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Demonstrating Use of Priority Areas: Public Health Secondary Drivers of Quality


Reducing HIV Infections

Public Health Secondary Drivers of Quality

Population Health Metrics and Information Technology
  • Comply with standardized data collec­tion and grantee reporting requirements.
  • Use electronic medical record systems to facilitate linkage, coordination, and care management for people living with HIV/AIDS.
  • Develop HIV community viral load measurements as a means of identifying communities and populations in need of improved HIV prevention, treatment and care services.
Evidence-Based Practices, Research, and Evaluation
  • Promote routine, voluntary HIV screening—including, where appropriate, rapid testing.
  • Develop and license 4th generation HIV diagnostic tests to better detect incident HIV infections.
  • Evaluate promising community-generated HIV prevention interventions.
  • Implement and evaluate demonstration projects to test which combinations of effective interventions are cost-efficient, produce sustainable outcomes, and have the greatest impact in preventing HIV in specific communities.
Systems Thinking
  • Develop coordinated planning models across all levels of government, including coordinated prevention and care planning and resource allocation activities.
  • Support the mobilization of faith communities, busi­nesses, schools, health care providers, community-based organizations, social gathering sites, and all types of media outlets to support people living with HIV and high risk communities to reduce stigma.
Sustainability and Stewardship
  • Ensure that HIV funding is allocated consistent with the latest epidemiological data and is targeted to the highest prevalence populations and communities.
  • Bridge short-term gaps in health coverage for persons with HIV/AIDS until the Affordable Care Act is fully implemented.
  • Use a shared, unique identifier to allow for better coordination (and reporting) of HIV/AIDS services at the local, state, and federal levels.
  • Support programs that promote age-appropriate HIV and STI prevention education for all Americans.
Workforce and Education
  • Collaborate across the system on workforce training to increase the number of health providers who are culturally competent.
  • Collaborate across the system on workforce training to increase the number of clinical providers who can deliver high-quality HIV care—especially for rural and underserved populations.


Increasing the Number of Americans with a Healthy Weight

Public Health Secondary Drivers of Quality

Population Health Metrics and Information Technology
  • Employ new technologies to integrate self-report with biologic and/or sensor measures of physical activity, diet/nutrition, and energy balance/obesity in real time.
  • Develop valid measures of community food access and deserts, nutrition, and environments friendly to physical activity.
  • Integrate surveillance and other public/private IT systems to monitor population BMI, physical activity, food purchasing, and screen time (such as, video games, TV, etc.).
  • Develop and implement national data standards for healthy weight/obesity, physical activity and healthy food consumption across the life span.
Evidence-Based Practices, Research, and Evaluation
  • Create a network for knowledge-sharing on healthy weight and related factors.
  • Conduct research to understand the etiology and pathophysiology of obesity and weight gain from a multi-level systems perspective.
  • Support and conduct analysis and dissemination of practice-tested interventions for diverse populations and settings to promote behaviors and create environments leading to achieving and maintaining healthy weights.
  • Implement continuous monitoring processes, incorporating a feedback loop, to evaluate change in BMI, physical activity, nutrition, and change resulting from policies. 
Systems Thinking
  • Develop and implement multi-level and multi-sector interventions.
  • Implement initiatives to improve the worksite wellness and food environments of hospitals, universities, business complexes, etc.
Sustainability and Stewardship
  • Develop a participatory open culture engaging all stakeholders in advocacy to support sustaining programs to achieve healthy weight at the population level.
  • Coordinate national, state, and local policies to support each other.
  • Develop and implement policies for child care/early learning centers and schools for physical activity, nutrition, limited on-site screen time (such as, video games, TV, etc.).
  • Develop and implement workforce policies to promote healthy weight and physical activity, to be adapted to employer size, industry-type, and workforce characteristics.
  • Develop economic and agricultural policies to make fresh, healthy foods available and affordable across all communities.
  • Advocate for policies for healthy community environments.
Workforce and Education
  • Provide the workforce with knowledge necessary to achieve goals for healthy weight.