[Federal Register Volume 70, Number 87 (Friday, May 6, 2005)]
[Notices]
[Pages 24087-24099]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-9012]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Organization, Functions, and Delegations of Authority
Part G--Indian Health Service
Part G, of the Statement of Organization, Functions, and
Delegations of Authority of the Department of Health and Human Services
(HHS), as amended at 52 FR 47053-47067, December 11, 1987, as amended
at 60 FR 56606, November 9, 1995, and most recently amended at 61 FR
67048, December 19, 1996, is hereby amended to reflect a reorganization
of the Indian Health Service (IHS) Headquarters (HQ). The goal of the
reorganization is to demonstrate increased leadership and advocacy,
while improving the Agency's responsibilities for oversight and
accountability. We have considered the President's Management Agenda,
the Secretary's Workforce Restructuring Plan and recommendations from
the Indian Health Design Team and the IHS Restructuring Initiatives
Workgroup. Delete the functional statements for the IHS Headquarters in
their entirety and replace with the following:
Chapter GA
Office of the Director
Section GA-10, Indian Health Service--Organization
The IHS is an Operating Division within the Department of Health
and Human Services (HHS) and is under the leadership and direction of a
Director who is directly responsible to the Secretary of Health and
Human Services. The IHS Headquarters consists of the following major
components:
Office of the Director (GA)
Office of Tribal Self-Governance (GAA)
Office of Tribal Programs (GAB)
Office of Urban Indian Health Programs (GAC)
Policy Formulation and Communications Group (GAE)
Office of Clinical and Preventive Services (GAF)
Office of Information Technology (GAG)
Office of Public Health Support (GAH)
Office of Resource Access and Partnerships (GAJ)
Office of Finance and Accounting (GAK)
Office of Management Services (GAL)
Office of Environmental Health and Engineering (GAM)
Section GA-20, Indian Health Service--Functions
Office of the Director (OD) (GA)
Provides overall direction and leadership for the IHS: (1)
Establishes goals and objectives for the IHS consistent with the
mission of the IHS; (2) provides for the full participation of Indian
Tribes in the programs and services provided by the Federal Government;
(3) develops health care policy; (4) ensures the delivery of quality
comprehensive health services; (5) advocates for the health needs and
concerns of American Indians/Alaska Natives (AI/AN); (6) promotes the
IHS programs at the local, State, national, and international levels;
(7) develops and demonstrates alternative methods and techniques of
health services management and delivery with maximum participation by
Indian Tribes and Indian organizations; (8) supports the development of
individual and Tribal capacities to participate in Indian health
programs through means and modalities that they deem appropriate to
their needs and circumstances; (9) ensures the responsibilities of the
United States are not waived, modified, or diminished, in any way with
respect to Indian Tribes and individual Indians, by any grant,
contract, compact, or funding agreement awarded by the IHS under the
Indian Self-Determination and Education Assistance Act, Public Law
(Pub. L.) 93-638, as amended; (10) affords Indian people an opportunity
to enter a career in the IHS by applying Indian preference; and (11)
ensures full application of the principles of Equal Employment
Opportunity laws and the Civil Rights Act in managing the human
resources of the IHS.
Office of Tribal Self-Governance (OTSG) (GAA)
(1) Develops and oversees the implementation of Tribal self-
governance legislation and authorities in the IHS, under Title V of the
Indian Self-Determination and Education Assistance Act, Pub. L. 93-638,
as amended; (2) develops and recommends policies, administrative
procedures, and guidelines for IHS Tribal self-governance activities,
with maximum input from IHS staff and workgroups, Tribes and Tribal
organizations, and the Tribal Self-Governance Advisory Committee; (3)
advises the IHS Director on Agency compliance with self-governance
policies, administrative procedures and guidelines and coordinates
activities for resolution of problems with appropriate IHS and HHS
staff; (4) provides resource and technical assistance to Tribes and
Tribal organizations for the implementation of the Tribal Self-
Governance Program (TSGP); (5) participates in the reviewing of
proposals from Tribes for self-governance planning and negotiation
grants and recommends approvals to the IHS Director; (6) determines
eligibility for Tribes and Tribal organizations desiring to participate
in the TSGP; (7) oversees the negotiation of self-governance compacts
and annual funding agreements with participating Tribal governments;
(8) identifies the amount of Area Office and Headquarters managed funds
necessary to implement the annual funding agreements and prepares
annual budgets for available Tribal shares in conjunction with IHS Area
and Headquarters components; (9) coordinates semi-annual reconciliation
of funding agreements with IHS Headquarters components, Area Offices,
and participating Tribes; (10) serves as the principal IHS office for
developing, releasing, and presenting information on behalf of the IHS
Director related to the IHS Tribal self-governance activities to
Tribes, Tribal organizations, HHS officials, IHS officials, and
officials from other Federal agencies, State and local governmental
agencies, and other agencies and organizations; (11) arranges national
self-governance meetings to promote the participation by all AI/AN
Tribes in IHS self-governance activities and program direction; (12)
participates in meetings for Self-Governance Tribal delegations
visiting IHS Headquarters; and (13) participates in cross-cutting
issues and processes including, but not limited to emergency
preparedness/security, budget formulation, self-determination issues,
Tribal shares computations and resolution of audit findings as may be
needed and appropriate.
Office of Tribal Programs (OTP) (GAB)
(1) Assures that Indian Tribes and Tribal organizations are
informed regarding pertinent health policy and program management
issues; (2) assures that consultation and participation by Indian
Tribes and organizations occurs during the development of IHS policy
and decision making; (3) provides overall Agency leadership concerning
functions and responsibilities associated with self-determination
contracting (Title I of the Indian Self-Determination Act); (4) advises
the IHS Director and senior management on activities and issues related
to self-determination
[[Page 24088]]
contracting; (5) monitors Agency compliance with self-determination
policies, administrative procedures, and guidelines; (6) administers a
national grant program designed to assist Tribes and Tribal
organizations in beginning and/or expanding self-determination
activities; (7) provides Agency leadership in the development of
policy; (8) discharges operational responsibilities, with respect to
the contract support cost (CSC) program administered by the IHS; (9)
provides advice to the IHS Director and senior management on Tribal
issues and concerns by acting as liaison with Tribal leaders, national
Tribal organizations, inter-Tribal consortiums and Area health boards;
(10) provides leadership in the management process of receiving
visiting delegations of Tribal leaders and representatives to IHS
Headquarters and provides staff assistance to the Office of the
Director with respect to Tribal meetings at locations outside of
Headquarters; (11) provides overall Agency leadership with respect to
policy development and issues concerning the Federal recognition of new
Tribes; (12) supports Tribes in managing health programs; (13)
coordinates available support from other public and private agencies
and organizations; (14) maintains a central database on relevant
information to contact Tribal leaders, health programs, etc.; and (15)
participates in cross-cutting issues and processes including, but not
limited to emergency preparedness/security, budget formulation, self-
determination issues, Tribal shares computations and resolution of
audit findings as may be needed and appropriate.
Office of Urban Indian Health Programs (OUIHP) (GAC)
(1) Advises the IHS Director on the activities and issues related
to the IHS'' implementation of Title V, ``Indian Health Care
Improvement Act'', as amended; (2) develops and recommends policies,
administrative procedures, and guidelines for IHS services and
activities for Urban Indian health programs and organizations; (3)
assures that Urban Indian health programs and organizations are
informed of pertinent health policies; (4) ensures that consultation
with Urban Indian health programs and organizations occurs during the
development of IHS policy; (5) supports Urban Indian health programs
and organizations in managing health programs; (6) coordinates support
available from other public and private agencies and organizations; (7)
advises the IHS Director on Agency compliance with Urban Indian health
program policies, administrative procedures, and guidelines; (8)
maintains relevant information on Urban Indian health programs and
organizations; (9) coordinates meetings and other communications with
Urban Indian health program representatives; and (10) participates in
cross-cutting issues and processes including, but not limited to
emergency preparedness/security, budget formulation, self-determination
issues, Tribal shares computations and resolution of audit findings as
may be needed and appropriate.
Policy Formulation and Communications Group (PFCG) (GAE)
(1) Coordinates the review and analysis of policy-related issues;
(2) provides recommendations for resolving policy conflicts; (3)
evaluates policy options and forecasts their costs, benefits, and long-
term results; (4) ensures consistency between and within public agency
statements, external correspondence, legislative and regulatory
positions and internal policy development; (5) disseminates information
to IHS consumers, stakeholders, and the general public regarding the
activities of the IHS and the health status of AI/AN people and
communities; and (6) participates in cross-cutting issues and processes
including, but not limited to emergency preparedness/security, budget
formulation, self-determination issues, Tribal shares computations and
resolution of audit findings as may be needed and appropriate.
