[Federal Register Volume 64, Number 129 (Wednesday, July 7, 1999)]
[Notices]
[Pages 36697-36700]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-17159]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Statement of Mission, Organization, Functions and Delegation of
Authority
Part G, of the Statement of Organization, Functions and Delegations
of Authority of the Department of Health and Human Services, as amended
at 60 FR 56606, November 9, 1995, and most recently amended at 61 FR
67048, December 19, 1996, is amended to reflect a realignment of the
Aberdeen Area Indian Health Service (AAIHS). The changes are as
follows:
Delete the functional statements for the AAIHS in their entirety
and replace with the following:
Section GFA-00, Aberdeen Area Indian Health Service-Mission. The
Aberdeen IHS provides a comprehensive health services delivery system
for American Indians and Alaska Natives (AI/AN) with opportunity for
maximum tribal involvement in developing and managing programs to meet
their health needs. The goal of the Aberdeen Area IHS is to raise the
health level of the AI/AN people to the highest possible level.
Section GFA-10, Functions. Office of the Director (GFAA). Provides
overall direction and leadership for the AAIHS in accomplishing the
mission of the Indian Health Service (IHS) by organizing the
administrative and clinical activities in ways that are determined to
appropriately deal with the epidemiological, social, cultural,
geopolitical, and other such demographics peculiar to the service
population.
Office of the Administrative Support (GFAAB). (1) Plans,
coordinates, implements, and evaluates the administrative management
support activities of the Aberdeen Area; (2) advises the Area Director
on all matters relating to Area management and administrative support
activities; (3) provides guidance to the Area on financial management
activities, including program policy interpretation in budget
formulation and execution, preparation of program planning and
budgeting data and financial management of grants and contracts; (4)
participants and advises the Area Director on the allocation of the
Area's personnel management resources and funding resources; (5)
interprets policy and provides direction in the conduct of the Area's
procurement, contracting and grants activities; and (6) maintains
necessary liaison with various components of the IHS and Health
Resources and Services Administration (HRSA) in furtherance of the
AAIHS management activities.
Division of Financial Resources (GFAAB1). (1) Provides Area staff
services in all financial management activities, current and long-range
budget formulations and implementation, and establishes and maintains
an approved financial accounting system; (2) provides all services
necessary for preparation of formal budget estimates; (3) examines and
analyses reports in order to project funds; (4) evaluates, examines,
analyzes, and processes all accounting transactions to the various
allowances and appropriations; (5) provides for posting documents to
ADP input to generate the detailed allowance and general ledger reports
for management use; and (6) provides all services for planning,
directing, and coordinating the voucher examining functions.
Budget Services Branch (GFAAB11). Provides direction for the
organization, coordination of execution of budget operations.
Payroll Staff (GFAAB111). Provides payroll services to the Aberdeen
and Bemidji Areas including processing bi-weekly payroll, and payroll
error corrections.
Accounting Branch (GFAAB12). Provides accounting services for the
Aberdeen and Bemidji Areas concerned with the maintenance of accounting
ledgers and records for the Health Accounting System (HAS).
Accounts Payable Staff (GFAAB121). (1) Provides fiscal accounting
services for the Aberdeen and Bemidji Areas concerned with the
maintenance of accounting ledgers and records for the HAS; and (2)
provides services involving complex auditing and examining procedures
of voucher payments including the Aberdeen and Bemidji Areas.
Reports and Reconciliation Staff (GFAAB122). Provides services to
reconcile general and subsidiary ledgers
[[Page 36698]]
that are affected by allotment, appropriations, and expenditures.
Division of Acquisition and Grants Management (GFAAB2). (1) Plans,
develops, evaluates, and coordinates operations of procurement,
contracting, grants management, property (real and personal), supply
management, office services, communications and transportation, and
leases and awards pursuant to Public Law 93-638, Self-Determination
contracts, Public Law 93-437 (Indian Health Care Improvement Act); (2)
provides technical consultation, coordination and evaluation to all
awards/administrative services operations at field location; (3)
develops policies and procedures, in conjunction with the Division of
Financial Resources, regarding property and supply funding requirements
of field installations; and (4) assists Service Units in planning and
developing staffing assignments and in the development of effective
administrative service functions.
Contract Services Branch (GFAAB21). (1) Provides Area assistance in
planning, developing, evaluation, consultation, and operations of
contracting and grants management pursuant to Public Law 93-638, Self-
Determination contracts; and (2) plans, develops, evaluates, and
coordinates awards, acquisition planning process for small purchases
and commercial contracts for the Aberdeen and Bemidji Areas.
