[Federal Register Volume 75, Number 2 (Tuesday, January 5, 2010)]
[Notices]
[Pages 391-404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-31201]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Statement of Organization, Functions and Delegations of Authority
This notice amends Part R of the Statement of Organization,
Functions and Delegations of Authority of the Department of Health and
Human Services (HHS), Health Resources and Services Administration
(HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 74
FR 48089-48090 dated September 21, 2009).
This notice reflects organizational changes in the Health Resources
and Services Administration. Specifically, this notice establishes the
Office of Special Health Affairs (RA1) and the Office of Planning,
Analysis and Evaluation (RA5) within the Office of the Administrator;
transfers the functions and renames the Office of Minority Health and
Health Disparities (RA9) and the Office of International Health Affairs
(RAH) to the Office of Special Health Affairs (RA1); establishes the
Office of Strategic Priorities (RA13) within the Office of Special
Health Affairs (RA1); renames the Office of Equal Opportunity and Civil
Rights (RA2); abolishes the Office of Health Information Technology
(RT) and moves the functions to the Office of Planning, Analysis and
Evaluation (RA5), the Office of Rural Health Policy (RH) and the Bureau
of Primary Health Care (RC); and updates the functional statement for
the Healthcare Systems Bureau (RR), the Bureau of Health Professions
(RP), and the Office of Operations (RB).
Chapter RA--Office of the Administrator
Section RA-10, Organization
Delete in its entirety and replace with the following:
The Office of the Administrator (RA) is headed by the
Administrator, Health Resources and Services Administration, who
reports directly to the Secretary. The OA includes the following
components:
(1) Immediate Office of the Administrator (RA);
(2) Office of Equal Opportunity, Civil Rights, and Diversity
Management (RA2);
(3) Office of Planning, Analysis, and Evaluation (RA5);
(4) Office of Communications (RA6);
(5) Office of Special Health Affairs (RA1); and
(6) Office of Legislation (RAE).
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Section RA-20, Functions
(1) Update the functional statement for the Immediate Office of the
Administrator (RA); (2) rename the Office of Equal Opportunity and
Civil rights (RA2); (3) establish the Office of Planning, Analysis and
Evaluation (RA5); (4) establish the Office of Special Health Affairs
(RA1); (5) delete the functional statement for the Office of
International Health Affairs (RAH), rename and transfer the function to
the Office of Special Health Affairs (RA1); (6) delete the functional
statement for the Office of Minority Health and Health Disparities
(RA9), rename and transfer the function to the Office of Special Health
Affairs (RA1); and (7) delete the functional statement for the Office
of Planning and Evaluation, and transfer the function to the Office of
Planning, Analysis and Evaluation (RA5).
Immediate Office of the Administrator (RA)
(1) Leads and directs programs and activities of the Agency and
advises the Office of the Secretary of Health and Human Services on
policy matters concerning them; (2) provides consultation and
assistance to senior Agency officials and others on clinical and health
professional issues; (3) serves as the Agency's focal point on efforts
to strengthen the practice of public health as it pertains to the HRSA
mission; (4) establishes and maintains verbal and written
communications with health organizations in the public and private
sectors to support the mission of HRSA; (5) coordinates the Agency's
strategic, evaluation and research planning processes; (6) manages the
legislative and communications programs for the Agency; (7) administers
HRSA's equal opportunity and civil rights activities; and (8) provides
overall leadership, direction, coordination, and planning in the
support of the Agency's special health programs.
Office of Equal Opportunity, Civil Rights and Diversity Management
(RA2)
Directs, coordinates, develops, and administers HRSA's equal
opportunity and civil rights activities. Specifically: (1) Provides
advice, counsel, and recommendations to HRSA personnel, including
regional divisions, on equal opportunity and civil rights and
represents HRSA in all equal employment opportunity (EEO) areas; (2)
administers affirmative action programs designed to ensure equality of
opportunity in employment; (3) manages the Civil Service complaints
system and prepares final HRSA decisions; (4) manages the complaints
system for Public Health Service (PHS) Commissioned Corps personnel
under the provisions of PHS Personnel Instruction 6 and issues proposed
depositions; (5) develops and directs implementation of the
requirements of Section 504 of the Rehabilitation Act of 1973, Title VI
of the Civil Rights Act of 1964, the Age Discrimination Act of 1975 and
the Americans With Disabilities Act, as they apply to recipients of
HRSA funds; (6) provides technical assistance and guidance to HRSA on
developing education and training programs regarding equal opportunity
and civil rights; (7) approves and executes settlement agreements and
attorney fees; (8) applies all applicable laws, guidelines, rules and
regulations in accordance with those of the HHS Office of Equal
Employment Opportunity and Civil Rights; and (9) provides leadership
and guidance in HRSA's efforts to maintain and improve a diverse
workforce.
Office of Planning, Analysis, and Evaluation (RA5)
Office of the Director (RA5)
Serves as the Administrator's primary staff unit for coordinating
the Agency's strategic planning process, and for conducting analysis,
evaluation and research planning process, including: (1) Maintains
liaison between the Administrator, other OPDIVs, higher levels of the
Department and other Departments on all matters involving analysis of
program policy undertaken in the Agency; (2) prepares policy analysis
papers and planning documents as required in the Administration's
strategic planning and other process; (3) analyzes budgetary data with
regard to planning guidelines; (4) collaborates with the Office of
Operations in the development of budgets, performance plans, and other
administration reporting requirements; and (5) provides medical claims
support.
Intergovernmental Affairs: (1) Provides the Administrator with a
single point of contact on all activities related to important State
and local government, stakeholder association, and interest group
activities; (2) coordinates Agency cross-Bureau cooperative agreements
and activities with organizations such as the National Governors
Association, National Conference of State Legislature, Association of
State and Territorial Health Officials, National Association of
Counties, and National Association of County and City Health Officials;
(3) interacts with various commissions such as the Delta Regional
Authority, Appalachian Regional Commission, Denali Commission and the
United States and Mexico Border Health Commission; and (4) serves as
the primary liaison to Department intergovernmental staff.
Office of Planning and Evaluation (RA51)
(1) Serves as the Administrator's primary staff for coordinating
the Agency's strategic, evaluation and research planning processes; (2)
prepares policy analysis papers and other planning documents as
required in the Administration's strategic planning process; (3)
analyzes budgetary data with regard to planning guidelines; (4)
collaborates in the development of budgets, performance plans, and
performance reports required under the Government Performance and
Accountability Report; (5) coordinates activity related to the
prevention agenda, Healthy People activities and other departmental and
Agency initiatives; (6) analyzes and coordinates the information needs
of the Agency, including coordination of the public use reports
clearance function; (7) analyzes policy issues surrounding the
application and promotion of healthcare information technology in HRSA
programs; and (8) serves as the focal point for health systems
organization and financing issues, with particular emphasis on the
Agency's relationship with the Centers for Medicare & Medicaid Services
and safety net providers.
Division of Health Information Technology & Quality (RA52)
Provides support and policy direction for HRSA's programs for
quality improvement. Serves as the focal point for developing policy to
promote the coordination and advancement of health information
technology to HRSA's programs, including user networks, and the use of
electronic health record systems. Specific responsibilities include:
(1) Develops a nationwide health information technology and telehealth
strategy for HRSA that focuses on the health care safety net and the
needs of the uninsured, underserved, and special needs populations; (2)
develops HRSA's Health Information Technology (HIT) and telehealth
policy; (3) ensures successful dissemination of appropriate information
technology advances, such as electronic health records systems or
provider networks, to HRSA programs; (4) works collaboratively with
States, foundations, national organizations,
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private sector providers, as well as departmental agencies and other
Federal departments in order to promote the adoption of health
information technology by HRSA's grantees; (5) ensures the health
information technology policy and programs of HRSA are coordinated with
those of other HHS components; (6) assesses the impact of health
information technology initiatives in the community, especially for the
uninsured, underserved, and special needs populations; (7) coordinates
outreach and consultation with public and private parties of interest
(within the extent of the law), including consumers, providers, payers,
and administrators focusing on the needs of the uninsured, underserved,
and special needs populations; and (8) develops and translates policy
to promote the coordination and advancement of health information
technology to HRSA's programs.
Office of Special Health Affairs (RA1)
Office of the Director (RA1)
Provides overall leadership, direction, coordination, and planning
in the support of the Agency's special health programs. Specifically,
(1) plans and directs activities to advance health equity and improve
minority health and eliminate health disparities; (2) develops
strategies to maximize HRSA's participation in efforts to improve
health care for vulnerable populations worldwide; and (3) provides
leadership and direction to improve the delivery and quality of oral
health care, mental health and other priority health concerns.
