Focus Area 1: Access to Quality Health Services: Objectives and Subobjectives

As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:

Changes in the wording of an objective to more accurately describe what is being measured.
Changes to reflect a different data source or new science.
Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
Deletion of an objective or subobjective that lacked a data source.
Correction of errors and omissions in Healthy People 2010.

Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.¹

When changes were made to an objective, three sections are displayed:

In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
In the Revised Objective section, the objective appears as revised as a result of the midcourse review.

Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.

¹See Technical Appendix for more information on baseline and target revisions.

Clinical Preventive Care

NO CHANGE IN OBJECTIVE
1-1.	Increase the proportion of persons with health insurance. Target: 100 percent. Baseline: 83 percent of persons under age 65 years were covered by health insurance in 1997 (age adjusted to the year 2000 standard population). Target setting method: Total coverage. Data source: National Health Interview Survey (NHIS), CDC, NCHS.

OBJECTIVE DELETED
1-2.	*(Objective deleted due to lack of data source)* (Developmental) Increase the proportion of insured persons with coverage for clinical preventive services.

ORIGINAL OBJECTIVE

1-3.

Increase the proportion of persons appropriately counseled about health behaviors.

Target and baseline:

Objective	Increase in Counseling on Health Behaviors Among Persons at Risk With a Physician Visit in the Past Year	1995 Baseline Percent	2010 Target Percent
1-3a.	Physical activity or exercise (adults aged 18 years and older)	Developmental	Developmental
1-3b.	Diet and nutrition (adults aged 18 years and older)	Developmental	Developmental
1-3c.	Smoking cessation (adult smokers aged 18 years and older)	Developmental	Developmental
1-3d.	Reduced alcohol consumption (adults aged 18 years and older with excessive alcohol consumption)	Developmental	Developmental
1-3e.	Childhood injury prevention: vehicle restraints and bicycle helmets (children aged 17 years and under)	Developmental	Developmental
1-3f.	Unintended pregnancy (females aged 15 to 44 years)	19	50
1-3g.	Prevention of sexually transmitted diseases (males aged 15 to 49 years; females aged 15 to 44 years)	Developmental	Developmental
1-3h.	Management of menopause (females aged 46 to 56 years)	Developmental	Developmental

Target setting method: Better than the best.

Data sources: National Survey on Family Growth (NSFG), CDC, NCHS; National Health Interview Survey (NHIS), CDC, NCHS.

OBJECTIVE WITH REVISIONS
(Including subobjective deleted)

1-3.

Increase the proportion of persons appropriately counseled about health behaviors.

Target and baseline:

Objective*	Increase in Counseling on Health Behaviors Among Persons at Risk With a Physician Visit in the Past Year	~~1995~~2001Baseline (unless noted) Percent	2010 Target Percent
1-3a.	Physical activity or exercise (adults aged 18 years and older)	~~Developmental~~45	54
1-3b.	Diet and nutrition (adults aged 18 years and older)	~~Developmental~~43	56
1-3c.	Smoking cessation (adult smokers aged 18 years and older)	66	72
1-3d.	~~Reduced alcohol consumption (adults aged 18 years and older with excessive alcohol consumption)~~ Risky drinking (adults aged 18 years and older)	~~Developmental~~11	17
~~1-3e.~~	(Subobjective deleted due to lack of data source)^* ~~Childhood injury~~ ~~prevention: vehicle restraints and~~ ~~bicycle helmets (children aged 17~~ ~~years and under)~~	~~Developmental~~	~~Developmental~~
1-3f.	Unintended pregnancy (females aged 15 to 44 years)	19 (1995)	50
1-3g.	Prevention of sexually transmitted diseases (males aged 15 to 49 years; females aged 15 to 44 years)	Developmental	Developmental
1-3h.	Management of menopause (females aged 465 to 567 years)	~~Developmental~~40	42

* For data control purposes, subobjectives are not renumbered.

Target setting method: Better than the best.

Data sources: National Survey on Family Growth (NSFG), CDC, NCHS; National Health Interview Survey (NHIS), CDC, NCHS.

REVISED OBJECTIVE

1-3.

Increase the proportion of persons appropriately counseled about health behaviors.