Division of Personnel Management (GFAAB3). Responsible for advising
on and providing assistance and services on all aspects of human,
organizational, and manpower resources which includes, but not
necessarily limited to: (1) The administration and management of the
Personnel Management program designed to obtain, develop, and retain an
effective and efficient workforce to accomplish the delivery of health
care services to the Indian population; (2) the management and control
of manpower and organizational resources to assure that an efficient
and economical structure exists; (3) the provisions of personnel
management advisory service and assistance to Tribal governments and
urban Indian health care organizations to achieve the objectives of
Indian Self-Determination; and (4) coordination and liaison of overall
payroll functions for the Aberdeen and Bemidji Areas.
Staffing and Placement Branch (GFAAB31). (1) Provides staffing and
placement services for filling of vacancies for all general schedule
and civil service positions in the Aberdeen Area; and (2) provides
personnel services to all Area employees including advice on
retirement, health benefits, direct deposit, life insurance, etc., in
the Aberdeen and Bemidji Areas.
Position Classification Branch (GFAAB32). Responsible for
classification and position management activities for the Aberdeen and
Bemidji Areas by providing sound advice pertaining to classification of
positions and position management.
Employee Relations Branch (GFAAB33). (1) Provides advice to
management and employees in all areas of employee relations including
grievances, removals, suspensions, retirements, and performance plans
for general schedule and merit pay employees; (2) provides for employee
development activities and training activities for all employees in the
Aberdeen Area; and (3) provides feedback to management on all employee
development and training activities which includes evaluation of
training courses and seminars.
Division of Property and Supply (GFAAB4). (1) Provides Area staff
assistance in planning, developing, evaluation, consultation regarding
property and supply funding requirements of field installations; (2)
plans, develops evaluates, and coordinates the Directives and
Delegations Control Program for the Aberdeen Area; (3) plans, develops,
coordinates, evaluates a comprehensive property management program
including quarters management, real and personal property management,
motor vehicle management and tort claims; (4) plans, develops,
coordinates, and evaluates a supply management program for the Aberdeen
and Bemidji Areas; and (5) provides supply support and technical
assistance to all facilities at the Service Units.
Office Services Branch (GFAAB41). (1) Responsible for various
management services, such as planning, developing, and operation of the
forms management, records management, space management, mail and
communications management, and duplication programs; (2) responsible
for property custodial and accountability, inventories, and procurement
of equipment and supplies for the Area office; and (3) responsible for
the distribution of accountable forms.
Division of Information Systems and Technology (FGAAB5). (1)
Provides the Aberdeen Area with technical assistance in planning,
designing, testing, implementation, operation, and management of the
Automated Data Processing systems (ADP), which includes both computer
and word processing systems; (2) responsible for those activities which
deal with the planning, procurement, and installation of all ADP
equipment and software; (3) responsible for the coordination and
development of various long-range and short-range Area ADP plans; (4)
provides assistance and guidance in identifying Area and Service Unit
ADP needs; (5) provides training on technical aspects of computer and
word processing systems; (6) develops and establishes policies and
procedures regarding Area office ADP equipment, management, and
operations; (7) responsible for assisting in the establishment of
policies and procedures regarding the security of hardware, software,
and information; (8) represents the Area at agency ADP planning
meetings; and (9) provides the Area office staff with ADP services
(i.e., operations, programming, and consultation).
Office of Environmental Health and Engineering (GFAAC). (1)
Provides overall administration and direction for Sanitation and
Facilities Construction Program, Facilities Management Program, and
Environmental Health Services Program, and (2) advises the Area
Director on all matters relating to Environmental Health and
Engineering activities.
Division of Sanitation and Facilities Construction (GFAAC1). (1)
Has responsibility for implementation of P.L. 86-121, Indian Sanitation
Facility Act; (2) manages the construction and maintenance of
sanitation facilities; (3) coordinates activities with IHS staff, BIA,
HUD, and Tribes; and (4) provides training and consultation to Area
staff and tribal organizations on sanitation construction activities.
Division of Facilities Management (GFAAC2). (1) Responsible for
maintenance of IHS owned facilities in the Aberdeen Area, reviewing
physical plant requirements and improvement programs to meet Joint
Commission on Accreditation of Healthcare Organizations (JCAHO) and
Medicare/Medicaid standards, and developing a planned program of
physical plant improvements and preventative maintenance; (2)
engineering and contracting services available from Engineering
Services in Seattle are utilized in performing various physical plant
inspections, making available certain architectural/engineering
services contracts for maintenance and improvement design
accomplishment; (3) assisting in review to insure code and standards
compliance; and (4) developing facility master plans and new facility
designs.
