020
			FY 2021
			FY 2022
			FY 2023Target
			63%
			63%
			63%
			63%
			63%
			63%
			63%
			64%Result
			62%
			63%
			63%
			65%
			58%
			Aug 1, 2022
			Aug 1, 2023
			Aug 1, 2024Status
			Target Not Met
			Target Met
			Target Met
			Target Exceeded
			Target Not Met
			Pending
			Pending
			Pending*Percentage of adult health center patients with type 1 or 2 diabetes with most recent hemoglobin A1c (HbA1c) under control (less than or equal to 9 percent) (Lead Agency - HRSA; Measure ID - 1010.08)*
	FY 2016
			FY 2017
			FY 2018
			FY 2019
			FY 2020
			FY 2021
			FY 2022
			FY 2023Target
			69%
			69%
			69%
			69%
			67%
			67%
			67%
			67%Result
			68%
			67%
			67%
			68%
			64%
			Aug 1, 2022
			Aug 1, 2023
			Aug 1, 2024Status
			Target Not Met
			Target Not Met
			Target Not Met
			Target Not Met but Improved
			Target Not Met
			Pending
			Pending
			PendingHealth centers continue to be a critical element of the health system, largely because they can provide an accessible and dependable source of high quality, affordable, and cost-effective primary health care services in underserved communities.  In particular, health centers emphasize coordinated primary and preventive services that promote reductions in health disparities for low‐income individuals, racial and ethnic minorities, rural communities, and other underserved populations.  Health centers emphasize coordinated and comprehensive care, the ability to manage patients with multiple health care needs, and the use of key quality improvement practices.  Health center patients, including low-income individuals, racial/ethnic minority groups, and persons who are uninsured, are more likely to suffer from chronic diseases such as hypertension and diabetes.  Clinical evidence indicates that access to appropriate care can improve the health status of patients with chronic diseases and thus reduce or eliminate health disparities.

The FY 23 target was set based on historical data trends.  Recovery efforts from COVID-19, including significant use of telemedicine, are expected to bring performance back to previous levels.

<<Return to Topics in this Report

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Goal 2 - Objective 2.4 >>


25. This measure uses the CDC’s National Center for Health Statistics (NCHS)-provided trend setting tool for the Healthy People 2030 targets.  It uses a linear trend to calculate at least 5 options.  Specifically, ordinary least-squares was fit.  The targets were selected from Option 3, there is a 50% chance that the target value will meet or exceed.  2018 was selected as the baseline year since that is the year with the most recent data available. back to note 25
                      26. References to tobacco refer to commercial tobacco and not the sacred and traditional use of tobacco by some American Indian communities. back to note 26

                    
  


Content created by Assistant Secretary for Financial Resources (ASFR) Content last reviewed March 28, 2022 Back to top
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