Target and baseline:

Objective*	Increase in Counseling on Health Behaviors Among Persons at Risk With a Physician Visit in the Past Year	2001 Baseline (unless noted) Percent	2010 Target Percent
1-3a.	Physical activity or exercise (adults aged 18 years and older)	45	54
1-3b.	Diet and nutrition (adults aged 18 years and older)	43	56
1-3c.	Smoking cessation (adult smokers aged 18 years and older)	66	72
1-3d.	Risky drinking (adults aged 18 years and older)	11	17
1-3f.	Unintended pregnancy (females aged 15 to 44 years)	19 (1995)	50
1-3g.	Prevention of sexually transmitted diseases (males aged 15 to 49 years; females aged 15 to 44 years)	Developmental	Developmental
1-3h.	Management of menopause (females aged 45 to 57 years)	40	42

Primary Care

NO CHANGE IN OBJECTIVE

1-4.

Increase the proportion of persons who have a specific source of ongoing care.

Target and baseline:

Objective	Increase in Persons With Specific Source of Ongoing Care	1998 Baseline* Percent	2010 Target Percent
1-4a.	All ages	87	96
1-4b.	Children and youth aged 17 years and under	93	97
1-4c.	Adults aged 18 years and older	85	96

* Age adjusted to the year 2000 standard population.

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.

NO CHANGE IN OBJECTIVE
1-5.	Increase the proportion of persons with a usual primary care provider. Target: 85 percent. Baseline: 77 percent of the population had a usual primary care provider in 1996. Target setting method: Better than the best. Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

NO CHANGE IN OBJECTIVE

1-6.

Reduce the proportion of families that experience difficulties or delays in obtaining health care or do not receive needed care for one or more family members.

Target: 7 percent.

Baseline: 12 percent of families experienced difficulties or delays in obtaining health care or did not receive needed care in 1996.

Target setting method: Better than the best.

Data source: Medical Expenditure Panel Survey (MEPS), AHRQ.

ORIGINAL OBJECTIVE

1-7.

(Developmental) Increase the proportion of schools of medicine, schools of nursing, and other health professional training schools whose basic curriculum for health care providers includes the core competencies in health promotion and disease prevention.

Potential data source: Adaptation of the Prevention Self-Assessment Analysis, Association of Teachers of Preventive Medicine (ATPM).

OBJECTIVE WITH REVISIONS

1-7.

(Developmental) Increase ~~the proportion of schools of medicine, schools~~ ~~of nursing, and other health professional training schools whose basic~~ ~~curriculum for health care providers includes the~~ the inclusion of sentinel core competencies in health promotion and disease prevention in health profession training.

Target and baseline:

Objective	Increase in the Inclusion of Sentinel Core Competencies

**Schools that include the competency in required courses**
1-7a.	Allopathic medicine—counseling for health promotion and disease prevention	Developmental
1-7b.	Allopathic medicine—cultural diversity	Developmental

**Students who receive training in the competency in required courses or** **clerkships**
1-7c.	Osteopathic medicine—counseling for health promotion and disease prevention	Developmental
1-7d.	Osteopathic medicine—cultural diversity	Developmental

**Schools that include the competency in required courses**
1-7e.	Undergraduate nursing—counseling for health promotion and disease prevention	Developmental
1-7f.	Undergraduate nursing—cultural diversity	Developmental

**Total clinical tracks that include the competency in the core curriculum**
1-7g.	Advanced practice nursing—counseling for health promotion and disease prevention	Developmental
1-7h.	Advanced practice nursing—cultural diversity	Developmental

Potential data sources: ~~Adaptation of the Prevention Self-Assessment Analysis,~~ ~~Association of Teachers of Preventive Medicine (ATPM).~~ Liaison Committee on Medical Education (LCME) Annual Medical School Questionnaire, Association of American Medical Colleges (AAMC); Annual Report on Osteopathic Medical Education, American Association of Colleges of Osteopathic Medicine (AACOM); Women’s Health in the Baccalaureate Nursing School Curriculum Survey, American Association of Colleges of Nursing (AACN); Collaborative Curriculum Survey, AACN and National Organization of Nurse Practitioner Faculties (NONPF).

REVISED OBJECTIVE

1-7.

(Developmental) Increase the inclusion of sentinel core competencies in health promotion and disease prevention in health profession training.

