HEALTH AND HUMAN SERVICES AN OVERVIEW

DEPARTMENT OF HEALTH AND HUMAN SERVICES HISTORICAL HIGHLIGHTS

THE ROOTS OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES GO BACK TO THE EARLIEST DAYS OF THE NATION

1798 THE FIRST MARINE HOSPITAL, A FORERUNNER OF TODAY’S PUBLIC HEALTH SERVICE, WAS ESTABLISHED TO CARE FOR SEAFARERS.

1862 PRESIDENT LINCOLN APPOINTED A CHEMIST, CHARLES M. WETHERILL, TO SERVE IN THE NEW DEPARTMENT OF AGRICULTURE. THIS WAS THE BEGINNING OF THE BUREAU OF CHEMISTRY, FORERUNNER TO THE FOOD AND DRUG ADMINISTRATION.

1887 THE FEDERAL GOVERNMENT OPENED A ONE-ROOM LABORATORY ON STATEN ISLAND FOR RESEARCH ON DISEASE, THEREBY PLANTING THE SEED THAT WAS TO GROW INTO THE NATIONAL INSTITUTES OF HEALTH.

1906 CONGRESS PASSED THE FIRST FOOD AND DRUG ACT, AUTHORIZING THE GOVERNMENT TO MONITOR THE PURITY OF FOODS AND THE SAFETY OF MEDICINES, NOW A RESPONSIBILITY OF THE HHS’S FOOD AND DRUG ADMINISTRATION.

1912 PRESIDENT THEODORE ROOSEVELT’S FIRST WHITE HOUSE CONFERENCE URGED CREATION OF A CHILDREN’S BUREAU TO COMBAT EXPLOITATION OF CHILDREN.

1935 CONGRESS PASSED THE SOCIAL SECURITY ACT

1939 RELATED FEDERAL ACTIVITIES IN THE FIELDS OF HEALTH, EDUCATION, SOCIAL INSURANCE AND HUMAN SERVICES WERE BROUGHT TOGETHER UNDER THE NEW FEDERAL SECURITY AGENCY.

1946 THE COMMUNICABLE DISEASE CENTER WAS ESTABLISHED, FORERUNNER OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION.

1955 LICENSING OF SALK POLIO VACCINE.

1961 FIRST WHITE HOUSE CONFERENCE ON AGING.

1962 PASSAGE OF THE MIGRANT HEALTH ACT, PROVIDING SUPPORT FOR CLINICS SERVING AGRICULTURAL WORKERS.

1964 RELEASE OF THE FIRST SURGEON GENERAL’S REPORT ON SMOKING AND HEALTH.

1965 THE MEDICARE AND MEDICAID PROGRAMS WERE CREATED, MAKING COMPREHENSIVE HEALTH AVAILABLE TO MILLIONS OF AMERICANS.

1965 THE OLDER AMERICANS ACT CREATED THE NUTRITIONAL AND SOCIAL PROGRAMS RUN BY HHS’ ADMINISTRATION ON AGING.

1966 INTERNATIONAL SMALLPOX ERADICATION PROGRAM ESTABLISHED. LED BY THE U.S. PUBLIC HEALTH SERVICE, THE WORLDWIDE ERADICATION OF SMALLPOX WAS ACCOMPLISHED IN 1977.

1970 CREATION OF THE NATIONAL HEALTH SERVICE CORPS.

1971 NATIONAL CANCER ACT SIGNED INTO LAW.

1975 CHILD SUPPORT ENFORCEMENT PROGRAM ESTABLISHED.

1977 CREATION OF THE HEALTH CARE FINANCING ADMINISTRATION TO MANAGE MEDICARE AND MEDICAID SEPARATELY FROM THE SOCIAL SECURITY ADMINISTRATION.

1980 FEDERAL FUNDING PROVIDED TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE.

1981 IDENTIFICATION OF ACQUIRED IMMUNE DEFICIENCY SYNDROME, AIDS, IN 1984, THE HIV VIRUS WAS IDENTIFIED BY PHS AND FRENCH SCIENTISTS, IN 1985, A BLOOD TEST TO DETECT HIV WAS LICENSED.

1984 NATIONAL ORGAN TRANSPLANTATION SIGNED INTO LAW.

1988 CREATION OF THE JOBS PROGRAM AND FEDERAL SUPPORT FOR CHILD CARE WAS INITIATED. THE MCKINNEY ACT WAS SIGNED INTO LAW, PROVIDING HEALTH CARE TO THE HOMELESS.

1989 CREATION OF THE AGENCY FOR HEALTH CARE POLICY AND RESEARCH.

1990 HUMAN GENOME PROJECT ESTABLISHED. THE NUTRITION LABELING AND EDUCATION ACT WAS SIGNED INTO LAW. THE RYAN WHITE COMPREHENSIVE AIDS RESOURCE EMERGENCY ACT BEGAN IN 1990 TO PROVIDE SUPPORT FOR COMMUNITIES TO HELP PEOPLE WITH AIDS.

