[Federal Register: July 12, 2004 (Volume 69, Number 132)]
[Notices]
[Page 41825-41837]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12jy04-49]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Organization, Functions, and Delegations of Authority
Part G Indian Health Service
Part G, of the Statement of Organization, Functions, and
Delegations of Authority of the Department of Health and Human Services
(HHS), as amended at 52 FR 47053-67, December 11, 1987, as amended at
60 FR 56606, November 9, 1995, and most recently amended at 61 FR
67048, December 19, 1996, is hereby amended to reflect a reorganization
of the Indian Health Service (IHS) Headquarters (HQ). The goal of the
reorganization is to demonstrate increased leadership and advocacy,
while improving the Agency's responsibilities for oversight and
accountability. We have considered the President's Management Agenda,
the Secretary's Workforce Restructuring Plan and recommendations from
the Indian Health Design Team and the IHS Restructuring Initiatives
Workgroup. Delete the functional statements for the IHS Headquarters in
their entirety and replace with the following:
Chapter GA--Office of the Director
Section GA-10, Indian Health Service--Organization. The IHS is an
Operating Division within the Department of Health and Human Services
(HHS) and is under the leadership and direction of a Director who is
directly responsible to the Secretary of Health and Human Services. The
IHS Headquarters consists of the following major components:
Office of the Director (GA)
Policy Formulation and Communications Group (GA-1)
Office of Tribal Programs (GA-2)
Office of Tribal Self-Governance (GA-3)
Office of Urban Indian Health Programs (GA-4)
Office of Finance and Accounting (GAA)
Office of Information Technology (GAB)
Office of Management Services (GAC)
Office of Clinical and Preventive Services (GAD)
Office of Environmental Health and Engineering (GAE)
Office of Public Health Support (GAF)
Office of Resource Access and Partnerships (GAG)
Section GA-20, Functions.
Office of the Director (OD) (GA)
Provides overall direction and leadership for the IHS: (1)
Establishes goals and objectives for the IHS consistent with the
mission of the IHS; (2) provides for the full participation of Indian
Tribes in the programs and services provided by the Federal Government;
(3) develops health care policy; (4) ensures the delivery of quality
comprehensive health services; (5) advocates for the health needs and
concerns of American Indians/Alaska Natives (AI/AN); (6) promotes the
IHS programs at the local, state, national, and international levels;
(7) develops and demonstrating alternative methods and techniques of
health services management and delivery with maximum participation by
Indian Tribes and Indian organizations; (8) supports the development of
individual and Tribal capacities to participate in Indian health
programs through means and modalities that they deem appropriate to
their needs and circumstances; (9) ensures the responsibilities of the
United States are not waived, modified, or diminished, in any way with
respect to Indian Tribes and individual Indians, by any grant,
contract, compact, or funding agreement awarded by the IHS under the
Indian Self-Determination and Education Assistance Act, as amended;
(10) affords Indian people an opportunity to enter a career in the IHS
by applying Indian preference; and (11) ensures full application of the
principles of Equal Employment Opportunity laws and the Civil Rights
Act in managing the human resources of the IHS.
Policy Formulation and Communications Group (PFCG) (GA-1)
(1) Coordinates the review and analysis of policy-related issues,
and provides recommendations for resolving policy conflicts; (2)
evaluates policy options and forecasts their costs, benefits, and long-
term results; (3) ensures consistency between and within public Agency
statements, external correspondence, legislative and regulatory
positions and internal policy development; (4) disseminates information
to IHS consumers, stakeholders, and the general public
[[Page 41826]]
regarding the activities of the IHS and the health status of AI/AN
people and communities; and (5) participates in cross-cutting issues
and processes including but not limited to emergency preparedness/
security, budget formulation, Self-Determination issues, Tribal shares
computations and resolution of audit findings as may be needed and
appropriate.
Policy Support Staff (PSS)
(1) Organizes, facilitates, and support stakeholder task teams to
advise the Director on major policy issues; (2) represents the Director
in meetings with IHS employees and high-level management officials
within the IHS, the HHS, or other Federal agencies, Tribes, and other
organizations; (3) provides staff support to the Director, including
preparation of presentations and briefings; (4) provides staff support
to senior managers, councils and groups; (5) completes special
assignments for the Director that may require coordination with other
IHS offices or other Federal agencies, Tribes, or Tribal organizations;
and (6) serves as the IHS liaison for inter-governmental and private
sector initiatives that impact health care services and management of
the IHS, and participates on the inter-Governmental task forces.
Public Affairs Staff (PAS)
(1) Principal advisor for strategic planning on communications,
media relations, and public affairs policy formulation and
implementation; (2) ensures IHS policy is consistent with directives
from the Assistant Secretary for Public Affairs; (3) provides
leadership and advocacy to establish and implement policy for internal
and external dissemination of Agency information intended for public
release or employee and stakeholder information; (4) is the central
office for technical guidance and assistance to IHS staff for the
development of internal and external communications and public affairs
activities with other public and private sector organizations; (5)
coordinates the clearance of IHS public relations activities, campaigns
and communications materials; (6) represents the IHS in discussions
regarding policy, public affairs initiatives/implementation and
provides technical assistance and advice relative to the effect public
affairs initiatives/implementation would have on the IHS; (7)
collaborates with the Division of Regulatory and Legal Affairs for
review and response to media request received under the Freedom of
Information Act (FOIA) or the Privacy Act, and ensures the security of
IHS documents used in such responses that contain sensitive and/or
confidential information; and (8) serves as the IHS liaison office for
press and public affairs with HHS, IHS Area Offices, and media and
other external organizations and representatives.
Congressional and Legislative Affairs Staff (CLAS)
(1) Principal advisor to the Director, IHS, on all legislative and
Congressional relations matters; (2) advises the Director and other IHS
officials on the need for changes in legislation and manages the
development of IHS legislative initiatives; (3) serves as the IHS
liaison office for Congressional and legislative affairs with
Congressional offices, the HHS, the Office of Management and Budget
(OMB), other Federal agencies, and the White House; (4) tracks all
major legislative proposals in the Congress that would impact on Indian
health and ensures that the Director and appropriate IHS and HHS
officials are briefed on potential impact of proposed legislation; (5)
represents the IHS in discussions regarding policy, legislative
initiatives/implementation and provides technical assistance and advice
relative to the effect initiatives/implementation would have on the
IHS; (6) establishes collaborations with Headquarters Offices on
programmatic and financial issues related to budget formulation; (7)
conducts the legislative analysis, and provides support and liaison to
the Director relative to IHS appropriations efforts; (8) directs the
development of IHS briefing materials for Congressional hearings,
testimony, and bill reports; (9) analyzes legislation for necessary
action within the IHS, and develops appropriate Legislative
Implementation Plans; and (10) coordinates with IHS offices as
appropriate to provide leadership, advocacy, and technical support to
respond to requests from the public, including Tribal governments,
Tribal organizations, and Indian community organizations regarding IHS
legislative issues.
Management Policy and Internal Control Staff (MPICS)
(1) Formulates, administers, and supports IHS-wide policies,
delegations of authority, and organizations and functions development;
(2) provides leadership, on behalf of the IHS Director, to functional
area managers at IHS Headquarters in developing or modifying and
overseeing the implementation of IHS policies and procedures; (3)
provides analysis, advisory, and assistance services to IHS managers
and staff for the development, clearance, and filing of IHS directives
and delegations of authority; (4) serves as principal advisor and
source for technical assistance for establishment or modification of
organizational infrastructures, functions, and Standard Administrative
Code configurations; (5) administers the IHS Management Control Program
for assuring IHS' compliance with management control requirements in
the Federal Managers' Financial Integrity Act; (6) coordinates the
development, clearance, and transmittal of IHS responses and follow-up
to reports issued by the Office of Inspector General (OIG), the General
Accounting Office (GAO), and other Federal internal and external
authorities; (7) provides assistance and support to special assigned
task groups, and conducts special program or management integrity
reviews as required; and (8) oversees and coordinates the annual
development and submission to the Department of the Agency's Federal
Activities Inventory Reform Act inventory.
