RADM Slade-Sawyer then explained specific products that HHS would
like to receive from the Committee during Phase II. They included:
- Feedback on objectives, topic areas, target-setting and
cross-referencing of objectives.
- Broad guidance for translating Healthy People to the federal,
state, and local levels, including assistance with implementation
strategies and tools to assist users. Should materials be
strategically released throughout the decade to encourage momentum?
- Suggestions for types of companion documents and case studies to
be included, along with strategies for using new media, such as
Webinars and other options.
- Further detail on specifications for the proposed relational
- Recommendations for increasing public engagement in Healthy
People 2020 during three critical time periods: the final year of
development, launch, and post-launch.
- Further detail on how to develop the Consortium, engage more
partners, and increase public involvement.
- Feedback on what services should be developed for interfacing
with partners? (This could include concrete examples of how
technical assistance for users could be provided to encourage
creativity and flexibility to meet individual users’ needs.)
- Guidance on data mining, including sustaining reliable data for
the objectives and finding reliable, population-specific data.
Healthy People will be changing, adding, and eliminating objectives
throughout the decade, making timely and transparent information
related to objective revision very important.
Dr. Fielding said there is a need to prioritize these questions and
to think about the level of detail the Committee can provide in
response. He asked for clarification of timeframes and whether there are
critical things that should be addressed right away. At the Committee’s
January 2009 meeting, the FIW could provide briefings on issues where
multiple courses of action are being considered so that the Committee
can opine on which ones might be most fruitful. He suggested that the
Committee start by thinking about what the end-products of its work
should be, and then decide how to get there. Mechanisms for completing
the Committee’s work could include ad hoc groups and subcommittees.
RADM Slade-Sawyer indicated that the most important areas where input
is needed right now are target-setting methodologies.
The FIW would also like the Committee’s input on topic areas
and how they are going to fit together across the whole document.
Dr. Fielding asked what can be done to maximize dissemination of the
Phase I report, which is of significant interest to many people at the
local and state levels. He asked if there had been any effort to have
the report disseminated through other members and organizations. RADM
Slade-Sawyer said the primary dissemination vehicle is the Healthy
People listserv. ODPHP is working to make the report available, but
there are privacy issues that are challenging. These issues should be
sorted out within the next couple of weeks.
Dr. Fielding requested that the National Opinion Research Center (NORC)
be enlisted to send out the report to relevant organizations,
highlighting the report’s availability and offering a brief summary of
its contents. RADM Slade-Sawyer indicated that this would be acceptable.
Dr. Fielding asked NORC staff to distribute notification of the report
to any organizations that they are aware of. Committee members should
also help disseminate the document in the short term, as ODPHP resolves
issues with the Healthy People listserv.
He also asked whether there had been feedback on the Phase I report.
RADM Slade-Sawyer said ODPHP has received positive feedback about the
report, along with questions about when the FIW report would be
Dr. Fielding asked NORC to produce briefing papers to help guide the
Committee’s discussions of target-setting and topic areas in January.
Karen Harris (NORC) noted that NORC had already produced two draft
briefing papers for the Committee in preparation for this session—one on
target-setting, and a second on knowledge-based resources. Dr. Fielding
noted that he had reviewed the papers and asked whether the additional,
more specific information from the FIW is available to update the
briefing papers. Carter Blakey (ODPHP) responded that there was no
additional information from the FIW at that point.
IV. Committee Goals, Products and Work Plan for Phase II
Dr. Fielding asked Committee members to discuss their activities for
Phase II, including how they should be prioritized and what
subcommittees would be needed. He felt the most important issue to be
discussed in January would be the question of what would make Healthy
People 2020 a successful effort. This discussion can be informed by
NORC’s earlier review of previous Healthy People initiatives, as well as
peer-reviewed articles that have chronicled the successes and challenges
of previous iterations of Healthy People.
Dr. Fielding said health disparities could increase with the current
economic downturn. Although the Committee may not be able to address
macro issues on a topic-by-topic basis, they may want to comment on
economic development as a way to improve health and possibly reduce
disparities. A member said that economic recovery will be a major focus
going forward, and that the Committee’s work in 2009 should address the
role of Healthy People 2020 with regard to improving the nation’s
economy. He also recommended that the Committee address the issue of
Another Committee member commented that access to health insurance
coverage and primary health care services are critical. She emphasized
the need for engaging communities in the process. Commenting on the
nomination of Chicago Public Schools CEO Arne Duncan as Secretary of
Education, a member indicated that education will be a top priority for
the administration, and the relationship between health and education
will be very important. RADM Slade-Sawyer reminded the Committee of Dick
Riegelman’s presentation at an earlier meeting on the Healthy People
Curriculum Taskforce. This group focuses on education across the
lifespan, including what Dr. Riegelman is calling the "Educated
Citizen," as well as prevention education through college into graduate
and medical school.