Public Affairs Staff (PAS) (GAE1)
(1) Serves as the principal advisor for strategic planning on
communications, media relations, and public affairs policy formulation
and implementation; (2) ensures IHS policy is consistent with
directives from the Assistant Secretary for Public Affairs; (3)
provides leadership and advocacy to establish and implement policy for
internal and external dissemination of Agency information intended for
public release or employee and stakeholder information; (4) serves as
the central office for technical guidance and assistance to IHS staff
for the development of internal and external communications; (5)
coordinates public affairs activities with other public and private
sector organizations; (6) coordinates the clearance of IHS public
relations activities, campaigns, and communications materials; (7)
represents the IHS in discussions regarding policy and public affairs
initiatives/implementation; (8) provides technical assistance and
advice relative to the effect public affairs initiatives/implementation
would have on the IHS; (9) collaborates with the Division of Regulatory
Affairs, Records Access and Policy Liaison for review and response to
media requests received under the Freedom of Information Act (FOIA) or
the Privacy Act, and ensures the security of IHS documents used in such
responses that contain sensitive and/or confidential information; and
(10) serves as the IHS liaison office for press and public affairs with
HHS, IHS Area Offices, media and other external organizations and
representatives.
Equal Employment Opportunity and Civil Rights Staff (EEO) (GAE2)
(1) Administers the IHS equal employment opportunity, civil rights,
and affirmative action programs, in accordance with applicable laws,
regulations, and HHS policies; (2) plans and oversees the
implementation of IHS affirmative employment and special emphasis
programs; (3) reviews data on IHS employee personnel actions and
advises IHS managers of possible discriminatory trends; (4) ensures
immediate implementation of required actions on complaints of alleged
sexual harassment or discrimination; (5) decides on accepting, for
investigation, or dismissing discrimination complaints and evaluates
accepted complaints for procedural sufficiency and investigates,
adjudicates, and resolves such complaints; and (6) develops EEO
education and training programs for IHS managers, supervisors,
counselors, and employees.
Executive Secretariat Staff (ESS) (GAE3)
(1) Serves as the Agency's liaison with the Office of the
Secretary's Executive Secretariat on IHS program, policy, and special
matters; (2) reviews correspondence received by the IHS Director and
assigns reply or follow-up action to appropriate IHS Headquarters
program offices and IHS Area Offices; (3) ensures the quality
(responsiveness, clarity, and substance) of IHS-generated
correspondence prepared for the IHS Director's signature by
coordinating the review of integrity and policy issues, and performing
standard edits and revisions; (4) reviews and coordinates clearance of
decision documents for the IHS Director's approval to ensure successful
operations and policy-making within the Agency; (5) assists IHS
officials as they prepare documents for the HHS Secretary's review,
decision, and/or signature; (6) performs special writing assignments
for the IHS Director; (7) manages the flow of executive correspondence
and related information to Tribes, Tribal organizations, heads of
Federal
[[Page 24089]]
departments and agencies, Congressional Staff offices, and members of
Congress; (8) maintains official records for the IHS Director's
correspondence and conducts topic research of files, as needed; (9)
maintains an automated document tracking and reporting system (ATS) to
assist in managing the timely processing of internal and external
executive correspondence; (10) conducts training to promote conformance
by IHS Headquarters and Area staff to the IHS Executive Correspondence
Guidelines and the ATS system; and (11) tracks reports required by
Congress.
Congressional and Legislative Affairs Staff (CLAS) (GAE4)
(1) Serves as the principal advisor to the IHS Director on all
legislative and Congressional relations matters; (2) advises the IHS
Director and other IHS officials on the need for changes in legislation
and manages the development of IHS legislative initiatives; (3) serves
as the IHS liaison office for Congressional and legislative affairs
with Congressional offices, the HHS, the Office of Management and
Budget (OMB), the White House, and other Federal agencies; (4) tracks
all major legislative proposals in the Congress that would impact
Indian health; (5) ensures that the IHS Director and appropriate IHS
and HHS officials are briefed on the potential impact of proposed
legislation; (6) represents the IHS in discussions regarding policy and
legislative initiatives/implementation; (7) provides technical
assistance and advice relative to the effect that initiatives/
implementation would have on the IHS; (8) establishes collaborations
with Headquarters Offices on programmatic and financial issues related
to budget formulation; (9) conducts legislative analysis; (10) provides
support and serves as liaison to the IHS Director relative to IHS
appropriations efforts; (11) directs the development of IHS briefing
materials for Congressional hearings, testimony, and bill reports; (12)
analyzes legislation for necessary action within the IHS; (13) develops
appropriate Legislative Implementation Plans; and (14) coordinates with
IHS offices as appropriate to provide leadership, advocacy, and
technical support to respond to requests from the public, including
Tribal governments, Tribal organizations, and Indian community
organizations regarding IHS legislative issues.
Management Policy and Internal Control Staff (MPICS) (GAE5)
(1) Formulates, administers, and supports IHS-wide policies,
delegations of authority, and organizations and functions development;
(2) provides leadership, on behalf of the IHS Director, to functional
area managers at IHS Headquarters in developing, modifying, and
overseeing the implementation of IHS policies and procedures; (3)
provides analysis, advisory, and assistance services to IHS managers
and staff for the development, clearance, and filing of IHS directives
and delegations of authority; (4) serves as principal advisor and
source for technical assistance for establishment or modification of
organizational infrastructures, functions, and Standard Administrative
Code configurations; (5) administers the IHS Management Control Program
for assuring IHS' compliance with management control requirements in
the Federal Managers' Financial Integrity Act; (6) coordinates the
development, clearance, and transmittal of IHS responses and follow-up
to reports issued by the Office of Inspector General (OIG), the General
Accounting Office (GAO), and other Federal internal and external
authorities; (7) provides assistance and support to special assigned
task groups; (8) conducts special program or management integrity
reviews as required; and (9) oversees and coordinates the annual
development and submission of the Agency's Federal Activities Inventory
Reform Act report to the HHS.
Policy Support Staff (PSS) (GAE6)
(1) Organizes, facilitates, and supports stakeholder task teams to
advise the IHS Director on major policy issues; (2) represents the IHS
Director in meetings with IHS employees and high-level management
officials within the IHS, the HHS, or other Federal agencies, Tribes,
and other organizations; (3) provides staff support to the IHS
Director, including preparation of presentations and briefings; (4)
provides staff support to senior managers, councils and groups; (5)
completes special assignments for the IHS Director that may require
coordination with other IHS offices or other Federal agencies, Tribes,
or Tribal organizations; (6) serves as the IHS liaison for inter-
governmental and private sector initiatives that impact health care
services and management of the IHS; and (7) participates on inter-
governmental task forces.
Office of Clinical and Preventive Services (OCPS) (GAF)
(1) Serves as the primary source of national advocacy, policy
development, budget development and allocation for clinical,
preventive, and public health programs for the IHS, Area Offices, and
Service Units; (2) provides leadership in articulating the clinical,
preventive, and public health needs of AI/AN, including consultation
and technical support to clinical and public health programs; (3)
develops, manages, and administers program functions that include, but
are not limited to, alcohol and substance abuse, behavioral health,
chronic diseases such as diabetes, asthma, dental services, medical
services, domestic violence, pharmacy and pharmaceutical acquisition,
community health representatives, emergency medical services, health
records, disabilities, Human Immunodeficiency Virus (HIV)/Acquired
Immune Deficiency Syndrome (AIDS), maternal health, child health,
clinical nursing, professional credentialing, public health nursing,
women's health, nutrition and dietetics, and elder care; (4)
investigates service delivery and community prevention evidence-based
and best practice models for dissemination to community service
locations; (5) expands the availability of resources available for AI/
AN health by working with public and private entities as well as
Federal agencies within and outside the HHS; (6) coordinates
development of staffing requirements for new or replacement health care
facilities and approves Congressional budget requests for staffing, in
collaboration with the Office of Environmental Health and Engineering;
(7) provides program oversight and direction for the facilities
planning and construction process; (8) develops and coordinates various
Health Initiative and Nursing grant programs; (9) provides the national
focus for recruitment and retention of health professionals and
coordinates with the scholarship and loan repayment programs; (10)
works with the Contract Health Services (CHS) program on CHS denial
appeals to the IHS Director and in determining CHS medical priorities;
(11) manages the clinical (medical, nursing, pharmacy, dental) features
of medical tort claims against the IHS; (12) works with the Office of
Management Services in managing the clinical aspects of the IHS
workman's compensation claims; (13) oversees IHS efforts in a variety
of quality assurance and improvement activities, including patient
safety; (14) monitors approximately one-half of the IHS' Government
Performance and
[[Page 24090]]
Results Act (GPRA) indicators, overseeing indicator development, data
collection, and reporting results; and (15) participates in cross-
cutting issues and processes including, but not limited to emergency
preparedness/security, budget formulation, self-determination issues,
border health initiatives, Tribal delegation meetings, Tribal shares
computations and resolution of audit findings as may be needed and
appropriate.
