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PHI-15.2 Data Details

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PHI-15.2 Increase the proportion of State public health agencies that have developed a health improvement plan

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
ASTHO Profile of State Public Health
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
49 (2012)
Target: 
54
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of States that have developed a health improvement plan within the last 5 years

Denominator: 

50 States and the District of Columbia

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2012 State and Territorial Public Health Survey:

    [NUMERATOR:]

    Has your state/territorial public health agency developed or participated in developing a health improvement plan for your state/territory? By “health improvement plan” we mean a series of timely and meaningful action steps that define and direct the distribution of services, programs, and resources to improve your state/territory’s health, or definite strategic action steps to improve health status in the state/territory.

    1. Yes, within the last three years
    2. Yes, more than three but less than five years ago
    3. Yes, more than five years ago
    4. No, but plan to in the next year
    5. No
Data Collection Frequency: 
Periodic
Methodology Notes: 

    A critical aspect of public health infrastructure assessment is monitoring the status of health improvement plans at the State and local level. A health improvement plan is a long-term, systematic effort to address health problems on the basis of the results of a community needs assessment. This plan is used by health and other governmental education and human service agencies, in collaboration with community partners, to set priorities and coordinate and target resources.

    The ASTHO Profile Survey is the only comprehensive source of information about State public health agency activities, structure, and resources. ASTHO sends a link to the web-based survey to senior deputies at State health agencies in the 50 states and the District of Columbia. The approximately 120-question instrument covers the following topic areas: 1. Structure, governance, and priorities; 2. Workforce; 3. State health agency activities; 4. Planning and quality improvement; 5. Health information management; 6. Finance.

    Along with general instructions, senior deputies received recommendations on the most appropriate staff/departments to fill out each section of the survey. Surveys could be filled out by multiple personnel in multiple sittings. The Profile Survey response rate was 96 percent among the 50 states and DC in 2012. Extensive follow-up was conducted with the states throughout 2013 to verify responses. When response errors were identified, ASTHO’s Survey Research team worked with the state to correct these responses. In instances where the state did not respond to multiple follow-up attempts, the Survey Research team used their expertise to determine whether or not to retain the data.

    State and District of Columbia health agencies that responded "Yes, within the last three years" or "Yes, more than three but less than five years ago" to the survey question "Has your state/territorial public health agency developed or participated in developing a health improvement plan for your state/territory?" were counted in the numerator.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 23-12b in that the numerator was revised from "Number of States, including the District of Columbia, with a health improvement plan" to "Number of States that have developed a health improvement plan within the last 5 years."

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2015, this objective moved to measurable status. The objective statement was revised from "Increase the proportion of State public health agencies that have implemented a health improvement plan" to "Increase the proportion of State public health agencies that have developed a health improvement plan." The baseline is "49 percent of state public health agencies had developed a health improvement plan in 2012." The target is 54 percent (10 percent improvement target-setting method).