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Minutes: Sixth Meeting: October 15, 2008


Agenda Topic 5.      State-level Healthy People Efforts

ODPHP explained that it is working on a project to assess Phase I of Healthy People 2020 at the state level. Once the Phase I framework is released, state agencies such as state health departments will use the framework to inform their own planning efforts. ODPHP is working on a project to support competitive grants for states for assessing the use of the Healthy People 2020 framework. RADM Royall said that the Committee should discuss state-level efforts during the December meeting, since the Request for Proposal will be released in January. Committee members agreed this topic is important, especially since they were involved in Healthy People efforts in their respective states. Ms. Blakey explained that NORC recently sent out surveys to state Healthy People Coordinators and Chronic Disease Directors to find out how they are using Healthy People. Preliminary findings of these surveys may be available by December. Dr. Fielding said this information would be very valuable. He asked Dr. Remington to lead discussion of state-level Healthy People efforts and how the Committee can add value. (December)

Agenda Topic 6.      Quality and Availability of National Data Sets

A Committee member suggested that the availability and quality of national data sets an agenda item. Specifically, he mentioned the quality of national epidemiological and health services be data to reach into subgroups of interest for measuring health disparities and health equity. A representative from the National Center for Health Statistics (NCHS) could present on the main issues confronted as they implement data systems over time. ODPHP agreed to contact NCHS to see whether such a presentation could be arranged. (January)

A Committee member later added that the Advisory Committee should produce a series of questions during the December meeting that NCHS could answer during the January meeting. She added that the interaction between regional/local data systems and national data systems is important. (December)

Agenda Topic 7.      Sources of Knowledge for Evidence-based Actions

ODPHP added that another point of discussion could be the action steps that users can take to achieve targets for individual objectives. Dr. Fielding noted that this idea relates to sources and use of knowledge. Specifically, what criteria should be used to decide which interventions and actions to recommend as being effective? The Advisory Committee must consider tools that are currently in existence or need to be developed for different user groups in order to catalyze actions based on objectives. A brief is needed to describe and how they can be explained to users (for example, through a toolkit). (January)

Agenda Topic 8.      Selection of Focus Areas

ODPHP added that HHS would be interested in the Advisory Committee’s feedback on the selection of focus areas. (January)

Agenda Topic 9.      Interventions to Eliminate Health Disparities

Dr. Fielding said it would be important to help people understand the notions of disparities and inequities. There has been limited research in this domain, so it will be important to look at the current evidence-base and future efforts to accumulate evidence of what works to narrow gaps. Dr. Remington mentioned that he is currently working with colleagues to review 350 interventions across multiple determinants if health. This review examines the strength of the evidence, the size of population impact, and the effect on disparities. Dr. Remington said he would be happy to share this work-in-progress with Advisory Committee members. (January)

Agenda Topic 10.      Target Setting Methodologies and Met vs. Unmet Targets

Healthy People has used several methodologies for setting targets in the past (e.g., "better than best," "percentage improvement"). The Committee’s feedback would be useful. Dr. Fielding agreed this was valuable, because people do not know how targets were set, or whether they were realistic. Dr. Kumanyika said an analysis of why some targets have been met and others have not is important, and deserves time on the agenda. Dr. Fielding asked whether NORC could put together a briefing paper of what has been learned from the past (i.e. assessments from past decades, midcourse review) and what are the critical questions regarding this issue. (December)

Agenda Topic 11.      User Needs Focus Groups

ODPHP added that user needs focus groups are being conducted and the results of the findings of these focus groups should be discussed. These findings could go hand in hand with the implementation/dissemination strategies discussion. Dr. Fielding agreed that should be placed in the January meeting’s agenda. (January)

Dissemination of Report, Closing Remarks

Dr. Fielding noted that RADM Royall would provide a list of organizations that will receive a copy of the Phase I report, which she will provide to the Advisory Committee. If any important organizations are missing from that list, the Committee will be able to add to it. He noted that one possibility would be to have NORC support this effort, but it would be necessary to verify that such activities are within their scope of work. A Committee Member requested that NORC put together 10-20 slides about the Phase I recommendations that could be used to explain them to stakeholders. Dr. Fielding agreed that those slides would be valuable to have by the time the Secretary’s 30-day review period elapsed. They could be distributed along with the final draft of the report.

Dr. Fielding thanked the Committee members for their hard work, and congratulated them on completing the first phase of their charge. He also thanked the members of the public who had signed into the WebEx meeting. A Committee member also thanked Dr. Fielding and Dr. Kumanyika for their leadership. The meeting was adjourned.