[Federal Register: February 21, 2003 (Volume 68, Number 35)]
[Notices]
[Page 8515-8517]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr21fe03-40]
-----------------------------------------------------------------------
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 (DHHS), Health Resources and
[[Page 8516]]
Services Administration (HRSA) (60 FR 56605, as amended November 6,
1995; as last amended at 68 FR 787-793, January 7, 2003). This notice
is to amend the functional statements of the Bureau of Primary Health
Care. Specifically, this notice (1) abolishes in their entirety the
Division of Community and Migrant Health and the Division of Programs
for Special Populations; (2) revise the Office of the Associate
Administrator; (3) establish the Office of Program Support; the Office
of Policy, Evaluation and Data; the Office of Minority and Special
Populations; the Division of Health Center Development; the Division of
Health Center Management; the Division of Clinical Quality; and the
Division of State and Community Assistance.
Section RC-00 Mission
The Bureau of Primary Health Care (BPHC) directs national health
programs which improve the health of the Nation by assuring access to
high quality comprehensive preventive and primary health care services
and improving the health status of the Nation's underserved and
vulnerable populations.
Section RC-10 Organization
The Bureau of Primary Health Care (BPHC) headed by the Associate
Administrator for Primary Health Care reports directly to the
Administrator, Health Resources and Services Administration. The BPHC
includes the following components:
(1) Office of the Associate Administrator (RC)
(2) Office of Policy, Evaluation, and Data (RCE)
(3) Office of Minority and Special Populations (RCG)
(4) Division of Health Center Development (RCH)
(5) Division of Health Center Management (RCJ)
(6) Division of Clinical Quality (RCK)
(7) Division of State and Community Assistance (RCL)
(8) Division of National Hansen's Disease Program (RC7)
(9) Division of Immigration Health Services (RC9)
1. In the Office of the Associate Administrator Delete the Migrant
Health Advisory Council Function and Place It in the Office of Minority
and Special Populations. Revise the Functional Statement of the Office
of the Associate Administrator as Follows:
Office of the Associate Administrator (RC)
Provides overall leadership, direction, coordination, and strategic
planning in support of Bureau programs. Specifically: (1) Has lead
responsibility to bring primary health care services to the Nation's
neediest communities; (2) serves as a central point of contact for
Bureau communication and information; (3) establishes program policies,
goals, and objectives and provides oversight as to their execution; (4)
interprets program policies, guidelines, and priorities; (5)
stimulates, coordinates and evaluates program development and progress;
(6) maintains effective relationships with HRSA, 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 and improving the health status of the
Nation's underserved and vulnerable populations; and (7) plans,
directs, coordinates and evaluates Bureau-wide administrative
management activities; (8) assures that BPHC's funding recommendations
are consistent with authorizing legislation, program expectations and
HHS and HRSA policies.
2. Establish the Office of Office of Policy, Evaluation and Data as
Follows:
Office of Policy, Evaluation and Data
(1) Provides leadership, direction, and overall coordination of the
analysis and clearance of policy across Bureau programs; (2) provides
leadership, direction, and coordination for health workforce planning
as it supports health center development; (3) serves as focal point to
design, establish and implement an evaluation plan for assessing and
improving program performance; (4) serves as the focal point for the
development and monitoring of the Bureau's Strategic Plan and annual
spending plans; (5) provides leadership and overall coordination for
tracking and monitoring health center growth; (6) serves as focal point
for external communication, publication, and dissemination; (7)
provides surveillance, monitoring, and analysis of a variety of media,
newsletters, trade journals, and periodicals in order to detect
external trends which could potentially affect grantee performance; (8)
detects potential trends in program performance data on a State,
regional, and national level to inform the development of program
policies and the design of evaluation studies to improve program
performance; (9) provides consultation to and coordinates activities
with other components within HRSA, other Federal agencies, consumer and
constituency groups, national and state organizations involved in
policy, evaluation and data; and (10) manages the Bureau's executive
secretariat functions.
3. Establish the Office of Minority and Special Populations as Follows:
Office of Minority and Special Populations (RCG)
Provides overall coordination of Bureau activities relating to the
delivery of health services to special populations such as migrant and
seasonal farmworkers, homeless persons, women, and other minority and
special populations, including residents of public housing, students
served by School-based Health Centers, and Asian American Pacific
Islanders. Specifically, (1) ensures that the needs and special
circumstances of special populations and the provider organizations
that serve them are addressed in internal BPHC policies; (2) advises
BPHC staff and leadership about the special needs of special
populations; (3) coordinates with private, professional, and academic
health care organizations in developing and designing public health
interventions aimed at reducing disparities in the health status of the
special populations; (4) represents BPHC at regional and national
meetings focused on special population issues, and shares information
regarding the BPHC's response to such issues; and (5) provides staff
support to the National Advisory Council on Migrant Health.