Office of Health Equity (RA11)
Serves as the principal advisor and coordinator to the Agency for
the special needs of minority and disadvantaged populations, including:
(1) Provides leadership and direction to address HHS and HRSA Strategic
Plan goals and objectives related to improving minority health and
eliminating health disparities; (2) establishes and manages an Agency-
wide data collection system for minority health activities and
initiatives including the White House Initiatives for Historically
Black Colleges and Universities, Educational Excellence for Hispanic
Americans, Tribal Colleges and Universities, Asian Americans and
Pacific Islanders, and Departmental Initiatives; (3) implements
activities to increase the availability of data to monitor the impact
of Agency programs in improving minority health and eliminating health
disparities; (4) participates in the formulation of HRSA's goals,
policies, legislative proposals, priorities, and strategies as they
affect health professional organizations and institutions of higher
education and others involved in or concerned with the delivery of
culturally-appropriate, quality health services to minorities and
disadvantaged populations; (5) consults with Federal agencies and other
public and private sector agencies and organizations to collaborate in
addressing health equity, including enhancing cultural competence in
health service providers; (6) establishes short-term and long-range
objectives; and (7) participates in the focus of activities and
objectives in assuring equity in access to resources and health careers
for minorities and the disadvantaged.
Office of Global Health Affairs (RA12)
Serves as the principal advisor to the Administrator on global
health issues. (1) Provides leadership, coordination, and advancement
of international health activities relating to health care services for
vulnerable and at-risk populations and for training programs for health
professionals; and (2) provides leadership within HRSA for the support
for international health and coordinates policy development with the
Office of Global Health Affairs (OGHA) and other departmental agencies.
Office of Strategic Priorities (RA13)
Serves as the principal advisor to the Administrator on major
health priorities including, but not limited to oral and mental health.
(1) Provides leadership and coordination to improve oral and mental
health infrastructure, delivery, and systems of care; (2) establishes
short-term and long-term goals and objectives to improve the quality of
oral and mental health care; (3) collaborates with other departmental
and Federal agencies to promote oral and mental health by building
public-private partnerships; (4) coordinates oral and mental health
activities across HRSA programs; and (5) establishes program goals,
objectives and priorities to improve oral and mental health status and
outcomes to eliminate disparities.
Section RA-30, Delegations of Authority
All delegations of authority and re-delegations of authority made
to HRSA 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 RB--Office of Operations
Section RB-20, Functions
Delete the functional statement for the Office of Operations and
replace in its entirety.
Office of Operations
Office of the Chief Operating Officer (RB)
(1) Provides leadership for operational activities, interaction and
execution of Agency initiatives across the Health Resources and
Services Administration; (2) plans, organizes and manages annual and
multi-year budgets and resources and assures that the conduct of Agency
administrative and financial management activities effectively support
program operations; (3) provides an array of Agency-wide services
including information technology, procurement management, facilities,
workforce management, and budget execution and formulation; (4)
maintains overall responsibility for policies, procedures, monitoring
of internal controls and systems related to payment and disbursement
activities; (5) provides management expertise, staff advice, and
support to the Administrator in program and policy formulation and
execution; (6) provides leadership in the development, review and
implementation of policies and procedures to promote improved
information technology management capabilities and best practices
throughout HRSA; (7) coordinates IT workforce issues and works closely
with the Department on IT recruitment and training issues; and (8)
administers functions of the Chief Financial Officer.
Office of Budget (RB1)
(1) Reviews funds control measures to assure that no program,
project or activity of HRSA obligates or disburses funds in excess of
appropriations or obligates funds in violation of authorized purposes;
(2) provides advice and assistance to senior HRSA management to verify
the accuracy, validity, and technical treatment of budgetary data in
forms, schedules, and reports, or the legality and propriety of using
funds for specific purposes; (3) maintains primary liaison to expedite
the flow of financial management work and materials within the Agency
and/or between Agency components and HHS, Office of Management and
Budget (OMB), and congressional staff; (4) provides overall financial-
based analyses and fiduciary review for senior HRSA management in order
to assure appropriate workforce planning, funds control guidance, and
analytical
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technical assistance in all phases of the budgetary process; and (5)
develops the long-range program and financial plan for the Agency in
collaboration with the Office of Planning, Analysis and Evaluation, and
other administrative Agency components.
Division of Budget Formulation and Presentation (RB11)
(1) Manages and coordinates development of the Administration's
budget for HRSA from independent submissions prepared by Bureau/Office
contacts; (2) formulates the total HRSA financial plan for the
Administrator, and evaluates and assures total Agency budget requests
conform to current Administration policy and economic assumptions; (3)
coordinates performance measures pursuant to the Government Performance
and Results Act with budget proposals; (4) represents, supports and
defends the HRSA budget in meetings/hearings before the Office of the
Secretary, OMB, and the Congress; (5) provides policy direction and
guidance for the preparation and consolidation of the budget and its
transmittal to OMB through information technology; (6) analyzes
proposed legislation and subsequent congressional action for budgetary
implications; (7) prepares periodic summary analysis and impact
statements on budget allowances and applicable congressional actions;
(8) develops all financial and personnel staffing aspects of HRSA's
implementation plans for establishing new or phasing out existing
programs; (9) develops analyses of proposed budget estimates and
supporting narrative through the use of available financial data
reporting systems for Agency senior management; (10) maintains liaison
with the Office of the Secretary and the OMB, the General
Accountability Office, other Government organizations, and the Congress
on HRSA's financial management matters; (11) consults with the Office
of Program Evaluation to provide guidance and advice in implementing
performance systems, including the Performance Assessment and Rating
Tool assessments, Key Performance Indicators, and HRSA's Government
Performance Results Act program; (12) collaborates with other parts of
HRSA in the development and implementation of long-range program and
financing plans; (13) completes chain-of-command requirements in timing
and reporting of cleared information to parties outside the Executive
Branch (i.e., the Congress, media, public); and (14) appropriately
safeguards all embargoed information and all draft materials to
maintain integrity of data, and secure work information.
Division of Budget Execution and Management (RB12)
(1) Provides budget policy interpretation, management guidance and
direction for senior HRSA management; (2) conducts the HRSA budget
control process in conformance with statutory requirements and OMB
guidelines; (3) approves program spending plans and obtains
apportionment of funds from the OMB; (4) establishes and maintains a
system of budgetary fund and position control; (5) provides senior HRSA
management status and activity reports on total funds control and
position control activities throughout the fiscal year; (6) administers
and reviews requests for apportionments and allotments; (7) reviews,
controls, and reports obligations and expenditures through central
monitoring and advice to Bureau/Office management officials; (8)
verifies funds available to Central HRSA Offices, and the propriety of
using appropriated and non-appropriated funds for the requested
purposes for which the funds have been proposed for expenditure through
commitment accounting; (9) develops and interprets budgetary policies
and practices for operating units of the Agency including analysis and
approval for all equipment, supplies, travel, transportation and
services procured by HRSA, and ensures the validity, legality and
proper accounting treatment of expenditures processed through the
Unified Financial Management System (UFMS); (10) controls the Agency's
processes of allotment, allocation, obligation, and expenditure of
funds in approved annual operating plans for all HRSA accounts; (11)
monitors Bureau obligations in current allocations, disbursements and
outlays and notifies Bureaus of potential deficiencies in allotments
and allowances for specific periods for corrective action by Bureau
staff; (12) maintains primary liaison between HRSA and the Program
Support Center's Financial Operations Center for accounting functions;
(13) maintains tracking of inputs into HRSA account for the central HHS
accounting system (UFMS), which includes the examination, verification,
and maintenance of accounts and accounting data within the accounting
system; (14) provides standardized accounting codes across the Agency,
performs technical audit functions, develops and/or installs revised
accounting procedures, and serves as primary administrator of systems
accounting functions within HRSA; (15) provides appropriate tracking of
all ``fee-for-service'' charges to HRSA from other HHS components and
outside entities; and (16) manages the centralized HRSA Pay Management
for allocation of staff and position management.
Division of Program Budget Services (RB13)
(1) Provides direct budget execution services to assigned program
components working with appropriate program management officials; (2)
coordinates budget services through formalized and integrated
communications with program management officials or their designees to
ensure effective and efficient delivery of services to its customers;
(3) supports the formulation of annual budgets, develops spending plans
and manages budget activities ensuring funds are expended in accordance
with congressional intent; (4) provides reports on program activities
to Budget Execution and Management Staff for control of commitment
accounting within allotments and allowances and for position control
activities; (5) analyzes and maintains reports on disbursements and
changing obligations within closed year accounts for assigned program
components; and (6) assures all open documents are closed without
outstanding balances.
Office of Financial Policy and Controls (RB2)
(1) Chief Financial Officer serves as liaison with all HRSA Bureau/
Office components and outside customers to provide financial
information, resolve problems, and provide information on payment, and
disbursement issues; (2) maintains overall responsibility for policies,
procedures, monitoring of internal controls and systems related to
payment and disbursement activities; (3) coordinates the development
and improvement of HRSA's financial systems with the UFMS; (4) samples
obligation documents and payment requests from a variety of private
sector and Government sources to determine the validity and legality of
the requests; (5) compiles and submits a variety of cash management and
travel reports required by the Department of the Treasury and various
other outside agencies; (6) provides leadership to define the control
environment with Senior HRSA management to perform risk assessments
identifying the most significant areas necessary for internal control
placements; (7) analyzes internal reports to provide management
information on special interest topics;
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(8) develops needs assessment for financial management training based
on Government-wide and HHS standards; and (9) assures Treasury
requirements and OMB suggestions for best practices are implemented in
training plan for Agency-wide use.
