United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2008-02-25 monographic deposited born digital 26 p. GA 1.13:GAO-08-328R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-328R P0b002ee18039387d f:d08328r DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-08-328R machine generated eng fdlp REPORT GAOREPORTS-GAO-08-328R GAO-08-328R Acquired immunodeficiency syndrome Budget obligations Disease control Disease detection or diagnosis Diseases Information technology Organizational change Public health Strategic planning Futures Initiative Correspondence A80993 Congress asked us to examine issues regarding changes in obligations for administrative activities--generally conducted in CDC's leadership and management levels--and public health programs--generally conducted in CDC's division level--before and after the organizational restructuring and budget reorganization. GAO examined the following questions: 1. How were obligations distributed between CDC's division level and CDC's leadership and management levels from fiscal years 2003 through 2006? 2. How have obligations and activities at CDC's leadership and management levels--including shared business services in the CDC Office of the Director--changed from fiscal year 2003 through fiscal year 2006? 3. How have obligations and activities at CDC's division level changed from fiscal years 2003 through 2006?The Centers for Disease Control and Prevention's (CDC) mission is to promote health and quality of life by preventing and controlling disease, injury, and disability. In fiscal year 2005, CDC, an agency within the Department of Health and Human Services (HHS), completed its first major organizational restructuring in more than 25 years, known as the Futures Initiative, as part of its efforts to prioritize its strategies, programs, resources, and needs. In accordance with the conference report accompanying its 2005 appropriation, CDC also implemented a new internal budget reporting structure that specifically identifies funding obligated for leadership and management activities. However, questions have been raised concerning whether changing the budget reporting structure has made it difficult to compare obligations over time for leadership and management activities and for public health program activities. Prior to the fiscal year 2005 organizational restructuring, CDC consisted of an Office of the Director and national centers that housed CDC's public health programs, including programs to reduce or prevent infectious diseases, cancer, birth defects, injuries, and other health problems. CDC had two organizational levels that were primarily responsible for leadership and management: the CDC Office of the Director and the national center directors' offices. In fiscal year 2005, CDC added two national centers. CDC also added a new leadership and management organizational level, which consists of six coordinating centers designed to better integrate the work of the national centers. Four of the six coordinating centers each manage the work of two or more specific national centers, while the other two coordinating centers each manage agencywide issues related to global health and terrorism preparedness and emergency response. Adding coordinating centers to CDC's structure was consistent with our 2004 recommendation that CDC oversee the national centers' programmatic work at a level below that of the CDC Director. In addition to its leadership and management levels, CDC has one organizational level--consisting of the national center divisions, branches, and other units--that is primarily responsible for operating public health programs. In this report, we refer to this level as CDC's division level. You asked us to examine issues regarding changes in obligations for administrative activities--generally conducted in CDC's leadership and management levels--and public health programs--generally conducted in CDC's division level--before and after the organizational restructuring and budget reorganization https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-328R/html/GAOREPORTS-GAO-08-328R.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-328R/pdf/GAOREPORTS-GAO-08-328R.pdf GAO-08-328R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-328R Correspondence GAO-08-328R; Centers for Disease Control and Prevention: Changes in Obligations and Activities before and after Fiscal Year 2005 Budget Reorganization; Acquired immunodeficiency syndrome Budget obligations Disease control Disease detection or diagnosis Diseases Information technology Organizational change Public health Strategic planning Futures Initiative