Emergency Preparedness and Emergency Medical Services Staff (EPEMSS)
(1) Provides overall direction and leadership for the IHS in regard
to establishing IHS goals and objectives consistent with those of the
Department of Homeland Security and the HHS, addressing the mission
critical elements of emergency preparedness; (2) provides leadership
for the development of emergency preparedness plans, policies, and
services, including the continuity of operations plans, deployment,
public health infrastructure, and emergency medical services; (3)
coordinates IHS activities and resources with the activities and
available resources of other government and non-government programs for
essential services related to homeland security and emergency
preparedness; (4) advocates for the emergency preparedness needs and
concerns of AI/AN and promotes these program activities at the local,
State, national, and international levels; and (5) advocates and
coordinates support for Tribal emergency medical services programs,
including training and equipment.
Division of Behavioral Health (DBH) (GAFA)
(1) Applies identified profession and program standards, monitors
and evaluates community and Area-wide services provided through grants
or contracts with AI/AN Tribes, villages, organizations, and direct IHS
operations for mental health, social services, and alcohol/substance
abuse; (2) coordinates AI/AN community behavioral health programs
including alcohol/substance abuse prevention and treatment, mental
health, and social work with program directors, division staff, Area
staff, and other agencies and institutions; (3) coordinates contracts
and grants for behavioral health services and monitors services
provided; (4) makes program and policy changes using data analysis,
recommendations from operational levels, research results, and
coordinates resource allocation from program policies; (5) provides
behavioral health program consultation to AI/AN groups and IHS staff;
(6) provides leadership in the identification of behavioral change
interventions and supports implementation at the community level; (7)
coordinates with Federal, State, professional, private, and community
organizations on alternate health care resources; (8) works with other
Federal agencies and departments to provide additional Federal
resources for AI/AN behavioral health programs; (9) provides financial
resources and programmatic oversight for complying with the Americans
With Disabilities Act through programs such as the Indian Children's
Program, and for elders through partnerships with the Administration on
Aging and the National Indian Council on Aging; (10) measures and
evaluates the quality of behavioral health care services; and (11)
prepares information on behavioral health for budgetary hearings and
provides program evaluation results to the IHS Director, the Congress,
and the Administration.
Division of Clinical and Community Services (DCCS) (GAFB)
(1) Manages, develops, and coordinates a comprehensive clinical,
preventive and public health approach to clinical and community
programs focusing on maternal and child health, Indian children
services including Head Start and Early Head Start Health Programs,
medicine, nutrition, HIV/AIDS, pharmacy, laboratory, health records,
health education, health promotion, and disease prevention; (2)
develops objectives, priorities, and methodologies for the conduct and
evaluation of clinical, preventive, and public health for community
health-based programs; (3) provides, develops, and implements IHS
guidelines, standards, policies, and procedures on clinical,
preventive, and public health for community based programs and
initiatives; (4) monitors, evaluates, and provides consultation to
clinical and community programs; (5) plans jointly with other programs
and divisions of the IHS and other agencies on research and
coordination of services; (6) coordinates professional staff
recruitment and training needs, and scholarship recipient assignments
and development to meet Area Office, Service Unit, and Tribal health
professional human resource needs; (7) coordinates and monitors
contracts and grants with IHS programs and other entities, in
collaboration with the Division of Acquisitions Policy and the Division
of Grants Operations; (8) develops and disseminates information and
materials to IHS facilities and to Tribes and Urban Indian health
programs; (9) is responsible for resource management, program data
collection, administrative system integrity and accountability by
developing program budget materials and responding to Congressional and
Departmental inquiries; and (10) manages the Veterans Affairs
Pharmaceutical Prime Vendor Contract and IHS National Core Formulary.
Division of Nursing Services (DNS) (GAFC)
(1) Plans, develops, coordinates, evaluates, manages and advocates
for the Nursing Services, Women's Health, and Community Health
Representative Programs; (2) identifies and establishes standards for
these programs; (3) provides leadership, professional guidance, and
staff development; (4) plans, develops, coordinates, manages, and
evaluates nursing education; (5) coordinates professional staff,
including nursing recruitment, scholarship recipients, assignment and
development to meet Area Office, Service Unit, and Tribal needs in
accordance with IHS policies and procedures; (6) provides guidance in
planning, developing, and maintaining management information systems;
and (7) prepares budgetary data, analysis and program evaluations and
prepares information for program and budget presentations, as well as
Congressional hearings.
Division of Oral Health (DOH) (GAFD)
(1) Plans, develops, coordinates, and evaluates dental health
programs; (2) establishes staffing, procedural, facility, and dental
contract standards; (3) coordinates professional recruitment,
assignment, and staff development; (4) represents dental staff and Area
Dental Programs in personnel matters, including the monitoring of
personnel orders for both appointments and transfers, establishing
promotion priority lists, processing special pay and retention bonus
contracts, and serving as the HQ representative on adverse action
cases; (5) improves effectiveness and efficiency of dental programs;
(6) develops resource opportunities and monitors utilization of
resources for dental health programs; (7) formulates, allocates and
analyzes dental program budget and prepares information for program and
budget presentations as well as Congressional inquiries; (8) advocates
for oral health needs of the AI/AN population; (9) coordinates health
promotion and disease prevention activities for the dental program;
(10) monitors oral health status and treatment needs of the AI/AN
population; (11) provides clinical and technical support to field staff
by way
[[Page 24091]]
of oral health surveys, provision of clinical trials, consultation on
treatment cases, publication of quarterly newsletters and serving as
liaison with public and private institutions, as well as major
universities to evaluate new and existing strategies for addressing
oral health problems in AI/AN; (12) serves as the IHS liaison for oral
health issues with other Federal agencies; (13) serves as main source
of information transfer to field staff via mediums including, but not
limited to, teleconference hookups, electronics (email/listservs),
conventional mail and meeting attendance; and (14) maintains and
distributes information from the IHS centralized dental database,
including workload, program resource directories and exploring the
applicability of new health informatics technologies and systems.
Division of Diabetes Treatment and Prevention (DDTP) (GAFE)
(1) Plans, manages, develops, coordinates, and evaluates a
comprehensive clinical and community program focusing on type 2
diabetes in AI/AN communities; (2) plans, manages, develops,
coordinates, and evaluates the Congressionally-mandated Special
Diabetes Program for Indians, a large grant program focused on the
prevention and treatment of diabetes; (3) coordinates and monitors
contracts and grants with IHS, Tribal, Urban Indian health programs and
other entities; (4) develops objectives, priorities and methodologies
for the conduct of clinical and community diabetes programs; (5)
monitors, evaluates, and provides consultation to clinical and
community diabetes grant programs and other new initiatives; (6)
provides leadership, professional guidance, and staff development to
Area Diabetes Consultants, Model Diabetes Programs and Diabetes Field
Coordinators; (7) coordinates diabetes training needs for Area Offices,
Service Units, and Tribes; (8) develops and implements IHS standards of
care, clinical guidelines, policies, and procedures for diabetes and
diabetes-related conditions; (9) coordinates model diabetes program
sites; (10) develops and disseminates diabetes-related information and
materials to IHS, Tribes and Urban Indian health programs; and (11) is
responsible for preparing budgetary data, analysis and program
evaluations for budget presentations and Congressional hearings.
Office of Information Technology (OIT) (GAG)
(1) Provides Chief Information Officer (CIO) services and advises
the IHS Director on all aspects of information resource management and
technology ensuring Agency compliance with related Federal laws,
regulations and policies; (2) directs the development, implementation,
and maintenance of policies, procedures, standards, and architecture
for information resource management, technology activities, and
services in the IHS; (3) directs strategic planning and budgeting
processes for information resources and technology; (4) leads IHS
efforts in the development and implementation of information resource
and technology management initiatives in IHS; (5) directs the design,
development, acquisition, implementation, and support of information
systems and services used in the IHS; (6) directs the activities of the
IHS Information Technology Investment Review Board in assessing,
implementing, and reviewing the Agency's information systems; (7)
contracts for information resource and technology-related software,
equipment and support services in collaboration with appropriate
acquisition authorities; (8) provides project management support for
information resource and technology initiatives; (9) directs the
development, implementation and management of the IHS Information
Technology Security program to protect the information resources of the
IHS; (10) provides information technology services and support to IHS,
Tribal, and Urban Indian health programs; (11) ensures accessibility to
information technology services; (12) represents the IHS and enters
into information technology agreements with Federal, Tribal, State and
other organizations; and (13) participates in cross-cutting issues and
processes including, but not limited to emergency preparedness/
security, budget formulation, self-determination issues, Tribal shares
computations, and resolution of audit findings as may be needed and
appropriate.