Target and baseline:

Objective	Increase in the Inclusion of Sentinel Core Competencies

**Schools that include the competency in required courses**
1-7a.	Allopathic medicine—counseling for health promotion and disease prevention	Developmental
1-7b.	Allopathic medicine—cultural diversity	Developmental

**Students who receive training in the competency in required courses or clerkships**
1-7c.	Osteopathic medicine—counseling for health promotion and disease prevention	Developmental
1-7d.	Osteopathic medicine—cultural diversity	Developmental

**Schools that include the competency in required courses**
1-7e.	Undergraduate nursing—counseling for health promotion and disease prevention	Developmental
1-7f.	Undergraduate nursing—cultural diversity	Developmental

**Total clinical tracks that include the competency in the core curriculum**
1-7g.	Advanced practice nursing—counseling for health promotion and disease prevention	Developmental
1-7h.	Advanced practice nursing—cultural diversity	Developmental

Potential data sources: Liaison Committee on Medical Education (LCME) Annual Medical School Questionnaire, Association of American Medical Colleges (AAMC); Annual Report on Osteopathic Medical Education, American Association of Colleges of Osteopathic Medicine (AACOM); Women’s Health in the Baccalaureate Nursing School Curriculum Survey, American Association of Colleges of Nursing (AACN); Collaborative Curriculum Survey, AACN and National Organization of Nurse Practitioner Faculties (NONPF).

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

1-8.

In the health professions, allied and associated health profession fields, and the nursing field, increase the proportion of all degrees awarded to members of underrepresented racial and ethnic groups.

Target and baseline:

Objective	Increase in Degrees Awarded to Underrepresented Populations	1996–97 Baseline (unless noted) Percent	2010 Target Percent
	Health professions, allied and associated health profession fields (For the baselines, health professions include medicine, dentistry, pharmacy, and public health.)
1-8a.	American Indian or Alaska Native	0.6	1.0
1-8b.	Asian or Pacific Islander	16.3¹	4.0*
1-8c.	Black or African American	6.5²	13.0
1-8d.	Hispanic or Latino	5.2³	12.0
	Nursing
1-8e.	American Indian or Alaska Native	0.7 (1995–96)	1.0
1-8f.	Asian or Pacific Islander	3.2 (1995–96)	4.0
1-8g.	Black or African American	6.9 (1995–96)	13.0
1-8h.	Hispanic or Latino	3.4 (1995–96)	12.0
	Medicine
1-8i.	American Indian or Alaska Native	0.7⁴	1.0
1-8j.	Asian or Pacific Islander	16.0⁵	4.0*
1-8k.	Black or African American	7.0⁶	13.0
1-8l.	Hispanic or Latino	5.9⁷	12.0
	Dentistry
1-8m.	American Indian or Alaska Native	0.5	1.0
1-8n.	Asian or Pacific Islander	19.5	4.0*
1-8o.	Black or African American	5.1	13.0
1-8p.	Hispanic or Latino	5.3⁸	12.0
	Pharmacy
1-8q.	American Indian or Alaska Native	0.4	1.0
1-8r.	Asian or Pacific Islander	17.5	4.0
1-8s.	Black or African American	3.6⁹	13.0
1-8t.	Hispanic or Latino	3.6⁹	12.0

* The Asian or Pacific Islander population group has exceeded its target, which represents the minimum target based on this group’s estimated proportion of the population.
¹ Baseline revised from 16.2 after November 2000 publication.
² Baseline revised from 6.7 after November 2000 publication.
³ Baseline revised from 4.0 after November 2000 publication.
⁴ Baseline revised from 0.6 after November 2000 publication.
⁵ Baseline revised from 15.9 after November 2000 publication.
⁶ Baseline revised from 7.3 after November 2000 publication.
⁷ Baseline revised from 4.6 after November 2000 publication.
⁸ Baseline revised from 4.7 after November 2000 publication.
⁹ Baseline revised from 2.8 after November 2000 publication.

Target setting method: Targets based on U.S. Bureau of the Census projections of the proportions of racial and ethnic groups in the population for the year 2000.

Data sources: Survey of Predoctoral Dental Educational Institutions, American Dental Association (ADA); Profile of Pharmacy Students, American Association of Colleges of Pharmacy (AACP); AAMC Data Book: Statistical Information Related to Medical Schools and Teaching Hospitals, Association of American Medical Colleges (AAMC); Annual Data Report, American Association of Schools of Public Health; Annual Survey of Registered Nurse Programs, National League for Nursing (NLN), Center for Research in Nursing Education and Community Health.