Division of Internal Controls (RB21)
(1) Coordinates risk assessments identifying the most significant
areas necessary for internal control placements; (2) analyzes and
reconciles disbursements made for HRSA by other Federal activities, and
insures that disbursements are consistent with Federal Appropriations
Law requirements, GAO policies, interagency elimination entry
requirements, and other governing financial regulations; (3) analyzes
year-end unliquidated obligations for compliance with Federal
Appropriations Laws and the Economy Act, and recommends funding changes
to senior HRSA management; (4) reviews and reconciles all U.S. Treasury
Department reports and transmissions; (5) performs ongoing quality
control reviews of various payment and disbursement processes and
systems in the Office of Operations; (6) develops needs assessment for
financial management training based on Government-wide and HHS
standards; and (7) assures Treasury requirements and OMB suggestions
for best practices are implemented in training plan for Agency-wide
use.
Division of Financial Policy and Analysis (RB22)
(1) Defines the control environment (e.g., programs, operations, or
financial reporting) with Senior HRSA management; (2) maintains overall
responsibility for policies, procedures, monitoring of internal
controls and systems related to payment and disbursement activities;
(3) conducts analyses to inform Office of Operations and Senior HRSA
management of relevant financial information, potential problems/
solutions, and information on payment, travel, and disbursement issues;
(4) reviews policy documents, Inter/Intra-Agency agreements and Agency
materials for financial consistency with internal controls and
disbursement requirements; (5) conducts analyses of management and
operational problems in terms of financial management information; (6)
analyzes the design, implementation, enhancement and documentation of
automated financial systems within the Office of Operations to assist
management in operating more efficiently; (7) provides consultative
services to systems implementers within HRSA on a broad range of issues
including policy, data integrity, systems integration and interfacing
issues as they relate to financial management systems; (8) provides
technical support and assistance to operating components and users in
the integration of financial systems and the access and interpretation
of financial system data; (9) analyzes and offers recommendations
concerning the costs and benefits of alternative methods of financing
Agency programs and administrative operations; (10) prepares long-range
resource projections for the acquisition and use of funds to support
specific Agency projects and programs; (11) facilitates the review of
HRSA audit activities in compliance with the Chief Financial Officer's
Act of 1990; and (12) provides support to the Annual Financial
Statements by monitoring statement of net cost, preparing management
representation correspondence, cycle memoranda and serves as audit
liaison to the combined HHS Combined Financial Statement.
Office of Acquisitions Management and Policy (RB3)
(1) Provides leadership in the planning, development, and
implementation of policies and procedures for contracts; (2) exercises
the sole responsibility within HRSA for the award and management of
contracts; (3) provides advice and consultation of interpretation and
application of the Department of Health and Human Services' policies
and procedures governing contracts management; (4) develops operating
procedures and policies for the Agency's contracts programs; (5)
establishes standards and guides for and evaluates contracts operations
throughout the Agency; (6) coordinates the Agency's positions and
actions with respect to the audit of contracts; (7) maintains liaison
directly with or through Agency Bureaus or Offices with contractors,
other organizations, and various components of the Department; (8)
provides leadership, guidance, and advice on the promotion of the
activities in HRSA relating to procurement and material management
governed by the Small Business Act of 1958, Executive Order 11625, and
other statutes and national policy directives for augmenting the role
of private industry, and small and minority businesses as sources of
supply to the Government and Government contractors; and (9) plans,
directs, and coordinates the Agency's sourcing program.
Division of Contracts Operations (RB31)
(1) Responsible for soliciting, negotiating, awarding, and
administering negotiated contracts in support of HRSA programs and
activities; (2) provides professional, in-depth advice and consultation
to HRSA staff regarding the various phases of the acquisition cycle
relating to contracts awarded by the Agency; (3) conducts pre-award
reviews of proposed contracts that exceed the requirements called for
in the Federal and departmental acquisition regulations; (4) plans and
coordinates acquisition reviews of contracting activities within HRSA
headquarters and the field components; and (5) responds to
congressional inquiries and requests for acquisition information from
other Federal agencies and non-Federal sources.
Division of General Acquisitions (RB32)
(1) Plans, negotiates and awards simplified acquisitions for
headquarters and field components; (2) administers HRSA's acquisition
data retrieval system; (3) oversees system and inputs data to the
automated contracts reporting system, and reviews the PRISM reports and
obtains specific information from various outside sources; (4) takes
necessary actions regarding close out of both negotiated contracts and
simplified acquisitions in support of HRSA programs; (5) provides a
full range of in-depth advice and consultation regarding acquisition
matters relating to the simplified acquisition to headquarters and
field contracting activities; (6) conducts and monitors the performance
of the HRSA purchase card IMPAC program for headquarters and field
offices; (7) responds to congressional inquiries and requests for
information from other departments and non-Federal sources on
simplified acquisitions; (8) reviews and provides necessary
recommendations on the disposition of awards which result in mistakes
of bids, protests, and unauthorized obligations; (9) administers the
training and certification program for acquisition officials; (10)
manages close-out of completed contracts and purchase orders; and (11)
manages the Inter/Intra-Agency agreement process.
Office of Management (RB4)
Provides Agency-wide leadership, program direction, and
coordination of all phases of administrative management. Specifically,
the Office of Management: (1) Provides management expertise, staff
advice, and support to the Administrator in program and policy
formulation and execution; (2)
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provides administrative management services including human resources,
procurement, property, space planning, safety, physical security, and
general administrative services; (3) conducts Agency-wide workforce
analysis studies and surveys; (4) plans, directs, and coordinates the
Agency's activities in the areas of human resources management,
including labor relations, personnel security, performance and
alternative dispute resolution; (5) coordinates the development of
policy and regulations; (6) oversees the development of annual
operating objectives and coordinates HRSA work planning and appraisals;
(7) directs and coordinates the Agency's organizations, functions and
delegations of authority programs; (8) manages the Continuity of
Operations (COOP) program for the Offices supported by the Office of
Management; (9) administers the Agency's Executive Secretariat and
committee management functions; (10) provides staff support to the
Agency Chief Travel Official; and (11) provides staff support to the
Deputy Ethics Counselor.
Division of Policy Review and Coordination (RB41)
(1) Advises the Administrator and other key Agency officials on
cross-cutting policy issues and assists in the identification and
resolution of cross-cutting policy issues and problems; (2) establishes
and maintains tracking systems that provide Agency-wide coordination
and clearance of policies, regulations and guidelines; (3) plans,
organizes and directs the Agency's Executive Secretariat with primary
responsibility for preparation and management of written
correspondence; (4) arranges briefings for Department officials on
critical policy issues and oversees the development of necessary
briefing documents; (5) administers administrative early alert system
for the Agency to assure senior Agency officials are informed about
administrative actions and opportunities; (6) coordinates the
preparation of proposed rules and regulations relating to Agency
programs and coordinates Agency review and comment on other Department
regulations and policy directives that may affect the Agency's
programs; (7) manages and maintains a records management program for
the Agency; (8) oversees and coordinates the Agency's committee
management activities; (9) coordinates the review and publication of
Federal Register Notices; (10) provides advice and guidance for the
establishment or modification of administrative delegations of
authority; (11) provides advice and guidance for the establishment or
modification of program delegations of authority; and (12) contributes
to the analysis, development and implementation of Agency-wide
administrative policies through coordination with relevant Agency
program components and other related sources.
Division of Workforce Management (RB42)
(1) Conducts Agency-wide workforce analysis studies and surveys;
(2) develops comprehensive workforce strategies that meet the
requirements of the President's Management Agenda, programmatic needs
of HRSA, and the governance and management needs of HRSA leadership;
(3) evaluates employee development practices to develop and enhance
strategies to ensure HRSA retains a cadre of public health
professionals and reduces risks associated with turnover in mission
critical positions; (4) provides advice and guidance for the
establishment or modification of organization structures, functions,
and delegations of authority; (5) manages ethics and personnel security
programs; (6) administers the Agency's performance management programs,
including the SES Performance Review Board; (7) manages quality of work
life, flexi place, and incentive and honor awards programs; (8)
coordinates with the service provider the provision of human resources
management, working with the service provider to communicate human
resources requirements and monitoring the provider's performance; (9)
directs and serves as a focal point for the Agency's intern and
mentoring programs; (10) manages the Alternative Dispute Resolution
Program; (11) provides support and guidance on human resources issues
for the Offices supported by the Office of Management; and (12)
oversees the commissioned corps liaison activities including the day-
to-day operations of workforce management.