1995 THE SOCIAL SECURITY ADMINISTRATION BECAME AN INDEPENDENT AGENCY.

1996 REGULATIONS WERE PUBLISHED PROVIDING FOR FDA REGULATION OF TOBACCO PRODUCTS TO PREVENT USE OF TOBACCO BY MINORS.

1996 HIPPA LEGISLATION WAS PASSED. (HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT)

2004 MEDICARE MODERNIZATION ACT WAS PASSED.

HEALTH AND HUMAN SERVICES FACTS AND INFORMATION

HHS BUDGET IN FY 2007 $698 BILLION HHS EMPLOYEES 67,444

THE DEPARTMENT OF HEALTH AND HUMAN SERVICES IS THE UNITED STATE’S GOVERNMENT’S PRINCIPAL AGENCY FOR PROTECTING THE HEALTH OF ALL AMERICANS AND PROVIDING ESSENTIAL HUMAN SERVICES, ESPECIALLY FOR THOSE WHO ARE LEAST ABLE TO HELP THEMSELVES.

THE DEPARTMENT INCLUDES MORE THAN 300 PROGRAMS COVERING A WIDE SPECTRUM OF ACTIVITIES

MEDICAL AND SOCIAL SCIENCE RESEARCH PREVENTING OUTBREAK OF INFECTIOUS DISEASE ASSURING FOOD AND DRUG SAFETY MEDICARE AND MEDICAID

FINANCIAL ASSISTANCE FOR LOW-INCOME FAMILIES CHILD SUPPORT ENFORCEMENT IMPROVING MATERNAL AND INFANT HEALTH HEAD START

PREVENTING CHILD ABUSE AND DOMESTIC VIOLENCE SUBSTANCE ABUSE TREATMENT AND PREVENTION SERVICES FOR OLDER AMERICANS

COMPREHENSIVE HEALTH SERVICES DELIVERY FOR AMERICAN INDIANS AND ALASKAN NATIVES

HHS IS THE LARGEST GRANT-MAKING AGENCY IN THE FEDERAL GOVERNMENT, PROVIDING SOME 60,000 GRANTS PER YEAR. HHS’S MEDICARE PROGRAM IS THE NATION’S LARGEST INSUROR, HANDING MORE THAN ONE BILLION CLAIMS PER YEAR.

MAJOR PUBLIC HEALTH SERVICE OPERATING DIVISIONS

NATIONAL INSTITUTES OF HEALTH…WORLD’S PREMIER MEDICAL RESEARCH ORGANIZATION, SUPPORTING SOME 38,000 RESEARCH PROJECTS…

FOOD AND DRUG ADMINISTRATION ASSURES THE SAFETY OF FOOD AND COSMETICS, AND THE SAFETY AND EFFICACY OF PHARMACEUTICALS, BIOLOGICAL PRODUCTS AND MEDICAL DEVICES WHICH REPRESENT 25% OF ALL U.S. CONSUMER SPENDING.

CENTERS FOR DISEASE CONTROL AND PREVENTION…THE LEAD FEDERAL AGENCY RESPONSIBLE FOR PROTECTING THE HEALTH OF THE AMERICAN PUBLIC THROUGH MONITORING OF DISEASE TRENDS, INVESTIGATION OF OUTBREAKS, AND IMPLEMENTATION OF ILLNESS AND INJURY CONTROL AND PREVENTION INTERVENTIONS.

AGENCY FOR TOXIC SUBSTANCES AND DISEASE REGISTRY AGENCY FOR TOXIC SUBSTANCES AND DISEASE REGISTRY. SEEKS TO PREVENT EXPOSURE TO HAZARDOUS WASTE SITES.

INDIAN HEALTH SERVICE…HAS 49 HOSPITALS, 247 HEALTH CENTERS, 4 SCHOOLS HEALTH CENTERS AND 348 HEALTH STATIONS. PROVIDES SERVICES TO 1.5 AMERICAN INDIANS AND ALASKAN NATIVES.

CENTERS FOR MEDICARE AND MEDICAID SERVICES CENTERS FOR MEDICARE AND MEDICAID SERVICES. CREATED IN 2004 UNDER THE MEDICARE MODERNIZATION ACT (MMA) CMS IS RESPONSIBLE FOR MEDICARE, MEDICAID, STATE CHILDREN’S HEALTH INSURANCE PROGRAM (SCHIP), HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA), AND CLINICAL IMPROVEMENT IMPROVEMENT AMENDMENT.

ALL AGENCIES ADMINISTRATION FOR CHILDEN AND FAMILIES ADMINISTRATION FOR AGING AGENCY FOR HEALTHCARE RESEARCH AND QUALITY AGENCY FOR TOXIC SUBSTANCE AND DISEASE REGISTRY

CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) FOOD AND DRUG ADMINISTRATION (FDA) HEALTH RESOURCES AND SERVICES ADMINISTRATION

INDIAN HEALTH SERVICE NATIONAL INSTITUTES OF HEALTH PROGRAM SUPPORT CENTER (PSC) SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

DEPARTMENT OF HEALTH AND HUMAN SERVICES STRATEGIC PLAN FY 2001-2006

CORE VALUES

TO DELIVER RESULTS THAT ARE SATISFACTORY AND MEANINGFUL BOTH TO THE PEOPLE AND COMMUNITIESTHAT ARE DIRECTLY SERVED BY THE DEPARTMENT’S PROGRAMS, AND TO THE AMERICAN PEOPLE WHO PAY FOR THESE PROGRAMS.