NO CHANGE IN OBJECTIVE

1-9.

Reduce hospitalization rates for three ambulatory-care-sensitive conditions—pediatric asthma, uncontrolled diabetes, and immunization-preventable pneumonia and influenza.

Target and baseline:

Objective	Reduction in Hospitalizations for Ambulatory-Care-Sensitive Conditions	1996 Baseline Admissions per 10,000 Population	2010 Target Admissions per 10,000 Population
1-9a.	Pediatric asthma—persons under age 18 years	23.0	17.3
1-9b.	Uncontrolled diabetes—persons aged 18 to 64 years	7.2	5.4
1-9c.	Immunization-preventable pneumonia or influenza—persons aged 65 years and older	10.6	8.0

Target setting method: 25 percent improvement.

Data source: Healthcare Cost and Utilization Project (HCUP), AHRQ.

Emergency Services

ORIGINAL OBJECTIVE
1-10.	(Developmental) Reduce the proportion of persons who delay or have difficulty in getting emergency medical care. Potential data source: National Health Interview Survey (NHIS), CDC, NCHS.
OBJECTIVE WITH REVISIONS
1-10.	~~(Developmental)~~ Reduce the proportion of persons who delay or have difficulty in getting emergency medical care. Target: 1.5 percent. Baseline: 2.4 percent of persons delayed or had difficulty in getting emergency medical care in 2001. Target setting method: Better than the best. ~~Potential d~~Data source: National Health Interview Survey (NHIS), CDC, NCHS.
REVISED OBJECTIVE
1-10.	Reduce the proportion of persons who delay or have difficulty in getting emergency medical care. Target: 1.5 percent. Baseline: 2.4 percent of persons delayed or had difficulty in getting emergency medical care in 2001. Target setting method: Better than the best. Data source: National Health Interview Survey (NHIS), CDC, NCHS.

ORIGINAL OBJECTIVE

1-11.

(Developmental) Increase the proportion of persons who have access to rapidly responding prehospital emergency medical services.

Potential data source: Annual Survey of EMS Operations, International Association of Fire Fighters.

OBJECTIVE WITH REVISIONS

1-11.

~~(Developmental)~~ Increase the proportion of persons who have access to rapidly responding prehospital emergency medical services.

Target and baseline:

Objective	Increase in Access to Rapidly Responding Prehospital Emergency Medical Services	2002 Baseline* Percent	2010 Target Percent
1-11a.	Population covered by basic life support	91	100
1-11b.	Population covered by advanced life support	77	85
1-11c.	Population covered by helicopter	75	83
1-11d.	Population living in area with prehospital access to online medical control	78	86
1-11e.	Population covered by basic 911	74	81
1-11f.	Population covered by enhanced 911	72	79
1-11g.	Population living in area with two-way communication between hospitals	68	75

* Baseline is for 50 States, not including the District of Columbia or Territories, with the following exceptions:
1-11a. Data represent all States except Colorado, Illinois, and West Virginia.
1-11b. Data represent all States except Colorado, Illinois, New Hampshire, Ohio, and West Virginia.
1-11c. Data represent all States except Colorado and Georgia.
1-11d. Data represent all States except Colorado, Louisiana, New York, Ohio, Oregon, and Wisconsin.
1-11e. Data represent all States except Kentucky, Maine, and Virginia.
1-11f. Data represent all States except Kentucky, Maine, and Virginia.
1-11g. Data represent all States except Arkansas, Colorado, Idaho, Louisiana, Missouri, North Carolina, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Washington, and Wyoming.

Target setting method: 10 percent improvement.

~~Potential d~~Data source: ~~Annual Survey of EMS Operations, International Association of Fire Fighters.~~ National Assessment of State Trauma System Development, Emergency Medical Services Resources, and Disaster Readiness for Mass Casualty Events, HRSA.

REVISED OBJECTIVE

1-11.

Increase the proportion of persons who have access to rapidly responding prehospital emergency medical services.

