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Objectives and Subobjectives
Goal: Improve
cardiovascular health and quality of life through the prevention, detection,
and treatment of risk factors; early identification and treatment of heart
attacks and strokes; and prevention of recurrent cardiovascular events.
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.
Heart Disease
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
12-1. |
Reduce coronary heart disease
deaths.
Target:
1621 deaths per 100,000
population.
Baseline:
2032 coronary heart disease
deaths per 100,000 population in 19992 (age adjusted to the year
2000 standard population).
Target
setting method:
20 percent
improvement.
Data
source:
National Vital
Statistics System—Mortality (NVSS—M), CDC, NCHS.
1 Target revised from 166 because of baseline
revision after November 2000 publication.
2 Baseline and baseline year revised from 208
and 1998 after November 2000 publication.
|
ORIGINAL
OBJECTIVE
|
12-2. |
(Developmental) Increase the
proportion of adults aged 20 years and older who are aware of the early
warning symptoms and signs of a heart attack and the importance of accessing
rapid emergency care by calling 911.
Potential
data source:
National
Health Interview Survey (NHIS), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
12-2. |
(Developmental) Increase the
proportion of adults aged 20 years and older who are aware of the early
warning symptoms and signs of a heart attack and the importance of accessing
rapid emergency care by calling 911.
Target:
50 percent.
Baseline:
46 percent of adults aged 20 years and
older were aware of the early warning symptoms and signs of a heart
attack and the importance of accessing rapid emergency care by calling
911 in 2001.
Target
setting method:
Better
than the best.
Potential
dData
source:
National Health
Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE
|
12-2. |
Increase the proportion of adults
aged 20 years and older who are aware of the early warning symptoms and signs
of a heart attack and the importance of accessing rapid emergency care by
calling 911.
Target:
50 percent.
Baseline: 46 percent of adults aged 20 years and
older were aware of the early warning symptoms and signs of a heart attack
and the importance of accessing rapid emergency care by calling 911 in 2001.
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
12-3. |
(Developmental) Increase the
proportion of eligible patients with heart attacks who receive artery-opening
therapy within an hour of symptom onset.
Potential
data source:
National
Registry of Myocardial Infarction, National Acute Myocardial Infarction
Project, HCFA. |
OBJECTIVE
WITH REVISIONS
|
12-3. |
(Developmental) Increase the
proportion of eligible patients with heart attacks who receive timely artery-opening therapy within an
hour of from symptom onset.
Target
and baseline:
Objective |
Increase in the
Proportion of Eligible Patients
With Heart Attacks Who Receive Timely Artery-Opening Therapy From Symptom Onset |
2000–04
Baseline
Percent |
2010
Target
Percent |
12-3a. |
Fibrinolytics within an
hour of symptom onset |
4 |
6 |
12-3b. |
Percutaneous intervention
(PCI) within 90 minutes of
symptom onset |
0.64 |
0.67 |
Target
setting method:
Better
than the best.
Potential
dData
source:
National Registry
of Myocardial Infarction (NRMI–4), National Acute Myocardial
Infarction Project, HCFA Centers for Medicare & Medicaid Services
(CMS).
|
REVISED
OBJECTIVE
|
12-3. |
Increase the proportion of eligible
patients with heart attacks who receive timely artery-opening therapy from
symptom onset.
Target
and baseline:
Objective |
Increase in the Proportion
of Eligible Patients With Heart Attacks Who Receive Timely Artery-Opening
Therapy From Symptom Onset |
2000–04
Baseline
Percent |
2010
Target
Percent |
12-3a. |
Fibrinolytics within an hour
of symptom onset |
4 |
6 |
12-3b. |
Percutaneous intervention
(PCI) within 90 minutes of symptom onset |
0.64 |
0.67 |
Target
setting method: Better
than the best.
Data
source: National Registry
of Myocardial Infarction (NRMI–4), National Acute Myocardial Infarction
Project, Centers for Medicare & Medicaid Services (CMS).
|
ORIGINAL
OBJECTIVE
|
12-4. |
(Developmental) Increase the
proportion of adults aged 20 years and older who call 911 and administer
cardiopulmonary resuscitation (CPR) when they witness an out-of-hospital
cardiac arrest.