Division of Information Technology (DIT) (GAGA)
(1) Provides Chief Technology Officer services and advises the CIO
on all aspects of information technology; (2) develops, implements, and
maintains policies, procedures and standards for information resource
management and technology products and services in the IHS; (3)
develops and maintains information technology strategic planning
documents; (4) develops and maintains the IHS enterprise architecture;
(5) develops and implements information technology management
initiatives in IHS; (6) ensures IHS information technology
infrastructure resource consolidation and standardization efforts
support IHS healthcare delivery and program administration; (7)
represents the IHS to Federal, Tribal, State, and other organizations;
and (8) participates in cross-cutting issues and processes that involve
information technology.
Division of Information Resources Management (DIRM) (GAGB)
(1) Advises the CIO on all aspects of information resources
management; (2) develops information resource policies and procedures;
(3) develops the IHS information technology budget and related
documents; (4) provides budget analyses and reports to the CIO; (5)
develops strategies for presenting the IHS information technology
budget to IHS, Tribal, and Urban Indian health programs; (6) provides
technical analyses, guidance, and support for IHS capital planning and
investment control activities; (7) manages the IHS portfolio management
tool; (8) manages the activities of the IHS Information Technology
Investment Review Board in assessing, implementing and reviewing the
Agency's information systems; (9) represents the IHS to Federal,
Tribal, State, and other organizations; and (10) participates in the
cross-cutting issues and processes that involve information resources
management.
Division of Enterprise Project Management (DEPM) (GAGC)
(1) Advises the CIO on all aspects of information technology
project management; (2) develops project management policies and
procedures; (3) identifies alternatives among internal and external
sources and recommends the best sources to supply information resource
and technology products and services to IHS; (4) develops information
resource and technology project governance structures, management
plans, evaluations, protocols, documentation guides, and related
materials to support effective project management; (5) provides project
management and related support for IHS developed and acquired
information resource and technology products and services; (6) provides
customer relationship management support to project stakeholders; (7)
provides quality assurance and risk management support; (8) provides
contract management support for information technology initiatives; (9)
provides contract liaison services to appropriate acquisition
authorities; (10) represents the IHS to Federal, Tribal, State, and
other organizations; and (11) participates in cross-cutting issues and
processes that involve information
[[Page 24092]]
resources and technology project management.
Division of Information Security (DIS) (GAGD)
(1) Advises the CIO on all aspects of information security; (2)
develops, implements and monitors the IHS Information Technology
Security program to protect the information resources of the IHS; (3)
develops and maintains cyber security policies and guidance for
hardware, software, and telecommunications within the IHS; (4) reviews
IHS security plans for sensitive systems; (5) evaluates safeguards to
protect major information systems and the information technology
infrastructure; (6) monitors all IHS systems development and operations
for security and privacy compliance; (7) establishes and leads IHS
teams to conduct reviews of Agency programs to protect IHS' cyber and
personnel security programs; (8) conducts vulnerability assessments of
IHS' information technology infrastructure; (9) coordinates activities
with internal and external organizations reviewing the IHS' information
resources for fraud, waste, and abuse; (10) develops, implements, and
evaluates an employee cyber security awareness and training program;
(11) establishes and leads the IHS Computer Security Incident Response
Capability team; (12) represents the IHS to Federal, Tribal, State, and
other organizations; and (13) participates in cross-cutting issues and
processes that involve information security.
Office of Public Health Support (OPHS) (GAH)
(1) Advises and supports the IHS Director on policy, budget
formulation, and resource allocation regarding the operation and
management of IHS, Tribal, and Urban Indian health programs; (2)
provides IHS-wide leadership, guidance and support for public health
program and activities including strategic planning, evaluation,
Government Performance and Results Act (GPRA), research, epidemiology,
statistics, and health professions; (3) provides Agency-wide leadership
and consultation to IHS, Tribal, and Urban Indian health programs on
IHS goals, objectives, policies, standards, and priorities; (4)
advocates for the public health needs and concerns of AI/AN and
promotes quality health care; (5) manages and provides national
leadership and consultation for IHS on assessments of public health
medical services, research agendas, special pay, and public health
initiatives for the Agency; (6) provides national leadership for the
IHS scholarship and loan repayment programs, including physician
recruitment; (7) supports and advocates for AI/AN to access State and
local public health programs; and (8) participates in cross-cutting
issues and processes including, but not limited to emergency
preparedness/security, budget formulation, self-determination issues,
Tribal shares computations and resolution of audit findings as may be
needed and appropriate.
Division of Epidemiology (GAHA)
(1) Prevents and controls chronic and communicable disease through
epidemiology and applied public health practice; (2) builds capacity in
Tribal communities through a network of Tribal Epidemiology Centers;
(3) collaborates with the Centers for Disease Control and Prevention
(CDC) staff detailed to the Division of Epidemiology from the CDC; (4)
describes causes, patterns, and risk factors for disease and death, and
develops public health policy; (5) serves IHS and Tribal communities
through disease surveillance, health data management, analysis and
reporting, community surveys, emergency response, training in public
health practice and epidemiology, consultation to clinicians and
technical support for public health activities and assessment of public
health system performance; (6) supports epidemiology, disease control,
and prevention programs for chronic diseases, including cancer, tobacco
control, cardiovascular disease, diabetes, kidney disease,
environmental health, maternal health, child health, and others; and
(7) supports epidemiology, disease control, and prevention programs for
communicable diseases, including tuberculosis, HIV/AIDS, sexually-
transmitted diseases, hepatitis, hantavirus, antibiotic-resistant
infections, immunizations, bioterrorism preparedness and others.
Chronic Disease Branch (CDB)
Supports epidemiology, disease control, and prevention programs for
chronic diseases, including cancer, tobacco control, cardiovascular
disease, diabetes, kidney disease, environmental health, maternal
health, child health, and others.
Infectious Disease Branch (IDB)
Supports epidemiology, disease control, and prevention programs for
communicable diseases, including tuberculosis, HIV/AIDS, sexually-
transmitted diseases, hepatitis, hantavirus, antibiotic-resistant
infections, immunizations, bioterrorism preparedness, and others.
Division of Program Statistics (DPS) (GAHB)
(1) Plans, develops, directs, and coordinates an analytical
statistical reporting program to provide data for measuring the health
status and unmet health needs of the AI/AN population; (2) develops and
coordinates the collection, processing, and analysis of demographic,
patient care, and clinical data for the Agency; (3) maintains,
analyzes, makes accessible, and publishes results from national
demographic and clinical analyses; and (4) provides statistical and
analytical consultation to other divisions and agencies.
Demographics Staff (DS)
(1) Plans, develops and executes a major nation-wide statistical
program for the collection, processing, analysis and dissemination of
demographic characteristics of the AI/AN population located throughout
the United States; (2) coordinates with the National Center for Health
Statistics the analysis and reporting of vital event information for
the AI/AN population; and (3) provides statistical and analytical
consultation to other divisions and agencies.
Patient Care Statistics Staff (PCSS)
(1) Plans, develops and executes a major nation-wide statistical
program for the collection, processing, analysis and dissemination of
demographic data and special studies with emphasis on health and
demographic characteristics of the AI/AN population located throughout
the United States; (2) evaluates facility workload trends and
participates in the development of methodologies for constructing long-
range estimates of inpatient and ambulatory care workloads for use in
facility construction and planning; and (3) coordinates with the IHS
National Data Repositories, the analysis and reporting of program,
patient care and clinical data for the Agency.
Division of Planning, Evaluation and Research (DPER) (GAHC)
(1) Develops and coordinates Agency strategic planning and
performance measurement efforts (including GPRA and Program Assessment
Rating Tool) with budgeting requirements in consultation with IHS
program staff; (2) provides consultation and coordination on the IHS
budget formulation activity for planning and data purposes; (3)
conducts, facilitates, solicits, coordinates, and evaluates community-
oriented practice-based research related to health problems and the
delivery of care to AI/AN people and communities with a major focus on
improving the
[[Page 24093]]
health status and systems of care; and (4) provides guidance and
support for IHS-wide program evaluation projects.
Division of Health Professions Support (DHPS) (GAHD)
(1) Develops and implements IHS programs to recruit, select,
assign, and retain health care professionals and coordinates these
activities with the respective disciplines; (2) assesses professional
staffing needs and coordinates the development of strategies and
systems to satisfy these needs; (3) coordinates the planning and
development of IHS strategies and systems to improve the morale and
retention of all professionals; (4) coordinates Headquarters activities
for physician residency and training programs; (5) coordinates the IHS
National Health Service Corps (NHSC) program, including liaison and
assignment of NHSC scholarship recipients to IHS; (6) develops priority
sites for the loan repayment program; (7) coordinates placement of
professionals with loan repayment obligations; (8) serves as IHS
coordinator for pre-medical and medical school IHS scholarship
recipients; (9) retrieves, establishes, and manages information and
data on the IHS work force; and (10) conducts work force data analyses,
including trends and projections, identifying work force needs by major
personnel systems, categories, and disciplines.