Division of Management Services (RB43)
(1) Provides administrative management services including
procurement, property, space planning, safety, physical security, and
general administrative services; (2) ensures implementation of
statutes, Executive Orders, and regulations related to official travel,
transportation, and relocation; (3) provides oversight for the HRSA
travel management program involving use of travel management services/
systems, passenger transportation, and travel charge cards; (4)
provides planning, management and oversight of all interior design
projects, move services and furniture requirements; (5) develops space
and furniture standards and related policies; (6) provides analysis of
office space requirements required in supporting decisions relating to
the acquisition of commercial leases and manages the furniture
inventory; (7) provides advice, counsel, direction, and support to
employees to fulfill the Agency's primary safety responsibility of
providing a workplace free from recognizable safety and health
concerns; (8) manages, controls, and/or coordinates all matters
relating to mail management within HRSA, including developing and
implementing procedures for the receipt, delivery, collection, and
dispatch of mail; (9) maintains overall responsibility for the HRSA
Forms Management Program which includes establishing internal controls
to assure conformity with departmental policies and standards,
including adequate systems for reviewing, clearing, costing, storing
and controlling forms; and (10) manages the Continuity of Operations
(COOP) program for the Offices supported by the Office of Management.
Office of Information Technology (RB5)
The Chief Information Officer (CIO) is responsible for the
organization, management, and administrative functions necessary to
carry out the responsibilities of the office including: (1)
Organizational development, investment control, budget formulation and
execution, policy development, strategic and tactical planning, and
performance monitoring; (2) provides leadership in the development,
review and implementation of policies and procedures to promote
improved information technology management capabilities and best
practices throughout HRSA; and (3) coordinates IT workforce issues and
works closely with the Department on IT recruitment and training
issues.
The Chief Technology Officer (CTO) is responsible for HRSA's
emerging and advanced technology integration program consistent with
HRSA's missions and program objectives including: (1) Managing
technology planning and coordinating the Agency's Enterprise
Architecture (EA) efforts with the capital planning process, ensuring
the suitability and consistency of technology investments with HRSA's
EA and strategic objectives; (2) incorporating security standards as a
component of the EA process; (3) providing leadership for strategic
planning that leverages information systems security, program
strategies,
[[Page 397]]
and advanced technology integration to achieve program objectives
through innovative technology use; and (4) providing leadership and
establishing policy to address legislative or regulatory requirements,
such as Section 508 of the Rehabilitation Act, and providing oversight
for Agency IT configuration management and control.
The Chief Information Security Officer (CISO) is responsible for:
(1) Leadership and collaboration with Agency staff to oversee the
implementation of security and privacy policy in the management of
their IT systems, and plans all activities associated with the Federal
Information Security Management Act (FISMA) or other agency security
and privacy initiatives; (2) implementing, coordinating, and
administering security and privacy programs to protect the information
resources of HRSA in compliance with legislation, Executive Orders,
directives of the Office of Management and Budget (OMB), or other
mandated requirements; (e.g., Presidential Decision Directive 63, OMB
Circular A-130, the National Security Agency, the Privacy Act, and
other Federal agencies); (3) executing the Agency's Risk Management
Program, and evaluates and assists with the implementation of
safeguards to protect major information systems, and IT infrastructure;
(4) coordinating with the Division of IT Operations and Customer
Service to develop and implement HRSA level policies, procedures,
guidelines, and standards for the incorporation of intrusion detection
systems, vulnerability scanning, forensic and other security tools used
to monitor automated systems and subsystems to safeguard HRSA's
electronic information and data assets; and (5) managing the
development, implementation, and evaluation of the HRSA information
technology security and privacy training program to meet the
requirements as mandated by OMB Circular A-130, the Computer Security
Act, and Privacy Act.
Division of Business Information Management (RB51)
(1) Provides consultation, assistance, and services to HRSA to
promote and manage information dissemination and collaboration
practices using appropriate electronic media; (2) evaluates and
integrates emerging technology to facilitate the translation of data
and information from data repositories into electronic formats for
internal and external dissemination; (3) collaborates with the Office
of Communications on the design, deployment, and maintenance of HRSA's
Internet and Intranet Web sites including development and
implementation of related policies and procedures; (4) develops and
maintains an overall data and information management strategy for HRSA
that is integrated with HHS and Government-wide strategies; (5)
identifies information needs across HRSA and develops approaches for
meeting those needs using appropriate technologies including
development and maintenance of an enterprise reporting platform; (6)
provides for data quality and ensures that data required for enterprise
information requirements are captured in appropriate enterprise
applications and that necessary data repositories are built and
maintained; (7) enhances and expands use and utility of HRSA's data by
providing basic analytic and user support, develops and maintains a
range of information products for internal and external users and
demonstrates potential uses of information in supporting management
decisions; and (8) provides leadership and establishes policy to
address legislative or regulatory requirements in its areas of
responsibility.
Division of Capital Planning and Project Management (RB52)
(1) Coordinates the development and review of policies and
procedures for IT Capital Planning and Investment Control, Earned Value
Management, IT portfolio management, IT project management, and the
enterprise performance lifecycle methodology; (2) administers the
Department's multi-year strategic information resources planning
process, including developing and administering the Department's
Strategic IT Plan; (3) supports the Budget Office in its evaluation of
IT initiatives, and preparation of Agency, departmental, and OMB Budget
Exhibits and documents; (4) works to obtain required information and
analyzes it as appropriate; (5) coordinates control and evaluation
review of ongoing IT projects, including support to the HRSA ITIRB in
conducting such review; (6) promotes and follows a consistent
methodology for project management and improves Agency-wide project
management; and (7) operates a Project Management Office to improve
management, communications, and functional user involvement, assists
with project prioritization, and monitors progress and budget.
Division of Enterprise Solutions Development and Management (RB53)
(1) Provides leadership, consultation, and IT project management
services in the definition of Agency business applications
architectures, the engineering of business processes, the building and
deployment of applications, and the development, maintenance and
management of enterprise systems and data collections efforts; (2)
responsible for technology evaluation, application and data
architecture definition, controlling software configuration management,
data modeling, database design, development and management and
stewardship services for business process owners; (3) manages the
systems development lifecycle by facilitating business process
engineering efforts, systems requirements definition, and provides
oversight for application change management control; and (4) provides
enterprise application user training, Tier-3 assistance, and is
responsible for end-to-end application building, deployment,
maintenance and data security assurance.
Division of IT Operations and Customer Services (RB54)
(1) Provides leadership, consultation, training, and management
services for HRSA's enterprise computing environment; (2) directs and
manages the support and acquisition of HRSA network and desktop
hardware, servers, wireless communication devices, and software
licenses; (3) is responsible for the HRSA Data Center and the operation
and maintenance of a complex, high-availability network infrastructure
on which mission-critical applications are made available 24 hours per
day, 7 days per week; (4) provides oversight for outsourced electronic
mail, Internet and connectivity, web and video conferencing, and co-
managed firewall and security monitoring services; (5) controls
infrastructure configuration management, installations and upgrades,
security perimeter protection, and system resource access; (6)
coordinates IT activities for Continuity of Operations Planning (COOP)
Agency-wide, including provisioning and maintaining IT infrastructure
and hardware at designated COOP locations to support emergency and COOP
requirements; (7) accounts for property life cycle management and
tracking of Agency-wide IT capital equipment; and (8) provides
oversight for outsourced Tier-1 and Tier-2 Help Desk Call Center
technical assistance, maintains workstation hardware and software
configuration management controls, and provides oversight of outsourced
network and desktop services to staff in HRSA Regional Offices.
[[Page 398]]
Section RB-30, Delegations of Authority
All delegations of authority and re-delegations of authority made
to HRSA 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 RH--Office of Rural Health Policy
Section RH-10, Organization
Delete in its entirety and replace with the following:
The Office of Rural Health Policy (RH) is headed by the Associate
Administrator for Rural Health Policy, who reports directly to the
Administrator. The Office of Rural Health Policy (RH) includes the
following components:
(1) Office of the Associate Administrator (RH);
(2) Hospital State Division (RH1);
(3) Community Based Division (RH2);
(4) Border Health Division (RH3); and
(5) Office for the Advancement of Telehealth (RH4).
Section RH-20, Functions
Delete the functional statement for the Office of the Associate
Administrator and replace in its entirety.
