Category Archives: National Prevention Strategy
Have a Story about Implementing the National Prevention Strategy? The Office of the Surgeon General Wants to Hear It
The National Prevention Strategy (NPS), a federal-level initiative coordinated by the Office of the Surgeon General (OSG), was launched three years ago with the goal of promoting prevention and improving the nation’s health by engaging all sectors, not just health care.
Communities across the country are hard at work integrating different sectors in the joint purpose. For example, transportation agencies and senior health agencies are working to improve travel logistics for seniors who have different needs and schedules than the average commuter. The benefits for seniors can be many and huge, including engaging in social activities, recreation, timely visits to doctors, access to food shopping and greater independence.
In its 2014 required annual status report to the president and Congress on the progress of implementing the National Prevention Strategy, the OSG shared for the first time stories—called Partner Implementation Models (PIMs)—about communities and organizations implementing the strategies. One PIM showcased the work of the Robert Wood Johnson Foundation (RWJF), including:
- In 2013, RWJF re-convened the Commission to Build a Healthier America—an interdisciplinary group of leaders in the public, nonprofit and private sectors originally brought together in 2008—to develop recommendations to reduce health disparities. The Commission’s January 2014 report references the National Prevention Strategy.
- RWJF’s County Health Rankings & Roadmaps show how health is influenced by where people live, learn, work and play. Counties are ranked using data on health behaviors; clinical care; the physical environment; and social and economic factors such as family and social support. In 2014, new measures related to housing, transit, access to mental health providers, injury-related deaths, food environment and exercise opportunities were added to the Rankings. All of these measures directly reinforce the priorities outlined in the National Prevention Strategy.
Another PIM was shared by the Henry Ford Health System (HFHS) in Detroit, Mich., the fifth-largest employer in the city, which launched Henry Ford LiveWell (HF LiveWell) to improve the health of HFHS employees, patients, and surrounding communities.
This week, the National Prevention, Health Promotion, and Public Health Council (National Prevention Council) submitted its annual status report to the President and designated Congressional committees describing national progress in meeting specific prevention, health promotion and public health goals defined in the National Prevention Strategy first released three years ago. The National Prevention Strategy is required under the Patient Protection and Affordable Care Act and has the overarching goal of increasing the number of Americans who are healthy at every stage of life.
The goal of the annual report is to show how cabinet-level agencies are working across the federal government to incorporate health in diverse sectors—such as housing, transportation and education—to advance the National Prevention Strategy and influence the health of individuals, families and communities. The status report also highlights how private- and public-sector partners across the country are advancing the National Prevention Strategy in organizations ranging from health care systems to national foundations.
Federal agency highlights for the past twelve months include:
- Continued support for smoke-free housing by the U.S. Department of Health and Human Services
- Smoking cessation initiatives by the U.S. Department of Defense for its troops and their families
- Pedestrian safety promotion efforts from the U.S. Department of Transportation
- School-based healthy food initiatives from the U.S. Department of Education
The report also includes status updates from several partner organization promoting health and wellness, including the American Public Health Association; the Henry Ford Health System; the Delaware Department of Health and Social Services; and the Robert Wood Johnson Foundation. The health promotion efforts of these organizations over the last year includes the fifth annual release of the County Health Rankings, which shows how health is influenced by where we live, learn, work and play.
Read interviews and listen to podcasts with federal agency leaders about the National Prevention Strategy on NewPublicHealth.
Today U.S. Surgeon General Regina Benjamin, MD, MBA, leaves her post after four years of public health accomplishments. Dr. Benjamin will return to Alabama to volunteer at her clinic. Deputy Surgeon General Boris Lushniak will serve as acting surgeon general until a new surgeon general is appointed.
Dr. Benjamin’s many singular initiatives during her tenure include:
- Serving as chair of the National Prevention, Health Promotion, and Public Health Council, which spearheaded the release of the National Prevention Strategy (NPS), a roadmap for working with partners at the local, national, and international level to help bridge the gaps in health disparities and ultimately increase the number of Americans who are healthy at every stage of life. The National Prevention Council is composed of cabinet-level heads of federal agencies, including the Departments of Transportation, Education, Defense, Housing and Urban Development and the Environmental Protection Agency. “The NPS illuminates and puts into action what we in Public Health have been saying for more than a hundred years,” says Dr. Benjamin. “Prevention is the foundation of public health and prevention is the foundation of an effective health care system.”
- Releasing the National Prevention Council Annual Status Report, showing positive trends in some leading health indicators including decreases in youth ages 3 to 11 exposed to secondhand smoke; the number of adolescents who are current smokers; the rate of coronary heart disease deaths; stroke deaths; and overall cancer deaths.
- Spearheading the National Suicide Prevention Strategy, an ambitious national strategy to reduce the number of deaths by suicide.
- Releasing My Family Health Portrait, an Internet-based tool encouraging people to collect their family health history during the holidays when families gather together.