Health Professions Support Branch (HPSB)
(1) Develops the IHS program to recruit, select, assign, and retain
health care professionals, in accordance with policies and guidance
provided by the Division of Human Resources; (2) assesses IHS
professional staffing needs; (3) provides research and analysis
functions for Chief Medical Officers, Clinical Directors, and senior
clinicians; (4) manages and supports health professions education
programs and activities; and (5) develops and administers Indian Health
Professions programs authorized by the Indian Health Care Improvement
Act (IHCIA), as amended.
Loan Repayment Branch (LRB)
(1) Awards, monitors, places (in IHS, Tribal, and Urban sites), and
processes waivers and defaults of participants in the Loan Repayment
Program (LRP) as mandated by Section 108 of the IHCIA; (2) coordinates
the LRP payment and debt management function with the Program Support
Center; and (3) coordinates program administration with the IHS Area
Office and Service Unit personnel, particularly placement activities,
including Clinical Directors, Chief Medical Officers, and professional
recruiters.
Scholarships Branch (SB)
Develops, administers, and evaluates programs in the IHS
Scholarship Program authorized under the IHCIA: Section 102 (Health
Professions Recruitment Program for Indians), Section 103 (Health
Professions Preparatory Scholarship Program for Indians), Section 104
(Indian Health Professions Scholarship Program), Section 105 (IHS
Externs Program), Section 120 (Matching Grants to Tribes for
Scholarship Programs), Section 217 (Indians Into Psychology Program),
and other funded programs authorized under the IHCIA.
Office of Resource Access and Partnerships (ORAP) (GAJ)
(1) Provides Agency-wide leadership and consultation to the IHS
direct operations and Tribal programs on IHS goals, objectives,
policies, standards and priorities regarding the operations and
management of the Business Office Services (BOS) and the Contract
Health Services (CHS) programs; (2) develops and implements objectives,
priorities, standards, measures and methodologies for the BOS and CHS
programs; (3) manages and provides leadership, advocacy, consultation
and technical support to Headquarters, IHS Areas and local levels on
the full scope of BOS and CHS activities; (4) represents the IHS at
meetings and in discussions regarding policy, legislation and other
national issues; (5) provides oversight and monitors the BOS and CHS
programs regarding compliance requirements, utilization reviews,
revenue measures and reports; (6) formulates and analyzes BOS and CHS
budgets and prepares information for program budget presentations; (7)
collaborates and coordinates with IHS information technology staff and
external organizations on new technologies, applications and business
practices; (8) develops resource opportunities and coordinates the BOS
and CHS activities with other governmental and non-governmental
programs, promoting optimum utilization of all available health
resources; (9) maintains a database of all inter-agency agreements,
intra-agency agreements, memoranda of agreement and memoranda of
understanding with external organizations; and (10) participates in
cross-cutting issues and processes including, but not limited to
emergency preparedness/security, budget formulation, self-determination
issues, and resolution of audit findings as may be needed and
appropriate.
Division of Business Office Enhancement (DBOE) (GAJA)
(1) Serves as the primary focal point for BOS program operations
and policy issues and represents BOS in national forums; (2) provides
consultation to Headquarters and Area Offices and is liaison to Tribal
organizations, HHS and Office of Management and Budget (OMB) regarding
BOS issues; (3) reviews and improves the efficiency of access to
resources and provides support for local capacity building through
technical assistance, training, consultation and information systems
support; (4) develops, disseminates, and maintains BOS policy and
procedures manuals; (5) provides national leadership for Medicare,
Medicaid, and private insurance reimbursement policy and procedures;
(6) serves as the primary liaison with the Center for Medicaid/Medicare
Services for rate setting; (7) serves as the focal point regarding
Medicare and Medicaid managed care activities, including the review,
evaluation, and monitoring of Sections 1115 and 1915(b) Medicaid waiver
proposals and other State and Federal health care reform activities;
(8) provides programmatic management, review and analysis of
information systems for patient registration and billing and
collections systems; (9) assures training on operations, various
regulatory issues and negotiated managed care provider agreements; and
(10) develops third-party budget materials and responds to Tribal,
Congressional and HHS inquiries relating to third-party issues.
Division of Contract Care (DCC) (GAJB)
(1) Plans, develops, and coordinates the CHS program and required
business practices; (2) develops, disseminates, and maintains CHS
policy and procedures manuals; (3) formulates and monitors the CHS
budget and distribution methodologies; (4) administers the Catastrophic
Health Emergency Fund; (5) administers the CHS Quality Assurance Fund;
(6) administers the CHS claims adjudication activity for the IHS
Headquarters; (7) monitors the implementation of the IHS payment policy
and reports the status to the Director, ORAP; (8) administers the IHS
Fiscal Intermediary contract; (9) conducts data analysis and national
utilization review and utilization management of CHS services rendered
by private sector providers; and (10) provides consultation to
Headquarters and Area Offices, and responds to
[[Page 24094]]
inquiries from the Congress, Tribes, and other Federal agencies.
Office of Finance and Accounting (OFA) (GAK)
(1) Develops and prepares the budget submission for the Indian
Health Service and Facilities appropriation to the HHS, OMB and the
Presidents budget; (2) participates with HHS officials in budget
briefings for the OMB and the Congress; (3) distributes, coordinates,
and monitors resource allocations; (4) develops and implements budget,
fiscal, and accounting procedures and conducts reviews and analyses to
ensure compliance in budget activities in collaboration with
Headquarters officials and the Tribes; (5) provides cost advisory and
audit resolution services in accordance with applicable statutes and
regulations; and (6) participates in cross-cutting issues and processes
including, but not limited to emergency preparedness/security, budget
formulation, self-determination issues, Tribal shares computations and
resolution of audit findings as may be needed and appropriate.
Division of Audit (DA) (GAKA)
(1) Develops and recommends policies and procedures for Chief
Financial Officer (CFO) audits; (2) develops and recommends policies
and procedures for Tribes and Tribal organizations audit resolution
within IHS; (3) provides advice, technical consultation, and training
to IHS Headquarters, Area Offices, Tribal, and Urban Indian Health
organizations for Title I, Title V, and Agency CFO audits; (4) provides
audit resolution services in accordance with applicable statutes and
regulations; (5) advises the Director, OFA, of proposed legislation,
regulations, directives, and timelines that will affect audits within
IHS, as well as how current legislation affects handling of audit-
related issues; (6) manages the IHS Audit Information Management System
(AIMS) and conducts analysis of data for reports and/or responses to
internal and external inquiries; (7) serves as the IHS contact point to
the HHS for the AIMS Report and the Accountability Report; (8)
coordinates the collection of disallowed costs cited in Tribes and
Tribal organizations audits; (9) coordinates the correction of non-
monetary findings coded by the HHS in Tribes and Tribal organizations
audits; (10) coordinates receipt of audits from all organizations
funded by IHS; (11) formulates Corrective Action Plans for CFO audit
deficiencies; (12) coordinates resolutions of deficiencies with IHS
Headquarters senior managers and Area Directors; and (13) reports
status of corrective actions to the IHS Headquarters senior managers
and to the HHS.
Division of Budget Formulation (DBF) (GAKB)
(1) Interprets policies, guidelines, manual issuances, OMB
circulars, and instructions from Congress, OMB, HHS, and IHS on
formulation of preliminary, Departmental, and Congressional budget
requests for the IHS and Indian Health Facilities appropriation
requests; (2) directs the collection, review, and analysis of program
and financial data from Headquarters, Area Offices, Tribes, Tribal and
Urban Indian Health organizations used in determining resource
requirements; (3) coordinates the preparation of the IHS preliminary,
Departmental and Congressional budget justifications for the Indian
Health Service and Facilities appropriations; (4) prepares witness
information for hearings before the House and Senate Appropriations
Committees, House Resource Committee on Interior and Insular Affairs,
the Senate Committee on Indian Affairs, and other Congressional
committees as requested; (5) coordinates development of responses and
inserts to be used for the record by and for Congressional
appropriations hearings; (6) coordinates development of briefing
materials in response to Congressional concerns and hearings; and (7)
develops, implements, and maintains IHS policies and procedures for
Congressional budget liaison activities.