Target and baseline:

Objective	Increase in Access to Rapidly Responding Prehospital Emergency Medical Services	2002 Baseline* Percent	2010 Target Percent
1-11a.	Population covered by basic life support	91	100
1-11b.	Population covered by advanced life support	77	85
1-11c.	Population covered by helicopter	75	83
1-11d.	Population living in area with prehospital access to online medical control	78	86
1-11e.	Population covered by basic 911	74	81
1-11f.	Population covered by enhanced 911	72	79
1-11g.	Population living in area with two-way communication between hospitals	68	75

* Baseline is for 50 States, not including the District of Columbia or Territories, with the following exceptions:
1-11a. Data represent all States except Colorado, Illinois, and West Virginia.
1-11b. Data represent all States except Colorado, Illinois, New Hampshire, Ohio, and West Virginia.
1-11c. Data represent all States except Colorado and Georgia.
1-11d. Data represent all States except Colorado, Louisiana, New York, Ohio, Oregon, and Wisconsin.
1-11e. Data represent all States except Kentucky, Maine, and Virginia.
1-11f. Data represent all States except Kentucky, Maine, and Virginia.
1-11g. Data represent all States except Arkansas, Colorado, Idaho, Louisiana, Missouri, North Carolina, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Washington, and Wyoming.

Target setting method: 10 percent improvement.

Data source: National Assessment of State Trauma System Development, Emergency Medical Services Resources, and Disaster Readiness for Mass Casualty Events, HRSA.

NO CHANGE IN OBJECTIVE

1-12.

Establish a single toll-free telephone number for access to poison control centers on a 24-hour basis throughout the United States.

Target: 100 percent.

Baseline: 15 percent of poison control centers shared a single toll-free number in 1999.

Target setting method: Total coverage.

Data source: American Association of Poison Control Centers Survey, U.S. Poison Control Centers.

ORIGINAL OBJECTIVE

1-13.

Increase the number of Tribes, States, and the District of Columbia with trauma care systems that maximize survival and functional outcomes of trauma patients and help prevent injuries from occurring.

Target: All Tribes, States, and the District of Columbia.

Baseline: 5 States had trauma care systems in 1998.

Target setting method: Total coverage. (Tribal trauma systems are measured differently because they frequently are regional and often are linked to a State EMS.)

Data sources: State EMS Directors Survey, National Association of State EMS Directors; IHS (Tribal data are developmental).

OBJECTIVE WITH REVISIONS

1-13.

Increase the number of Tribes, States, and the District of Columbia with State-level trauma ~~care~~ system facilitation and coordination of statewide defined criteria~~systems that maximize survival and functional outcomes of trauma~~ ~~patients and help prevent injuries from occurring~~.

Target and baseline:

Objective	Increase in State-Level Trauma System Facilitation and Coordination of Statewide Defined Criteria	2002 Baseline Number of Tribes, States, and the District of Columbia*	2010 Target Number of Tribes, States, and the District of Columbia*
1-13a.	Presence of active multidisciplinary trauma advisory committee	29	51
1-13b.	Defined process for designing trauma centers	34	51
1-13c.	Use of American College of Surgeons standards for trauma center verification	34	51
1-13d.	Use of onsite survey teams for trauma center verification	36	51
1-13e.	Prehospital triage criteria allowing for the bypass of nondesignated hospitals	27	51
1-13f.	Standardized interhospital transfer protocols	23	51
1-13g.	Policies describing the types of patients who should be transferred	23	51
1-13h.	Process to monitor and evaluate trauma system outcomes	30	51
1-13i.	Trauma system plan	32	51

* Baseline data for Tribes are not available.

~~Target:~~ ~~All Tribes, States, and the District of Columbia.~~

~~Baseline:~~ ~~5 States had trauma care systems in 1998.~~

Target setting method: Total coverage. ~~(Tribal trauma systems are measured~~ ~~differently because they frequently are regional and often are linked to a State EMS.)~~

Data sources: ~~State EMS Directors Survey, National Association of State EMS~~ ~~Directors; IHS (Tribal data are developmental).~~Federal Trauma-Emergency Medical Services System Program Survey, HRSA.

REVISED OBJECTIVE

1-13.

Increase the number of Tribes, States, and the District of Columbia with State-level trauma system facilitation and coordination of statewide defined criteria.

