Healthy People 2020



(Areas of Concentration are NOT listed in rank order)

1 Maternal, Infant, and Child Health

1 Reproductive and Sexual Health (Multiple Sex Partners, Condom Use, Pregnancy Prevention)

2 Preconception and Pregnancy Care (Prenatal Care, Teen Pregnancy, Maternal Oral Health)

3 Birth Outcomes (Preterm Births, Low Birthweight)

4 Infant and Fetal Mortality

5 Infant Care (Breastfeeding)

2 Chronic Disease Prevention & Control

1 Arthritis and Osteoporosis

2 Cancer

3 Chronic Kidney Disease

4 Diabetes

5 Heart Disease and Stroke

6 Oral Health

7 Respiratory Diseases (Asthma, COPD)

8 Vision and Hearing

3 Mental Health, Alcohol and Substance Abuse

1 Mental Health and Mental Disorders (Serious Psychol. Distress, Major Depressive Episodes)

2 Dementias, including Alzheimer’s Disease

3 Alcohol Abuse (Underage Drinking/Dependence)

4 Substance Abuse (Illicit Drugs, Prescription Drugs)

5 Autism Spectrum Disorders

6 Exposure to Trauma

7 Suicide/Self Harm

4 Injury and Violence Prevention

1 Unintentional Injuries (Falls, Accidental Poisoning, MV Crashes, Drowning, Fires, Sports/Combat Injuries)

2 Intentional Injuries

    Self Harm (Suicide & Attempted Suicide)

    Harm by Others (Assault, Homicide, Bullying, Teen Violence, Domestic, Family, Elder, &

    Culturally Accepted Violence, Firearms)

3 Child Abuse and Neglect

4 Sexual Violence

5 Occupational Injuries and Illnesses

5 Infectious Disease Prevention & Control

1 Healthcare‐Associated Infections (MRSA, C. difficile, CLABSIs, CAUTIs)

2 Sexually Transmitted Diseases (Chlamydia, Syphilis, Gonorrhea, HPV)


4 Tuberculosis

5 Hepatitis C

6 Vaccine‐preventable Diseases / Immunizations (Shingles, Whooping Cough, Influenza, HPV, Pneumonia, Childhood)

7 Foodborne Infections (Campylobacter, Listeria, Salmonella, Shigella, etc.)

8 Waterborne Infections (Legionellosis, Cryptosporidiasis, E. coli O157‐H7, etc.)

9 Other Reportable Diseases (Lyme disease, West Nile Virus, Rabies, etc.)

6 Environmental Risk Factors and Health (NEW FOCUS AREA)

1 Outdoor Air Quality {Ozone, Particulates, etc.)

2 Indoor Air Quality (Environmental Tobacco Smoke, Carbon Monoxide)

3 Water Quality (Drinking Water, Recreational Water, Pesticides, Heavy Metals, etc.)

4 Lead

5 Radon

6 Asbestos

7 Occupational Risk Factors

7 Health Systems

1 Access to Health Services (Health Insurance Coverage, Medical Home, Usual Source of Ongoing Care, etc.)

2 Non‐urgent Emergency Department Visits and Preventable Hospitalizations

3 Primary Care Workforce (Primary Care Providers; Health Professional Shortage Areas & Medically Underserved Areas)

4 Safety Net System (School‐based HCs, FQHCs, etc.)

5 Quality and Quality Improvement (Public Health and Health Care Systems

4 Health Communication, Health Literacy. and Health Information Technology (Health Literacy Skills, Cultural Competency, Electronic Health Records, etc.)


* Notes:

Areas of concentration have been modified to reflect discussions during Focus Area breakout sessions at

the January 31, 2013 Coalition Meeting. Some suggested concentrations for certain Focus Areas are not

listed, because they are covered in other Focus Areas or as cross‐cutting themes for all Focus Areas.

Because the Health Improvement Plan will be data‐driven and evidence‐based, inclusion of potential areas

of concentration will depend on availability of data.




From: Read the press release for the Healthy People 2020 launch. [PDF - 149 KB]

FOR IMMEDIATE RELEASE Contact: OASH Press Office Thursday, December 2, 2010 (202) 205-0143

HHS announces the nation’s new health promotion and disease prevention agenda

The U.S. Department of Health and Human Services today unveiled Healthy People 2020, the nation‟s new 10-year goals and objectives for health promotion and disease prevention, and "myHealthyPeople," a new challenge for technology application developers. For the past 30 years, Healthy People has been committed to improving the quality of our Nation‟s health by producing a framework for public health prevention priorities and actions. "The launch of Healthy People 2020 comes at a critical time," said HHS Secretary Kathleen Sebelius. "Our challenge and opportunity is to avoid preventable diseases from occurring in the first place." Chronic diseases, such as heart disease, cancer and diabetes, are responsible for seven out of every 10 deaths among Americans each year and account for 75 percent of the nation‟s health spending. Many of the risk factors that contribute to the development of these diseases are preventable. "Too many people are not reaching their full potential for health because of preventable conditions," said Assistant Secretary for Health Howard K. Koh, M.D., M.P.H. "Healthy People is the nation‟s roadmap and compass for better health, providing our society a vision for improving both the quantity and quality of life for all Americans." The Healthy People initiative is grounded in the principle that setting national objectives and monitoring progress can motivate action, and indeed, in just the last decade, preliminary analyses indicate that the country has either progressed toward or met 71 percent of its Healthy People targets. Healthy People 2020 is the product of an extensive stakeholder feedback process that is unparalleled in government and health. It integrates input from public health and prevention experts, a wide range of federal, state and local government officials, a consortium of more than 2,000 organizations, and perhaps most importantly, the public. More than 8,000 comments were considered in drafting a comprehensive set of Healthy People 2020 objectives. Based on this input, a number of new topic areas are included in the new initiative, including: 