TO BE AN ACCOUNTABLE STEWARD OF THE DEPARTMENT’S PROGRAMS AND TO ENHANCE THE EFFICIENCY AND QUALITY OF THE SERVICES PROVIDED TO ITS CUSTOMERS.

TO PROTECT AGAINST DISCRIMINATION IN THE PROVISION OF HEALTH AND HUMAN SERVICES.

TO FOCUS CONSISTENTLY ON THE PREVENTION OF HEALTH AND SOCIAL PROBLEMS.

TO MAINTAIN A WORK ENVIRONMENT THAT ENCOURAGES CREATIVITY, DIVERSITY, INNOVATION, TEAMWORK, ACCOUNTABILITY, AND CONTINUOUS LEARNING.

STRATEGIC GOALS

REDUCE THE MAJOR THREATS TO THE HEALTH AND PRODUCTIVITY OF ALL AMERICANS

IMPROVE THE ECONOMIC AND SOCIAL WELL-BEING OF INDIVIDUALS, FAMILIES, AND COMMUNITIES IN THE UNITED STATES.

IMPROVE ACCESS TO HEALTH SERVICES AND ENSURE THE INTEGRITY OF THE NATION’S HEALTH ENTITLEMENT AND SAFETY NET PROGRAMS.

GOAL NUMBER THREE EXPANDED TO IMPROVE ACCESS….. OVER 45 MILLION AMERICANS LACK HEALTH INSURANCE…INCLUDING MANY CHILDREN.

OVER 2000 COUNTIES IN THE UNITED STATES ARE DESIGNATED HEALTH PROFESSION SHORTAGE AREAS.

ACCESS TO TREATMENT FOR PERSONS WITH HIV/AIDS, ESTIMATED TO BE $20,000 A YEAR, WOULD BE SEVERELY LIMITED WITHOUT SUPPORT FOR THE COST OF DRUG THERAPIES AND RELATED SERVICES

LESS THAN ONE-THIRD OF ADULTS WITH A DIAGNOSABLE MENTAL DISORDER RECEIVES TREATMENT IN A GIVEN YEAR.

COST OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS IS NOT AFFORDABLE BY MANY FAMILIES.

38 PERCENT OF HISPANIC, 24 PERCENT OF AFRICAN-AMERICAN ADULTS ARE WITHOUT HEALTH INSURANCE COMPARED WITH 14% FOR WHITE ADULTS.

INFANT MORTALITY RATES ARE HIGHER FOR MINORITY GROUPS.

REDUCE FRAUD WHICH IS NOW ESTIMATED TO BE ABOUT 33 BILLION DOLLARS A YEAR. WILL SPEND 1.3 BILLION COMBATING FRAUD IN THE 2008 BUDGET.

OBJECTIVES

OBJECTIVE INCREASE THE PERCENTAGE OF THE NATION’S CHILDREN AND ADULTS WHO HAVE HEALTH INSURANCE COVERAGE.

CONTINUE TO ASSIST STATES IN IDENTIFYING AND ENROLL ELIGIBLE CHILDREN AND ADULTS IN MEDICAID, STATE CHILDREN’S HEALTH INSURANCE PROGRAM, AND OTHERS.

OBJECTIVE ELIMINATE DISPARITIES IN HEALTH ACCESS AND OUTCOMES

OBJECTIVE INCREASE THE AVAILABILITY OF PRIMARY HEALTH CARE SERVICES FOR UNDER-SERVED POPULATIONS

OBJECTIVE PROTECT AND IMPROVE THE HEALTH AND SATISFACTION OF BENEFICIARIES IN MEDICARE AND MEDICAID

ENHANCE THE FISCAL INTEGRITY OF CMS PROGRAMS AND PURCHASE THE BEST VALUE HEALTH CARE FOR BENEFICIARIES

WILL CARRY OUT AN INTENSE FRAUD AND CONTROL PROGRAM.

OBJECTIVE INCREASE THE AVAILABILITY AND EFFECTIVENESS OF SERVICES FOR THE TREATMENT AND MANAGEMENT OF HIV/AIDS

OBJECTIVE INCREASE THE AVAILABLITY AND EFFECTIVENESS OF MENTAL HEALTH CARE SERVICES.

WILL CARRY OUT RESEARCH AND KNOWLEDGE DEVELOPMENT ACTIVITIES TO IMPROVE THE EFFECTIVENESS OF MENTAL HEALTH SERVICES.

OBJECTIVE INCREASE THE AVAILABILITY AND EFFECTIVENESS OF HEALTH SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS.

c End of lecture for September 7th 2009, 7TH Period Questions? Discussion?