​Revision Process and History

​Version Five: Released 2026

Over the course of one year, faculty representatives from across the health professions collaborated in four dedicated workgroups to update the content and identify relevant teaching resources. The Task Force then refined the Framework through multiple stages of review, with final revisions incorporated following a public comment period. Educators are encouraged to review and align their curricula with the updated Framework and adapt the content to the needs and readiness of learners.

Key Enhancements
This fifth revision incorporates significant updates informed by lessons learned during the COVID-19 global pandemic and advances in technology. The updated Framework features expanded content across multiple domains, with Illustrative examples from previous versions now embedded directly into the curriculum content. Notable improvements include:
  • Expanded emphasis on non-clinical factors contributing to health outcomes and health care access.
  • Enhanced behavioral health domains addressing stress, trauma, resilience, mental health access, and clinician well-being.
  • Greater integration of digital health technologies, including telehealth and data analytics.
Framework Updates: Fourth vs. Fifth Revision
Area
Previous Revision
Fifth Revision
Overall Structure
Four components, 23 knowledge domains
Retains four components and 23 domains with revised and expanded content
Illustrative Examples
Provided as separate, detailed examples outside the core content
Streamlined and integrated directly within curriculum content
Social Determinants of Health
Addressed but less central
Expanded emphasis, with stronger focus on health care access
Behavioral Health
General coverage of behavioral health and wellness
Enhanced domains addressing stress, trauma, resilience, mental health access, and health professional well-being
Digital Health
Mention of technology and informatics in select domains
Greater integration of AI and digital health, including telehealth and data analytics
COVID-19 Lessons
Not reflected (pre-pandemic edition)
Incorporates key insights from the COVID-19 global pandemic

Version Four: Released 2020

The fourth revision of the Framework featured:
  • Greater emphasis on social determinants of health (SDOH) and health equity
  • New domain addressing mental and behavioral health
  • Updated and improved illustrative examples and 14 new or revised topic areas.
CPPH Framework Version 4
File Size: 328 kb
File Type: pdf
Download File

Version Three: Released 2015

The third version of the Framework included:
  • Enhanced content on education and training in interprofessional teams. 
  • Supported the efforts of Healthy People 2020: Educational and Community Based Program (ECBP) Objectives 12-19. 
CPPH Framework Version 3
File Size: 399 kb
File Type: pdf
Download File

Version Two: Released 2009

The second version of the Framework expanded to:
  • 23 domains within four updated components: 1) Foundations of Population Health; 2) Clinical Preventive Services and Health Promotion; 3) Clinical Practice and Population Health; and 4) Health Systems and Health Policy
CPPH Framework Version 2
File Size: 183 kb
File Type: pdf
Download File

Version One: Released 2004

The original Framework consisted of:
  • Four components and 19 domains: 1) Evidence Base for Practice; 2) Clinical Preventive Services - Health Promotion; 3) Health Systems and Health Policy; and 4) Community Aspects of Practice.
  • Served to support the mission to accomplish Healthy People 2010 Objective 1.7, “to increase the proportion of schools of medicine, schools of nursing and health professional training schools whose basic curriculum for health care providers includes the core competencies in health promotion and disease prevention.”
CPPH Framework Version 1
File Size: 158 kb
File Type: pdf
Download File