The U.S. Department of Health and Human Services (HHS) Center for Faith-based and Neighborhood Partnerships (known as the Partnership Center) engages with community organizations to:
- Strengthen the role of community organizations in health initiatives
- Reduce unintended pregnancies and support maternal and child health
- Promote responsible fatherhood and healthy families
- Foster interfaith dialogue and collaboration with leaders and scholars around the world, and at home
As part of HHS, the Partnership Center is a member agency of the National Prevention Council—a collaboration of 17 federal departments, agencies and offices to help promote prevention and wellness for individuals, families, and communities. The Council members are guided by the National Prevention Strategy, released two years ago by Surgeon General Regina Benjamin, which envisions a prevention-oriented society where all sectors recognize the value of health for individuals, families, and society and work together to achieve better health for all Americans.
>>Read more in our series exploring the National Prevention Strategy, and how each and every sector impacts public health.
NewPublicHealth recently spoke with Acacia Salatti, acting director of the Partnership Center, about their prevention efforts in U.S. communities.
NewPublicHealth: What is the role of the Center for Faith-based and Neighborhood Partnerships?
Acacia Salatti: Our office as is an open door for faith and community stakeholders. We see it as a two-way partnership—our center is able to provide information on health and human services programs, and we are able to gain a deeper understanding about what other types of best practices are happening in the community. We are one of 13 faith and neighborhood partnership offices in federal agencies and we all work to together to help faith and community stakeholders create a positive impact in their communities.
NPH: Why is prevention important to the office and how does the office align with the National Prevention Strategy?
The NewPublicHealth National Prevention Strategy series is underway, including interviews with Cabinet Secretaries and their National Prevention Council designees, exploring the impact of jobs, transportation and more on health. “Stable Jobs = Healthier Lives” tells a visual story on the role of employment in the health of our communities.
- Since 1977, the life expectancy of male workers retiring at age 65 has risen 6 years in the top half of the income distribution, but only 1.3 years in the bottom half.
- 12.3 million Americans were unemployed as of October 2012.
- Laid-off workers are 54% more likely to have fair or poor health, and 83% more likely to develop a stress-releated health condition.
- There are nearly 3 million nonfatal workplace injuries each year.
- The United States is one of the few developed nations without universal paid sick days.
View the full infographic below.
As the year draws to a close, the most recent installment of the NewPublicHealth series on the National Prevention Strategy is especially appropriate. We spoke with Wendy Spencer, the CEO of the Corporation for National and Community Service (CNCS), a federal agency that engages more than 5 million Americans in volunteer community service. The mission of CNCS is to improve lives, strengthen communities, and foster civic engagement through service and volunteering.
Guiding principles of CNCS that help promote the National Prevention Strategy include:
- Put the needs of local communities first
- Strengthen public-private partnerships
- Use programs to build stronger, more efficient, and more sustainable community networks capable of mobilizing volunteers to address local needs, including disaster preparedness and response
- Build collaborations wherever possible across programs and with other federal programs
- Help rural and economically distressed communities obtain access to public and private resources
- Support diverse organizations, including faith-based and other community organizations
During Hurricane Sandy, which struck the East Coast in late October, close to 900 national service members were deployed to states affected by the storm, and nearly 900 more were on standby. National service members assisted with shelter operations, call centers, debris removal, and mass care. “Before the recovery is complete,” said Wendy Spencer, “we expect thousands of national service members from AmeriCorps and Senior Corps programs to help families and local and state officials rebuild these communities.”
For its Hurricane Sandy response effort, CNCS coordinated with the Federal Management Agency (FEMA), National Voluntary Organizations Active in Disaster, the American Red Cross and state and local authorities.
NewPublicHealth recently spoke with Wendy Spencer, the CEO of CNCS, Asim Mishra, the agency’s chief of staff and Erwin Tan, MD, the CNCS designee on the National Prevention Council and Director of Senior Corps and Strategic Advisor for Veterans and Military Families.
NewPublicHealth: What is the mission of the Corporation for National and Community Service (CNCS)?
The NewPublicHealth National Prevention Strategy series is under way, including interviews with Cabinet Secretaries and their National Prevention Council designees, exploring the impact of transportation, education and more on health. “Better Transportation Options = Healthier Lives” tells a visual story on the role of transportation in the health of our communities.
- Public transit users walk an average of 19 minutes getting to and from public transportation.
- Countries with lower rates of obesity tend to have higher rates of commuters who walk or bike to work.
- The risk of obesity increases 6 percent with every additional mile spent in the car, and decreases 5 percent with every kilometer walked.
- Lengthy commutes cost $100 billion each year in excess fuel costs and lost productivity.
- More than 30,000 people died in car wrecks in 2010.
- Strong seatbelt and child safety laws resulted in a 25 percent decrease in car accident deaths since 2005.
Also check out our previous infographic exploring the connection between education and health.
>>For more on transportation and health:
A new conversation with Secretary of Transportation Ray LaHood continues a series of interviews by NewPublicHealth with the heads of federal agencies that comprise the National Prevention Council, convened to partner across government to help create a healthier nation through the National Prevention Strategy.
