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

Road Map to a Happier and Healthier Nation

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

FPHSNSP Goals

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 Framework

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.

FPHSN Vision and Mission

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

New Website Design

http://phs-nurse.org/PHSNurseStrategicPlan/

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

Questions