Division of Budget Execution (DBE) (GAKC)
(1) Interprets policies, guidelines, and directives from Congress,
OMB, Government Accounting Office (GAO), Treasury, and the HHS on
Tribal shares and execution; (2) recommends and coordinates IHS Area
Budget Execution; (3) prepares apportionment requests for the Indian
Health Service and Indian Health Facilities appropriations; (4)
consults with the Headquarters officials on Area funding allocations;
(5) maintains fund control; (6) establishes and maintains IHS
Headquarters memorandum-accounts-of-obligations; (7) prepares
reprogramming requests; (8) coordinates and maintains relevant
information on IHS Headquarters and Area Tribal shares; (9) consults
with Headquarters and Area components on Tribal share allocations; (10)
advises the Director, OFA on Agency compliance with self-determination
policies, administrative procedures and guidelines; (11) coordinates
activities for resolution of problems with appropriate IHS Headquarters
and Area staff; (12) participates in the review and reconciliation of
Tribal funding agreements and certifies IHS Headquarters funding of
proposals from Tribal governments in conjunction with the Office of
Tribal Self-Governance and the Office of Tribal Programs; (13) manages
the financial review of Tribal agreements to identify sources of funds
necessary to implement the Tribal funding agreements; and (14)
participates in meetings with Tribal delegations as requested.
Division of Systems Review and Procedures (DSRP) (GAKD)
(1) Reviews, interprets and comments on policies, guidelines, and
manual issuances of Congress, Treasury, GAO, the HHS and IHS on systems
of fiscal management, including the Unified Financial Management System
(UFMS), Common Accounting Numbers/Budget and Accounting Classification
Structure Crosswalk and the CORE Accounting System (CORE); (2) plans,
directs, and implements fiscal policies and procedures on Headquarters
and field accounting; (3) coordinates the cost accounting system for
IHS; (4) reviews and analyzes accounting and financial management
systems and related system interfaces; (5) supports the conversion of
financial information from CORE to UFMS; (6) provides and assists Area
accounting staff with accounting system transactions, correcting errors
and system related emergencies; (7) serves as the Agency liaison
between Agency components concerning the interface of administrative
and other feeder applications with Oracle/UFMS; (8) serves as the
liaison between IHS, the Program Support Center (PSC) and the HHS for
reporting of prompt payment, debt management, and cash reconciliation
processes; (9) coordinates, regulates, and manages the issuance of
financial codes for IHS; and (10) coordinates year-end ``roll-over''
activities with PSC and IHS Headquarters and Area staffs.
Division of Financial Operations (DFO) (GAKE)
(1) Manages the IHS travel program, provides training, interprets
travel regulations, conducts reviews and updates travel policy and
procedures; (2) processes Headquarters travel orders and vouchers,
including permanent change of station and international travel; (3)
coordinates Area Directors' travel orders and vouchers; (4) coordinates
the conference management functions for the Agency; (5) processes all
Memoranda of Understanding (or Agreement) to verify accounting data
[[Page 24095]]
and ensure proper payment/collection; (6) prepares reports and analyzes
third-party collection data for management; (7) analyzes various
operating costs and provides PSC with Area breakouts; (8) monitors PSC
disbursements to assure proper accounting; (9) participates in the
development of Medicare cost reports with Headquarters, Area Offices,
Service Units and contractors; (10) provides contractor with data from
various data systems; (11) provides support and technical assistance to
Headquarters operational components in the development of Headquarters
operations budgets; (12) provides fund certification and maintains
commitment registers for Headquarters components; (13) performs fund
reconciliations and assists in coordination of discrepancies with
financial officials; (14) maintains Headquarters staffing status
reports; and (15) serves as coordinator and conducts training for the
Headquarters Administrative Resource and Management System.
Office of Management Services (OMS) (GAL)
(1) Provides IHS-wide leadership, guidance and support for the
management of human resources, grants, acquisition, records management,
personal property and supply, and the regulations program; (2) develops
and oversees the implementation of policies, procedures and delegations
of authority for IHS grants management activities, including grants
added to self-governance compacts; (3) ensures that Agency policies and
practices for the administrative functions identified above are
consistent with applicable regulations, directives and guidance from
higher echelons in the HHS and other Federal oversight agencies; (4)
advises the IHS Director, in conjunction with the Office of the General
Counsel (OGC), on the resolution of statutory and regulatory issues
related to the IHS and coordinates resolution of IHS legal issues with
the OGC, IHS staff, and other Federal agencies; (5) assures that IHS
appeal systems meet legal standards, in conjunction with the Office of
the General Counsel; (6) provides leadership and direction of
activities for continuous improvement of management accountability and
administrative systems for effective and efficient program support
services IHS-wide; (7) ensures the accountability and integrity of
grants and acquisition management, records management, personal
property utilization and disposition of IHS resources; (8) assures that
the IHS management services, policies, procedures, and practices
support IHS Indian Self-Determination Act policies; (9) assists in the
assurance of Indian access to State, local, and private health
programs; (10) provides leadership and advocacy of the IHS mission and
goals with the HHS, Administration, Congress, and other external
authorities; and (11) participates in cross-cutting issues and
processes including, but not limited to emergency preparedness/
security, budget formulation, self-determination issues, Tribal shares
computations and resolution of audit findings as may be needed and
appropriate.
Program Integrity and Ethics Staff (PIES) (GAL1)
(1) Directs the fact-finding and resolution of allegations of
impropriety such as mismanagement of resources, fraud, waste, and abuse
violations of the Standards of Ethical Conduct, Hatch Act and political
activity and other forms of waste; (2) advises the IHS Director and IHS
management of appropriate corrective and remedial actions to correct
improprieties; (3) directs and provides leadership in the formulation
of plans, guidance and evaluation of the IHS Personnel Security and
Drug Testing Programs; (4) administers the IHS-wide management of the
Agency hotline reports of allegations; (5) serves as the Agency
coordinator for the HHS Office of the Inspector General (OIG), Office
of Investigations; (6) manages and directs the IHS ``Ethics Program'',
including the implementation of all requirements, providing advice to
the IHS Director and serving as the Agency liaison with all outside
investigative organizations such as the Office of Special Counsel, the
General Accounting Office and the OIG; and (7) develops and implements
IHS directives and training for Standards of Ethical Conduct, Hatch Act
and political activity, allegations and investigations of
administrative fraud, waste and abuse, drug testing, and personnel
security.
Division of Commissioned Personnel Support (DCPS) (GALA)
(1) Acts as the liaison between IHS and the Program Support Center,
Division of Commissioned Personnel, HHS; (2) advises the IHS Director,
supervisors, administrators, managers, officers and dependents
regarding commissioned personnel benefits, policies, procedures,
regulations, as the IHS primary point of contact for commissioned
personnel management; (3) develops policies, procedures, and
recommendations to the Division of Commissioned Personnel, HHS; (4)
provides direct support to the IHS Director and/or the Agency
representative to the Office of the Surgeon General; and (5) produces
resource materials and conducts training sessions on commissioned
personnel issues for officers, supervisors, and commissioned personnel
specialists in IHS Area Offices.
Division of Administrative Services (DAS) (GALB)
(1) Plans, develops and directs program support and general
services programs; (2) develops and disseminates policy and procedural
guidelines for uniform administrative services and practices; (3)
provides guidance and support in the development, planning, and
implementation of administrative functions; (4) serves as liaison with
the HHS and the General Services Administration (GSA) on logistics
issues affecting the IHS; (5) monitors, evaluates, and reports on
administrative programs and services; (6) provides advice and technical
assistance on design, layout, inventories, and print order tracking for
IHS publications; and (7) manages a variety of special projects.
Office Services Branch (OSB)
(1) Administers physical security, supply, and space management
services for Headquarters; (2) develops and disseminates policy and
procedural guidelines for uniform office service programs; (3) provides
leadership and coordination in the planning, development, operation,
and evaluation of special office support programs in small purchase
acquisitions, facilities management, office relocations, lease
acquisition, GSA supplies, equipment, furniture, telecommunications,
transportation, mail management, forms management, photocopying, and
printing; (4) manages the Headquarters facilities program, physical
security, motor vehicles, personal property, special projects and
inter-agency activities; (5) develops and recommends policies and
procedures for the protection and disposition of IHS records and
oversees the evaluation of records management activities in the IHS;
(6) provides leadership for special projects and inter-agency
activities; (7) develops and recommends policies and procedures for the
protection and disposition of IHS records; (8) oversees the evaluation
of records management activities in the IHS; (9) provides leadership
and guidance for the Agency Records Management Program; and (10)
develops and implements a management control system for evaluation of
records management functions Agency-wide.
[[Page 24096]]
Property and Supply Management Branch (PSMB)
(1) Plans, develops, and administers the IHS policies on personal
property management in conformance with Federal personal property
management laws, regulations, policies, procedures, practices, and
standards; (2) interprets regulations and provides advice on execution
and coordination of personal property management policies and programs;
(3) administers management systems and methods for planning, utilizing,
and reporting on administrative personal property management programs,
including the IHS personal property accountability and controls
systems; (4) provides guidance and serves as principal administrative
authority on Federal personal property management laws, regulations,
policies, procedures, practices, and standards, in conjunction with the
Office of the General Counsel; (5) conducts surveys and studies
involving evaluation and analysis of the personal property management
activities Agency-wide; (6) maintains liaison with the HHS and the GSA
on personal property management issues and programs affecting the IHS;
(7) prepares reports on IHS personal property; and (8) develops
statements for annual budget formulation and presentation.
