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Appendix 1 1. IOM Recommendations for Healthy People 2020 Leading Health Indicators.

TOPICS INDICATORS OBJECTIVES
Access to Care Proportion of the population with access to health care services
  1. Increase the proportion of persons with health insurance (AHS 1).
  2. Increase proportion of persons with a usual primary care provider (AHS 3).
  3. (Developmental) Increase the proportion of persons who receive appropriate evidence-based clinical preventive services (AHS 7).
Healthy Behaviors Proportion of the population engaged in healthy behaviors
  1. Increase the proportion of adults who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity (PA 2).
  2. Reduce the proportion of children and adolescents who are considered obese (NWS 10).
  3. Reduce consumption of calories from solid fats and added sugars in the population aged 2 years and older (NWS 17).
  4. Increase the proportion of adults who get sufficient sleep (SH 4).
Chronic Disease Prevalence and mortality of chronic disease
  1. Reduce coronary heart disease deaths (HDS 2).
  2. Reduce the proportion of persons in the population with hypertension (HDS 5).
  3. Reduce the overall cancer death rate (C 1).
Environmental Determinants Proportion of the population experiencing a healthy physical environment
  1. Reduce the number of days the Air Quality Index (AQI) exceeds 100 (EH 1).
Social Determinants Proportion of the population experiencing a healthy social environment
  1. (Developmental) Improve the health literacy of the population (HC/HIT 1).
  2. (Developmental) Increase the proportion of children who are ready for school in all five domains of healthy development: physical development, social-emotional development, approaches to learning, language, and cognitive development (EMC 1).
  3. Increase educational achievement of adolescents and young adults (AH 5).
Injury Proportion of the population that experiences injury
  1. Reduce fatal and nonfatal injuries (IVP 1).
Mental Health Proportion of the population experiencing positive mental health
  1. Reduce the proportion of persons who experience major depressive episodes (MDE) (MHMD 4).
Maternal and Infant Health Proportion of healthy births
  1. Reduce low birth weight (LBW) and very low birth weight (VLBW) (MICH 8).
Responsible Sexual Behavior Proportion of the population engaged in responsible sexual behavior
  1. Reduce pregnancy rates among adolescent females (FP 8).
  2. Increase the proportion of sexually active persons who use condoms (HIV 17).
Substance Abuse Proportion of the population engaged in substance abuse
  1. Reduce past-month use of illicit substances (SA 13).
  2. Reduce the proportion of persons engaging in binge drinking of alcoholic beverages (SA 14).
Tobacco Proportion of the population using tobacco
  1. Reduce tobacco use by adults (TU 1).
  2. Reduce the initiation of tobacco use among children, adolescents, and young adults (TU 3).
Quality of Care Proportion of the population receiving quality health care services
  1. Reduce central line-associated bloodstream infections (CLABSI) (HA 1).
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