Add children to all objectives or consider a population-based
approach such as young children age 1 up to age 12.
Special populations should be identified to support resource
allocations.
Public Health Infrastructure pieces of HP 2010 must have a clear
focus on children.
Develop and track indicators of quality care /quality assurance
for children.
Tracking should include: School days lost due to communicable
disease
Who is eligible for EPSDT and who gets it
Percent of preschool children who receive vision, hearing,
speech, language screening
Percent of children served by integrated public health social
service and education programs
Impact of surroundings, environment on health outcomes
Quality should be consumer centered and children are consumers,
too. Every person must have high-quality health care...how you
get there may require differential treatment of special
populations.
Definition of quality should be child-centered instead of
service-centered and should include comprehensive coordination of
family services, culturally competent and community-based.
There should be a focus on ecology and environment as well as the
traditional focus on medical care.
Coordinate Child Health Objectives with new Children's Health
Insurance Program to include Outreach (including home-based),
Quality Health Care, which includes Screening (EPDST, Vision and
Hearing, Asthma, Anemia), Enabling Services, Parent Education
Programs.
II. Organization of Healthy People 2010 Recommendations
The current organization within the Chapters should be
revised and each Chapter should be organized under the four
Enabling Goals. This will help communicate better what we are
trying to accomplish. For example, Instead of each Chapter having
Health Status, Risk Reduction, and Services and Protection
Objectives, list the objectives for the Chapter under Promoting
Healthy Behaviors, Protecting Health, Assuring Access to Quality
Health Care and Strengthening Community Prevention.
Have fewer focus areas and fewer objectives.
Are the focus areas functions or categories?
Avoid categorical rigidity.
Clarify Fan Diagram: The Four Enabling Goals should be clearly
relevant to all Focus Areas. It needs to be clearer that the Two
Overall Goals are for the Enabling Goals and all Focus Areas.
(upside down fan with goals on top).
Philosophical question: If goal is to increase years of healthy
life and eliminate disparity instead of reduce disparity, do you
need to focus on different populations?
Poverty cannot be removed through HP2010. Consider having a
preamble to document regarding how the Government plans to reduce
poverty to support system success and success of HP 2010.
Participants
Linda Johnston, Facilitator, Health Resources and Services
Administration
Michele Brown, Health Care Financing Administration
Florence Fiori, Health Resources and Services Administration
Laura Hayman, Case Western Reserve University
Dorothy Hutchins, The Healthier People Network, Inc.
Alice McIntosh, American Lung Association
Evelyn Williams, American School Health Association
Lynn Woodhouse, East Stroudsburg University