Division of Acquisitions Policy (DAP) (GALC)
(1) Develops, recommends, and oversees the implementation of
policies, procedures and delegations of authority for the acquisition
management activities in the IHS, consistent with applicable
regulations, directives, and guidance from higher echelons in the HHS
and Federal oversight agencies; (2) advises the Director, Office of
Management Services, of proposed legislation, regulations, and
directives that affect contracts in the IHS; (3) provides leadership
for compliance reviews of all IHS procurement operations; (4) oversees
completion of necessary corrective actions; (5) manages for the Agency,
the HHS acquisition training and certification program and the project
officer training program; (6) supports and maintains the IHS Contract
Information System and controls entry of data into the HHS Contract
Information System; (7) serves as the IHS contact point for contract
protests and the HHS contact for contract-related issues; (8) reviews
and makes recommendations for approval/disapproval of contract-related
documents such as: Pre- and post-award documents, unauthorized
commitments, procurement planning documents, Justification for Other
Than Full and Open Competition documents, waivers, deviations, and
determinations and findings that require action by the Agency Principal
Official Responsible for Acquisition, the Agency Head of Contracting,
or the Office of the Secretary; (9) processes unsolicited proposals for
the IHS; (10) coordinates the IHS Small, Disadvantaged, and Women-Owned
Business programs; (11) oversees compliance with the Buy Indian Act;
and (12) provides advice to Agency officials negotiating inter- and
intra-agency agreements, in accordance with the IHS agreements program.
Division of Grants Operations (DGO) (GALD)
(1) Directs grants management and operations for the IHS; (2)
awards and administers grants and cooperative agreements for IHS
financial assistance programs; (3) provides leadership for the
resolution of audit findings for grant programs; (4) manages for the
Agency, the HHS grants training and certification program; (5)
continuously assesses grants operations; (6) oversees completion of
necessary corrective action plans; (7) reviews and makes
recommendations for improvements in grantee and potential grantee
management systems; (8) serves as the IHS liaison with the HHS and the
public for grants and other financial assistance programs within the
IHS; (9) maintains the Catalog of Federal Domestic Assistance for IHS
financial assistance programs; (10) conducts grants-related training
for IHS staff, grantees, and potential grantees; (11) coordinates
payment to grantees, including scholarship recipients; and (12)
establishes and maintains the IHS automated Grants Information System
and controls data entry into the HHS automated Grants Information
System.
Division of Regulatory Affairs, Records Access and Policy Liaison
(GALE)
(1) Manages the IHS' overall regulations program and
responsibilities, including determining the need for and developing
plans for changes in regulations, developing or assuring the
development of needed regulations, and maintaining the various
regulatory planning processes; (2) serves as IHS liaison with the
Office of the Federal Register on matters relating to the submission
and clearance of documents for publication in the Federal Register; (3)
assures proper Agency clearance and processing of Federal Register
documents; (4) informs management and program officials of regulatory
activities of other Federal agencies; (5) manages the IHS review of
non-IHS regulatory documents that impact the delivery of health
services to Indians; (6) advises the IHS Director and serves as liaison
with the Office of the General Counsel (OGC) on such matters as
litigation, regulations, related policy issues, and administrative
support issues; (7) determines the need for and obtains legal clearance
of IHS directives and other issuances; (8) coordinates legal issues
with the OGC, IHS, HHS components, and other Federal agencies,
including the identification and formulation of legal questions and
advising on the implementation of OGC opinions; (9) assures that IHS'
appeals processes meet legal standards; (10) advises on and
participates in Indian Self-Determination and Education Assistance Act
appeals and hearings; (11) provides guidance and assistance on State
and Federal health reform efforts, including access and civil rights
aspects and State Medicaid waiver applications; (12) advises on the
administration of the contract health services (CHS) appeals system and
is a participant in the IHS Director's CHS appeal decisions; (13)
manages the retrieval and transmittal of information in response to
requests received under the FOIA or the Privacy Act, in collaboration
with the Public Affairs Staff; (14) ensures the security of sensitive
and/or confidential information when responding to FOIA or Privacy Act
issues; and (15) advises the IHS Director regarding requests for IHS
employees to serve as expert witnesses when IHS is not a party to the
suit.
Regulations and Records Access Branch (RRAB)
(1) Manages the Agency's regulation program and responsibilities;
(2) serves as liaison with the Office of the Federal Register; (3)
advises on the need for or changes in current regulations; (4) develops
or assures the development of IHS regulations; (5) keeps IHS officials
informed on relevant regulatory activities of other agencies of the
Government; (6) coordinates regulations activities with agencies within
the HHS that impact on the delivery of health services to Indians; (7)
maintains and updates various regulatory agendas; (8) assures that all
IHS materials for publication in the Federal Register are properly
cleared, processed, and in proper format; (9) manages the retrieval,
review, and appropriate transmittal of information in response to FOIA
requests, including ensuring the appropriate security of such
documents; (10) manages, administers, implements and monitors the
Agency's Paperwork
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Reduction Act (PRA) and OMB information collection/activities; (11)
provides guidance and technical assistance to IHS regarding information
collection requirements and procedures for obtaining OMB approvals and
extensions for IHS information collections; and (12) coordinates the
implementation and the application of Privacy Act requirements,
including but not limited to Health Insurance Portability and
Accountability Act implementation and compliance.
Policy Liaison Branch (PLB)
(1) Coordinates the resolution and development of legal advice to
the IHS Director on IHS legal issues with the OGC, IHS senior staff,
and other Federal agencies; (2) provides liaison with the OGC in such
matters as litigation, regulations, legislation, policy review, civil
rights, and administrative appeals; (3) provides advice on the
development and implementation of non-personnel appeals processes to
assure they meet legal standards; (4) maintains and distributes the
Compendium of Legal Opinions; (5) reviews IHS directives and other
issuances for needed legal clearances; (6) advises on the impact on IHS
and the Indian community of State and Federal health reforms; and (7)
provides policy review and advice on the need for or application of
legal opinions.
Division of Human Resources (DHR) (GALG)
(1) Advises the IHS Director on personnel management issues,
programs and policies for civil service and commissioned corps
personnel programs; (2) assures implementation of the Indian preference
policy in all personnel practices; (3) develops personnel management
policies, programs, and reports in accordance with applicable laws,
regulations, and policies; (4) provides personnel management and
services throughout IHS, to include, but not limited to, manpower
planning and utilization, staffing, recruitment, compensation,
classification, human resource development, pay administration, labor,
and employee relations; (5) provides advice, consultation, and
assistance to IHS management and Tribal officials on Tribal health
program personnel policy issues; (6) provides technical support,
guidance, and assistance on all personnel programs to IHS Headquarters
operations and other organizations as necessary; and (7) represents IHS
in all personnel management matters.
Human Resources Advisory Branch (HRAB)
(1) Plans, conducts, and evaluates personnel functional programs;
(2) develops IHS personnel policies, programs, and reports; (3)
provides personnel program and policy advice and assistance throughout
IHS; (4) provides advice and assistance to IHS management and Tribal
officials on Tribal health program personnel policies; and (5) develops
and implements Indian preference policies and procedures.
Human Resources Operations Branch (HROB)
(1) Plans and implements personnel servicing responsibilities for
IHS programs covered by the Headquarters appointing authority,
including staffing, recruitment, classification, pay administration,
and employee relations; (2) provides staff support for the
establishment and recruitment of Senior Executive Service positions,
including performance management, compensation and award nominations;
(3) processes personnel actions and appoints all civil service
employees; and (4) provides advice and training on timekeeping and pay
administration.