The U.S. transportation system is a web of highways, bridges, roads, sidewalks, bike paths, trains, and buses that connect people to each other and to places where they work, learn, play, shop, and get medical care. This makes transportation a critical factor in the health and quality—as well as the economic viability—of life of communities. In addition to devoting significant resources and attention to improving the safety of motor vehicle-based transportation, the Department of Transportation and partners across the country are working to provide more transportation options that support walking and cycling and improve health.
>>Check out a new infographic exploring the connection between transportation and health.
Read the new interview with Secretary LaHood.
NPH: Who are some of the Department of Transportation’s partners on the intersection of transportation and health?
Secretary Ray LaHood: We’ve worked with communities all over America on their priorities for improving transportation, but also improving the quality of life in communities. We’ve worked with mayors, we’ve worked with transportation officials, and we’ve worked with advocacy groups. We’ve tried to take best practices in cities that have paid attention to the environment and quality of life in their communities, and lead by not only our own example, but by taking examples from leadership in communities where mayors and transportation advocates and some of our best partners have done extraordinary work on really improving health and quality of life by way of transportation.
We work closely with many different groups, not only here in Washington, but all across the country. For example, we have joined with other agencies for a project called Safe Routes to School that helps create environments where students can walk and bicycle to school safely by allowing children to pick routes to school that are safe for walking – so that their parents don’t have to drive them and so they don’t have to be on a bus. We have a great relationship with bikers all over America, and whenever I go into a community I often have opportunities to meet with the cycling advocates in communities.
We also work closely with advocates to make sure that children are in the right size child safety seats, and we partner with Mothers against Drunk Driving to get drunk drivers off the road. We have lots of advocacy groups and friends around the country who wake up every day and think about safety on the roadways, in vehicles, outside of vehicles, in public transportation.
NPH: How is the DOT working to help prevent injuries related to transportation, such as distracted driving?
In a new interview with Ramona Trovato, Deputy Assistant Administrator of the Environmental Protection Agency (EPA), NewPublicHealth continues its conversation series about the National Prevention Strategy. The strategy was released last year by Surgeon General Regina Benjamin, MD, MBA, to help create a healthier and more fit nation.
Earlier this year the Surgeon General’s office released the Strategy’s National Action Plan, designed to show how the 17 Federal Agencies charged with advancing the National Prevention Strategy are implementing its vital components. The EPA has several partner initiatives critical to the health of the nation, which include:
- Partnership for Sustainable Communities: The EPA is a partner, together with the Department of Transportation and the Department of Housing and Urban Development, in this partnership to help communities improve access to affordable housing and transportation while protecting the environment, all critical aspects of healthy living.
- Green Ribbon Schools: EPA is a partner with the Department of Education and other agencies for this recognition award that encourages state education agencies and schools to recognize the links between education, health, and the environment, and to make all three of these areas a priority.
- Safe routes to school: Agencies including HHS, EPA and the Department of Transportation support efforts to improve the ability of students to walk and bicycle to school safely.
- Task Force on Environmental Health Risks and Safety Risks to Children: This multi-agency task force, which includes the EPA, recommends strategies for protecting children's health and safety, including specific priorities around asthma, unintentional injuries, lead poisoning, cancer, and environmental health in schools.
- Aging Initiative: This EPA initiative aims to prioritize environmental health hazards that affect older persons, focus on “smart growth” principals to support active aging, and examine the environmental impact of an aging population, and encourage civic involvement among older persons in their communities to reduce hazards.
Ramona Trovato shared with us EPA’s long history of health promotion and its current efforts to help improve population health as a member agency of the National Prevention Council.
NewPublicHealh: How does the Environmental Protection Agency (EPA) align itself with the National Prevention Strategy?
Ramona Trovato: The EPA is really pleased to be part of the National Prevention Council and the National Prevention Strategy. We firmly believe in preventing ill health and in promoting wellness, and it’s something that matters to us in all the work that we do. We have very successfully partnered with Department of Health and Human Services in the past and with a number of other federal agencies including the Consumer Product Safety Commission, the Department of Transportation and the Department of Housing and Urban Development to benefit the public’s health.
NPH: What are the key roles of the Environmental Protection Agency in protecting the nation’s health?
This summer the National Prevention Council, made up of 17 federal departments that are incorporating prevention into their activities, released its first annual report detailing successes in implementing the National Prevention Strategy and laying out next steps to help achieve its goals.
At the release, Surgeon General Regina Benjamin, MD, MBA, who is also chair of the Council said, “This Action Plan highlights how the National Prevention Council departments are working together—in conjunction with state, tribal, local, territorial, public, and private partners—to begin to move our health system from one based on sickness and disease to one based on wellness and prevention.”
As part of our conversation series on the National Prevention Strategy, with key leaders in federal agencies who are shaping the Strategy, NewPublicHealth spoke with Dr. Benjamn about the regional meetings she is spearheading across the country to implement the strategy and her vision for healthier lives for all Americans.
Listen to a short podcast with Dr. Benjamin, and read the full interview below.