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Objectives and Subobjectives
Goal:
Ensure the safe
and effective use of medical products.
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.
ORIGINAL
OBJECTIVE
|
17-1. |
(Developmental) Increase the
proportion of health care organizations that are linked in an integrated
system that monitors and reports adverse events.
17-1a.
Health care organizations that are linked
in an integrated system that monitors and reports adverse events associated
with medical therapies.
17-1b.
Health care organizations that are linked
in an integrated system that monitors and reports adverse events associated
with medical devices.
Potential
data sources:
Office of
Postmarketing Drug Risk Assessment (OPDRA), MEDWATCH, and Manufacturer and User Device
Experience (MAUDE) Database, FDA.
|
OBJECTIVE
WITH REVISIONS
(Including
subobjective deleted)
|
17-1. |
(Developmental) Increase the
proportion of health care organizations that are linked in an
integrated system that monitors and reports adverse events are monitoring
and analyzing adverse events associated with medical therapies within
their systems.
17-1a.*
Health care organizations that are linked
in an integrated system that monitors and reports monitoring and
analyzing adverse events associated with medical therapies within
their systems.
17-1b.
(Subobjective
deleted due to lack of data source) Health care
organizations that are linked in an integrated system that monitors
and reports adverse events associated with medical devices.
Target:
90 percent.
Baseline:
82 percent of health care organizations
were monitoring and analyzing adverse events associated with medical
therapies within their systems in 1998.
Target
setting method:
10
percent improvement.
Potential
dData
sources:
National
Survey of Pharmacy Practice in Acute Care Settings, Office of
Postmarketing Drug Risk Assessment (OPDRA), MedWatch, and Manufacturer
and User Device Experience (MAUDE) Database, FDAAmerican Society of
Health System Pharmacists (ASHP).
* For data control purposes, subobjectives are not
renumbered.
|
REVISED
OBJECTIVE
|
17-1. |
Increase the proportion of health
care organizations that are monitoring and analyzing adverse events
associated with medical therapies within their systems.
17-1a.* Health care organizations that are
monitoring and analyzing adverse events associated with medical therapies
within their systems.
Target: 90 percent.
Baseline: 82 percent of health care organizations
were monitoring and analyzing adverse events associated with medical
therapies within their systems in 1998.
Target
setting method: 10 percent
improvement.
Data
source: National Survey of
Pharmacy Practice in Acute Care Settings, American Society of Health System
Pharmacists (ASHP).
* For data control purposes, subobjectives are not
renumbered. |
ORIGINAL
OBJECTIVE
|
17-2. |
(Developmental) Increase the use of
linked, automated systems to share information.
17-2a.
By health care professionals in hospitals
and comprehensive, integrated health care systems.
17-2b.
By pharmacists and other dispensers.
Potential
data sources:
National
Survey of Pharmacy Practice in Acute Care Settings and Survey of Managed Care
and Ambulatory Care Pharmacy Practice in Integrated Health Systems, American
Society of Hospital Pharmacists (ASHP).
|
OBJECTIVE
WITH REVISIONS
|
17-2. |
(Developmental) Increase the
proportion of health care providers and organizations that are
usinguse of linked, automated systems to share information
technology.
17-2a.
By health care professionals in hospitals
and comprehensive, integrated health care systems.
17-2b.
By pharmacists and other dispensers.
Target
and baseline:
Objective |
Increase in Health Care
Providers and Organizations Using
Information Technology |
2000
Baseline (unless noted)
Percent |
2010
Target
Percent |
17-2a.
| Health care providers in
health care organizations using
electronic medical records |
12 |
18 |
17-2b. |
Pharmacists in managed
care and integrated health
systems using electronic medical records |
31 (1999) |
46 |
17-2c. |
General and children’s
hospitals using computerized
prescriber order entry |
4.3 (2001) |
6.0 |
17-2d. |
Urban acute care
facilities using computerized
prescriber order entry |
5.0 (2003) |
7.0 |
Target
setting method: 50
percent improvement.
Potential
dData
sources: Healthcare
Information and Management Systems Society (HIMSS); American Society of
Health System Pharmacists (ASHP); The Leapfrog Group.National
Survey of Pharmacy Practice in Acute Care Settings and Survey of
Managed Care and Ambulatory Care Pharmacy Practice in Integrated Health Systems,
American Society of Hospital Pharmacists (ASHP).
|
REVISED
OBJECTIVE
|
17-2. |
Increase the proportion of health
care providers and organizations that are using information technology.
Target
and baseline:
Objective |
Increase in Health Care
Providers and Organizations Using Information Technology |
2000
Baseline
(unless noted)
Percent |
2010
Target
Percent |
17-2a. |
Health care providers in
health care organizations using electronic medical records |
12 |
18 |
17-2b. |
Pharmacists in managed care
and integrated health systems using electronic medical records |
31 (1999) |
46 |
17-2c. |
General and children’s
hospitals using computerized prescriber order entry |
4.3 (2001) |
6.0 |
17-2d. |
Urban acute care facilities
using computerized prescriber order entry |
5.0 (2003) |
7.0 |
Target
setting method:
50 percent
improvement.
Data
sources: Healthcare
Information and Management Systems Society (HIMSS); American Society of
Health System Pharmacists (ASHP); The Leapfrog Group.
|
OBJECTIVE
DELETED
|
17-3. |
(Objective deleted due to lack of data source)
(Developmental) Increase the proportion of primary care providers,
pharmacists, and other health care professionals who routinely review with
their patients aged 65 years and older and patients with chronic illnesses or
disabilities all new prescribed and over-the-counter medicines.
|
NO
CHANGE IN OBJECTIVE
|
17-4. |
(Developmental) Increase the
proportion of patients receiving information that meets guidelines for
usefulness when their new prescriptions are dispensed.
Potential
data source:
Patient/Consumer Medication Information Survey, FDA.
|
NO
CHANGE IN OBJECTIVE
|
17-5. |
Increase the proportion of patients
who receive verbal counseling from prescribers and pharmacists on the
appropriate use and potential risks of medications.
Target
and baseline:
Objective |
Increase in Patients
Receiving Oral Counseling From |
1998
Baseline
Percent |
2010
Target
Percent |
17-5a. |
Prescribers |
24 |
95 |
17-5b. |
Pharmacists |
14 |
95 |
Target
setting method:
296
percent improvement for prescribers and 579 percent improvement for
pharmacists.
(Better than the best
will be used when data are available.)
Data
source:
National Survey of
Prescription Drug Information Received by Consumers, FDA.
|
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
17-6. |
Increase the proportion of persons
who donate blood, and in so doing ensure an adequate supply of safe blood.
Target:
8 percent.
Baseline:
61 percent of the total
population aged 18 years and older donated blood in 1998.1
Target
setting method:
Better
than the best.2
Data
source:
National Health
Interview Survey (NHIS), CDC, NCHS.*
* The data source changed from the
American Association of Blood Banks.
1 Baseline and baseline year revised from
5 and 1994 after November 2000 publication.
2 Target setting method revised from 60
percent improvement after November 2000 publication with the availability of
population-level data.
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