Executive Secretariat Staff (ESS)
(1) Serves as the Agency's liaison with the Office of the
Secretary's Executive Secretariat on IHS program, policy, and special
matters; (2) reviews correspondence received by the IHS Director and
assigns reply or follow-up action to appropriate IHS Headquarters
program offices and IHS Area Offices; (3) ensures the quality
(responsiveness, clarity, and substance) of IHS-generated
correspondence prepared for the IHS Director's signature by
coordinating the review of integrity and policy issues, and performing
standard edits and revisions; (4) reviews and coordinates clearance of
decision documents for the IHS Director's approval to ensure successful
operations and policy making within the Agency; (5) assists IHS
officials as they prepare documents for the HHS Secretary's review,
decision, and/or signature; (6) performs special writing assignments
for the Director; (7) manages the flow of executive correspondence and
related information to Tribes, Tribal organizations, heads of Federal
departments and agencies, Congressional Staff offices, and members of
Congress; (8) maintains official records for the IHS Director's
correspondence and conducts topic research of files, as needed; (9)
maintains an automated document tracking and reporting (ATS) system to
assist in managing the timely processing of internal and external
executive correspondence; (10) conducts training to promote conformance
by IHS Headquarters and Area staff to the IHS Executive Correspondence
Guidelines
[[Page 41827]]
and the ATS system; and (11) tracks reports required by Congress.
Equal Employment Opportunity and Civil Rights Staff (EEO)
(1) Administers the IHS equal employment opportunity, civil rights,
and affirmative action programs, in accordance with applicable laws,
regulations, and HHS policies; (2) plans and oversees the
implementation of IHS affirmative employment and special emphasis
programs; (3) reviews data on IHS employee personnel actions and
advises IHS managers of possible discriminatory trends; (4) ensures
immediate implementation of required actions on complaints of alleged
sexual harassment or discrimination; (5) decides on accepting, for
investigation, or dismissing discrimination complaints and evaluates
accepted complaints for procedural sufficiency and investigates,
adjudicates, and resolves such complaints; and (6) develops EEO
education and training programs for IHS managers, supervisors,
counselors, and employees.
Office of Tribal Programs (OTP) (GA-2)
(1) Assures that Indian Tribes and Tribal organizations are
informed regarding pertinent health policy and program management
issues and assures that consultation and participation by Indian Tribes
and organizations occurs during the development of IHS policy and
decision making; (2) provides overall Agency leadership concerning
functions and responsibilities associated with Self-Determination
contracting (Title I of the Indian Self-Determination Act); (3) advises
the Director, IHS, and senior Agency managers on activities and issues
related to Self-Determination contracting and monitors Agency
compliance with Self-Determination policies, administrative procedures
and guidelines; (4) administers a national grant program designed to
assist Tribes and Tribal organizations in beginning and/or expanding
Self-Determination activities; (5) provides Agency leadership in the
development of policy, and discharges operational responsibilities,
with respect to the contract support cost (CSC) program administered by
IHS; (6) provides advice to the Director and senior management on
Tribal issues and concerns by maintaining liaison with Tribal leaders,
national Tribal organizations, inter-Tribal consortiums and Area health
boards; (7) provides leadership in the management process of receiving
visiting delegations of Tribal leaders and representatives to IHS
Headquarters and provides staff assistance to the Office of the
Director with respect to Tribal meetings at locations outside of
Headquarters; (8) provides overall Agency leadership with respect to
policy development and issues concerning the Federal recognition of new
Tribes; (9) supports Tribes in managing health programs, (10)
coordinates available support from other public and private agencies
and organizations; (11) maintains central data base on relevant
information to contact Tribal leaders, health programs, etc.; and (12)
participates in cross-cutting issues and processes including but not
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, and Tribal shares computations and resolution of
audit findings as may be needed and appropriate.
Office of Tribal Self-Governance (OTSG) (GA-3)
(1) Develops and oversees the implementation of Tribal Self-
Governance legislation and authorities in the IHS, under Title III of
the Indian Self-Determination and Education Assistance Act, as amended;
(2) develops and recommends policies, administrative procedures, and
guidelines for Self-Governance Tribal activities, with maximum input
from IHS staff and workgroups, Tribes and Tribal organizations, and the
Tribal Self-Governance Advisory Committee; (3) advises the Director on
Agency compliance with Self-Governance policies, administrative
procedures and guidelines and coordinates activities for resolution of
problems with appropriate IHS and HHS staff; (4) provides resource and
technical assistance to Tribes and Tribal Organizations for the
implementation of Tribal Self-Governance Program (TSGP); (5)
participates in the reviewing of proposals from Tribes for Self-
Governance planning and negotiation grants and recommends approvals to
the Director, IHS; (6) determines eligibility for Tribes and Tribal
Organizations desiring to participate in the TSGP; (7) oversees the
negotiation of Self-Governance compacts and annual funding agreements
with participating Tribal governments; (8) identifies the amount of
Area office and Headquarters managed funds necessary to implement the
annual funding agreements and prepares annual budgets for available
Tribal shares in conjunction with IHS Area and Headquarters components;
(9) coordinates semi-annual reconciliation of funding agreements with
IHS Headquarters components, Area offices, and participating Tribes;
(10) serves as the principal IHS office for developing, releasing, and
presenting information on behalf of the IHS Director related to the IHS
Tribal Self-Governance activities to Tribes, Tribal Organizations, HHS
officials, IHS officials, and officials from other Federal agencies,
state and local governmental agencies, and other agencies and
organizations; (11) arranges national Self-Governance meetings to
promote the participation by all AI/AN Tribes in IHS Self-Governance
activities and program direction; (12) participates in meetings for
Self-Governance Tribal delegations visiting IHS Headquarters; and (13)
participates in cross-cutting issues and processes including but not
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, and Tribal shares computations and resolution of
audit findings as may be needed and appropriate.
Office of Urban Indian Health Programs (OUIHP) (GA-4)
(1) Advises the Director, IHS, on the activities and issues related
to the IHS'' implementation of Title V, ``Indian Health Care
Improvement Act'', as amended; (2) develops and recommends policies,
administrative procedures and guidelines for IHS services and
activities for Urban Indian health programs and organizations; (3)
assures that Urban Indian health programs and organizations are
informed of pertinent health policy and that consultation with Urban
Indian health programs and organizations occurs during the development
of IHS policy; (4) supports Urban Indian health programs and
organizations in managing health programs; (5) coordinates support
available from other public and private agencies and organizations; (6)
advises the Director, IHS, on agency compliance to Urban Indian health
program policies, administrative procedures and guidelines; (7)
maintains relevant information on Urban Indian health programs and
organizations; (8) coordinates meetings and other communications with
Urban Indian health program representatives; and (9) participates in
cross-cutting issues and processes including but not limited to
emergency preparedness/security, budget formulation, Self-Determination
issues, and Tribal shares computations and resolution of audit findings
as may be needed and appropriate.
Office of Finance and Accounting (OFA) (GAA)
(1) Develops and prepares the budget submission for the HHS, OMB,
and the President's budget for the Indian Health Service and Facilities
Appropriation; (2) participates with HHS officials in budget briefings
for the OMB and the
[[Page 41828]]
Congress; (3) distributes, coordinates, and monitors resource
allocations; (4) develops and implements budget, fiscal, and accounting
procedures and conducts reviews and analyses to ensure compliance in
budget activities in collaboration with the Headquarters officials and
the Tribes; (5) provides cost advisory and audit resolution services in
accordance with applicable statutes and regulations; and (6)
participates in cross-cutting issues and processes including but not
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, and Tribal shares computations and resolution of
audit findings as may be needed and appropriate.
Division of Audit (DA) (GAA1)
(1) Develops and recommends policies and procedures for Chief
Financial Officer (CFO) audits; (2) develops and recommends policies
and procedures for Tribal/Tribal organization audit resolution within
IHS; (3) provides advice, technical consultation, and training to IHS
Headquarters, Area Offices, Tribal, and Urban organizations for Title
I, Title V, and Agency CFO audits; (4) provides audit resolution
services in accordance with applicable statutes and regulations; (5)
advises the Director, OFA of proposed legislation, regulations, and
directives, and timelines that will affect audits within IHS as well as
how current legislation affects handling of audit-related issues; (6)
manages the IHS Audit Information Management System and conducts
analysis of data for reports and/or responses to internal and external
inquiries; (7) IHS contact point to the HHS for the Audit Information
Management System (AIMS) Report and the Accountability Report; (8)
coordinates the collection of disallowed costs cited in Tribal/Tribal
organization audits; (9) coordinates the correction of non-monetary
findings coded by the HHS in Tribal/Tribal organization audits; (10)
coordinates receipt of audits from all organizations funded by IHS; and
(11) formulates Corrective Action Plans for CFO audit deficiencies;
(12) coordinates resolutions of deficiencies with IHS Headquarters
senior managers and Area Directors; and (13) reports status of
corrective actions to the IHS Headquarters senior staff and to the
Department.