Office of Environmental Health and Engineering (OEHE) (GAM)
(1) Advises and supports the IHS Director on policy, budget
formulation, and resource allocation regarding environmental health and
engineering activities of IHS and Tribal facilities programs; (2)
provides Agency-wide leadership and consultation to IHS, Tribal, and
Urban Indian health programs on IHS goals, objectives, policies,
standards, and priorities; (3) represents the IHS within the HHS and
external organizations for purposes of liaison, professional
collaboration, cooperative ventures, and advocacy; (4) serves as the
primary source of technical advice for the IHS Director, Headquarters,
Area Offices, Tribal, and Urban Indian health programs on the full
scope of health care facilities construction and operations, sanitation
facilities construction and management, environmental health services,
environmental engineering, clinical engineering, and realty services
management; (5) develops and recommends policies, administrative
procedures and guidelines for Pub. L. 93-638 construction activities;
(6) develops objectives, priorities, standards, and methodologies to
conduct and evaluate environmental health, environmental engineering,
and facilities engineering and management activities; (7) coordinates
the formulation of the IHS Facilities appropriation budget request and
responds to all inquiries about the budget request and programs funded
by the IHS Facilities appropriation; (8) maintains needs-based and
workload-based methodologies for equitable resource distribution for
all funds appropriated under the IHS Facilities appropriation; (9)
provides leadership, consultation, and staff development to assure
functional, safe, and well-maintained health care facilities, a
comprehensive environmental health program, and the availability of
water, sewer, and solid waste facilities for Indian homes and
communities; (10) coordinates the IHS OEHE responsibilities in
responding to disasters and other emergency situations, in
collaboration with the Office of Clinical and Preventive Services; and
(11) participates in cross-cutting issues and processes including, but
not limited to emergency preparedness/security, budget formulation,
self-determination issues, Tribal shares computations and resolution of
audit findings as may be needed and appropriate.
Division of Sanitation Facilities Construction (DSFC) (GAMA)
(1) Develops, implements, and manages the environmental engineering
programs, including the Sanitation Facilities Construction (SFC)
program, and compliance activities associated with environmental
protection and historic preservation legislation; (2) provides Agency-
wide management assistance and special support/consultation to address
special environmental public health problems for environmental
engineering/construction activities, and for compliance with
environmental legislation; (3) works closely with other Federal
agencies to resolve environmental issues and maximize benefits to
Tribes by coordinating program efforts; (4) develops, implements, and
evaluates Agency program activities, objectives, policies, plans,
guidelines, and standardized data systems for SFC activities; (5)
consults with Tribal groups/organizations in the development and
implementation of SFC policies and initiatives, and in the
identification of sanitation needs; (6) maintains a national inventory
of current Tribal sanitation facilities needs, and past and present
projects to address those needs; and (7) allocates financial resources
Agency-wide based on need and workload using the national data
inventories, in collaboration with the OFA.
[[Page 24098]]
Division of Facilities Operations (DFO) (GAMB)
(1) Develops, implements, and manages the programs affecting health
care facilities operations, including the routine maintenance and
improvement, real property asset management, quarters, and clinical
engineering programs; (2) develops, implements, monitors and evaluates
Agency program activities, objectives, policies, plans, guidelines, and
standardized data systems for health care facilities operations; (3)
serves as the principal resource for coordination of facilities
operations and provides consultation to IHS and the Tribes on health
care facilities operations; (4) maintains real property asset and
quarters management systems; (5) maintains clinical engineering
management systems; (6) formulates financial resources allocation
methodologies Agency-wide based on need and workload data; (7)
maintains Agency-wide data on Federal and Tribal facilities for program
budget justification; (8) develops and evaluates technical standards
and guidelines for health care facilities operations; and (9) monitors
construction activities and the improvement, alteration, and repair of
health care facilities.
Division of Facilities Planning and Construction (DFPC) (GAMC)
(1) Develops, implements, and manages the IHS Health Care
Facilities Planning and Construction program, including the facilities
planning process, facilities design process, facilities acquisition,
and construction project management; (2) develops, implements,
monitors, and evaluates Agency program activities, objectives,
policies, plans, guidelines, and standardized data systems for health
care facilities planning and construction; (3) develops and maintains
construction priority systems, and with the Division of Engineering
Services, develops project budget documents for the health care
facilities construction program; (4) serves as the principal resource
in providing leadership, guidance, and coordination of health care
facilities engineering activities for the IHS Headquarters, Area
Offices, Tribal and Urban Indian health programs; (5) evaluates
justifications for major improvement and alteration projects and other
large scale construction activities; and (6) develops and evaluates
technical standards and guidelines for health care facilities
construction.
Division of Environmental Health Services (DEHS) (GAMD)
(1) Develops, implements, and manages the IHS Environmental Health
Services programs, including the Injury Prevention and Institutional
Environmental Health programs; (2) serves as the primary source of
technical and policy advice for IHS Headquarters and Area Offices on
the full scope of environmental health issues and activities; (3)
maintains relationships with other Federal agencies and Tribes to
maximize responses to environmental health issues and maximize benefits
to Tribes by coordinating program efforts; (4) provides leadership in
identifying and articulating environmental health needs of AI/AN
populations and support efforts to build Tribal capacity; (5) provides
personnel support services and advocates for environmental health
providers; (6) maintains, analyzes, makes accessible, and publishes
results from national databases; (7) manages resource allocation
activities in accordance with established criteria based on workload;
(8) develops and evaluates standards and guidelines for environmental
health programs and activities; and (9) performs functions related to
environmental health programs such as injury prevention, emergency
response, water quality, food sanitation, occupational health and
safety, solid and hazardous waste management, environmental health
issues in health care and non-health care institutions, and vector
control.
Division of Engineering Services (Dallas/Seattle) (DES) (GAME)
(1) Administers health care facilities engineering and construction
projects for specified Area Offices and administers the engineering and
construction of certain projects for other Federal agencies through
inter-agency agreements; (2) carries out management activities relating
to IHS-owned and utilized health care facilities, including
construction, contracting, realty, and leasing services; (3) serves as
the source of engineering and contracting expertise for assigned
programs/projects and other technical programmatic areas affecting the
planning, design, alteration, leasing, and construction of IHS health
care and sanitation facilities for Indian homes and communities; and
(4) assists in the development of Area Office annual work plans,
studies, investigations, surveys, audits, facilities planning, and
technical standards development, for IHS-owned and Tribal health care
facilities.
Section GA-30, Indian Health Service--Order of Succession
During my absence or disability of the IHS Director or in the event
of a vacancy in that office, the following IHS Headquarters officials,
in the order listed below, shall act as the IHS Director. In the event
of a planned extended period of absence, the IHS Director may specify a
different order of succession. The order of succession will be:
(1) Deputy Director.
(2) Deputy Director for Indian Health Policy.
(3) Deputy Director for Management Operations.
(4) Chief Medical Officer.
Section GA-40, Indian Health Service--Delegations of Authority
All delegations of authority and re-delegations of authority made
to IHS officials that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization, shall
continue in effect pending further re-delegation.
Chapter GF
IHS Area Offices
Section GF-00, Indian Health Service Area Offices--Mission
The IHS Area Offices carry out the mission of the IHS by providing
a system of health care unique to the Area population.
Section GF-10, Indian Health Service Area Offices--Organization
An Area Office is a bureau-level organization under the direction
of an Area Director, who reports to the IHS Director.
The following are the Area Offices of the IHS:
Aberdeen Area Office (GFA)
Alaska Area Office (GFB)
Albuquerque Area Office (GFC)
Bemidji Area Office (GFE)
Billings Area Office (GFF)
California Area Office (GFG)
Nashville Area Office (GFH)
Navajo Area Office (GFJ)
Oklahoma City Area Office (GFK)
Phoenix Area Office (GFL)
Portland Area Office (GFM)
Tucson Area Office (GFN).
Section GF-20, Indian Health Service Area Offices--Functions
The specific functions of the IHS Area Offices vary, however, each
Area Office includes functions organized to support major categories of
administrative management and clinical activities. Examples include:
Administration and Management--Financial management, administrative
[[Page 24099]]
and office services, contract/grant administration, procurement,
personnel management, facilities management, management information
systems, contract health services, and equal employment opportunity;
Program Planning, Analysis and Evaluation Programs--Program
planning, statistical analysis, legislative initiatives, research and
evaluation, health records, management information systems, and patient
registration/third party collection;
Tribal Activity Programs--Provision of Pub. L. 93-638, Indian Self-
Determination and Education Assistance Act, health services delivery,
community health representative services, Urban Indian health,
alcoholism and substance abuse, and health education;
Health Programs--Primary care, clinical activities, mental health,
nursing services, health promotion, disease prevention, professional
recruitment, community services, and the Joint Commission on
Accreditation of Healthcare Organizations;
Environmental Health/Sanitation Facilities Programs--Environmental
health and engineering/sanitation facilities construction programs; and
Information Resources Management Programs--Automated data
processing (ADP), ADP planning and operations, management information
systems, office automation systems, and voice/data telecommunications
management.
Section GF-30, Indian Health Service Area Offices--Order of Succession
The order of succession for Area Directors at the IHS Area Offices
are determined by each Area Director and continue in effect until
changed.
Section GF-40, Indian Health Service Area Offices--Delegations of
Authority
All delegations and re-delegations of authority made to officials
in the IHS Area Offices that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization, shall
continue in effect pending further re-delegation.
This reorganization shall be effective on August 23, 2004.
Dated: April 28, 2005.
Phyllis Eddy,
Acting Deputy Director, Indian Health Service.
[FR Doc. 05-9012 Filed 5-5-05; 8:45 am]
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