Office of the Associate Administrator (RH)
The Office of the Associate Administrator is headed by the
Associate Administrator who, in conjunction with other management
officials within HRSA, is responsible for the overall leadership and
management of the Office of Rural Health Policy. The Office of Rural
Health Policy serves as a focal point within the Department and as a
principal source of advice to the Administrator and Secretary for
coordinating efforts to strengthen and improve the delivery of health
services to populations in the Nation's rural areas and border areas,
providing leadership and interacting with stakeholders in the delivery
of health care to underserved and at risk populations. Specifically,
the Office of Rural Health Policy is organized around the following
primary issue areas:
Delivery of Health Services: (1) Collects and analyzes information
regarding the special problems of rural health care providers and
populations; (2) works with States, State hospital associations,
private associations, foundations, and other organizations to focus
attention on, and promote solutions to, problems related to the
delivery of health services in rural communities; (3) provides staff
support to the National Advisory Committee on Rural Health and Human
Services; (4) stimulates and coordinates interaction on rural health
activities and programs in the Agency, Department and with other
Federal agencies; (5) supports rural health center research and keeps
informed of research and demonstration projects funded by States and
foundations in the field of rural health care delivery; (6) establishes
and maintains a resource center for the collection and dissemination of
the latest information and research findings related to the delivery of
health services in rural areas; (7) coordinates congressional and
private sector inquiries related to rural health; (8) advises the
Agency, Administrator and Department on the effects of current policies
and proposed statutory, regulatory, administrative, and budgetary
changes in the programs established under titles XVIII and XIX of the
Social Security Act on the financial viability of small rural
hospitals, the ability of rural areas to attract and retain physicians
and other health professionals; (9) oversees compliance by CMS with the
requirement that rural hospital impact analyses are developed whenever
proposed regulations might have a significant impact on a substantial
number of small rural hospitals; (10) supports specialized rural
programs on minority health, mental health, preventive health
education, oral health, and occupational health and safety; (11)
directs the management of a nationwide rural health grants program;
(12) directs the management of a program of State grants which support
collaboration within State offices of rural health; and (13) funds
radiation exposure screening and education programs that screen
eligible individuals adversely affected by the mining, transport and
processing of uranium and the testing of nuclear weapons for cancer and
other diseases.
Hospital State Division (RH1)
The Hospital State Division serves as the focal point within the
Office of Rural Health Policy to support rural hospital and State grant
programs focused on rural populations. Specifically, the Hospital State
Division is organized around the following primary issue areas: (1)
Plans and manages a program of State grants which support collaboration
within State offices of rural health; (2) works with States, State
hospital associations, private associations, foundations, and other
organizations to focus attention on, and promote solutions to, problems
related to the delivery of health services in rural communities; and
(3) provides coordinated technical assistance to grantees and rural
communities.
Community Based Division (RH2)
The Community Based Division serves as the focal point within the
Office of Rural Health Policy to support rural community grant
programs. Specifically, the Community Based Division is organized
around the following primary issue areas: (1) Plans and manages several
nationwide rural health grants programs; (2) supports programs on rural
health, public health, and health status improvement; (3) funds public
and private non-profit entities for the operation of clinics that
provide diagnosis, treatment and rehabilitation of active and retired
coal miners and others with respiratory ailments (black lung) and other
occupational related respiratory disease impairments; (4) funds
radiation exposure screening and education programs that screen
eligible individuals adversely affected by the mining, transport and
processing of uranium and the testing of nuclear weapons for cancer and
other diseases; and (5) provides technical assistance to grantees and
rural communities.
Border Health Division (RH3)
The Border Health Division provides leadership and direction to
coordinate the Agency's assets in border regions. Specifically, the
Border Health Division: (1) Assures that the Agency's engagement with
regions of the border is strategic, performance based, builds
partnerships and alliances, and maximizes utilization of Agency assets;
(2) assures Agency-wide coordination by establishing border health
program policies and procedures including tracking mechanisms; (3)
conducts management and evaluation studies to improve the health
delivery system on the border; (4) serves as the secretariat and chair
for the Agency's Border Health Workgroup; (5) plans, directs, and
coordinates the Agency's border health activities; and (6) plans,
coordinates and facilitates the Agency agreements activities with
border health issues.
Office for the Advancement of Telehealth (RH4)
Serves as the operational focal point for coordinating and
advancing the use of telehealth technologies across all of HRSA's
programs including, but not limited to, the provision of healthcare at
a distance (telemedicine); distance-based learning to improve the
knowledge of Agency grantees, and others; and improved information
dissemination to both consumers and
[[Page 399]]
providers about the latest developments in telemedicine. The Office for
the Advancement of Telehealth carries out the following functions,
specifically: (1) Develops and coordinates telehealth network and
telehealth resource centers grant programs; (2) provides professional
assistance and support in developing telehealth initiatives; (3)
administers grant programs to promulgate and evaluate the use of
appropriate telehealth technologies among HRSA grantees and others; and
(4) disseminates the latest information and research findings related
to the use of telehealth technologies in Agency programs and
underserved areas, including findings on ``best practices.''
Section RH-30, Delegations of Authority
All delegations of authority and re-delegations of authority made
to HRSA 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 RC--Bureau of Primary Health Care
Section RC-10, Organization
Delete in its entirety and replace with the following:
The Bureau of Primary Health Care (RC) is headed by the Associate
Administrator for Primary Health Care, who reports directly to the
Administrator. The Bureau of Primary Health Care (RC) includes the
following components:
(1) Office of the Associate Administrator (RC);
(2) Office of Minority and Special Populations (RCG);
(3) Office of Policy and Program Development (RCH);
(4) Office of Quality and Data (RCK);
(5) Eastern Division (RCN);
(6) Central Mid-Atlantic Division (RCP);
(7) Western Division (RCQ); and
(8) Health Information Technology State and Community Assistance
Division (RCR).
Section RC-20, Functions
Delete the functional statement for the Bureau of Primary Health
Care and replace in its entirety.
Office of the Associate Administrator (RC)
Provides overall leadership, direction, coordination, and planning
in support of Bureau of Primary Health Care (BPHC) programs that are
designed to improve the health of the Nation's underserved communities
and vulnerable populations by assuring access to comprehensive,
culturally competent, quality primary health care services.
Specifically, (1) establishes program goals, objectives and priorities,
and provides oversight as to their execution; (2) plans, directs,
coordinates and evaluates Bureau-wide management activities; (3)
maintains effective relationships within HRSA and with other Department
of Health and Human Services (HHS) organizations, other Federal
agencies, State and local governments, and other public and private
organizations concerned with primary health care, eliminating health
disparities, and improving the health status of the Nation's
underserved and vulnerable populations; and (4) plans, directs, and
coordinates Bureau-wide administrative management activities, (i.e.,
budget, finance, personnel, procurements, delegations of authority,
emergency planning, training, executive secretariat), and has
responsibilities related to the awarding of BPHC grant and contract
funds.
Office of Minority and Special Populations (RCG)
Serves as the organizational focus for the coordination of Bureau
activities relating to the delivery of health services to minority and
special populations, including migrant and seasonal farmworkers,
homeless persons, and residents of public housing. Specifically, (1)
ensures that the needs and special circumstances of minority and
special populations and the provider organizations that serve them are
addressed in BPHC programs and policies; (2) advises BPHC about the
needs of minority and special populations; (3) identifies, provides and
coordinates assistance to communities, community-based organizations
and BPHC programs related to the development, delivery and expansion of
services targeted to minority and special populations; (4) coordinates
Bureau activities for minority and special populations within HRSA and
HHS, and with other Federal agencies, State and local governments, and
other public and private organizations concerned with primary health
care, eliminating health disparities, and improving the health status
of the Nation's underserved and vulnerable populations; and (5)
provides support to the National Advisory Council on Migrant Health.
Office of Program and Policy Development (RCH)
Serves as the organizational focus for the development of BPHC
programs and policies. Specifically, (1) leads and monitors the
development and expansion of health centers and health systems
infrastructure; (2) identifies, provides and coordinates assistance to
communities, community-based organizations and BPHC programs related to
the development and expansion of health centers and health systems
infrastructure; (3) manages the Bureau's loan guarantee program; (4)
oversees and coordinates the Federally Qualified Health Center (FQHC)
Look-Alike program; (5) leads and coordinates the analysis, development
and drafting of policy impacting BPHC's programs; (6) consults and
coordinates with other components within HRSA and HHS, and with other
Federal agencies, State and local governments, and other public and
private organizations on issues affecting BPHC's programs and policies;
(7) performs environmental scanning on issues that affect BPHC's
programs; (8) monitors BPHC's activities in relation to HRSA's
Strategic Plan; and (9) serves as the Bureau's focal point for
communication and program information.
Office of Quality and Data (RCK)
Serves as the organizational focus for quality and program
performance reporting. Specifically, (1) provides leadership for
implementing BPHC clinical and quality strategies; (2) oversees BPHC
Federal Tort Claims Act (FTCA) malpractice programs, reviewing
clinical, quality improvement, risk management, and patient safety
activities to improve policies and programs for primary health care
services, including clinical information systems; (3) serves as the
Bureau's focal point for the design and implementation of data systems
to assess and improve program performance; (4) coordinates BPHC
clinical, quality and performance reporting activities within HRSA and
HHS, and with other Federal agencies, State and local governments, and
other public and private organizations concerned with primary health
care, eliminating health disparities, and improving the health status
of the Nation's underserved and vulnerable populations; and (5)
identifies, provides and coordinates assistance to BPHC programs around
clinical, quality and performance reporting activities.