Division of Budget Formulation (DBF) (GAA2)
(1) Interprets policies, guidelines, manual issuances, OMB
circulars, and instructions of Congress, OMB, HHS, and IHS on
formulation of preliminary, Departmental, and Congressional budget
requests for the IHS and Indian Health Facilities appropriation
requests; (2) directs the collection, review, and analysis of program
and financial data from Headquarters, Area Offices, Tribes, Tribal and
Urban Indian organizations used in determining resource requirements;
(3) coordinates the preparation of the IHS preliminary, Departmental
and Congressional budget justifications for the Indian Health Services
and Facilities appropriations; (4) prepares witness information for
hearings before the House and Senate Appropriation Committees, House
Resource Committee on Interior and Insular Affairs, the Senate
Committee on Indian Affairs, and other Congressional committees as
requested; (5) coordinates development of responses and inserts to be
used for the record by and for Congressional appropriations hearings;
(6) coordinates development of briefing materials in response to
Congressional concerns and hearings; and (7) develops, implements, and
maintains IHS policies and procedures for Congressional budget liaison
activities.
Division of Budget Execution (DBE) (GAA3)
(1) Interprets policies, guidelines, and directives from the
Congress, OMB, GAO, Treasury, the Department on Tribal shares and
execution; (2) recommends and coordinates IHS Area Budget Execution;
(3) prepares apportionment requests for the Indian Health Service and
Indian Health Facilities appropriations; (4) consults with the
Headquarters officials on Area funding allocations; (5) maintains fund
control; (6) establishes and maintains IHS Headquarters memorandum-
accounts-of-obligations; (7) prepares reprogramming requests; (8)
coordinates and maintains relevant information on IHS Area and
Headquarters Tribal shares; (9) consults with the Area and Headquarters
components on Tribal share allocations; (10) advises the Director, OFA
on Agency compliance with Self-Determination policies, administrative
procedures and guidelines; (11) and coordinates activities for
resolution of problems with appropriate IHS and Area staff; (12)
participates in the review and reconciliation of Tribal funding
agreements and certifies IHS Headquarters funding of proposals from
Tribal governments in conjunction with the Office of Tribal Self-
Governance and the Office of Tribal Programs; (13) manages the
financial review of Tribal agreements to identify sources of funds
necessary to implement the Tribal funding agreements; and (14)
participates in meetings with Tribal delegations as requested.
Division of Systems Review and Procedures (DSRP) (GAA4)
(1) Reviews, interprets and comments on policies, guidelines, and
manual issuances of Congress, Treasury, GAO, the Department and IHS on
systems of fiscal management including Unified Financial Management
System (UFMS), Common Accounting Numbers/Budget and Accounting
Classification Structure Crosswalk and Core; (2) plans, directs, and
implements fiscal policies and procedures on Headquarters and field
accounting; (3) coordinates the cost accounting system in IHS; (4)
reviews and analyzes accounting and financial management systems and
related system interfaces; (5) supports the conversion of financial
information from Core to UFMS; (6) provides and assists Area accounting
staff with accounting system transactions, errors and system related
emergencies; (7) serves as the agency liaison between agency components
concerning the interface of administrative and other feeder application
with Oracle/UFMS; (8) serves as the liaison between IHS, the Program
Support Center (PSC) and the Department for reporting the prompt
payment, debt management, and cash reconciliation; (9) coordinates,
regulates and manages the issuance of financial codes in IHS; and (10)
coordinates year-end ``roll-over'' activities with PSC and IHS
Headquarters and Area staffs.
Division of Financial Operations (DFO) (GAA5)
(1) Manages the IHS travel program, provides training, interprets
travel regulations, conducts reviews and reviews and updates travel
policy and procedures; (2) processes Headquarters travel orders and
vouchers, including PCS and international travel; (3) coordinates Area
Directors' travel orders and vouchers; (4) responsible for the
Conference Management function for the agency; (5) processes all
Memoranda of Understanding (or Agreement) to verify accounting data and
ensure proper payment/collection; (6) prepares reports and analyzes
third-party collection data for management; (7) analyzes various
operating costs and provides PSC with Area breakouts; (8) monitors PSC
disbursements to assure proper accounting; (9) participates in the
development of Medicare cost reports with contractor, Area Offices,
Headquarters and Service Units; (10) and provides contractor with data
from various data systems; (11) provides support and technical
assistance to Headquarters operational components
[[Page 41829]]
in the development of Headquarters operations budgets; (12) provides
fund certification and maintains commitment registers for Headquarters
components; (13) performs fund reconciliations and assists in
coordination of discrepancies with financial officials; (14) maintains
Headquarters staffing status reports; and (15) serves as coordinator
and conducts training for Headquarters administrative resources
management systems.
Office of Information Technology (OIT) (GAB)
(1) Provides Chief Information Officer services and advises the
Director, IHS, on all aspects of information resource management and
technology ensuring Agency compliance with related Federal laws,
regulations and policies; (2) directs the development, implementation,
and maintenance of policies, procedures, standards, and architecture
for information resource management, technology activities, and
services in the IHS; (3) directs strategic planning and budgeting
processes for information resources and technology; (4) leads IHS
efforts in the development and implementation of information resource
and technology management initiatives in IHS; (5) directs the design,
development, acquisition, implementation, and support of information
systems and services used in the IHS; (6) directs the activities of the
IHS Information Technology Investment Review Board in assessing,
implementing, and reviewing the Agency's information systems; (7)
contracts for information resource and technology-related software,
equipment and support services in collaboration with appropriate
acquisition authorities; (8) provides project management support for
information resource and technology initiatives; (9) directs the
development, implementation and management of the IHS Information
Technology Security program to protect the information resources of the
IHS; (10) provides information technology services and support to IHS,
Tribal, and Urban Indian health programs; (11) ensures accessibility to
information technology services; (12) represents the IHS to, and enters
into information technology agreements with, Federal, Tribal, state,
and other organizations; and (13) participates in cross-cutting issues
and processes including, but not limited to, emergency preparedness/
security, budget formulation, Self-Determination issues, Tribal shares
computations, and resolution of audit findings as may be needed and
appropriate.
Division of Information Technology (DIT) (GAB1)
(1) Provides Chief Technology Officer services and advises the CIO
on all aspects of information technology; (2) develops, implements, and
maintains policies, procedures and standards for information resource
management and technology products and services in the IHS; (3)
develops and maintains information technology strategic planning
documents; (4) develops and maintains the IHS enterprise architecture;
(5) develops and implements information technology management
initiatives in IHS; (6) ensures IHS information technology
infrastructure resource consolidation and standardization efforts
support IHS healthcare delivery and program administration; (7)
represents the IHS to Federal, Tribal, state, and other organizations;
and (8) participates in cross-cutting issues and processes that involve
information technology.
Division of Information Resources Management (DIRM) (GAB2)
(1) Advises the CIO on all aspects of information resources
management; (2) develops information resource policies and procedures;
(3) develops the IHS information technology budget and related
documents; (4) provides budget analyses and reports to the CIO; (5)
develops strategies for presenting the IHS information technology
budget to IHS, Tribal, and Urban Indian health programs; (6) provides
technical analyses, guidance, and support for IHS capital planning and
investment control activities; (7) manages the IHS portfolio management
tool; (8) manages the activities of the IHS Information Technology
Investment Review Board in assessing, implementing, and reviewing the
Agency's information systems; (9) represents the IHS to Federal,
Tribal, state, and other organizations; and (10) participates in cross-
cutting issues and processes that involve information resources
management.
Division of Enterprise Project Management (DEPM) (GAB3)
(1) Advises the CIO on all aspects of information technology
project management; (2) develops project management policies and
procedures; (3) identifies alternatives among internal and external
sources and recommends the best sources to supply information resource
and technology products and services to IHS; (4) develops information
resource and technology project governance structures, management
plans, evaluation protocols, documentation guides and related materials
to support effective project management; (5) provides project
management and related support for IHS developed and acquired
information resource and technology products and services; (6) provides
customer relationship management support to project stakeholders; (7)
provides quality assurance and risk management support; (8) provides
contract management support for information technology initiatives; (9)
provides contract liaison services to appropriate acquisition
authorities; (10) represents the IHS to Federal, Tribal, state, and
other organizations; and (11) participates in cross-cutting issues and
processes that involve information resources and technology project
management.
Division of Information Security (DIS) (GAB4)
(1) Advises the CIO on all aspects of information security; (2)
develops, implements and monitors the IHS Information Technology
Security program to protect the information resources of the IHS; (3)
develops and maintains cyber security policies and guidance for
hardware, software, and telecommunications within the IHS; (4) reviews
IHS security plans for sensitive systems; (5) evaluates safeguards to
protect major information systems and the information technology
infrastructure; (6) monitors all IHS systems development and operations
for security and privacy compliance; (7) establishes and leads IHS
teams to conduct reviews of agency programs to protect IHS' cyber and
personnel security programs; (8) conducts vulnerability assessments of
IHS' information technology infrastructure; (9) coordinates activities
with internal and external organizations reviewing the IHS' information
resources for fraud, waste, and abuse; (10) develops, implements, and
evaluates an employee cyber security awareness and training program;
and (11) establishes and leads the IHS Computer Security Incident
Response Capability team; (12) represents the IHS to Federal, Tribal,
state, and other organizations; and (13) participates in cross-cutting
issues and processes that involve information security.
