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CDC Prevention Status Reports Andrea Young, PhD Chief, Applied Systems Research and Evaluation Branch Division of Public Health Performance Improvement Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention Cost- Effective Strategies in Public Health: The “Winnable Battles Initiative” Hilton Garden Inn – Denver, CO June 20, 2016 2
About the Reports A performance measurement system that highlights – for all 50 states and the District of Columbia -- the status of public health policies and practices designed to address the following important public health problems and concerns: Motor Vehicle Injuries Alcohol-Related Harms Nutrition, Physical Activity, Food Safety and Obesity Healthcare-Associated Prescription Drug Infections Overdose Heart Disease and Teen Pregnancy Stroke Tobacco Use HIV Bolded Topics denote Winnable Battles 3
Goal and Framework The goal of the PSRs is to help advance evidence-based public health policy and practice by — • Highlighting opportunities to address important public health problems • Monitoring the use of available solutions • Reporting the status of public health policies and practices in states and DC Problem Solutions Status 4
Rating Categories The reports use a simple, three-level rating scale. Green — indicates that the policy or practice is established in accordance with supporting evidence and/or expert recommendations Yellow — indicates that the policy or practice is established in partial accordance with supporting evidence and/or expert recommendations Red — indicates that the policy or practice is either absent or not established in accordance with supporting evidence and/or expert recommendations 5
Topic Selection The 10 health topics were selected for inclusion in the PSRs because — They reflect current public health challenges and leading causes of death and disability They align with public health priorities and national initiatives, such as CDC’s Winnable Battles They include solution drawn from scientific evidence and/or expert recommendations to address these public health challenges 6
Policy and Practice Inclusion Criteria The policies and practices reported in the PSRs were selected because they can be monitored using state-level data that are readily available for most states and the District of Columbia, and meet one of the following criteria: Supported by systematic review(s) of scientific evidence of effectiveness (e.g., The Guide to Community Preventive Services) Explicitly cited in a national strategy or national action plan (e.g., Healthy People 2020) Recommended by a recognized expert body, panel, organization, study, or report with an evidence-based focus (e.g., Institute of Medicine) 7
Summary of 2015 Ratings by Topic 100% 16% 17% 90% 27% 27% 28% 31% 35% 80% 25% 70% 27% 66% 72% 22% 60% 27% 86% 26% 50% 46% 59% 40% 30% 10% 59% 56% 50% 46% 15% 20% 39% 24% 23% 10% 11% 13% 14% 3% 0% Alcohol-Related Food Safety HAI Heart Disease & HIV Motor Vehicle Nutrition, Prescription Teen Tobacco Harms Stroke Injuries Physical Activity, Drug Pregnancy Use and Obesity Overdose (N=4) (N=3) (N=2) (N=2) (N=4) (N=8) (N=4) (N=2) (N=1) (N=3) 8
How the PSRs are Being Used self-assessment 69% 20% 11% communication 57% 35% 8% planning & 53% 38% 9% priority setting improving existing 50% 42% 8% policies/practices educating decision makers 46% 39% 15% implementing new 34% 57% 9% policies/practices Have used this way Intend to use this way Do not intend to use this way Data Source: CDC PSR Evaluation, 2015 9
What Users are Saying “PSRs are one more resource we use to justify why we’re “I will take the PSRs and policies working on certain aspects of that are suggested and I will use our projects. It shows there data from CDC to work with teams are national priorities for to incorporate the policy targets certain parts of the work.” into [our] strategic plan over the next five years.” “PSRs help justify to legislators the need in so many different arenas. You can pull this report up and it helps.” Data Source: CDC PSR Key Informant Interviews, 2015 10
For more information about the PSRs, please visit: www.cdc.gov/psr Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention 4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341-3717 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 11
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