Eastern Division (RCN)
Manages BPHC primary health care grant programs and activities
within HHS Regions 1, 2 and 4. Specifically, for Regions 1, 2 and 4:
(1) Manages the post-award administration of the Bureau's primary
health care grant programs; (2) serves as the BPHC representative to
organizations receiving Bureau grants; (3) promotes a continued
[[Page 400]]
focus on efficient and effective care for underserved and vulnerable
populations; (4) communicates and interprets program statutory/
regulatory requirements, policy, expectations and reporting
requirements, providing technical guidance to grantees on the
management and integration of community-based systems of care, the
adaptation of successful strategies/models, and the resolution of
difficult issues; (5) monitors the performance of BPHC primary health
care grantees, making programmatic recommendations and providing
assistance to improve performance, where appropriate; (6) reviews
findings and recommendations of periodic and episodic grantee
assessments, developing actions needed to assure continuity of services
to underserved and vulnerable populations and appropriate use of
Federal resources; (7) identifies, provides and coordinates training
and technical assistance activities for BPHC primary health care grant
programs, including State-based training and technical assistance; (8)
conducts State and regional surveillance on issues that affect BPHC
grant programs; and (9) provides consultation to and coordinates
activities within HRSA and HHS, and with other Federal agencies, State
and local governments, and other public and private organizations
involved in the implementation of program activities.
Central Mid-Atlantic Division (RCP)
Manages BPHC primary health care grant programs and activities
within HHS Regions 3, 5 and 6. Specifically, for Regions 3, 5 and 6:
(1) Manages the post-award administration of the Bureau's primary
health care grant programs; (2) serves as the BPHC representative to
organizations receiving Bureau grants; (3) promotes a continued focus
on efficient and effective care for underserved and vulnerable
populations; (4) communicates and interprets program statutory/
regulatory requirements, policy, expectations and reporting
requirements, providing technical guidance to grantees on the
management and integration of community-based systems of care, the
adaptation of successful strategies/models, and the resolution of
difficult issues; (5) monitors the performance of BPHC primary health
care grantees, making programmatic recommendations and providing
assistance to improve performance, where appropriate; (6) reviews
findings and recommendations of periodic and episodic grantee
assessments, developing actions needed to assure continuity of services
to underserved and vulnerable populations and appropriate use of
Federal resources; (7) identifies, provides and coordinates training
and technical assistance activities for BPHC primary health care grant
programs, including State-based training and technical assistance; (8)
conducts State and regional surveillance on issues that affect BPHC
grant programs; and (9) provides consultation to and coordinates
activities within HRSA and HHS, and with other Federal agencies, State
and local governments, and other public and private organizations
involved in the implementation of program activities.
Western Division (RCQ)
Manages BPHC primary health care grant programs and activities
within HHS Regions 7, 8, 9 and 10. Specifically, for Regions 7, 8, 9
and 10: (1) Manages the post-award administration of the Bureau's
primary health care grant programs; (2) serves as the BPHC
representative to organizations receiving Bureau grants; (3) promotes a
continued focus on efficient and effective care for underserved and
vulnerable populations; (4) communicates and interprets program
statutory/regulatory requirements, policy, expectations and reporting
requirements, providing technical guidance to grantees on the
management and integration of community-based systems of care, the
adaptation of successful strategies/models, and the resolution of
difficult issues; (5) monitors the performance of BPHC primary health
care grantees, making programmatic recommendations and providing
assistance to improve performance, where appropriate; (6) reviews
findings and recommendations of periodic and episodic grantee
assessments, developing actions needed to assure continuity of services
to underserved and vulnerable populations and appropriate use of
Federal resources; (7) identifies, provides and coordinates training
and technical assistance activities for BPHC primary health care grant
programs, including State-based training and technical assistance; (8)
conducts State and regional surveillance on issues that affect BPHC
grant programs; and (9) provides consultation to and coordinates
activities within HRSA and HHS, and with other Federal agencies, State
and local governments, and other public and private organizations
involved in the implementation of program activities.
Division of National Hansen's Disease Program (RC7)
Manages the National Hansen's Disease Program in accordance with
regulations of the Public Health Service; establishes policies and
procedures, maintains standards and represents the program to other
agencies and the public; provides leadership necessary to ascertain and
maintain equal employment opportunities; develops, executes, and
maintains effective public relations which are required because of the
nature of the institution. Directs, supervises, and evaluates the
functions of Ambulatory Care.
Division of Health Information Technology State and Community
Assistance (RCR)
Serves as the operational focal point for coordinating and
advancing the adoption of health information technology across all of
HRSA's programs, including, but not limited to, user networks, clinical
management systems, and the use of electronic medical record systems.
Ensures information dissemination to HRSA grantees and other consumers
and providers about the latest developments in health care information
technology, and the impact of health information technology on other
activities designed to improve the health status of the Nation. The
Division of Health Information Technology State and Community
Assistance carries out the following functions: (1) Develops and
coordinates health information technology (HIT) programs and policies;
(2) provides professional assistance and support in developing HIT
initiatives among HRSA grantees; (3) administers grant programs to
promote and evaluate the use of appropriate HIT among grantees and
others; (4) advises HRSA grantees on strategies to maximize the
potential of new and existing HIT technologies for meeting quality and
technical assistance objectives; (5) disseminates the latest
information and research findings related to the use of HIT
technologies in the Agency programs and underserved areas, including
findings on ``best practices;'' and (6) provides guidance on HIT policy
for safety net providers through the Associate Administrator to the
Office of the National Health Information Technology Coordinator and
the other components of the Department, with other Federal and State
agencies and with the private sector to promote and overcome barriers
to effective HIT programs.
[[Page 401]]
Section RC-30, Delegations of Authority
All delegations of authority and re-delegations of authority made
to HRSA 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 RR--Healthcare Systems Bureau
Section RR-20, Functions
Delete the functional statement for the Health Care Systems Bureau
and replace in its entirety.
(1) Administers the Organ Procurement and Transplantation Network
(OPTN) to facilitate the allocation of donor organs to patients waiting
for an organ transplant and the Scientific Registry of Transplant
Recipients that provides analytic support to the OPTN in the
development and assessment of organ allocation and other OPTN policies;
(2) administers the C.W. Bill Young Cell Transplantation Program to
increase the number of unrelated blood stem cell transplants and
improve the outcomes of blood stem cell transplants; (3) administers
the National Cord Blood Inventory (NCBI) to increase the number of high
quality cord blood units available for transplantation; (4) develops
and maintains a national program of grants and contracts to organ
procurement organization and other entities to increase the number of
organs made available for transplantation; (5) manages the national
program for compliance with the Hill-Burton uncompensated care
requirement and other assurances; (6) directs and administers an
earmarked grant program for the construction/renovation/equipping of
health care and other facilities; (7) directs and administers the
National Vaccine Injury Compensation Program; (8) directs and
administers the Smallpox Emergency Personnel Protection Act Program;
(9) serves as the focal point for providing leadership and direction to
States to develop plans for providing access to affordable health
insurance coverage for all citizens; (10) directs and administers the
Poison Control Center Enhancement and Awareness Act; (11) manages and
promotes the 340B Drug Pricing Program; (12) implements and administers
the Countermeasures Injury Compensation Program (CICP) under Public
Readiness and Emergency Preparedness (PREP) Act authorities; (13)
coordinates HRSA activities related to emergency preparedness planning,
policy, and continuity of operations, including the operation of the
HRSA Emergency Operations Center, and serves as HRSA's liaison to HHS
and interagency partners on emergency preparedness matters; (14)
ensures HRSA's commissioned corps is ready to respond to public health
challenges and emergencies identified by the Secretary; (15) in
conjunction with the Office of Force Readiness and Deployment, ensures
the readiness and deployment capability of officers assigned to HRSA;
and (16) directs and administers the State Health Access Program that
awards grants to States to expand access to affordable healthcare
coverage for people who are uninsured.
Division of Transplantation (RR1)
On behalf of the Secretary of Health and Human Services (HHS),
administers all statutory authorities related to the operation of the
Nation's organ procurement and transplantation system, the C.W. Bill
Young Cell Transplantation Program and the National Cord Blood
Inventory Program. The Organ Transplantation program supports: (1) The
operation of the Organ Procurement and Transplantation Network (OPTN),
which facilitates the matching of donor organs to patients in need of
organ transplants; (2) the operation of the Scientific Registry of
Transplant Recipients (SRTR), which facilitates the ongoing evaluation
of the scientific and clinical status of organ transplantation; (3)
public education programs to increase awareness about the need for
organ donation; (4) peer-reviewed grants and contracts with public and
private nonprofit entities to conduct studies and demonstration
projects designed to increase organ donation and recovery rates; (5)
grants to States to support organ donation awareness programs; (6)
public education, outreach programs, and studies designed to increase
the number of organ donors, including living donors; (7) the
development and dissemination of educational materials to inform health
care professionals and other appropriate professionals on issues
surrounding organ, tissue and eye donation; (8) grants to qualified
organ procurement organizations and hospitals to establish programs to
increase the rate of organ donation; (9) financial assistance to living
donors to help defray travel, subsistence and other incidental non-
medical expenses; (10) supports mechanisms to evaluate the long-term
effects of living organ donation; and (11) manages the Secretary's
Advisory Committee on Organ Transplantation as it advises the Secretary
of the HHS on the activities of the OPTN.