Target and baseline:

Objective	Increase in State-Level Trauma System Facilitation and Coordination of Statewide Defined Criteria	2002 Baseline Number of Tribes, States, and the District of Columbia*	2010 Target Number of Tribes, States, and the District of Columbia*
1-13a.	Presence of active multidisciplinary trauma advisory committee	29	51
1-13b.	Defined process for designing trauma centers	34	51
1-13c.	Use of American College of Surgeons standards for trauma center verification	34	51
1-13d.	Use of onsite survey teams for trauma center verification	36	51
1-13e.	Prehospital triage criteria allowing for the bypass of nondesignated hospitals	27	51
1-13f.	Standardized interhospital transfer protocols	23	51
1-13g.	Policies describing the types of patients who should be transferred	23	51
1-13h.	Process to monitor and evaluate trauma system outcomes	30	51
1-13i.	Trauma system plan	32	51

* Baseline data for Tribes are not available.

Target setting method: Total coverage.

Data source: Federal Trauma-Emergency Medical Services System Program Survey, HRSA.

NO CHANGE IN OBJECTIVE

1-14.

Increase the number of States and the District of Columbia that have implemented guidelines for prehospital and hospital pediatric care.

1-14a. Increase the number of States and the District of Columbia that have implemented statewide pediatric protocols for online medical direction.

Target: All States and the District of Columbia.

Baseline: 18 States had implemented statewide pediatric protocols for online medical direction in 1997.

Target setting method: Total coverage.

Data source: Emergency Medical Services for Children Annual Grantees Survey, HRSA.

1-14b. Increase the number of States and the District of Columbia that have adopted and disseminated pediatric guidelines that categorize acute care facilities with the equipment, drugs, trained personnel, and other resources necessary to provide varying levels of pediatric emergency and critical care.

Target: All States and the District of Columbia.

Baseline: 11 States had adopted and disseminated pediatric guidelines that categorize acute care facilities with the equipment, drugs, trained personnel, and other resources necessary to provide varying levels of pediatric emergency and critical care in 1997.

Target setting method: Total coverage.

Data source: Emergency Medical Services for Children Annual Grantees Survey, HRSA.

Long-Term Care and Rehabilitative Services

ORIGINAL OBJECTIVE

1-15.

(Developmental) Increase the proportion of persons with long-term care needs who have access to the continuum of long-term care services.

Potential data sources: National Long-Term Care Survey, Medicare Current Beneficiary Survey, HCFA; National Health Interview Survey (NHIS), CDC, NCHS; Medical Expenditure Panel Survey (MEPS), AHRQ.

OBJECTIVE WITH REVISIONS

1-15.

~~(Developmental)~~ ~~Increase~~ Reduce the proportion of ~~persons~~ adults with long-term care needs who do not have access to the continuum of long-term care services.

Target and baseline:

Objective	Reduction in Proportion of Adults Aged 65 Years and Older With Long-Term Care Needs Who Do Not Have Access to the Continuum of Long-Term Care Services	2001 Baseline Percent	2010 Target Percent
1-15a.	Home health care	9.6	7.7
1-15b.	Adult day care	2.9	2.3
1-15c.	Assisted living	3.3	1.8
1-15d.	Nursing home care	1.1	0.8

Target setting method: Better than the best.

~~Potential d~~Data sources: ~~National Long-Term Care Survey, Medicare Current~~ ~~Beneficiary Survey, HCFA;~~ National Health Interview Survey (NHIS), CDC, NCHS; ~~Medical Expenditure Panel Survey (MEPS), AHRQ~~.

REVISED OBJECTIVE

1-15.

Reduce the proportion of adults with long-term care needs who do not have access to the continuum of long-term care services.

Target and baseline:

Objective	Reduction in Proportion of Adults Aged 65 Years and Older With Long-Term Care Needs Who Do Not Have Access to the Continuum of Long-Term Care Services	2001 Baseline Percent	2010 Target Percent
1-15a.	Home health care	9.6	7.7
1-15b.	Adult day care	2.9	2.3
1-15c.	Assisted living	3.3	1.8
1-15d.	Nursing home care	1.1	0.8

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.

NO CHANGE IN OBJECTIVE
1-16.	Reduce the proportion of nursing home residents with a current diagnosis of pressure ulcers. Target: 8 diagnoses per 1,000 residents. Baseline: 16 diagnoses of pressure ulcers per 1,000 nursing home residents were made in 1997. Target setting method: Better than the best. Data source: National Nursing Home Survey (NNHS), CDC, NCHS.

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