|
|
Objectives and Subobjectives
Goal:
Improve access to
comprehensive, high-quality health care services.
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 |
19952001Baseline
(unless noted)
Percent
|
2010
Target
Percent |
1-3a. |
Physical
activity or exercise (adults aged 18 years and older) |
Developmental45
|
54 |
1-3b. |
Diet
and nutrition (adults aged 18 years and older) |
Developmental43
|
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) |
Developmental11
|
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) |
Developmental40
|
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 |
* 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. |
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
dData
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
dData
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 criteriasystems 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
dData
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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