Potential
data source:
National
Health Interview Survey (NHIS), CDC, NCHS. |
OBJECTIVE
WITH REVISIONS
|
12-4. |
(Developmental)Increase the
proportion of adults aged 20 years and older who call 911 and
administer persons trained in cardiopulmonary resuscitation (CPR) when
they witness an out-of-hospital cardiac arrest in the past year.
Target:
12 percent.
Baseline:
8 percent of persons aged 20 years and
older were trained in cardiopulmonary resuscitation (CPR) in the past year in
2001.
Target
setting method:
Better
than the best.
Potential
dData
source:
National Health
Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE
|
12-4. |
Increase the proportion of persons
trained in cardiopulmonary resuscitation (CPR) in the past year.
Target:
12 percent.
Baseline: 8 percent of persons aged 20 years and
older were trained in cardiopulmonary resuscitation (CPR) in the past year in
2001.
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
12-5. |
(Developmental) Increase the
proportion of eligible persons with witnessed out-of-hospital cardiac arrest
who receive their first therapeutic electrical shock within 6 minutes after
collapse recognition.
Potential
data source:
Medical
Expenditure Panel Survey (MEPS), AHRQ. |
OBJECTIVE
WITH REVISIONS
|
12-5. |
(Developmental) Increase the
proportion of eligible persons with witnessed out-of-hospital cardiac arrest
who receive their first therapeutic electrical shock within 6 minutes after
collapse recognition.
Potential
data source:
Medical
Expenditure Panel Survey (MEPS), AHRQNational EMS Information
System (NEMSIS), National Association of State EMS Directors (NASEMSD),
in coordination with U.S. Department of Transportation, NHTSA, and HRSA,
Trauma/EMS Systems.
|
REVISED
OBJECTIVE
|
12-5. |
(Developmental) Increase the
proportion of eligible persons with witnessed out-of-hospital cardiac arrest
who receive their first therapeutic electrical shock within 6 minutes after
collapse recognition.
Potential
data source:
National EMS
Information System (NEMSIS), National Association of State EMS Directors
(NASEMSD), in coordination with U.S.
Department of Transportation, NHTSA, and HRSA, Trauma/EMS
Systems.
|
NO
CHANGE IN OBJECTIVE
|
12-6. |
Reduce hospitalizations of older
adults with congestive heart failure as the principal diagnosis.
Target
and baseline:
Objective |
Reduction in
Hospitalizations of Older Adults With Congestive Heart Failure as the
Principal Diagnosis |
1997
Baseline
Per 1,000
Population |
2010
Target
Per 1,000
Population |
12-6a. |
Adults aged 65 to 74 years |
13.2 |
6.5 |
12-6b. |
Adults aged 75 to 84 years |
26.7 |
13.5 |
12-6c. |
Adults aged 85 years and
older |
52.7 |
26.5 |
Target
setting method: Better
than the best.
Data
source: National Hospital
Discharge Survey (NHDS), CDC, NCHS.
|
Stroke
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
12-7. |
Reduce
stroke deaths.
Target:
501 deaths per 100,000
population.
Baseline:
622 deaths from stroke per
100,000 population occurred in 19992 (age adjusted to the year
2000 standard population).
Target
setting method:
20 percent
improvement.
Data
source:
National Vital
Statistics System—Mortality (NVSS—M), CDC, NCHS.
1 Target revised from 48 because of
baseline revision after November 2000 publication.
2 Baseline and baseline year revised from
60 and 1998 after November 2000 publication.
|
ORIGINAL
OBJECTIVE
|
12-8. |
(Developmental) Increase the
proportion of adults who are aware of the early warning symptoms and signs of
a stroke.
Potential
data source:
National
Health Interview Survey (NHIS), CDC, NCHS. |
OBJECTIVE
WITH REVISIONS
|
12-8. |
(Developmental) Increase the
proportion of adults who are aware of the early warning symptoms and signs of
a stroke and the importance of accessing rapid emergency care by
calling 911.
