 |
 |
|
|
May 2014
|
|
Overview
The Healthy People 2020 Clinical Preventive Services Leading Health Indicators cover a range of health issues–cancer, heart disease and stroke, diabetes, and vaccinations–because of the tremendous impact these issues have on the health of the Nation. Clinical preventive services can detect disease early, when treatment is more effective, or prevent them altogether. These services, such as routine disease screening and scheduled immunizations, play a key role in reducing death and disability and improving the health of the Nation. Unfortunately, millions of children, adolescents, and adults continue to go without evidence-based clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.1
Vaccines are among the most cost-effective clinical preventive services and are a core component of preventive services for both children and adults. The Centers for Disease Control and Prevention (CDC) estimates that among children born during 1994–2013, vaccinations will have an enormous impact on their health including the prevention of an estimated 322 million illnesses, 21 million hospitalizations, and 732,000 deaths over the course of their lifetimes. This translates into a net savings of $295 billion in direct costs and $1.38 trillion in total societal costs.2 Ensuring the protection of all children from vaccine-preventable diseases is a critical public health issue.
Communities with pockets of unvaccinated and under-vaccinated populations are at increased risk for outbreaks of vaccine-preventable diseases. Maintaining, and even increasing, our commitment to childhood immunizations is necessary to reduce the burden of infectious diseases and to prevent the recurrence of previously-eradicated diseases in the United States.
|
|
Clinical Preventive Services and the Affordable Care Act
The Affordable Care Act has expanded key recommended clinical preventive services for adults and children to promote health over the life span. A focus on prevention will not only improve the health of Americans, but will also help reduce health care costs and improve quality of care. By improving access to key clinical preventive services, the Affordable Care Act is helping Americans to be healthier and live longer. To learn more about available clinical preventive services under the Affordable Care Act, please visit healthcare.gov.
|
|
Leading Health Indicators
Leading Health Indicators (LHI) are critical health issues that–if tackled appropriately–will dramatically reduce the leading causes of death and preventable illnesses. The Clinical Preventive Services LHIs are:
|
|
Where We’ve Been and Where We’re Going
- From 2008 to 2010, the percentage of adults aged 50 to 75 years receiving a colorectal cancer screening based on the most recent guidelines increased 14%, from 52.1% (age adjusted) to 59.2%.
- Over the past decade, blood pressure control increased by 55% among adults aged 18 years and over with hypertension from 31.6% (age adjusted) in 1999–2002 to 48.9% in 2009–2012.
- Between 2005–2008 and 2009–2012, the rate of poor glycemic control (HbA1c greater than 9%) among adults aged 18 years and older with diagnosed diabetes increased 17%, from 17.9% to 21.0% (age adjusted); however, this change is not statistically significant.
- The percentage of children aged 19 to 35 months who had received the recommended doses of DTaP, polio, MMR, Hib, Hep B, varicella, and PCV vaccines increased about 54%, from 44.3% in 2009 to 68.4% in 2012. Differences in vaccination rates occur by education, income, and health insurance status.
|
|
Who’s Leading the Leading Health Indicators?
The Arizona Partnership for Immunization (TAPI) Strives to Provide Immunizations to all Arizonians
|
 The Arizona Partnership for Immunization (TAPI) is a non-profit, statewide coalition that includes over 400 members from both the public and private sector. It was formed in the mid-1990s to address the low rate of immunization among children in Arizona, but today its mission includes immunization for all Arizonians–children, adolescents, and adults. In 1993, only 43% of children age 2 in Arizona were fully immunized against vaccine-preventable childhood diseases.3
TAPI brings together key stakeholders in Arizona, including local public health departments, state and private Medicaid offices, community health centers, professional associations, advocacy organizations, and health care providers. With input from its members, TAPI works to increase the number of fully immunized children, adolescents, and adults in the state through advocacy, provider training, and community awareness and education.
|
|
|
|
|
 |