Division of Environmental Health Services (GFAAC3). (1) Evaluates
environmental health conditions,
[[Page 36699]]
maintains proper sanitary conditions through inspection, evaluation,
and educational techniques; (2) stimulates community interest in
developing water supplies and sewage disposal facilities and follows up
construction projects to teach Indian families proper maintenance,
care, and repair of such facilities; (3) stresses community injury
control by training, education, and working with Tribal groups; and (4)
provides consultation on safety programs concerning the Public Health
Service (PHS) Federal installations within the Aberdeen Area, and on
all environmental aspects of hospitals, health centers, clinics,
boarding schools, day schools, jails, and nursing homes.
Office of Tribal Health Activities (GFAAD). (1) Serves as a focal
point for Area staff contact with tribal governments and liaison with
other Federal and State agencies; (2) implements and manages technical
assistance activities to Tribal community health development programs,
developing and implementing the Area's contracts and grants response
system for Public Law 93-638, coordination of Tribal training
activities and special Indian Health projects; (3) provides Area staff
services and technical assistance in planning, developing, evaluation,
and operation of Tribal Health Programs and projects; (4) conducts
feasibility studies and determines eligibility of tribal proposals for
contracting or grant funding; and (5) identified Tribal training needs,
arranges for appropriate training, and coordinates project officer
activities for the Aberdeen Area.
Office of Health Programs (GFAAE). (1) Plans, coordinates,
implements, directs, and evaluate the Area Health Care Program; (2)
advises the Area Director on all matters related to health care program
operations including clinical services and preventative health and
tribal programs; (3) provides for the evaluation of clinical services,
preventative health and tribal programs; (4) monitors and reviews
health care operations including coordinating the reviews by Medicare/
Medicaid and JCAHO survey teams and other health professional review
teams; (5) identified additional program resources required and/or
realignment of existing resources to achieve effective and efficient
program operation; (6) directs established routine health care program
operations within the Area through the Service Unit directors; and (7)
assures that all health care services delivered in the Area are of the
highest quality compatible with resources available.
Physician Recruitment Staff (GFAAE1). Responsible for planning,
developing, coordinating, implementing, directing, and evaluating a
nationwide and international recruitment and retention program to
assure a cadre of qualified health professionals in the Aberdeen Area.
Division of Hospital and Clinics (GFAAE12). (1) Responsible for
direction, coordination, and evaluation of hospital and clinical health
service activities for the Aberdeen Area; and (2) develops program
policy and provides input into operational decisions as this relates to
nursing services, pharmacy services, optometry services, and medical
records services.
Nursing Services Staff (GFAAE121). (1) Develops, coordinates, and
administers an Area wide nursing program; (2) recommends and
participates in the formulation of procedures, policies and programs
essential to providing nursing care; and (3) assists in recruitment of
qualified nurses.
Pharmacy Services Staff (GFAAE122). (1) Responsible for program
content and administration of the area wide pharmacy program; and (2)
the Pharmacy Branch consists of a full range of clinical pharmacy
services for outpatients and inpatients.
Optometry Services Staff (GFAAE123). (1) Coordinates and implements
an area wide optometry program and provides consultation to field staff
in regards to the program; and (2) assists in the recruitment of
qualified individuals.
Medical Records Staff (GFAAE124). (1) Develops, coordinates,
implements an Area wide medical records program; and (2) provides
consultation to Area medical staff in regards to the program and
ensures that the program meets JCAHO requirements.
Division of Field Health (GFAAE2). (1) Responsible for direction,
coordination, and evaluation of field health service activities within
the Aberdeen Area; and (2) develops program policy and provides input
into operational decisions relating to Community Health Nursing,
Alcoholism, Health Education, Nutrition and Dietetics, Dental services,
Audiology Services and Substance Abuse.
Community Health Nursing Staff (GFAAE21). (1) Provides
comprehensive community health nursing services with primary focus on
the prevention of illness and promotion and maintenance of health; and
(2) coordinates services with Tribal officials and Tribal health
programs.
Nutrition and Dietetics Staff (GFAAE22). (1) Provides guidance,
coordination, and consultation for the Nutrition and Dietetics program;
and (2) provides consultation to Service Unit staff on nutrition and
dietetics matters.
Health Education Staff (GFAAE23). (1) Coordinates planning,
development, and implementation of health education services and
programs; and (2) provides consultation to Service Unit staff on health
education matters.
Audiology Staff (GFAAE24). (1) Coordinates and implements an area
wide audiology program and provides consultation to field staff in
regards to the program; and (2) assists in the recruitment of qualified
individuals.
