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Data Changes

A comprehensive set of indicators establishes baselines and targets for all Winnable Battle areas. These indicators help measure the impact of programs and policies on the nation’s health, and support the Department of Health and Human Services’ strategic plan and other priorities.

Winnable Battles Indicator Baseline Current Status Target (2015)
Tobacco Decrease the percent of adults who smoke cigarettes by 17.5% 20.6%
(2008)
15.1%
(2015)
17.00%
Decrease the percent of youth who smoke cigarettes by 12% 20.0%
(2007)
10.8%
(2015)
17.60%
Increase the proportion of the U.S. population covered by smoke-free laws by 59% 36.7%
(2008)
58.7%
(2016)
58.50%
Nutrition, Physical Activity, and Obesity Reduce the proportion of children and adolescents age 2 – 19 who are obese by 8% 16.8%
(2007 – 2008)
17.2%
(2014)
15.40%
Increase the proportion of infants who are breastfed at 6 months by 35% 43.5%
(2006)
51.8%
(2013)
58.90%
Food Safety Reduce rate of foodborne illness caused by Salmonella by 14.5% 15.2
(2006 – 2008)
15.9
(2015 prelim)
13.0 /
100,000
Reduce rate of foodborne illness caused by Shiga toxinproducing Escherichia coli (STEC) O157:H7 by 29% 1.2
(2006 – 2008)
0.9
(2015 prelim)
0.85 /
100,000
Healthcare-associated Infections (HAIs) Reduce central line-associated blood stream infections (CLABSI) in hospitals by 60% (standardized infection ratio (SIR)) 1.0
(2006 – 2008)
0.5
(2014)
0.4
Reduce healthcare-associated invasive methicillin-resistant
Staphylococcus aureus (MRSA) by 60%
27.08
(2007 – 2008)
17.3
(2014)
10.83 /
100,000
Reduce surgical site infections (SSI) in hospitals by 30% (SIR) 1.0
(2006 – 2008)
0.8
(2014)
0.7
Reduce catheter-associated urinary tract infections (CAUTI)
in hospitals by 30% (SIR)1
1.0
(2009)
1.0
(2014)
0.7
Motor Vehicle Injuries Reduce fatalities due to motor vehicle crashes by 31% 13.8
(2007)
10.9
(2015)
9.5 /
100,000
Teen Pregnancy Decrease teen birth rates by 20% 37.9
(2009)
22.3
(2015)
30.3 /
1,000
HIV in the U.S. Reduce the number of new HIV diagnoses by 25% 2 48,366
(2008)
39,718
(2014 prelim)
32,723
Increase the percent of HIV-infected persons who are aware of their HIV infection status by 11% 80.9%
(2006)
87.0%
(2013)
90%

1CAUTI data reflect progress in acute-care hospitals only. Although 2009 – 2014 data show no change in overall CAUTI SIRs, specific hospital units showed major changes in CAUTI SIRs: 24% decrease in hospital wards and 16% increase in hospital intensive care units (ICUs).

2New indicator — The National HIV / AIDS Strategy updated to 2020 uses new HIV diagnoses, instead of HIV incidence, to measure the reduction in new infections because incidence estimates do not provide a timely and consistent way to monitor progress. The estimated number of new HIV infections has changed and is likely to change over time due to changes in HIV testing technology and incidence estimation methods, which make it difficult to use incidence as an indicator to measure progress. HIV diagnosis data are now being used to monitor progress in NHAS 2020 and will be included in the new DHAP Strategic Plan and other indicator-related documents. Because the original NHAS (2010) and DHAP Strategic Plan (2010 – 2015) used incidence and not diagnosis, using diagnosis data to measure progress for 2010 – 2015 is new and required setting a target for 2015. To set the target for 2015, 2010 was used as a baseline and the 2010 baseline data (unadjusted HIV diagnoses) came from a data request from Dr. Frieden to the Division for Frieden’s NEJM 2015 publication. The annual targets assume an accelerated rate of change that was expected in a given year: 5% in 2011, 15% in 2012, 20% in 2013, 30% in 2014, and 30% in 2015. The 2013 result is reported for “current,” as 2013 diagnosis data have 18 months of reporting delay and are considered stable. 2014 diagnosis data are available but are considered preliminary, as they only had 6 months of reporting delay.

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