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TAKING ACTIONP R O M O T I N G N A T I O N A L C A M P A I G N S & B E Y O N D
MARCH 2015
Federal Public Health Service Nursing Strategic Plan
1)BACKGROUND1) National Prevention Strategy2) Federal Public Health Service
Nursing Strategic Plan
2)STRATEGIC IMPACT AREAS AND MILLION HEARTS
3)QUESTIONS
Agenda
Problem in United States
America provides some of the world’s best health care and spent over $2.5 trillion for health in 2009; however, the U.S. still ranks below many countries in life expectancy, infant mortality, and many other indicators of health life.
Resource: Centers for Medicare and Medicaid Services, Office of the Actuary. National Health Statistics Group, National Healthcare Expenditures Data,
www.cms.gov/NationalHealthExpendData/downloads/highlights/pdf.
Discrepancy Between Health Determinants and Spending of $1.7 Trillion, 2007
Source: Prevention Institute. 2007. Reducing Healthcare Costs Through Prevention. Available at http://www.preventioninstitute.org/documents/HE_HealthCareReformPolicyDraft_091507.pdf
Factors Influencing
Health
National Health
Expenditures
Health Behaviors50%
Environment 20%
Genetics 20%
Access to Care 10%
Medical Services96%
Prevention 4%
Health
Health is more than merely the absence of disease; it is physical, mental, and social well-being.
Many of the strongest predictors of health and well-being fall outside of the health care setting. Social, economic, and environmental factors all influence health.
Resource: http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf
National Prevention Strategy History
Affordable Care Act, March 2010National Prevention Council
National Prevention Strategy, June 2011Prevention Advisory Group
Partners National Prevention Council Action Plan, June
2012
National Prevention Strategy
Working together to improve the health and quality of life for individuals, families, and communities
ByMoving the nation
from a focus on sickness and disease to one based on prevention and wellness.
National Prevention Strategy
Identifies goals, priorities, recommendations, and measures for improving health through prevention
Grounds recommendations in evidence-based practice
Aligns and focuses federal prevention and health promotion efforts
Aligns with existing national efforts, such as: Healthy People 2020 National Quality Strategy First Lady’s “Let’s Move!” campaign America’s Great Outdoor Initiative
Who is on the Road Map?
Collaborative, Community Effort with Private and Public Stakeholders; Community Groups; Religious Organizations; Federal Government; States, Tribal Local, and Territorial, Governments; Businesses and Employers; Health Care Systems; Insurers; Individuals and Families
NPS and USPHS
• 2011: USPHS Scientific & Training Symposium: Categories reviewed the National Prevention Strategy and determined how to integrate into their work
• Each category created an NPS plan
• 2012-2013: Category CPOs worked together and talked regularly about how to implement the NPS into their mission and activities
• Each category created their own plan for NPS implementation
NPS
Therapists
Dental
Veterinarians
Environmental Health Officers
Dieticians
EngineersScientists
Pharmacists
Medical Officers
Health Service Officers
Nurses
National Prevention Strategy Workgroup/PHS Category Specific
Why is the NPS important to the CC?
• Promotes visibility of the CC • Solidifies role of the PHS in the “war against
disease”• Creates a common standard of public service
and greater purpose for CC Officers across categories
• Our mission!
NPS Approach/Plan
Focus on where people live, learn, work, and play
Promote healthy development and behaviors throughout all stages of life
Eliminate disparities Work across sectors Catalyze public and private partnerships:Federal, state, tribal, local, and territorialPrivate, non-profit, faith, community, labor
FPHSNSP Plan- Development
• Goal: Maximize impact of HHS nurses to improve health outcomes for the American people.
• Environmental Scan: Conducted which includes reviews of Healthy People 2020, HHS Strategic plan, USPHS Surgeon General’s National Prevention Strategy, and IOM Future of Nursing report.
• Inauguration: Inaugural Federal Public Health Service Nursing (FPHSN) plan was developed in 2011.
• Task Force: Identified mission, vision and values lead to development of health initiatives and strategic impact areas forming the basis of a strategic model framework.