Target:
83 percent.
Baseline:
78 percent of adults aged 20 years and
older were aware of the early warning symptoms and signs of a stroke
in 2001.
(Current baseline data do
not include the importance of accessing 911; the baseline will be
updated with data regarding the importance of 911 when the data have
been analyzed.)
Target
setting method: Better
than the best.
Potential
dData
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE
|
12-8. |
Increase the proportion of adults
who are aware of the early warning symptoms and signs of a stroke and the
importance of accessing rapid emergency care by calling 911.
Target:
83 percent.
Baseline:
78 percent of adults aged 20 years and
older were aware of the early warning symptoms and signs of a stroke in
2001.
(Current baseline data do not
include the importance of accessing 911; the baseline will be updated with
data regarding the importance of 911 when the data have been analyzed.)
Target
setting method:
Better
than the best.
Data
source:
National Health
Interview Survey (NHIS), CDC, NCHS.
|
Blood Pressure
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
12-9. |
Reduce the proportion of adults
with high blood pressure.
Target:
141 percent.
Baseline:
262 percent of adults aged 20
years and older had high blood pressure in 1988–94 (age adjusted to the year
2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
1 Target revised from 16 percent because
of baseline revision after November 2000 publication.
2 Baseline revised from 28 percent after
November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
12-10. |
Increase the proportion of adults
with high blood pressure whose blood pressure is under control.
Target:
681 percent.
Baseline:
252 percent of adults aged 18
years and older with high blood pressure had it under control in 1988–94 (age
adjusted to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
1 Target revised from 50 percent because
of baseline revision after November 2000 publication.
2 Baseline revised from 18 percent after
November 2000 publication.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
12-11. |
Increase the proportion of adults
with high blood pressure who are taking action (for example, losing weight,
increasing physical activity, or reducing sodium intake) to help control
their blood pressure.
Target:
981 percent.
Baseline:
842 percent of adults aged 18
years and older with high blood pressure were taking action to control it in
1998 (age adjusted to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
Interview Survey (NHIS), CDC, NCHS.
1 Target revised from 95 because of
baseline revision after November 2000 publication.
2 Baseline revised from 82 after November
2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
12-12. |
Increase the proportion of adults who
have had their blood pressure measured within the preceding 2 years and can
state whether their blood pressure was normal or high.
Target:
95 percent.
Baseline:
90 percent of adults aged 18 years and
older had their blood pressure measured in the past 2 years and could state
whether it was normal or high in 1998 (age adjusted to the year 2000 standard
population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
Cholesterol
NO
CHANGE IN OBJECTIVE
|
12-13. |
Reduce
the mean total blood cholesterol levels among adults.
Target:
199 mg/dL (mean).
Baseline:
206 mg/dL was the mean total blood
cholesterol level for adults aged 20 years and older in 1988–94 (age adjusted
to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
12-14. |
Reduce
the proportion of adults with high total blood cholesterol levels.
Target:
17 percent.
Baseline:
21 percent of adults aged 20 years and
older had total blood cholesterol levels of 240 mg/dL or greater in 1988–94
(age adjusted to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
12-15. |
Increase
the proportion of adults who have had their blood cholesterol checked within
the preceding 5 years.
Target:
80 percent.
Baseline:
67 percent of adults aged 18 years and
older had their blood cholesterol checked within the preceding 5 years in
1998 (age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: National Health
Interview Survey (NHIS), CDC, NCHS.
|
ORIGINAL
OBJECTIVE
|
12-16. |
(Developmental)
Increase the proportion of persons with coronary heart disease who have their
LDL-cholesterol level treated to a goal of less than or equal to 100 mg/dL.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
OBJECTIVE
WITH REVISIONS
|
12-16. |
(Developmental)
Increase the proportion of persons with coronary heart disease who have their
LDL-cholesterol level treated to a goal of less than or equal to 100
mg/dL.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
REVISED
OBJECTIVE
|
12-16. |
(Developmental)
Increase the proportion of persons with coronary heart disease who have their
LDL-cholesterol level treated to a goal of less than 100 mg/dL.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
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