Early this week, my colleague, Kate Gillmer, and I were invited by the Centers for Disease Control and Prevention (CDC) to sit in on a webinar where they formally launched their new initiative – Health Impact in 5 Years (HI-5). The HI-5 or “High-Five” initiative highlights a list of non-clinical, community-wide approaches with a proven track record. Each intervention listed is associated with improved health within five years and is reported to be cost-effective or cost-saving over the lifetime of the population or even earlier. Public and private organizations can use this list to quickly assess the scientific evidence for short-term health outcomes and overall cost impacts of community-wide approaches.
With its emphasis on community-wide approaches, HI-5 complements CDC’s 6|18 Initiative, which focuses on 18 traditional and innovative clinical interventions for six high-burden conditions. Together, HI-5 and 6|18 provide public health, health care, and a diverse array of other sectors with evidence across the continuum of prevention and care.
As you can see in the graphic below, HI-5 is focused on non-clinical, community-wide public health interventions for population health improvement – those interventions that have the greatest potential for impact on health because they reach entire populations of people at once and require less individual effort than clinical interventions.
HI-5 highlights two types of public health interventions: 1) Those that help to change the context by making the healthy choice easier, and 2) interventions addressing the social determinants of health.
Interventions Changing the Context:
School-Based Programs to Increase Physical Activity
School-Based Violence Prevention
Safe Routes to School
Motorcycle Injury Prevention
Tobacco Control Interventions
Access to Clean Syringes
Pricing Strategies for Alcohol Products
Multi-Component Worksite Obesity Prevention
Interventions Addressing the Social Determinants of Health:
Early Childhood Education
Clean Diesel Bus Fleets
Public Transportation: System Introduction or Expansion
Home Improvement Loans and Grants
Earned Income Tax Credits
For more information on the HI-5 initiative, go to http://www.cdc.gov/HI5.
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