FPHSNSP Implementation Stages
Phase 1
• Stage 1: Communication/Dissemination Plan• Stage 2: Needs Assessment Survey• Stage 3: Benchmarking activities
Phase 2
• Stage 4: Marketing Plan• Stage 5: Revise dissemination plan to include social
media, Facebook and www.phs-nurse.org/PHSNurseStrategicPlan
Phase 3
• Stage 6: Ongoing Evaluation and Monitoring• Stage 7: Repeat survey or integrate into evaluation
process
NPS Priorities
Tobacco Free Living
Preventing Drug Abuse and Excessive Alcohol Use
Healthy Eating
Active Living
Mental and Emotional Well-being
Reproductive and Sexual Health
Injury and Violence Free Living
27%
23%
6%5%
5%
All Other Causes 34%
Five Causes Account For 66% of All Deaths
Heart Disease
Cancer
Chronic Lower Respi-ratory Disease
Stroke
Unintentional Injuries
Source: National Vital Statistics Report, CDC, 2008
Three Strategic Impact Areas1.Education and empower individuals, families and
populations Direct or Indirect
2.Promoting the implementation of Federal Health Programs, policy, regulations and research Enhancement of nursing practice and impact across all agencies
3.Encourage participation in National Health Promotion campaigns. Examples include MyPlate, Million Hearts Campaign
FPHSNSP: Framework
NPS Vision and Goal
The National Prevention Strategy’s vision: working together to improve the health and quality of life for individuals, families, and communities by moving the nation from a focus on sickness and disease to one based on prevention and wellness.
The National Prevention Strategy’s overarching goal: increasing the number of Americans who are healthy at every stage of life.
What has been accomplished so far?
Initial Dissemination of informationAll Hands presentation by CNO, RADM
NesselerBaseline surveyPresentations to Federal Nurse Leadership
NetworkPresentations during COA (2)AMSUS Poster presentations (3)NRD Poster presentations (2)Development of website
Next steps for operational impact
Identified National Campaign to unify nursing
voice and impactDecision Matrix developed for
Implementation TeamCommunication of National Campaign to all
Federal Public Health Service Nurses Record activity of nursing and report to CNORepeat activity and awareness surveyReport results to stakeholders
National Campaign Selection
ALIGNS WITH HEALTHY PEOPLE 2020 HAVE WELL DEVELOPED TOOLS AND
OUTREACH MATERIALS ALIGNS WITH FEDERAL PUBLIC HEALTH SERVICE NURSE STRATEGIC PLAN OUTREACH AND INITIATIVES CORRELATES WITH A STRATEGIC IMPACT AREA ALIGNS WITH NATIONAL PREVENTION STRATEGY LEVEL OF IMPACT TO MEET THE PHS MISSION TO
PROTECT, PROMOTE AND ADVANCE THE HEALTH AND SAFETY OF THE NATION
Decision Matrix
A Decision Matrix was developed to assist workgroup in determining best campaign
Nurses scored above categoriesTop score was chosen
BAM (Body and Mind)
Let’s Move
Let’s Move in Indian Country
Million Hearts
Smoking Awareness and the Surgeon General’s Tobacco Initiative
Suicide Prevention
Bullying Growing Power Initiatives
New Food Labeling
Aligns with Healthy People 2020
12 15 12 15 14 13 11 10 9
Have well developed tools and outreach materials
10 12 11 15 12 12 10 6 5
Aligns with Federal Public Health Service Nurse Strategic Plan Outreach and Initiatives
11 13 11 15 14 13 12 9 10
Correlates with a strategic impact area
9 14 14 15 14 13 12 12 11
Aligns with National Prevention Strategy
11 15 15 15 14 14 13 10 11
Level of impact to meet the PHS mission to protect, promote and advance the
8 8 9 11 12 8 7 4 6
Million Hearts
Tools Ready to Use
Download instructional materials
Easy to apply to a variety of settings
Ability to link material with our website
Heart disease and stroke are two of the leading causes of death in the United States. Million Hearts® brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke.
Million Hearts® is a national initiative that was launched by the Department of Health and Human Services in September 2011 to prevent 1 million heart attacks and strokes by 2017.
Million Hearts® will achieve its goal by reducing the number of people who need treatment and by improving the ABCS for those who do.
C H E C K O U T T H E W E B S I T E W H E R E Y O U C A N S I G N U P A N D S U B M I T Y O U R A C T I V I T I E S
H TT P: / /P H S - N U R S E . O R G / P H S N U R S E S T R AT E G I C P L A N
S I G N U P A N D S U B M I T Y O U R A C T I V I T I E S
G O T O M I L L I O N H E A R T SH TT P: / /M I L L I O N H E A R T S. H H S. G O V / I N D E X . H T M L
A N D S I G N U P T O B E O N E I N A M I L L I O N
G E T I N V O LV E D A N D U S E T H E T O O L S P R O V I D E D T O H E L P Y O U G E T T H E M E SS A G E O U T … F E D E R A L P U B L I C H E A LT H S E RV I C E N U R S E S S U P P O R T M I L L I O N H E A R T S C A M PA I G N
A N D C A R D I O VA S C U L A R R I S K R E D U C T I O N.
How to Participate?
Resources/Websites
http://symposium.phscof.org/docs/2013Presentations/Wednesday/Track1/Track1Mettee.pdf
http://symposium.phscof.org/docs/2013Presentations/Thursday/Scientist/SciPesceSciPAC.pdf
http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf
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