Office of Management Services (OMS) (GAC)
(1) Provides IHS-wide leadership, guidance, and support for the
management of human resources, grants, acquisitions and records
management, personal property and supply, and the regulations program;
(2) advises the Director on statutory and
[[Page 41830]]
regulatory issues related to the IHS and coordinates resolution of IHS
legal issues with the Office of the General Counsel (OGC), IHS staff,
and other Federal Agencies; (3) assures that IHS appeal systems meet
legal standards; (4) provides leadership and direction of activities
for continuous improvement of management accountability and
administrative systems for effective and efficient program support
services IHS-wide; (5) ensures the accountability and integrity of
grants and acquisition management, records management, personal
property utilization and disposition of IHS resources; (6) assures that
the IHS management services, policies, procedures, and practices
support IHS Indian Self-Determination policies; (7) assists in the
assurance of Indian access to state, local, and private health
programs; (8) provides leadership and advocacy of the IHS mission and
goals with the Department, Administration, Congress, and other external
authorities; and (9) participates in cross-cutting issues and processes
including but not limited to emergency preparedness/security, budget
formulation, Self-Determination issues, and Tribal shares computations
and resolution of audit findings as may be needed and appropriate.
Program Integrity and Ethics Staff (PIES) (GAC-1)
(1) Directs the fact-finding and resolution of allegations of
impropriety such as mismanagement of resources, fraud, waste, and
abuse, violations of the Standard of Ethical Conduct, Hatch Act and
political activity and other forms of waste and advises the Director
and IHS management of appropriate corrective and remedial actions to
correct improprieties; (2) directs and provides leadership in the
formulation of plans, guidance and evaluation of the IHS Personnel
Security and Drug Testing Programs; (3) administers the IHS-wide
management of the agency hotline reports of allegations and serves as
the agency coordinator for HHS Office of the Inspector General (OIG),
Office of Investigations; (4) manages and directs the IHS ``Ethics
Program'' including the implementation of all requirements, providing
advice to the Director and IHS agency liaison with all outside
investigative organizations such as the Office of Special Counsel, the
General Accounting Office and the OIG; and (5) develops and implements
IHS directives and training for Standards of Ethical Conduct, Hatch Act
and political activity, allegations and investigations of
administrative fraud, waste and abuse, drug testing, and personnel
security.
Division of Commissioned Personnel Support (DCPS) (GAC1)
(1) Acts as the liaison between IHS and the Program Support Center,
Division of Commissioned Personnel, HHS; (2) advises the Director, IHS
supervisors, administrators and managers, officers and dependents on
commissioned personnel benefits, policies, procedures, regulations, as
the IHS primary point of contact for commissioned personnel management;
(3) develops policies, procedures, and recommendations to the Division
of Commissioned Personnel; and (4) provides direct support to the
Director, IHS and/or the Agency Representative to the Office of the
Surgeon General; and (5) produces resource materials and conducts
training sessions on commissioned personnel issues for officers,
supervisors, and commissioned personnel specialists in IHS Area
Offices.
Division of Administrative Services (DAS) (GAC2)
(1) Plans, develops and directs program support and general
services programs; (2) develops and disseminates policy and procedural
guidelines for uniform administrative services and practices; (3)
provides guidance and support in the development, planning, and
implementation of administrative functions; (4) maintains liaison with
Department and General Services Administration (GSA) on logistics
issues affecting the IHS; (5) monitors, evaluates, and reports on
administrative programs and services; (6) provides advice and technical
assistance on design, layout, inventories, and print order tracking for
IHS publications; and (7) manages a variety of special projects.
Office Services Branch (OSB) (1) Administers physical security,
supply, and space management services for Headquarters; (2) develops
and disseminates policy and procedural guidelines for uniform office
service programs; (3) provides leadership and coordination in planning,
development, operation, and evaluation of special office support
programs in small purchase acquisitions, facilities management, office
relocations, lease acquisition, GSA supplies, equipment, furniture,
telecommunications, transportation, mail management, forms management,
photocopying, and printing; (4) manages Headquarters facilities
program, physical security, motor vehicles, personal property, special
projects and interagency activities; (5) develops and recommends
policies and procedures for the protection and disposition of IHS
records and oversees the evaluation of Records Management activities in
the IHS; (6) provides leadership for special projects and interagency
activities; (7) develops and recommends policies and procedures for the
protection and disposition of IHS records; (8) oversees the evaluation
of Records Management activities in the IHS; (9) provides leadership
and guidance for the Agency Records Management Program; and (10)
develops and implements a management control system for evaluation of
records management functions agency wide.
Property and Supply Management Branch (PSMB) (1) Plans, develops,
and administers the IHS policies on personal property management in
conformance with Federal personal property management laws,
regulations, policies, procedures, practices, and standards; (2)
interprets regulations and provides advice on execution and
coordination of personal property management policies and programs; (3)
administers management systems and methods for planning, utilizing, and
reporting on administrative personal property management programs,
including the IHS personal property accountability and controls
systems; (4) provides guidance and serves as principal administrative
authority on Federal personal property management laws, regulations,
policies, procedures, practices, and standards; (5) conducts surveys
and studies involving evaluation and analysis of the personal property
management activities IHS-wide; (6) maintains liaison with the
Department and the GSA on personal property management issues and
programs affecting the IHS; (7) prepares reports on IHS personal
property; and (8) develops statements for annual budget formulation and
presentation.
Division of Acquisitions Policy (DAP) (GAC3)
(1) Develops, recommends, and oversees the implementation of
policies and procedures and delegations of authority for the
acquisition management activities in the IHS, consistent with
applicable regulations, directives, and guidance from higher echelons
in the Department and Federal oversight agencies; (2) advises the
Director, Office of Management Services, of proposed legislation,
regulations, and directives that affect contracts in the IHS; (3)
provides leadership for compliance reviews of all IHS procurement
operations and oversees completion of necessary corrective actions; (4)
manages the Department acquisition training and certification and the
project officer
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training programs in the IHS; (5) supports and maintains the IHS
Contract Information System and controls entry of data into the HHS
Contract Information System; (6) is the IHS contact point for contract
protests, and the Department contact for contract-related issues; (7)
reviews and makes recommendations for approval/disapproval of contract-
related documents such as: pre- and post-award documents, unauthorized
commitments, procurement planning documents, Justification for Other
Than Full and Open Competition, waivers, deviations, and determinations
and findings that require action by the Agency Principal Official
Responsible for Acquisition, the Agency Head of Contracting, or the
Office of the Secretary; (8) processes unsolicited proposals for the
IHS; (9) coordinates the IHS Small, Disadvantaged, and Women-Owned
Business programs; (10) oversees compliance with the Buy Indian Act;
and (11) provides advice to the Agency officials negotiating inter and
intra-agency agreements, in accordance with the IHS agreements program.
Division of Grants Policy (DGP) (GAC4)
(1) Directs Grants management and operations for the IHS; (2)
develops, recommends, and oversees the implementation of policies,
procedures and delegations of authority for IHS grants management
activities, including grants added to Self-Governance compacts; (3)
ensures that Agency policies and practices are consistent with
applicable regulations, directives, and guidance from higher echelon in
the Department and Federal oversight agencies; (4) awards and
administers grants and cooperative agreements for IHS financial
assistance programs; (5) provides leadership for the resolution of
audit findings for grant programs; (6) manages the Department Grants
Training and Certification programs for IHS; (7) conducts oversight
compliance reviews of IHS grants operations, and recommends and
oversees completion of necessary corrective actions; (8) reviews and
makes recommendations for improvements in grantee and potential grantee
management systems; (9) is the IHS liaison with Congress, the
Department, and the public for grants and other financial assistance
programs within the IHS; (10) maintains the Catalog of Federal Domestic
Assistance for IHS financial assistance programs; (11) conducts grants-
related training for IHS staff, grantees, and potential grantees; (12)
coordinates payment to grantees including scholarship recipients; and
(13) establishes and maintains the IHS automated Grants Information
System and controls data entry into the HHS Grants Management
Information System.
