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 careto 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 systemswill 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 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)
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)
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 two nationally recognized healthcare systems, that combined serve at least 10 million individuals, will have developed and disseminated approaches for team-based careto 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.
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.
