Health Impact in 5 Years

About

The Health Impact in 5 Years (HI-5) initiative highlights non-clinical, community-wide approaches that have evidence reporting:

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Background

Achieving lasting impact on health outcomes requires a focus not just on patient care, but on community wide-approaches aimed at improving population health123456. Interventions that address the conditions in the places where we live, learn, work, and play have the greatest potential impact on our health7891011. By focusing on these “social determinants of health” (SDOH) and on “changing the context to make healthy choices easier,” we can help improve the health of everyone living in a community.

Public Health Impact Pyramid

The public health impact pyramid visually depicts the potential impact of different types of public health interventions7. At the base of the pyramid are 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. The HI-5 Initiative maps directly to the two lowest tiers of public health pyramid with the greatest potential for impact.

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HI-5 Pyramid
HI-5 tiers include Counseling and Education, Clinical Interventions, Long Lasting Protective Interventions, Changing the Context, and Social Determinants of Health

Health Conditions HI-5 Interventions Addressing

Community-wide approaches can have broad health impact, often addressing several health conditions at once. Below is a list of the health outcomes that HI-5 interventions can prevent or reduce:

  • Anxiety and Depression
  • Asthma
  • Blood Pressure
  • Bronchitis
  • Cancer
  • Cardiovascular Disease
  • Child Abuse and Neglect
  • Cognitive Development
  • Infant Mortality
  • Liver Cirrhosis
  • Motor Vehicle Injuries
  • Obesity
  • Dental Caries
  • Pneumonia
  • Sexually Transmittable Infections
  • Sexual Violence
  • Teenage Pregnancy
  • Traumatic Brain Injury
  • Type II Diabetes
  • Youth Violence
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CDC Approach to Program Evaluation; About POLARIS; About CDC Regulations
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  2. Maryland Department of Housing and Community Development. EmPOWER Maryland Low Income Energy Efficiency Program. 2016. Available from: EmPOWER Maryland Low Income Energy Efficiency Program. Accessed 2016 Jun 14.
  3. Minnesota Housing Finance Agency. Rehabilitation Loan/Emergency and Accessibility Loan Program. 2016. Available from: Rehabilitation Loan/Emergency and Accessibility Loan Program. Accessed 2016 Jun 14.
  4. U.S. Department of Agriculture. Rural development. Single family housing repair loans & grants 2016. Available from: Single Family Housing Repair Loans & Grants. Accessed 2016 Jun 14.
  5. U.S. Department of Housing and Urban Development. 203(k) rehabilitation mortgage insurance. 2016. Available from: 203(k) Rehabilitation Mortgage Insurance. Accessed 2016 Jun 14.
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  10. Institute of Medicine. Damp indoor spaces and health. Washington, DC: The National Academies Press; 2004.
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