Division of Regulatory and Legal Affairs (DRLA) (GAC5)
Manages the IHS' overall regulations program and responsibilities,
including determining the need for and developing plans for changes in
regulations, developing or assuring the development of needed
regulations, and maintaining the various regulatory planning processes;
(2) provides all IHS liaison with the Office of the Federal Register on
matters relating to the submission and clearance of documents for
publication in the Federal Register; (3) assures proper agency
clearance and processing of Federal Register documents; (4) informs
management and program officials of regulatory activities of other
Federal agencies; (5) manages the IHS review of non-IHS regulatory
documents that impact the delivery of health services to Indians; (6)
advises the Director and serves as liaison with the Office of the
General Counsel (OGC) on such matters as litigation, regulations, and
related policy issues and administrative support issues; (7) determines
need for and obtains legal clearance of IHS directives and other
issuances; (8) coordinates legal issues with the OGC, IHS, HHS
components, and other Federal agencies, including the identification
and formulation of legal questions, and advising on the implementation
of OGC opinions; (9) assures that IHS' appeals processes meet legal
standards; (10) advises on and participates in Indian Self-
Determination and Education Assistance Act appeals and hearings; (11)
provides guidance and assistance on state and Federal health reform
efforts, including access and civil rights aspects and state Medicaid
waiver applications; (12) advises on the administration of the contract
health services (CHS) appeals system and is a participant in the
Director's CHS appeal decisions; (13) in collaboration with the Public
Affairs Staff, manages the retrieval and transmittal of information in
response to requests received under the FOIA or the Privacy Act; (14)
ensures the security of sensitive and/or confidential information when
responding to FOIA or Privacy Act ; and (15) advises the Director, IHS
regarding requests for IHS employees to serve as expert witnesses when
IHS is not a party to the suit.
Regulations and Records Access Branch (RRAB) (1) Manages the
Agency's regulation program and responsibilities; (2) provides liaison
with the Office of the Federal Register; (3) advises on the need for or
changes in current regulations; (4) develops or assures the development
of IHS regulations; (5) keeps IHS officials informed on relevant
regulatory activities of other agencies of the Government; (6)
coordinates regulations activities with agencies within the Department
that impact on the delivery of health services to Indians; (7)
maintains and updates the various regulatory agendas; (8) assures that
all IHS materials for publication in the Federal Register are properly
cleared, processed, and in proper format; (9) manages the retrieval,
review, and appropriate transmittal of information in response to FOIA
requests including ensuring the appropriate security of such documents;
(10) manages, administers, implements and monitors the agency's
Paperwork Reduction Act (PRA) and OMB information collection/
activities; (11) provides guidance and technical assistance to IHS
regarding information collection requirements and procedures and in
obtaining OMB approvals and extensions for IHS information collections;
and (12) coordinates the implementation and the application of Privacy
Act requirements, including but not limited to Health Insurance
Portability and Accountability Act implementation, and compliance.
Legal Affairs Branch (LAB) (1) Coordinates the resolution of and
the development of legal advice to the Director on IHS legal issues
with the OGC, IHS senior staff, and other Federal agencies; (2)
provides liaison with the OGC in such matters as litigation,
regulations, legislation, policy review, civil rights, and
administrative appeals; (3) provides advice on the development and
implementation of non-personnel appeals processes to assure they meet
legal standards; (4) maintains and distributes the Compendium of Legal
Opinions; (5) reviews IHS directives and other issuances for needed
legal clearances; (6) advises on the impact on IHS and the Indian
community of state and Federal health reforms; and (7) provides policy
review and advice on the need for or application of legal opinions.
Division of Human Resources (DHR) (GAC6)
(1) Advises the Director, IHS, on personnel management issues,
programs and policies for Civil Service and Commissioned Corps
personnel programs; (2) assures implementation of the Indian Preference
policy in all personnel practices; (3) develops personnel management
policies,
[[Page 41832]]
programs, and reports in accordance with applicable laws, regulations,
and policies; (4) provides personnel management and services throughout
IHS, to include, but not limited to, manpower planning and utilization,
staffing, recruitment, compensation and classification, human resource
development, pay administration, labor, and employee relations; (5)
provides advice, consultation, and assistance to IHS management and
Tribal officials on Tribal health program personnel policy issues; (6)
provides technical support, guidance, and assistance on all personnel
programs to IHS Headquarters operations and other organizations as
necessary; and (7) represents IHS in all personnel management matters.
Human Resources Advisory Branch (HRAB) (1) Plans, conducts, and
evaluates personnel functional programs; (2) develops IHS personnel
policies, programs, and reports; (3) provides personnel program and
policy advice and assistance throughout IHS; (4) provides advice and
assistance to IHS management and Tribal officials on Tribal health
program personnel policies; and (5) develops and implements Indian
Preference policies and procedures.
Human Resources Operations Branch (HROB) (1) Plans and implements
personnel servicing responsibilities for IHS programs covered by the
headquarters appointing authority, including staffing, recruitment,
classification, pay administration, and employee relations; (2)
provides staff support for the establishment and recruitment of Senior
Executive Service positions including performance management,
compensation and award nominations; (3) processes personnel actions and
appoints all civil service employees; and (4) provides advice and
training on timekeeping and pay administration.
Office of Clinical and Preventive Services (OCPS) (GAD)
(1) Serves as the primary source of national advocacy, policy
development, budget development and allocation for clinical,
preventive, and public health programs for the IHS, Area Offices, and
Service Units; (2) provides leadership in articulating the clinical,
preventive, and public health needs of AI/AN including consultation and
technical support to clinical and public health programs; (3) develops,
manages, and administers program functions that include, but are not
limited to, alcohol and substance abuse, behavioral health, chronic
diseases such as diabetes, asthma, etc., dental services, medical
services, domestic violence, pharmacy and pharmaceutical acquisition,
community health representatives, emergency medical services, health
records, disabilities, Human Immunodeficiency Virus (HIV)/Acquired
Immune Deficiency Syndrome (AIDS), maternal and child health, clinical
nursing, professional credentialing, public health nursing, women's
health, nutrition and dietetics, and elder care; (4) investigates
service delivery and community prevention evidence-based and best
practice models for dissemination to community service locations; (5)
expands the availability of resources available for AI/AN health by
working with public and private entities as well as Federal agencies
within and outside DHHS; (6) in collaboration with the Office of
Environmental Health and Engineering, coordinates development of
staffing requirements for new or replacement health care facilities and
approves Congressional budget requests for staffing; (7) provides
program oversight and direction for the facilities planning and
construction process; (8) develops and coordinates various Health
Initiative and Nursing grant programs; (9) provides the national focus
for recruitment and retention of health professionals and coordinates
with the scholarship and loan repayment programs; (10) works with the
Contract Health Services (CHS) program on CHS denial appeals to the
Director and in determining CHS medical priorities; (11) manages the
clinical (medical, nursing, pharmacy, dental) features of medical tort
claims against the IHS; (12) works with OMS in managing the clinical
aspects of IHS workman's compensation claims; (13) oversees IHS efforts
in a variety of quality assurance and improvement activities including
patient safety; (14) responsible for approximately one half of the IHS'
Government Performance and Results Act (GPRA) indicators, overseeing
indicator development, data collection, and reporting results; and (15)
participates in cross-cutting issues and processes including but not
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, border health initiatives, Tribal delegation
meetings, and Tribal shares computations and resolution of audit
findings as may be needed and appropriate.
Emergency Preparedness and Emergency Medical Services Staff
(EPEMSS) (1) Provides overall direction and leadership for the IHS in
regard to establishing IHS goals and objectives consistent with those
of the Department of Homeland Security and DHHS, addressing the mission
critical elements of emergency preparedness; (2) provides leadership
for the development of emergency preparedness plans, policies and
services, including the continuity of operations plans, deployment,
public health infrastructure, and emergency medical services; (3)
coordinates IHS activities and resources with the activities and
available resources of other government and non-government programs for
essential services related to homeland security and emergency
preparedness; and (4) advocates for the emergency preparedness needs
and concerns of AI/AN and promotes these program activities at the
local, state, national, and international levels; and (5) advocates and
coordinates support for tribal emergency medical services programs,
including training and equipment.
