Healthcare

Strategy 1

Healthcare systems should increase the priority of physical activity assessment, advice, and promotion. (HC-1)

TACTICS:

Use a systems approach to implement, evaluate, and fund interventions that are effective in improving physical activity in both children and adults. (HC-1.1)

Objectives:

  • By 2020, at least two nationally recognized healthcare systems, that combined serve at least 10 million individuals, will have developed and disseminated approaches for
    team-based careTeam-based care: The National Academy of Medicine defines team--based care as the provision of health services to individuals, families, and/or their communities by at least two health providers who work collaboratively with patients and their caregivers—to the extent preferred by each patient - to accomplish shared goals within and across settings to achieve coordinated, high-quality care.
    to address physical activity and sedentary behavior in the healthcare setting.
  • By 2020, at least two nationally recognized healthcare systems, that combined serve at least 10 million individuals, will have implemented and evaluated evidence-based behavior change strategies that address physical activity and sedentary behavior in healthcare settings.
  • By 2020, at least 1 high quality pilot program will utilize a team-based care model to increase physical activity assessment, counseling, and referral in ambulatory care settings.

Make physical activity a patient “vital sign” that all healthcare providers assess and discuss with their patients.(HC-1.2)

Objectives:

  • By 2020, at least two nationally recognized healthcare systems, that combined serve at least 10 million individuals, will have developed a standardized and validated approach (e.g. self-report instrument, objective physical activity measurement) to assess and document aerobic physical activity in children and adolescents, adults and older adults.
  • By 2020 5
    integrated healthcare delivery systemsIntegrated healthcare delivery system: An organized, coordinated, and collaborative network that links various healthcare providers to provide a coordinated, vertical continuum of healthcare services (ambulatory, hospital and payment) to patients.
    will have implemented a physical activity vital sign in their electronic health record and clinical workflow.
  • By 2020, at least one nationally recognized healthcare systems will pilot test clinical assessment for muscle strength training and sedentary behavior in ambulatory care settings.
  • By 2020 75% of physicians will report providing specific guidance to increase physical activity often or always according to the National Physician Survey of Practices on Diet, Physical Activity and Weight Control Questionnaire or other appropriate surveillance systems .
  • By 2020 50% of patients report being advised by their physician to engage in regular physical activity according to the National Health Interview Survey.

Integrate a physical activity vital sign into electronic health records. (HC-1.3)

Objectives:

  • By 2020, at least 5 nationally recognized healthcare delivery systems will have integrated physical activity vital signs into existing electronic health records.
  • By 2020, at least 10 additional leading healthcare systems that serve at least 500,000 individuals each will have developed a plan for integrating physical activity vital signs into existing electronic health records.
  • By 2020 at least 2 of the top electronic health record vendors include a physical activity vital sign in their electronic health record.

Develop physical activity as a health care quality measure for adult patients ages 18 to 64 years, similar to the existing measures for children and older adults. (HC-1.4)

Objectives:

  • By 2020, leading healthcare organizations will have partnered with the National Committee for Quality Assurance or the National Quality Forumto support the development of an acceptable healthcare quality measure for physical activity for adults.
  • By 2020, measures of physical activity assessment and counseling will be included as a quality incentive in at least 2 value-based health models (e.g. Accountable Care Organizations).    
  • By 2020, 60% of all children and adolescents ages 3-17 will have received physical activity assessment and counseling by a healthcare provider, according to NCQA HEDIS collection data.
  • By 2020, 60% of all older adults will have received physical activity assessment and counseling from a healthcare provider, according to
    NCQA HEDIS dataNCQA HEDIS data: National Committee on Quality Assurance Healthcare Effectiveness Data Information Set. The Healthcare Effectiveness Data and Information Set is a collection of quality measures used by more than 90% of America's health plans to measure performance on important dimensions of healthcare delivery and service.
    .

Develop, implement, and evaluate strategies to integrate into healthcare settings objective measures of physical activity that are derived from wearable devices and smartphone apps. (HC-1.5)

Objectives:

  • By 2020, at least three leading healthcare systems that serve at least 500,000 individuals each will have partnered with electronic health record vendors and wearable technology and mobile health companies to implement the integration of objectively measured physical activity data into healthcare settings.
  • By 2020, at least two leading healthcare systems, that serve at least 500,000 individuals each, will pilot test integration of objectively measured physical activity data into clinical care.
  • By 2020, at least two leading healthcare systems, that serve at least 500,000 individuals each, will have evaluated the impact of objective physical activity data on health outcomes in common health conditions (e.g. diabetes, coronary artery disease, depression)

Encourage healthcare professionals to be role models for active lifestyles for patients. (HC-1.6)

Objectives:

  • By 2020, at least two leading healthcare systems that combined serve at least 5 million individuals will have expanded, developed, disseminated, and evaluated programs that encourage their healthcare providers to engage in active lifestyles.
  • By 2020, a recognition program for both exemplary “physically active clinicians” and “physical activity promoting healthcare systems” will be in place.

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