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Healthy People 2030 Draft Framework

The U.S. Department of Health and Human Services (HHS) solicited comments on the proposed framework for Healthy People 2030, which included the Healthy People 2030 vision, mission, foundational principles, plan of action, and overarching goals.

What is the proposed Healthy People 2030 framework?

The proposed framework explains the central ideas and function of the Healthy People 2030 initiative. The purpose of the framework is to:

  • Provide context and rationale for the initiative’s approach
  • Communicate the principles that underlie decisions about Healthy People 2030
  • Situate the initiative in the 5-decade history of Healthy People

You may review the proposed Healthy People 2030 framework below.

How is the framework being developed?

The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Committee) developed the proposed framework during their public meetings, beginning in December 2016. The final proposal was presented at the April 27, 2017 meeting. Read the full Committee report [PDF – 628.8 KB].

During a public comment period held from June 27 through September 29, 2017, HHS received input on the draft framework from individuals and organizations. HHS is now reviewing these comments and will use them to inform the final version of the framework.


Healthy People 2030 Proposed Framework


Vision

“Where we are headed”
A society in which all people achieve their full potential for health and well-being across the lifespan.

Mission

“Why we are here”
To promote and evaluate the Nation’s efforts to improve the health and well-being of its people.

Foundational Principles

“What guides our actions”
Note: Foundational Principles explain the thinking that guides decisions about Healthy People 2030.

  • Health and well-being of the population and communities are essential to a fully functioning, equitable society.
  • Achieving the full potential for health and well-being for all provides valuable benefits to society, including lower health care costs and more prosperous and engaged individuals and communities.
  • Achieving health and well-being requires eliminating health disparities, achieving health equity, and attaining health literacy.
  • Healthy physical, social and economic environments strengthen the potential to achieve health and well-being.
  • Promoting and achieving the nation’s health and well-being is a shared responsibility that is distributed among all stakeholders at the national, state, and local levels, including the public, profit, and not-for-profit sectors.
  • Working to attain the full potential for health and well-being of the population is a component of decision-making and policy formulation across all sectors.
  • Investing to maximize health and well-being for the nation is a critical and efficient use of resources.

Plan of Action

“What we propose to do”

  • Set goals and objectives to guide policies, programs, and other actions that improve health and well-being.
  • Identify regions and groups with poor health or at high risk for poor health in the future.
  • Foster impact through public and private efforts to improve health and well-being for individuals of all ages.
  • Provide tools for the public, programs, policy makers and others to evaluate progress toward improving health.
  • Share evidence-based programs that are scalable and sustainable.
  • Report on progress throughout the decade from 2020 to 2030.
  • Stimulate research and innovation toward meeting Healthy People 2030 goals.
  • Develop and make available affordable means of health promotion, disease prevention, and treatment.

Overarching Goals

“What we plan to achieve”

  • Attain healthy, purposeful lives and well-being.
  • Attain health literacy, achieve health equity, eliminate disparities, and improve the health and well-being of all populations.
  • Create social and physical environments that promote attaining full potential for health and well-being for all.
  • Promote healthy development, healthy behaviors and well-being across all life stages.
  • Engage with stakeholders and key constituents across multiple sectors to take action and design policies that improve the health and well-being of all populations.

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Background (Past and Present)

Healthy People is a national effort that sets goals and objectives to improve the health and well-being of people in the United States.

“History of the Healthy People initiative”
Healthy People 2030 is the fifth edition of Healthy People. It aims at new challenges and builds on lessons learned from its first 4 decades. The initiative began in 1979, when Surgeon General Julius Richmond issued a landmark report entitled, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention. This report focused on reducing preventable death and injury. It included ambitious, quantifiable objectives to achieve national health promotion and disease prevention goals for the United States within a 10-year period (by 1990). The report was followed in later decades by the release of updated, 10-year Healthy People goals and objectives (Healthy People 2000, Healthy People 2010, and Healthy People 2020). For more on the history of Healthy People, refer to: http://www.healthypeople.gov/2010/hp2020/advisory/PhaseI/sec3.htm.

“What Healthy People contributes”
Healthy People helps users to access data on changes in the health status of the U.S. population; these data also inform each new decade’s goals and objectives. Communities across the U.S. adopt Healthy People goals and objectives. They may alter the goals and objectives to meet their own needs, and/or use them to set priorities for their region and population groups. Healthy People priorities are those aspects of health that are the most critical to overall health and well-being and can be improved using our available knowledge.

Since the Healthy People initiative was first launched, the United States has made significant progress. Achievements include reducing major causes of death such as heart disease and cancer; reducing infant and maternal mortality; reducing risk factors like tobacco smoking, hypertension, and elevated cholesterol; and increasing childhood vaccinations. During these decades, the importance of collaborating across agencies at the national and state levels and with the private and public health sectors has been demonstrated.

A key lesson is that a widely accessible plan containing achievable goals and objectives can guide the action of stakeholders to improve health. It is important to monitor progress on Healthy People goals and objectives, and to share high quality data and feedback on progress with stakeholders and the public. In addition, we have learned that significant changes (e.g., reduced rates of smoking) may be difficult, but are achievable through persistent effort. Although much progress has been made, the United States lags behind other Organisation for Economic Co-operation and Development (OECD) countries on key measures of health and well-being, including life expectancy, infant mortality, and obesity, despite having the highest percentage of GDP spent on health. A challenge for Healthy People 2030 is to guide the United States in achieving our population’s full potential for health and well-being so that we are second to none among developed countries.

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