Division of Behavioral Health (DBH) (GAD1)
(1) Applies identified profession and program standards, monitors
and evaluates community and Area-wide services provided through grants
or contracts with AI/AN Tribes, Villages, organizations, and direct IHS
operations for mental health, social services, and alcohol/substance
abuse; (2) coordinates AI/AN community behavioral health programs
including alcohol/substance abuse prevention and treatment, mental
health, and social work with program directors, division staff, Area
staff, and other agencies and institutions; (3) coordinates contracts
and grants for behavioral health services and monitors services
provided; (4) makes program and policy changes using data analysis,
recommendations from operational levels, research results, and
coordinates resource allocation from program policies; (5) provides
behavioral health program consultation to AI/AN groups and IHS staff;
(6) provides leadership in the identification of behavioral change
interventions and supports implementation at the community level; (7)
coordinates with state, Federal, professional, private, and community
organizations on alternate health care resources; (8) works with other
Federal agencies and departments to provide additional Federal
resources for AI/AN behavioral health programs; (9) provide financial
resources and programmatic oversight for complying with the Americans
With Disabilities Act through programs such as the Indian Children's
Program and for elders through partnerships with the Administration on
Aging and the National Indian Council on Aging; (10) measures and
evaluates the quality of behavioral health care services; and (11)
prepares information on behavioral
[[Page 41833]]
health and budgetary hearings, and program evaluation results for the
IHS Director, the Congress, and the Administration.
Division of Clinical and Community Services (DCCS) (GAD2)
(1) Manages, develops, and coordinates a comprehensive clinical,
preventive and public health approach to clinical and community
programs focusing on maternal and child health, Indian children
services including Head Start and Early Head Start Health Programs,
medicine, nutrition, HIV/AIDS, pharmacy, laboratory, health records,
health education, and health promotion and disease prevention; (2)
develops objectives, priorities and methodologies for the conduct and
evaluation of clinical, preventive and public health and community
health-based programs; (3) provides, develops, and implements IHS
guidelines, standards, policies, and procedures on clinical, preventive
and public health and community based programs and initiatives; (4)
monitors, evaluates, and provides consultation to clinical and
community programs; (5) plans jointly with other programs and divisions
of the IHS and other agencies on research and coordination of services;
(6) coordinates professional staff recruitment and training needs, and
scholarship recipient assignments and development to meet Service Unit,
Area, and Tribal health professional human resource needs; (7) in
collaboration with the Division of Acquisitions Policy and the Division
of Grants Policy, coordinates and monitors contracts and grants with
IHS programs and other entities; (8) develops and disseminates
information and materials to IHS facilities and to Tribes and Urban
Indian health programs; (9) responsible for resource management,
program data collection, administrative system integrity and
accountability by developing program budget materials and responding to
Congressional and Departmental inquiries; and (10) manages the
Veteran's Administration Pharmaceutical Prime Vendor Contract and IHS
National Core Formulary.
Division of Nursing Services (DNS) (GAD3)
(1) Plans, develops, coordinates, evaluates, manages and advocates
for the IHS Nursing Services, Women's Health, and Community Health
Representative Program; (2) identifies and establishes standards for
these programs; (3) provides leadership, professional guidance, and
staff development; (4) plans, develops, coordinates, manages, and
evaluates nursing education; (5) coordinates professional staff,
including nursing recruitment, scholarship recipients, assignment and
development to meet Service Unit, Area, and Tribal needs in accordance
with IHS policies and procedures; (6) provides guidance in planning,
developing, and maintaining management information systems; and (7)
prepares budgetary data, analysis and program evaluations and prepares
information for program and budget presentations and Congressional
hearings.
Division of Oral Health (DOH) (GAD4)
(1) Plans, develops, coordinates, and evaluates dental health
programs; (2) establishes staffing, procedural, facility, and dental
contract standards; (3) coordinates professional recruitment,
assignment, and staff development; (4) represents dental staff and Area
Dental Programs in personnel matters, including the monitoring of
personnel orders for both appointments and transfers, establishing
promotion priority lists, processing special pay and retention bonus
contracts, and being the HQ representative on adverse action cases; (5)
improves effectiveness and efficiency of dental programs; (6) develops
resource opportunities and monitors utilization of resources for dental
health programs; (7) formulates, allocates and analyzes dental program
budget and prepares information for program and budget presentations
and Congressional inquiries; (8) advocates for oral health needs of AI/
AN population; (9) coordinates health promotion and disease prevention
activities for the dental program; (10) monitors oral health status and
treatment needs of the AI/AN population; (11) provide clinical and
technical support to field staff by way of oral health surveys,
provision of clinical trials, consultation on treatment cases,
publication of quarterly newsletter and serving as liaison with public
and private institutions and major universities to evaluate new and
existing strategies to address oral health problems in AI/AN; (12)
serves as the liaison for the IHS Division of Oral Health with other
agencies in the USPHS and other Federal agencies; (13) serves as main
source of information transfer to field staff via mediums including,
but not limited to, teleconference hookups, electronics (email/
listservs), conventional mail and meeting attendance; and (14) maintain
and distribute information from the IHS centralized dental database,
including workload, program resource directories and exploring the
applicability of new health informatics technologies and systems.
Division of Diabetes Prevention and Control (DDPC) (GAD5)
(1) Plans, manages, develops, coordinates, and evaluates a
comprehensive clinical and community program focusing on type 2
diabetes in AI/AN communities; (2) plans, manages, develops,
coordinates, and evaluates the Congressionally-mandated Special
Diabetes Program for Indians, a large grant program focused on the
prevention and treatment of diabetes; (3) coordinates and monitors
contracts and grants with IHS, Tribal, and Urban Indian health programs
and other entities; (4) develops objectives, priorities and
methodologies for the conduct of clinical and community diabetes
programs; (5) monitors, evaluates, and provides consultation to
clinical and community diabetes grant programs and other new
initiatives; (6) provides leadership, professional guidance, and staff
development to Area Diabetes Consultants, Model Diabetes Programs and
Diabetes Field Coordinators; (7) coordinates diabetes training needs
for Service Units, Areas, and Tribes; (8) develops and implements IHS
standards of care, clinical guidelines and policies and procedures for
diabetes and diabetes-related conditions; (9) coordinates model
diabetes program sites; (10) develops and disseminates diabetes-related
information and materials to IHS, Tribes and Urban Indian health
programs; and (11) responsible for preparing budgetary data, analysis
and program evaluations for budget presentations and Congressional
hearings.
Office of Environmental Health and Engineering (OEHE) (GAE)
(1) Advises and supports the Director, IHS on policy, budget
formulation, and resource allocation regarding environmental health and
engineering activities of IHS and Tribal facilities programs; (2)
provides agency-wide leadership and consultation to IHS direct, Tribal,
and Urban public health programs on IHS goals, objectives, policies,
standards, and priorities; (3) represents the IHS within the HHS and
external organizations for purposes of liaison, professional
collaboration, cooperative ventures, and advocacy; (4) serves as the
primary source of technical advice for the IHS Director, Headquarters,
Area offices, Tribal, and Urban public health programs on the full
scope of health care facilities construction and operations, sanitation
facilities construction (SFC) and
[[Page 41834]]
management, environmental health services, environmental engineering,
clinical engineering, and realty services management; (5) develops and
recommends policies, administrative procedures and guidelines for Pub.
L. 93-638 construction activities; (6) develops objectives, priorities,
standards, and methodologies to conduct and evaluate environmental
health, environmental engineering, and facilities engineering and
management activities; (7) coordinates the formulation of the IHS
Facilities Appropriation budget request and responds to all inquiries
about the budget request and programs funded by the IHS Facilities
Appropriation; (8) maintains needs-based and workload-based
methodologies for equitable resource distribution for all funds
appropriated under the IHS Facilities Appropriation; (9) provides
leadership, consultation, and staff development to assure functional,
safe, and well-maintained health care facilities, a comprehensive
environmental health program, and the availability of water, sewer, and
solid waste facilities for Indian homes and communities; (10) in
collaboration with the Office of Clinical and Preventive Services,
coordinates the IHS OEHE responsibilities in responding to disasters
and other emergency situations; and (11) participates in cross-cutting
issues and processes including but not limited to emergency
preparedness/security, budget formulation, Self-Determination issues,
and Tribal shares computations and resolution of audit findings as may
be needed and appropriate.
Division of Sanitation Facilities Construction (DSFC) (GAE1)
(1) Develops, implements, and manages the environmental engineering
programs, including the Sanitation Facilities Construction (SFC)
program, and compliance activities associated with environmental
protection and historic preservation legislation; (2) provides agency-
wide management assistance and special support/consultation to address
special environmental public health problems for environmental
engineering/construction activities, and for compliance with
environmental legislation; (3) works closely with other Federal
agencies to resolve environmental issues and maximize benefits to
Tribes by coordinating program efforts; (4) develops, implements, and
evaluates agency program activities, objectives, policies, plans,
guidelines, and standardized data systems for SFC activities; (5)
consults with Tribal groups/organizations in the development and
implementation of SFC policies and initiatives, and in the
identification of sanitation needs; (6) maintains a national inventory
of current Tribal sanitation facilities needs, and past and present
projects to address those needs; and (7) in collaboration with the OFA,
allocates financial resources nationwide based on need and workload
using the national data inventories.