4. In the Division of Programs for Special Populations Delete the
Community-based Systems Function and Place It in the Division of Health
Center Development (DHCD). Establish the Division of Health Center
Development as Follows:
Division of Health Center Development (RCH)
Serves as the organizational focus of the competitive grant process
for BPHC. Specifically, DHCD: (1) Provides leadership and direction,
including tactical planning for the development and expansion of new
health centers, health systems infrastructure, and pharmacy services;
(2) manages and expands the number and types of organizations that
participate in the 340B drug pricing program; (3) provides pre-
application assistance to communities and community-based organizations
related to health center development, health systems infrastructure
development and pharmacy services development; (4) provides
consultation to and
[[Page 8517]]
coordinates activities with other components within HRSA, other Federal
agencies, consumer and constituency groups, national and state
organizations involved in implementation of BPHC's competitive process.
5. In the Division of Programs for Special Populations Delete the
Functions Guidance Development and Implementation of Plans To Assure
Attainment of Measurable Outcomes and Place It in the Division of
Health Center Management (DHCM). Establish the Division of Health
Center Management as Follows:
Division of Health Center Management (RCJ)
Manages BPHC's funded grants and activities and manages funds and
other resources related to increasing clinical, managerial, and
financial efficiency. Specifically, the DHCM: (1) Manages the post-
award administration of the Consolidated Health Center Program, Black
Lung Clinics Program, the Radiation Exposure Screening and Education
Program, and the Native Hawaiian Health Care Program; (2) serves as
BPHC representative to organizations receiving Bureau grants; (3)
promotes a continued focus on efficient and effective care for
vulnerable populations, including people at or below 200 percent of
poverty, racial and cultural minorities, uninsured people, students
served by School-based Health Centers, migrant and seasonal farm
workers, homeless individuals and families, public housing residents,
and residents of rural and sparsely populated areas; (4) formulates and
interprets continuation application guidance, program policy,
legislative implementation proposals, regulation, and industry
standards with the Division of Clinical Quality and Office Policy
Evaluation Data; (5) monitors the performance of specific BPHC funded
grants and makes programmatic recommendations; (6) reviews findings and
recommendations of periodic and episodic grantee assessments, planning
actions needed to assure continuity of services to vulnerable
populations and appropriate use of Federal resources; (7) provides
consultation to and coordinates activities with other components of
HRSA, other Federal agencies, consumer and constituency groups,
national and state organizations involved in implementation of program
activities; (8) provides 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; and (9) identifies and coordinates training and
technical assistance needs of service delivery programs with the
Division of State and Community Assistance.
6. In the Division of Community and Migrant Health Delete the Function
Coordinating and Establishing Guidelines and Standards for Professional
Services and Staff Development in BPHC Funded Grants Function and Place
it in the Division of Clinical Quality (DQA). Establish the Division of
Clinical Quality as Follows:
Division of Clinical Quality (RCK)
(1) Provides clinical and quality leadership for BPHC to meet the
initiative to expand health centers; (2) supports BPHC functions to
assess the Nation's health care needs of underserved populations and to
assist communities in providing quality primary health care services to
the underserved and moving towards eliminating health disparities; (3)
supports BPHC through assessment of clinical, quality improvement, risk
management, and patient safety activities to improve policies, and
programs for primary health care including clinical information
systems; (4) serves as BPHC clinical and quality liaison with other
DHHS organizations, other Federal, State, and private agencies, and
organizations for clinical and quality issues for community based
primary health care for underserved populations; and (5) coordinates
clinical technical assistance program for BPHC health professional and
non-health professional staff.
7. In the Immediate Office of the Associate Administrator Delete the
Function Integration of State-Based activities into BPHC's Programs and
Place It in the Division of State and Community Assistance (DSCA).
Establish the Division of State and Community Assistance as Follows:
Division of State and Community Assistance (RCL)
Specifically: (1) Collaborates with other BPHC Divisions and
Offices in identifying technical assistance and training needs; (2)
provides tactical planning for the development, implementation and
evaluation of technical and training assistance; (3) develops
mechanisms and resources to address technical assistance and training
needs; (4) directs and manages technical assistance resources and
activities for BPHC grantees and contractors; (5) manages the loan
guarantee program; (6) manages the post-award process for Healthy
Communities Access Program, Primary Care Associations, Primary Care
Offices, Integrated Services Development Initiative, and Shared
Integrated Management Information Systems; (7) coordinates state-based
planning/activities for health center strengthening, expanding and
quality improvement (Statewide Strategic Planning); (8) provides state-
specific policy surveillance; (9) provides consultation to and
coordinates activities related to technical assistance and state
activities in support of the initiatives to expand health centers with
other components of HRSA, other Federal agencies, consumer and
constituency groups, national and state organizations; (10) monitors
the recovery of high-risk grantees.
Section RC-30 Delegation of Authority
All delegations of authority which were in effect immediately prior
to the effective date hereof have been continued in effect in them or
their successors pending further re-delegation. I hereby ratify and
affirm all actions taken by any DHHS official which involves the
exercise of these authorities prior to the effective date of this
delegation.
This reorganization is effective upon the date of signature.
Dated: February 14, 2003.
Elizabeth M. Duke,
Administrator.
[FR Doc. 03-4155 Filed 2-20-03; 8:45 am]
BILLING CODE 4165-15-P