Adolescent Health Blood Disorders and Blood Safety Dementias, including Alzheimer‟ Disease Early and Middle Childhood Genomics Global Health Health-Related Quality of Life and Well-Being Healthcare-Associated Infections

Lesbian, Gay, Bisexual and Transgender Health Older Adults Preparedness Sleep Health Social Determinants of Health

Healthy People is also issuing a special challenge to encourage developers to create easy-to-use applications for professionals who are working with the new national health objectives and state- and community-level health data.

"This milestone in disease prevention and health promotion creates an opportunity to leverage information technology to make Healthy People come alive for all Americans in their communities and workplaces," said Chief Technology Officer Todd Park. "The „yHealthyPeople‟apps challenge will help spur innovative approaches to helping communities track their progress using Healthy People objectives and targets as well as develop an agenda for health improvement."

HHS is also launching a newly redesigned Healthy People Web site that allows users to tailor information to their needs and explore evidence-based resources for implementation. The Web site is located at: For more information about myHealthyPeople, go to


Note: All HHS press releases, fact sheets and other press materials are available at


The Vision, Mission, and Goals of Healthy People 2020

The vision, mission, and overarching goals provide structure and guidance for achieving the Healthy People 2020 objectives. While general in nature, they offer specific, important areas of emphasis where action must be taken if the United States is to achieve better health by the year 2020. Developed under the leadership of the Federal Interagency Workgroup (FIW), the Healthy People 2020 framework is the product of an exhaustive collaborative process among the U.S. Department of Health and Human Services (HHS) and other federal agencies, public stakeholders, and the advisory committee.


A society in which all people live long, healthy lives.


Healthy People 2020 strives to:

Identify nationwide health improvement priorities; Increase public awareness and understanding of the determinants of health, disease, and disability and the opportunities for progress; Provide measurable objectives and goals that are applicable at the national, state, and local levels; Engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge; and Identify critical research, evaluation, and data collection needs.

Overarching Goals

Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages.

The Importance of an Ecological and Determinants Approach to Health Promotion and Disease Prevention

Health and health behaviors are determined by influences at multiple levels, including personal (i.e., biological, psychological), organizational/institutional, environmental (i.e., both social and physical), and policy levels. Because significant and dynamic inter-relationships exist among these different levels of health determinants, interventions are most likely to be effective when they address determinants at all levels. Historically, many health fields have focused on individual-level health determinants and interventions. Healthy People 2020 should therefore expand its focus to emphasize health-enhancing social and physical environments. Integrating prevention into the continuum of education—from the earliest ages on—is an integral part of this ecological and determinants approach.

The Role of Health Information Technology and Health Communication

Health information technology (IT) and health communication will be encouraged and supported as being an integral part of the implementation and success of Healthy People 2020. Efforts will include building, and integrating where feasible, the public health IT infrastructure in conjunction with the Nationwide Health Information Network; the ONC-Coordinated Federal Health IT Strategic Plan: 2008–2012 and any updates developed by the HHS Office of the National Coordinator; the various aspects of IT to meet the direct needs of Healthy People 2020 for measures and interventions; and health literacy and health communication efforts.

Addressing "All Hazards" Preparedness as a Public Health Issue

Since the 2000 launch of Healthy People 2010, the attacks of September 11, 2001, the subsequent anthrax attacks, the devastating effects of natural disasters such as hurricanes Katrina and Ike, and concerns about an influenza pandemic have added urgency to the importance of preparedness as a public health issue. Being prepared for any emergency must be a high priority for public health in the coming decade, and Healthy People 2020 will highlight this issue. Because preparedness for all emergencies involves common elements, an "all hazards" approach is necessary.

Graphic Model of Healthy People 2020

The FIW developed a graphic model to visually depict the ecological and determinants approach that Healthy People 2020 will take in framing the national health objectives. This particular graphic was designed to emphasize this new approach, and is not meant as a comprehensive representation of all public health issues and societal domains. The graphic framework attempts to illustrate the fundamental degree of overlap among the social determinants of health, as well as emphasize their collective impact and influence on health outcomes and conditions. The framework also underscores a continued focus on population disparities, including those categorized by race/ethnicity, socioeconomic status, gender, age, disability status, sexual orientation, and geographic location.


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