Division of Facilities Operations (DFO) (GAE2)
(1) Develops, implements, and manages the programs affecting health
care facilities operations, including the routine maintenance and
improvement, real property asset management, quarters, and clinical
engineering programs; (2) develops, implements, monitors and evaluates
agency program activities, objectives, policies, plans, guidelines, and
standardized data systems for health care facilities operations; (3)
serves as principal resource for coordination of facilities operations
and provides consultation to IHS and the Tribes on health care
facilities operations; (4) maintains real property asset and quarters
management systems; (5) maintains clinical engineering management
systems; (6) formulates financial resources allocation methodologies
nation-wide based on need and workload data; (7) maintains nation-wide
data on Federal and Tribal facilities for program budget justification;
(8) develops and evaluates technical standards and guidelines for
health care facilities operations; and (9) monitors construction
activities and the improvement, alteration, and repair of health care
facilities.
Division of Facilities Planning and Construction (DFPC) (GAE3)
(1) Develops, implements, and manages IHS Health Care Facilities
Planning and Construction program, including the facilities planning
process, facilities design process, facilities acquisition, and
construction project management; (2) develops, implements, monitors,
and evaluates agency program activities, objectives, policies, plans,
guidelines, and standardized data systems for health care facilities
planning and construction; (3) develops and maintains construction
priority systems and with the Division of Engineering Services develops
project budget documents for the health care facilities construction
program; (4) serves as the principal resource in providing leadership,
guidance, and coordination of health care facilities engineering
activities for the IHS Headquarters and Area offices, and Tribal and
Urban health programs; (5) evaluates justifications for major
improvement and alteration projects and other large scale construction
activities; and (6) develops and evaluates technical standards and
guidelines for health care facilities construction.
Division of Environmental Health Services (DEHS) (GAE4)
(1) Develops, implements, and manages IHS Environmental Health
Services programs including the Injury Prevention and Institutional
Environmental Health programs, and serves as the primary source of
technical and policy advice for IHS Headquarters and Area offices on
the full scope of environmental health issues and activities; (2)
maintains interagency relationships with other Federal agencies and
Tribes to maximize interagency and inter-Tribal responses to
environmental health issues and maximize benefits to Tribes by
coordinating program efforts; (3) provides leadership in identifying
and articulating environmental health needs of AI/AN populations and
support efforts to build Tribal capacity; (4) provides personnel
support services and advocates for environmental health providers; (5)
maintains, analyzes, makes accessible, and publishes results from
national data bases; (6) manages resource allocation activities in
accordance with established criteria based on workload; (7) develops
and evaluates standards and guidelines for environmental health
programs and activities; and (8) performs functions related to
environmental health programs such as injury prevention, emergency
response, water quality, food sanitation, occupational health and
safety, solid and hazardous waste management, environmental health
issues in health care and non-health care institutions, and vector
control.
Division of Engineering Services (Dallas/Seattle) (DES) (GAE5)
(1) Administers health care facilities engineering and construction
projects for specified Area offices and administers the engineering and
construction of certain projects for other Federal agencies through
interagency agreements; (2) carries out management activities relating
to IHS-owned and utilized health care facilities, including
construction, contracting, realty, and leasing services; (3) serves as
the source of engineering and contracting expertise for assigned
programs/projects and other technical programmatic areas affecting the
planning, design, alteration, leasing, and construction of
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IHS health care and sanitation facilities for Indian homes and
communities; and (4) assists in the development of Area office annual
work plans, studies, investigations, surveys, audits, facilities
planning, and technical standards development, for IHS owned and Tribal
health care facilities.
Office of Public Health Support (OPHS) (GAF)
(1) Advises and supports the Director, IHS on policy, budget
formulation, and resource allocation regarding the operation and
management of IHS direct, Tribal, and Urban public health programs; (2)
provides IHS-wide leadership, guidance and support for public health
program and activities including strategic planning, evaluation, GPRA,
research, epidemiology, statistics, and health professions; (3)
provides agency-wide leadership and consultation to IHS direct, Tribal,
and Urban public health programs on IHS goals, objectives, policies,
standards, and priorities; (4) advocates for the public health needs
and concerns of AI/AN and promotes quality health care; (5) manages and
provides national leadership and consultation for IHS on assessments,
public health and medical services, research agendas, special pay and
public health initiatives for the agency; and (6) provides national
leadership for the IHS scholarship and loan repayment programs,
including physician recruitment; (7) supports and advocates for AI/AN
to access state and local public health programs; (8) participates in
cross-cutting issues and processes including but not limited to
emergency preparedness/security, budget formulation, Self-Determination
issues, and Tribal shares computations and resolution of audit findings
as may be needed and appropriate.
Division of Epidemiology (GAF1)
(1) Prevents and controls chronic and communicable disease through
epidemiology and applied public health practice; (2) builds capacity in
Tribal communities through a network of Tribal Epidemiology Centers;
(3) collaborates with the Centers for Disease Control and Prevention
(CDC) staff detailed to the Division from the CDC; (4) describes
causes, patterns, and risk factors for disease and death, and develops
public health policy; (5) serves IHS and Tribal communities through:
Disease surveillance, health data management, analysis and reporting,
community surveys, emergency response, training in public health
practice and epidemiology, consultation to clinicians and technical
support for public health activities and assessment of public health
system performance; (6) supports epidemiology, disease control, and
prevention programs for chronic diseases, including cancer, tobacco
control, cardiovascular disease, diabetes, kidney disease,
environmental health, maternal and child health, and others; and (7)
supports epidemiology, disease control, and prevention programs for
communicable diseases, including tuberculosis, HIV/AIDS, other
sexually-transmitted diseases, hepatitis, hantavirus, antibiotic-
resistant infections, immunizations, bioterrorism preparedness and
others.
Chronic Disease Branch (CDB) (1) Supports epidemiology, disease
control, and prevention programs for chronic diseases, including
cancer, tobacco control, cardiovascular disease, diabetes, kidney
disease, environmental health, maternal and child health, and others.
Infectious Disease Branch (IDB) (1) Supports epidemiology, disease
control, and prevention programs for communicable diseases, including
tuberculosis, HIV/AIDS, other sexually-transmitted diseases, hepatitis,
Hantavirus, antibiotic-resistant infections, immunizations,
bioterrorism preparedness, and others.
Division of Program Statistics (DPS) (GAF2)
(1) Plans, develops, directs, and coordinates an analytical
statistical reporting program to provide data for measuring the health
status and unmet health needs of AI/AN; (2) develops and coordinates
the collection, processing, and analysis of demographic, patient care,
and clinical data for the agency; (3) maintains, analyzes, makes
accessible, and publishes results from national demographic and
clinical analyses; and (4) provides statistical and analytical
consultation to other divisions and agencies.
Demographics Staff (DS) (1) Plans, develops and executes a major
nationwide statistical program for the collection, processing, analysis
and dissemination of demographic characteristics of AI/AN population
located throughout the United States; (2) coordinates with the National
Center for Health Statistics the analysis and reporting of vital event
information for AI/AN population; and (3) provides statistical and
analytical consultation to other divisions and agencies.
Patient Care Statistics Staff (PCSS) (1) Plans, develops and
executes a major nationwide statistical program for the collection,
processing, analysis and dissemination of demographic data and special
studies with emphasis on health and demographic characteristics of AI/
AN population located throughout the United States; (2) evaluates
facility workload trends and participates in the development of
methodologies for constructing long-range estimates of impatient and
ambulatory care workloads for use in facility construction and
planning; and (3) coordinates with the IHS National Data Repositories
the analysis and reporting of program, patient care and clinical data
for the agency.
Division of Planning, Evaluation and Research (DPER) (GAF3)
(1) Develops and coordinates agency strategic planning and
performance measurement efforts (including GPRA and PART) with
budgeting requirements in consultation with IHS program staff; (2)
provides consultation and coordination on the IHS budget formulation
activity for planning and data purposes; (3) conducts, facilitates,
solicits, coordinates, and evaluates community-oriented practice-based
research related to health problems and the delivery of care to AI/AN
people and communities with a major focus on improving the health
status and systems of care; and (4) provides guidance and support for
IHS-wide program evaluation projects.
Division of Health Professions Support (DHPS) (GAF4)
(1) Develops and implements IHS programs to recruit, select,
assign, and retain health care professionals and coordinates these
activities with the respective disciplines; (2) assesses professionals
staffing needs and coordinates the development of strategies and
systems to satisfy these needs; (3) coordinates the planning and
development of IHS strategies and systems to improve the morale and
retention of all professionals; (4) coordinates Headquarters activities
for physician residency and training programs; (5) coordinates the IHS
National Health Service Corps (NHSC) program, including liaison and
assignment of NHSC scholarship recipients to IHS; (6) develops priority
sites for the loan repayment program; (7) responsible for coordinating
placement of professionals with loan repayment; (8) serves as IHS
coordinator for pre-medical and medical school IHS scholarship
recipients; (9) retrieves, establishes, and manages information and
data on the IHS work force; and (10) conducts work force data analyses,
including trends and projections, identifying work force needs by major
personnel systems, categories, and disciplines.