Dental Services Branch (GFAAE25). (1) Provides coordination,
monitoring, and consultation to assure oral disease prevention and
health promotion activities in the Aberdeen Area; (2) monitors contract
dental services; and (3) works with environmental health and
engineering to assure that optimal levels of fluoride exists in
community water supplies.
Substance Abuse Branch (GFAAE26). Provides direction,coordination,
and consultation to the Area in regards to the Area alcoholism program,
tribal alcoholism programs and adolescent programs.
Division of Epidemiology (GFAAE3). (1) Responsible for the
collection of epidemiologic information and directs the development or
periodic revision of an epidemiologic description of each Indian
community served by the Aberdeen Area; and (2) establishes standards
for communicable disease, environmental emergency, and outbreak
reporting for the Area and participates in environmental emergency and
outbreak control efforts, and educates Area and Tribal personnel in the
uses of epidemiology.
Health Promotion/Disease Prevention Staff (GFAAE31). Responsible
for assessing, planning, directing, coordinating and evaluating the
health promotion and disease prevention program throughout the Aberdeen
Area.
Information Resources Branch (GFAAE32). (1) Responsible for
management, oversight, and evaluation of internal automated information
systems (e.g., financial accounting, report management, manpower
analysis, statistical data gathering and some casting, etc.) to
appraise the impact they have on overall area operations; and (2)
recommend alternative situations that would change or improve the
effectiveness of services being provided.
Planning and Legislation Branch (GFAAE33). (1) Responsible for Area
wide leadership in and serving as principle advisor on the development
of strategic plans, strategies and innovative directions for the Area
in relation to Indian's health needs and program
[[Page 36700]]
management and on their strategic implications for Area legislation,
regulations, policies, and operations; (2) coordinating the development
of Area positions on national issues in the field of Indian Health; (3)
assisting in discharging the Area's responsibilities in the
formulation, evaluation, and related work concerning legislation and
regulations; (4) assessing and interpreting Department policies and
procedures, and in maintaining systems for their implementation and
dissemination; (5) coordinating the formulation of and participating in
executing Area wide executive policy, providing consultation and
guidance to the Area in program and management policy development,
interpretation and application and maintaining the documentation and
issuance system for the Area; and (6) negotiating solutions to intra-
department problems of Area organization.
Division of Managed Care (GFAAE4). (1) Manages the Contract Health
Care and Medicare/Medicaid resources accordance with program
regulations; (2) collects and analyzes fiscal and logistical data as to
its impact on the overall health program; (3) provides interpretive
reports, coordinates, advises, and supports the Area and Service Unit
staff on the availability of financial resources in relation to their
program; and (4) manages, plan, coordinates, implements, and evaluates
the Aberdeen Area Business Office.
Division of Medical Care Evaluation (GFAAE5). Conducts and
coordinates a medical care evaluation program which includes Improving
Organizational Performance, Risk Management, Hospital and Health Center
Accreditation by the JCAHO or Certification by Health Care Financing
Administration.
Social Services/Mental Health Branch (GFAAE51). Administers,
supervises, and maintains a social services/mental health program
offering case work therapy and counseling services and crisis
intervention, individual therapy, and substance abuse therapy.
Aberdeen Area Service Units: Quentin Burdick Service Unit (GFAAWA);
Cheyenne River Service Unit (GFAAWB); Crow Creek Service Unit (GFAAWC);
Ft. Totten Service Unit (GFAAWD); Lower Brule Service Unit (GFAAWE);
Minne Tohe Service Unit (GFAAWG); Pine Ridge Service Unit (GFAAWH);
Rapid City Service Unit (GFAAWJ); Rosebud Service Unit (GFAAWK);
Sisseton Service Unit (GFAAWL); Standing Rock Service Unit (GFAAWM);
Winnebago/Omaha Service Unit (GFAAWN); Yankton Service Unit (GFAAWP);
Regional Treatment Center (GFAAWT).
Aberdeen Area Service Units
(1) Plans, develops, and directs health programs within the
framework of IHS policy and mission; (2) promotes activities to improve
and maintain the health and welfare of the service population; (3)
delivers quality health services; (4) coordinates Service Unit
activities and resources with those of other governmental and
nongovernmental programs; and (5) participates in the development and
demonstration of alternative means and techniques of health services
management and health care.
Section GFA-20, Aberdeen Area IHS-Delegations of Authority. All
delegations and redelegations of authority made to officials in the
Aberdeen Area IHS that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization, shall
continue in effect pending further redelegation.
Dated: June 25, 1999.
Michael H. Trujillo,
Assistant Surgeon General, Director.
[FR Doc. 99-17159 Filed 7-6-99; 8:45 am]
BILLING CODE 4160-16-M