HEALTH AND HUMAN SERVICES AN OVERVIEW

HISTORICAL HIGHLIGHTS DEPARTMENT OF HEALTH AND HUMAN SERVICES

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

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

b b 1862 b b 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.

b b 1887 b b 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.

b b 1906 b b 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.

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

b b 1935 b b CONGRESS PASSED THE SOCIAL SECURITY ACT

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

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

b b 1955 b b LICENSING OF SALK POLIO VACCINE.

b b 1961 b b FIRST WHITE HOUSE CONFERENCE ON AGING.

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

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

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

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

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

b b 1970 b b CREATION OF THE NATIONAL HEALTH SERVICE CORPS.

b b 1971 b b NATIONAL CANCER ACT SIGNED INTO LAW.

b b 1975 b b CHILD SUPPORT ENFORCEMENT PROGRAM ESTABLISHED.

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

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

b b 1981 b b 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.

b b 1984 b b NATIONAL ORGAN TRANSPLANTATION SIGNED INTO LAW.

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

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

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

b b 1995 b b THE SOCIAL SECURITY ADMINISTRATION BECAME AN INDEPENDENT AGENCY.

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

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

b 2004 b MEDICARE MODERNIZATION ACT WAS PASSED.

b 2010 b Affordable Health Care Act

b b HEALTH AND HUMAN SERVICES b b FACTS AND INFORMATION

b HHS BUDGET IN FY 2013 (proposed) b $941 BILLION b HHS EMPLOYEES b 68,000

b b 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.

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

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

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

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

b b COMPREHENSIVE HEALTH SERVICES DELIVERY FOR AMERICAN INDIANS AND ALASKAN NATIVES

b b 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 DIVISIONSMAJOR PUBLIC HEALTH SERVICE OPERATING DIVISIONS

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

b b 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.

b b 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.

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

b b 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.

b. CREATED IN 2004 UNDER THE MEDICARE MODERNIZATION ACT (MMA) b CENTERS FOR MEDICARE AND MEDICAID SERVICES. CREATED IN 2004 UNDER THE MEDICARE MODERNIZATION ACT (MMA) b 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.

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

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

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

b b DEPARTMENT OF HEALTH AND HUMAN SERVICES b b STRATEGIC PLAN FY

Goal 1: Transform Health Care

Objective A: Make coverage more secure for those who have insurance, and extend affordable coverage to the uninsured

Objective B: Improve healthcare quality and patient safety

Objective C: Emphasize primary and preventive care linked with community prevention services

Objective D: Reduce the growth of healthcare costs while promoting high-value, effective care

Objective E: Ensure access to quality, culturally competent care for vulnerable populations

Objective F: Promote the adoption and meaningful use of health information technology

Goal 2: Advance Scientific Knowledge and Innovation Goal 3: Advance the Health, Safety, and Well-Being of the American People Goal 4: Increase Efficiency, Transparency, and Accountability of HHS Programs

Goal 5: Strengthen the Nation’s Health and Human Service Infrastructure and Workforce

b End of lecture for August 29 th 2012 b 7 TH Period b Questions? b Discussion?