The Division administers two closely related national blood stem
cell programs, the C. W. Bill Young Cell Transplantation Program and
the National Cord Blood Inventory (NCBI) to facilitate blood stem cell
transplants (using adult volunteer donors or umbilical cord blood
units) to treat individuals with leukemia and other life-threatening
blood and genetic diseases, who lack a related donor. In administering
these two programs, the Division: (1) Provides a national system for
recruiting and tissue-typing potential bone marrow donors, particularly
in racial and ethnic minority populations; (2) funds and oversees
collection of high quality cord blood units from diverse population;
(3) supports the Advisory Council on Blood Stem Cell Transplantation as
it advises the Secretary of the HHS and the Administrator of the Health
Resources and Services Administration (HRSA) on the activities of the
C.W. Bill Young Cell Transplantation Program and the NCBI Program; (4)
stays informed of the medical, scientific, research, and financial
environment for blood stem cell transplantation; (5) develops policy in
the area of blood stem cell transplantation, in coordination with the
C.W. Bill Young Cell Transplantation Program and NCBI contractors,
other DHHS agencies, and the U.S. Navy; (6) administers and oversees
the contracts for the operation of the C.W. Bill Young Cell
Transplantation Program and NCBI, advising on contractor projects and
participating in contractor committees; (7) consults with the
Department of State (through HRSA's Office of International Health)
regarding the possible foreign policy implications of proposed
international agreements between the C.W. Bill Young Cell
Transplantation Program and NCBI contractors and transplant centers and
other organizations outside the U.S.; and (8) initiates, and conducts
directly or contracts for, studies to advance the knowledge of blood
and marrow transplantation, to address patient needs, to increase donor
recruitment in targeted populations, and to address financial issues in
transplantation.
Division of Facilities Compliance and Recovery (RR2)
This Division substantiates health facilities' compliance with
Hill-Burton uncompensated services and care assurance and administers
the Health Care and Other Facilities (HCOF) program. Specifically, the
Division: (1) Establishes, develops, monitors, and enforces the
implementation of Hill-Burton regulations, policies, procedures,
[[Page 402]]
and guidelines for use by staff and health care facilities; (2)
maintains a system for receipt, analysis and disposition of audit
appeals by Hill-Burton obligated facilities and for receiving and
responding to patient complaints; (3) processes and determines or
recommends to the Director, approval or disapproval of recovery claims,
waiver actions, and management contracts of Title VI and XVI grant
recipient facilities subject to review; (4) manages the recovery of
Federal grant funds process for Titles VI and XVI; (5) manages the
national Hill-Burton Hotline to ensure that consumers receive timely
and accurate information on the program; (6) administers the process
for awarding new HCOF grants, including ensuring compliance with
historic preservation and other laws and regulations related to
construction projects, maintaining a computerized database of key
project information, and providing technical assistance in application
preparation to potential grantees under Section 1610(b) and the
``Health Care and Other Facilities'' grant programs; (7) monitors grant
projects during construction to assure compliance with the terms of the
award, reviews requests for changes in scope to grant projects, and
obtains information needed to close out completed grant projects; and
(8) provides architectural and engineering services in accordance with
the Intra-agency Agreement between HRSA and the Administration for
Children and Families.
Division of Vaccine Injury Compensation (RR4)
This Division administers all statutory authorities related to the
operation of the National Vaccine Injury Compensation Program (VICP) by
the: (1) Evaluation of petitions for compensation filed under the VICP
through medical review and assessment of compensability for all
complete claims; (2) processing of awards for compensation made under
the VICP; (3) promulgation of regulations to revise the Vaccine Injury
Table; (4) provision of professional and administrative support to the
Advisory Commission on Childhood Vaccines (ACCV); (5) development and
maintenance of all automated information systems necessary for program
implementation; (6) provision and dissemination of program information;
and (7) promotion of safer childhood vaccines. VICP maintains a working
relationship with other relevant Federal and private sector partners in
its administration and operation.
Office of Pharmacy Affairs (RR7)
The Office promotes access to clinically and cost effective
pharmacy services by maximizing the value of the 340B Drug Pricing
Program for entities eligible to participate by: (1) Managing the PHS
Pharmaceutical Pricing Agreements with pharmaceutical manufacturers who
participate in the Medicaid program; (2) maintaining a database of
covered entities and organizations eligible to become covered entities,
including status of certifications, where required, and identification
of contracted pharmacies, when used by covered entities; (3) publishing
guidelines and/or regulations to assist covered entities, drug
manufacturers, and wholesalers to use the Drug Pricing Program and
comply with the requirements of Section 340B of the Public Health
Service Act; (4) implementing and overseeing the 340B Prime Vendor
Program that provides drug distribution and price negotiation services
for participating covered entities; (5) coordinating the 340B
implementation activities of programs in the Health Resources and
Services Administration, the Centers for Disease Control and
Prevention, the Indian Health Service, and the Office of Public Health
and Science that provide support to entities eligible to access the
Drug Pricing Program; (6) providing a full range of technical
assistance to eligible and participating entities; (7) working with the
Centers for Medicare and Medicaid Services and the Department of
Veterans Affairs, which operate related drug rebate and discount
programs, to coordinate policies and operations; and (8) maintaining
liaison with grantee associations, professional organizations, the
pharmaceutical industry, and trade associations concerning drug pricing
and pharmacy issues.
The Office also supports HRSA health centers, States, and other
delivery systems as they develop quality programs for affordable drug
benefits through: (1) Managing clinical pharmacy demonstration
projects; (2) assisting health centers and other grantees to make
optimum use of resources available for pharmacy services; (3)
demonstrating innovative methods of delivering pharmacy services; (4)
providing technical assistance to grantees, States, local governments,
and other health care delivery systems to plan and implement pharmacy
benefits; (5) serving as a Federal Government resource for pharmacy
practice through the development and maintenance of cooperative
relationships with national pharmacy and governmental organizations;
(6) the provision of technical assistance for pharmacy practice; and
(7) the provision of model pharmacy products (such as sample contracts
and business plans) for safety-net health care providers.
Section RR-30, Delegations of Authority
All delegations of authority and re-delegations of authority made
to HRSA 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 RP--Bureau of Health Professions
Section RP-20, Functions
Delete the functional statement for the Bureau of Health
Professions and replace in its entirety.
Office of the Associate Administrator (RP)
Provides national leadership in coordinating, evaluating, and
supporting the development and utilization of the Nation's health
personnel. Specifically: (1) Directs the national health professions
education, student assistance, and development programs and activities;
(2) provides policy guidance and staff direction to the Bureau; (3)
maintains liaison with other Federal and non-Federal organizations and
agencies with health personnel development interest and
responsibilities; (4) provides guidance and direction for technical
assistance activities in the international aspects of health personnel
development; (5) provides guidance and assistance to the Regional
Health Administrators or regional staff as appropriate; (6) directs and
coordinates Bureau programs in support of Equal Employment Opportunity;
(7) coordinates and provides guidance on the Freedom of Information Act
and Privacy Act activities; (8) plans, directs, coordinates, and
evaluates Bureau-wide administrative management activities; and (9)
serves as the Bureau's focal point for correspondence control.
Office of Shortage Designation (RP2)
Provides national leadership and management of the designation of
health professional shortage areas and medically-underserved
populations. Specifically: (1) Maintains and enhances the Agency's
critical role in the Nation's efforts to address equitable distribution
of health professionals and access to health care for underserved
populations; (2) encourages and fosters an ongoing, positive working
relationship with other
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Federal, State and private sector partners regarding health
professional shortage areas and medically-underserved populations; (3)
approves designation requests and finalizes designation policies and
procedures for both current and proposed designation criteria; (4)
negotiates and approves State designation agreements (e.g., use of
databases, population estimates, Statewide Rational Service Areas); and
(5) oversees grants to State primary care offices.
Office of Workforce Policy and Performance Management (RP3)
Serves as the Bureau focal point for program planning, evaluation,
coordination, and analysis, including analysis and operations review of
Information Management systems; health professions data analysis and
research; and for health professions quality assurance efforts.
