Healthy People 2030 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 Healthy People 2030 framework?
The 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 Healthy People 2030 framework below.
How was the framework developed?
The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Committee) developed the draft Healthy People 2030 framework during their public meetings and announced the final draft of the framework on April 27, 2017. Read the full Committee report [PDF – 628.8 KB].
During a public comment period held from June 27 through September 29, 2017, members of the public were invited to share their comments on the draft framework. The Committee reviewed input on the draft framework from individuals and organizations and used the public comments to finalize the proposed Healthy People 2030 framework.
Healthy People 2030 Framework
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). Learn more about the history of Healthy People.
“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. may adopt Healthy People goals and objectives. Communities, which may be as small as neighborhoods or large as municipalities, 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, state, local, and tribal 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 individuals, communities, and stakeholders to improve health. To achieve the health and well-being of all people, it is essential to involve, as active partners, diverse stakeholders from across the public, private, and nonprofit sectors. 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 other developed countries (such as other members of the Organisation for Economic Co-operation and Development [OECD]) on key measures of health and well-being, including life expectancy, infant mortality, and obesity, despite spending the highest percentage of its gross domestic product 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.
“Where we are headed”
A society in which all people achieve their full potential for health and well-being across the lifespan.
“Why we are here”
To promote, strengthen, and evaluate the Nation’s efforts to improve the health and well-being of all people.
“What guides our actions”
Foundational Principles explain the thinking that guides decisions about Healthy People 2030.
- Health and well-being of all people and communities are essential to a thriving, equitable society.
- Promoting health and well-being and preventing disease are linked efforts that encompass physical, mental, and social health dimensions.
- Investing to achieve the full potential for health and well-being for all provides valuable benefits to society.
- 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 across the national, state, tribal, and community levels, including the public, private, and nonprofit 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.
“What we plan to achieve”
- Attain healthy, thriving lives and well-being, free of preventable disease, disability, injury, and premature death.
- Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.
- Create social, physical, and economic 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 leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all.
Plan of Action
“What we propose to do”
- Set national goals and measurable objectives to guide evidence-based policies, programs, and other actions to improve health and well-being.
- Provide data that can drive targeted actions to address regions and populations 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 people of all ages and the communities in which they live.
- Provide tools for the public, programs, policymakers, and others to evaluate progress toward improving health and well-being.
- Share and support the implementation of evidence-based programs and policies that are scalable and sustainable.
- Report biennially on progress throughout the decade from 2020 to 2030.
- Stimulate research and innovation toward meeting Healthy People 2030 goals and highlight critical research, data, and evaluation needs.
- Facilitate development and availability of affordable means of health promotion, disease prevention, and treatment.
“How specific objectives are set”
Healthy People 2030 organizes objectives by cross-cutting themes that are important to the health of the Nation; these themes provide a flexible structure for the initiative. Guided by the Healthy People 2030 mission, vision, overarching goals, and foundational principles, stakeholders contribute to identifying, prioritizing, and setting objectives. They do this work through a systematic process of applying a set of clearly defined, predetermined criteria to choose and refine a set of working objectives. From this preliminary set, final objectives are selected based on overall health burden, preventable burden, the ability to reduce health inequities and health disparities, and cost-effectiveness/prevention effectiveness. The final Healthy People 2030 objectives may be modified throughout the decade based on new evidence and data, in keeping with the dynamic nature of the initiative.
"How progress will be assessed"
Throughout the decade, Healthy People 2030 will assess progress toward meeting the objectives for the Nation, eliminating health disparities between groups, and advancing health equity. Such progress will be reported frequently, based on the goals, objectives, and available data. Data will continue to play a central role in Healthy People 2030 as it moves into the future. Frequency of data collection; trend calculation; quality of the data; timeliness of releases to the public; advances in technology and data collection processes; and the involvement of state, tribal, and community data partners from public, private, and nonprofit sources are factors that will impact how often reporting on progress occurs. Progress updates will be conducted biennially, actively disseminated, and will be made available and accessible on the Healthy People 2030 website. The progress updates will enable stakeholders and the public to take action to achieve Healthy People 2030 objectives.
“Who will move Healthy People 2030 forward”
Healthy People 2030 provides action goals that are intended to be used by national, state, tribal, and community stakeholders. Reaching Healthy People 2030 goals and objectives requires full involvement of stakeholders. Stakeholders are active partners, working across all sectors, who contribute to the development of objectives, prioritize decisions, and take actions throughout the decade to achieve optimal health and well-being for all people. Recognizing that the only way to achieve a healthy population is through the effort of all, Healthy People 2030 seeks to engage a collection of stakeholders that is as diverse as possible across a range of public, private, and nonprofit sectors. Creating health equity will require the participation of all sectors that affect the determinants of health. This responsibility is shared, because all sectors of society both impact and benefit from the health and well-being of the population.