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Health Professions Support Branch (HPSB) (1) Develops the IHS
program to recruit, select, assign, and retain health care
professionals, in accordance with policies and guidance provided the
Division of Human Resources; (2) assesses IHS professional staffing
needs; (3) provides research and analysis functions for Chief Medical
Officers, Clinical Directors, and senior clinicians; (4) manages and
supports health professions education programs and activities; and (5)
develops and administers Indian Health Professions programs authorized
by the Indian Health Care Improvement Act (IHCIA), as amended.
Loan Repayment Branch (LRB) (1) Awards, monitors, places (in IHS,
Tribal, and Urban sites), and processes waivers and defaults of
participants in the Loan Repayment Program (LRP) as mandated by Section
108 of the IHCIA; (2) coordinates the LRP payment and debt management
function with the Program Support Center; and (3) coordinates program
administration with the IHS Area office and Service Unit personnel,
particularly placement activities, including Clinical Directors, Chief
Medical Officers, and professional recruiters.
Scholarships Branch (SB) (1) Develops, administers, and evaluates
programs in the IHS Scholarship Program authorized under the IHCIA:
Section 102 (Health Professions Recruitment Program for Indians),
Section 103 (Health Professions Preparatory Scholarship Program for
Indians), Section 104 (Indian Health Professions Scholarship Program),
Section 105 (IHS Externs Program), Section 120 (Matching Grants to
Tribes for Scholarship Programs), Section 217 (Indians Into Psychology
Program), and other funded programs authorized under the IHCIA.
Office of Resource Access and Partnerships (ORAP) (GAG)
(1) Provides agency-wide leadership and consultation to the IHS
direct operations and Tribal programs on IHS goals, objectives,
policies, standards and priorities regarding the operations and
management of the Business Office Services (BOS) and the Contract
Health Services (CHS) programs; (2) develops and implements objectives,
priorities, standards, measures and methodologies for BOS and CHS
services; (3) manages and provides leadership, advocacy, consultation
and technical support to Headquarters, IHS Areas and local levels on
the full scope of BOS and CHS activities; (4) represents the IHS at
meetings and in discussions regarding policy, legislation and other
national issues; (5) provides oversight and monitors the BOS and CHS
programs regarding compliance requirements, utilization reviews and
revenue measures and reports; (6) formulates and analyzes BOS and CHS
budgets and prepares information for program budget presentations; (7)
collaborates and coordinates with IHS information technology staff and
external organizations on new technologies, applications and business
practices; (8) develops resource opportunities and coordinates the BOS
and CHS activities with other governmental and non-governmental
programs, promoting optimum utilization of all available health
resources; (9) maintains a database of all Agency memoranda of
agreement and memoranda of understanding with external organizations;
and (10) participates in cross-cutting issues and processes including
but not limited to emergency preparedness/security, budget formulation,
Self-Determination issues, and resolution of audit findings as may be
needed and appropriate.
Division of Business Office Enhancement (DBOE) (GAG1)
(1) Serves as the primary focal point for Business Office Services
(BOS) program operations and policy issues and represents BOS in
national forums; (2) provides consultation to Headquarters and Area
offices and is liaison to Tribal organizations, HHS and OMB regarding
BOS issues; (3) reviews and improves the efficiency of access to
resources and provides support for local capacity building through
technical assistance, training, consultation and information systems
support; (4) develops, disseminates, and maintains BOS policy and
procedures manual; (5) provides national leadership for Medicare,
Medicaid, and private insurance reimbursement policy and procedures;
(6) serves as the primary liaison with the Center for Medicaid/Medicare
Services for rate setting; (7) serves as the focal point regarding
Medicare and Medicaid managed care activities, including the review,
evaluation, and monitoring of Sections 1115 and 1915(b) Medicaid waiver
proposals and other state and Federal health care reform activities;
(8) provides programmatic management, review and analysis of
information systems for patient registration and billing and
collections systems; (9) assures training on operations, various
regulatory issues and negotiated managed care provider agreements; and
(10) responsible for developing third-party budget materials and
responding to Tribal, Congressional and Departmental inquiries relating
to third-party issues.
Division of Contract Care (DCC) (GAG2)
(1) Plans, develops, and coordinates the Contract Health Service
(CHS) program and required business practices; (2) develops,
disseminates, and maintains CHS policy and procedures manual; (3)
formulates and monitors the CHS budget and distribution methodologies;
(4) administers the Catastrophic Health Emergency Fund; (5) administers
the CHS Quality Assurance Fund; (6) administers the CHS claims
adjudication activity for the IHS Headquarters; (7) monitors the
implementation of the IHS payment policy and reports the status to the
Director, ORAP; (8) administers the IHS Fiscal Intermediary contract;
(9) conducts data analysis and national utilization review and
utilization management of CHS services rendered by private sector
providers; and (10) provides consultation to Headquarters and Area
offices, and responds to inquiries from the Congress, Tribes, and other
Federal agencies.
Section GA-30, Indian Health Service--Order of Succession. During
my absence or disability of the Director, IHS, or in the event of a
vacancy in that office, the following IHS Headquarters officials, in
the order listed below, shall act as Director, IHS. In the event of a
planned extended period of absence the IHS Director may specify a
different order of succession. The order of succession will be:
(1) Deputy Director
(2) Deputy Director for Indian Health Policy
(3) Deputy Director for Management Operations
(4) Chief Medical Officer
Section GA-40, Indian Health Service--Delegations of Authority. All
delegations of authority and re-delegations of authority made to IHS
officials that were in effect immediately prior to this reorganization,
and that are consistent with this reorganization, shall continue in
effect pending further re-delegation.
Chapter GF--IHS Area Offices
Section GF-00, IHS Area Offices--Mission. The IHS Area Offices
carry out the mission of the IHS by providing a system of health care
unique to the Area population.
Section GF-10, IHS Area Offices--Organization. An Area Office is a
bureau-level organization under the direction of an Area Director, who
reports to the Director, IHS. The
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following are the Area Offices of the IHS:
Aberdeen Area Office (GFA)
Alaska Area Office (GFB)
Albuquerque Area Office (GFC)
Bemidji Area Office (GFE)
Billings Area Office (GFF)
California Area Office (GFG)
Nashville Area Office(GFH)
Navajo Area Office (GHJ)
Oklahoma City Area Office (GFK)
Phoenix Area Office (GFL)
Portland Area Office (GFM)
Tucson Area Office (GFN)
Section GF-20, IHS Area Offices--Functions. The specific functions
of the IHS Area Offices vary, however, each Area Office includes
functions organized to support major categories of administrative
management and clinical activities. Examples include:
Administration and Management--Financial management, administrative
and office services, contract/grant administration, procurement,
personnel management, facilities management, management information
systems, contract health services, and equal employment opportunity;
Program Planning, Analysis and Evaluation Programs--Program
planning, statistical analysis, legislative initiatives, research and
evaluation, health records, management information systems, and patient
registration/third party collection;
Tribal Activity Programs--Provision of Public Law 93-638, Indian
Self-Determination and Educational Assistance Act, health services
delivery, community health representatives services, urban Indian
health, alcoholism and substance abuse, and health education;
Health Programs--Primary care, clinical activities, mental health,
nursing services, health promotion and disease prevention, professional
recruitment and community services, and the Joint Commission on
Accreditation of Healthcare Organizations;
Environmental Health/Sanitation Facilities Programs--Environmental
health and engineering/sanitation facilities construction programs for
IHS Area Office, and
Information Resources Management Programs--Automated data
processing (ADP), ADP planning and operations, management information
systems, office automation systems, voice and data telecommunications
management.
Section GF-30, IHS Area Offices--Order of Succession. The order of
succession for Area Directors at the IHS Area Offices is determined by
each Area Director and continues in effect until changed.
Section GF-40, IHS Area Offices--Delegations of Authority. All
delegations and re-delegations of authority made to officials in the
IHS Area Offices that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization, shall
continue in effect pending further re-delegation.
This reorganization shall be effective on August 23, 2004.
Dated: July 2, 2004.
Charles W. Grim,
Director, Indian Health Service, Assistant Surgeon General.
[FR Doc. 04-15716 Filed 7-9-04; 8:45 am]
BILLING CODE 4160-16-P