Maintains liaison with governmental, professional, voluntary, and other
public and private organizations, institutions, and groups for the
purpose of providing information exchange. Specifically the office is
responsible for the following activities: (1) Stimulates, guides, and
coordinates program planning, reporting, and evaluation activities of
the Divisions and staff offices; (2) provides staff services to the
Associate Administrator for program and strategic planning and its
relation to the budgetary and regulatory processes; (3) develops issue
papers and congressional reports relating to Bureau programs; (4)
coordinates the development and implementation of the Bureau's
evaluation program; (5) coordinates Bureau performance measurement and
reporting; (6) sponsors and conducts research, special studies, and
forecasting models on important issues that affect the national, State
and local health workforce including studies relevant to current and
future policies of the Bureau and their impact on the supply and demand
for health professionals and the health industry at large; (7) provides
technical assistance to States, educational institutions, professional
associations and other Federal agencies relative to health personnel
analytical information and analysis; and (8) develops and coordinates
the Bureau data collection and modeling in conjunction with other
entities involved in data collection and analysis, such as the Agency
for Healthcare Research and Quality (AHRQ), the National Center for
Health Statistics (NCHS), the Centers for Medicare and Medicaid
Services (CMS), and the Administration on Aging (AOA).
Division of Nursing (RPB)
Serves as the principal focus for nursing education and practice.
Specifically: (1) Provides national leadership and professional nursing
expertise in the areas of policy development, budget, planning,
coordination, evaluation and utilization of nursing personnel
resources; (2) serves, on behalf of the Secretary, as the Chair of the
National Advisory Council on Nurse Education and Practice; (3) supports
and conducts programs which address the development, supply,
utilization, and quality of nursing personnel; (4) promotes the
involvement of States and communities in developing and administering
nursing programs and assists States and communities in improving
nursing services and educational programs; (5) encourages coordination
of nursing-related issues within and across departmental entities; (6)
facilitates coordination of nursing-related issues with other
governmental agencies and consults with them on national or
international nursing workforce planning and development issues; (7)
maintains liaison with external health professional groups, the
academic community, consumers, and State and community groups with a
common interest in the Nation's capacity to deliver nursing services;
(8) advances and promotes the development of effective models of
nursing practice and education; (9) stimulates initiatives in the area
of international nursing information exchange and nursing workforce
planning and development; and (10) provides overall direction and
management of Division human and financial resources.
Division of Medicine and Dentistry (RPC)
Serves as the principal focus with regard to education, practice,
and research of health personnel, with special emphasis on allopathic
and osteopathic physicians, podiatrists, dentists, physician assistants
and clinical psychologists. Specifically: (1) Provides professional
expertise in the direction and leadership required by the Bureau for
planning, coordinating, evaluating, and supporting development and
utilization of the Nation's health personnel for these professions; (2)
supports and conducts programs with respect to the need for and the
development, use, credentialing, and distribution of such personnel;
(3) engages with other Bureau programs in cooperative efforts of
research, development, and demonstration on the interrelationships
between the members of the health care team, their tasks, education
requirements, training modalities, credentialing and practice; (4)
conducts and supports studies and evaluations of physician, dentist,
physician assistant, podiatrist and clinical psychologist personnel
requirements, distribution and availability, and cooperates with other
components of the Bureau and Agency in such studies; (5) analyzes and
interprets physician, dental, physician assistant, podiatrists and
clinical psychologists programmatic data collected from a variety of
sources; (6) conducts, supports, or obtains analytical studies to
determine the present and future supply and requirements of physicians,
dentists, physician assistants, podiatrists and clinical psychologists
by specialty and geographic location, including the linkages between
their training and practice characteristics; (7) conducts and supports
studies to determine potential national goals for the training and
distribution of physicians in graduate medical education programs and
develops alternative strategies to accomplish these goals; (8) supports
and conducts programs with respect to activities associated with the
international migration, domestic training, and utilization of foreign
medical graduates and U.S. citizens studying abroad; (9) maintains
liaison with relevant health professional groups and others, including
consumers, having common interest in the Nation's capacity to deliver
health services; (10) provides consultation and technical assistance to
public and private organizations, agencies, and institutions, including
Regional Offices, other agencies of the Federal Government, and
international agencies and foreign governments on all aspects of the
Division's functions; (11) provides administrative and staff support
for the Advisory Committee on Training and Primary Care Medicine and
Dentistry and for the Council on Graduate Medical Education; (12)
represents the Bureau, Agency and Federal Government, as designated, on
national committees and/or the Accreditation Council for Graduate
Medical Education (ACGME) and the Accreditation Council for Continuing
Medical Education (ACCME); (13) administers support programs for the
development, improvement, and the operation of general, pediatric, and
public health dental educational programs; (14) designs, administers
and supports activities relating to dentists; (15) provides technical
assistance and consultation to grantee institutions and
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other governmental and private organizations on the operation of these
educational programs; (16) promotes the dissemination and application
of findings arising from programs supported; (17) develops
congressional and other mandated or special program-specific reports
and publications on dental educational processes, programs and
approaches; and (18) promotes, plans, and develops collaborative
educational activities in clinical psychology.
Division of Student Loans and Scholarships (RPD)
Serves as the focal point for overseeing loan and scholarship
programs supporting health professionals. Specifically: (1) Directs and
administers the Health Professions and Nursing Student Loan and
Scholarship Programs, the Federal Assistance to Disadvantaged Health
Professions Scholarship Program, the Health Educational Assistance Loan
Program, and the Primary Care Loan Program; (2) monitors and assesses
educational and financial institutions with respect to capabilities and
management of Federal support for students and of tracking of
obligatory service requirements; (3) develops and conducts training
activities for staff of educational and financial institutions; (4)
maintains liaison with and provides assistance to program-related
public and private professional organizations and institutions; (5)
maintains liaison with the Office of the General Counsel, and the
Office of the Inspector General, DHHS, components of the Department of
Education and the Department of Defense, and State agencies concerning
student assistance; (6) coordinates financial aspects of programs with
educational institutions; and (7) develops program data needs, formats,
and reporting requirements, including collection, collation, analysis
and dissemination of data.
Division of Diversity and Interdisciplinary Education (RPF)
Serves as the principal focal point for interdisciplinary health
professions issues and programs, including geriatric training, and for
activities to increase the diversity of the health professional
workforce. Specifically: (1) Provides leadership and direction for the
development and implementation of Bureau objectives as they relate to
diverse and disadvantaged populations; (2) develops and recommends
health resources and health career opportunities for diverse and
disadvantaged populations; (3) initiates, stimulates, supports,
coordinates, and evaluates Bureau programs for improving the
availability and accessibility of health careers for diverse and
disadvantaged populations; (4) conducts special studies and collects
baseline data to identify specific factors contributing to the health
and health-related problems of diverse and disadvantaged populations,
and to develop strategies for improving health services and career
opportunities for diverse and disadvantaged populations; (5) conducts
extramural programs, including the use of grants and contracts,
specifically designed to promote equity in access to health careers;
(6) promotes, designs, supports and administers activities relating to
the planning and development of nationally integrated health
professions education programs; (7) promotes, plans and develops
collaborative, interdisciplinary activities in the specialty areas of
behavioral/mental health, rural health, geriatrics and the associated
health professions, and other new and developing health disciplines;
(8) promotes quality improvement in health professions education
through collaboration and partnerships with national and international
institutes and centers for quality improvement; (9) promotes and
supports academic-community partnerships whose goal is the development
of interdisciplinary, community-based programs designed to improve
access to health care through improving the quality of health
professions education and training; (10) serves as the Federal focus
for the development and improvement of education for professional
public health, preventive medicine, environmental health, and health
administration practice, including undergraduate, graduate, and
continuing professional development; and (11) provides administrative
and staff support for the Advisory Committee on Interdisciplinary,
Community-Based Linkages.
Division of Practitioner Data Banks (RPG)
Coordinates with the Department and other Federal entities, State
licensing boards, and national, State and local professional
organizations to promote quality assurance efforts and deter fraud and
abuse by administering the National Practitioner Data Bank (NPDB) as
authorized under Title IV of the Health Care Quality Improvement Act of
1986 and Section 5 of the Medicare and Medicaid Patient and Program
Protection Act of 1987, and administering the Healthcare Integrity and
Protection Data Bank (HIPDB) for the Office of Inspector General.
Specifically: (1) Maintains active consultative relations with
professional organizations, societies, and Federal agencies involved in
the NPDB and HIPDB; (2) develops, proposes and monitors efforts for (a)
credentials assessment, granting of privileges, and monitoring and
evaluating programs for physicians, dentists, and other health care
professionals including quality assurance, (b) professional review of
specified medical events in the health care system including quality
assurance, and (c) risk management and utilization reviews; (3)
encourages and supports evaluation and demonstration projects and
research concerning quality assurance, medical liability and
malpractice; (4) conducts and supports research based on NPDB and HIPDB
information; (5) works with the Secretary's office to provide technical
assistance to States undertaking malpractice reform; and (6) maintains
liaison with the Office of the General Counsel and the Office of the
Inspector General, HHS, concerning practitioner licensing and data bank
issues.
Section RP-30, Delegations of Authority
All delegations of authority and re-delegations of authority made
to HRSA 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.
This reorganization is effective January 4, 2010.
Dated: December 28, 2009.
Mary K. Wakefield,
Administrator.
[FR Doc. E9-31201 Filed 1-4-10; 8:45 am]
BILLING CODE 4165-15-P