1. Component 1: Introduction to Health Care and Public Health in the U.S. 1.1: Unit 2: Health Care Settings 1.2 a: Overview and the Organization of Federal Health Care

2. Objectives Of This Unit Describe the organization of healthcare at the federal, state, and local levels Describe the organization of the VA and military system Describe the structure and function of hospital clinical and administrative units Describe different types of long term care facilities, with an emphasis on their function Component 1/Unit 2a2 Health IT Workforce Curriculum Version 1.0/Fall 2010

3. Overview This unit discusses health care settings in terms of where care is rendered and how these settings are organized. The discussion begins at the federal level, works down to the state level, then finally to the local level. Component 1/Unit 2a3 Health IT Workforce Curriculum Version 1.0/Fall 2010

4. Overview (cont’d) At the local level, the organization of different health care provider settings is discussed. Although the US does not have national health care, the VA and the military health care systems are financed by the federal government and will be discussed. Component 1/Unit 2a4 Health IT Workforce Curriculum Version 1.0/Fall 2010

5. The Organization of Federal Health Care US Department of Health and Human Services Directly supervises the following departments – OS - Office of the Secretary OS – ACF - Administration for Children & Families ACF – AoA - Administration on Aging AoA – AHRQ - Agency for Healthcare Research & Quality AHRQ – ATSDR - Agency for Toxic Substances & Disease ATSDR – CDC - Centers for Disease Control & Prevention CDC Component 1/Unit 2a5 Health IT Workforce Curriculum Version 1.0/Fall 2010

6. The Organization of Federal Health Care (cont’d) US Department of Health and Human Services – CMS - Centers for Medicare & Medicaid Services CMS – FDA - Food & Drug Administration FDA – HRSA - Health Resources & Services Administration HRSA – IHS - Indian Health Service IHS – NIH - National Institutes of Health NIH – OIG - Office of Inspector General OIG – SAMHSA - Substance Abuse & Mental Health Services Administration SAMHSA Component 1/Unit 2a6 Health IT Workforce Curriculum Version 1.0/Fall 2010

7. The Organization of Federal Health Care (cont’d) Office of the Secretary – Principle agency for protecting the health of Americans. – 11 operating divisions- Administration for Children and Families, Administration on Aging, Administration on Healthcare Research and Quality, Agency for Toxic Substances and Disease Registry, Centers for Medicare and Medicaid Services, Health Research and Services Administration, National Institutes of Health, Office of the Inspector General, Substance Abuse and Mental Health Services Administration, Centers for Disease Control and Prevention, Food and Drug Administration, and the Indian Health Service. Component 1/Unit 2a7 Health IT Workforce Curriculum Version 1.0/Fall 2010

8. The Organization of Federal Health Care (cont’d) ACF - Administration for Children & Families ACF – responsible for federal programs that promote the economic and social well- being of families, children, individuals, and communities. Component 1/Unit 2a8 Health IT Workforce Curriculum Version 1.0/Fall 2010

9. The Organization of Federal Health Care (cont’d) AoA - Administration on Aging AoA – The Administration on Aging (AoA) is the Federal agency responsible for advancing the concerns and interests of older people and their caregivers. AoA works with and through the Aging Services Network to promote the development of a comprehensive and coordinated system of home and community-based long-term care that is responsive to the needs and preferences of older people and their family caregivers. Component 1/Unit 2a9 Health IT Workforce Curriculum Version 1.0/Fall 2010

10. The Organization of Federal Health Care (cont’d) AoA - Administration on Aging (cont’d) AoA – AoA is part of the Department of Health and Human Services and is headed by the Assistant Secretary for Aging, who reports directly to the Secretary. Component 1/Unit 2a10 Health IT Workforce Curriculum Version 1.0/Fall 2010

11. The Organization of Federal Health Care (cont’d) AHRQ - Agency for Healthcare Research & Quality AHRQ AHRQ's Focus and Strategic Goals – AHRQ is committed to improving care safety and quality by developing successful partnerships and generating the knowledge and tools required for long-term improvement. Component 1/Unit 2a11 Health IT Workforce Curriculum Version 1.0/Fall 2010

12. The Organization of Federal Health Care (cont’d) AHRQ's Focus and Strategic Goals (cont’d) – The goal of our research is measurable improvements in health care in America, gauged in terms of improved quality of life and patient outcomes, lives saved, and value gained for what we spend. Component 1/Unit 2a12 Health IT Workforce Curriculum Version 1.0/Fall 2010

13. The Organization of Federal Health Care (cont’d) ATSDR - Agency for Toxic Substances & Disease ATSDR – The Agency for Toxic Substances and Disease Registry (ATSDR), based in Atlanta, Georgia, is a federal public health agency of the U.S. Department of Health and Human Services. Component 1/Unit 2a13 Health IT Workforce Curriculum Version 1.0/Fall 2010

14. The Organization of Federal Health Care (cont’d) ATSDR - Agency for Toxic Substances & Disease (cont’d) ATSDR – ATSDR serves the public by using the best science, taking responsive public health actions, and providing trusted health information to prevent harmful exposures and diseases related to toxic substances. Component 1/Unit 2a14 Health IT Workforce Curriculum Version 1.0/Fall 2010

15. The Organization of Federal Health Care (cont’d) CDC - Centers for Disease Control & Prevention CDC – CDC′s Mission is to collaborate to create the expertise, information, and tools that people and communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threats. Component 1/Unit 2a15 Health IT Workforce Curriculum Version 1.0/Fall 2010

16. The Organization of Federal Health Care (cont’d) CMS - Centers for Medicare & Medicaid Services CMS CMS' Mission - To ensure effective, up-to-date health care coverage and to promote quality care for beneficiaries Component 1/Unit 2a16 Health IT Workforce Curriculum Version 1.0/Fall 2010

17. The Organization of Federal Health Care (cont’d) CMS - Centers for Medicare & Medicaid Services (cont’d) CMS CMS' Vision- To achieve a transformed and modernized health care system. CMS will accomplish our mission by continuing to transform and modernize America's health care system. Component 1/Unit 2a17 Health IT Workforce Curriculum Version 1.0/Fall 2010

18. The Organization of Federal Health Care (cont’d) FDA - Food & Drug Administration FDA – The FDA is responsible for protecting the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation’s food supply, cosmetics, products that emit radiation, and tobacco products. Component 1/Unit 2a18 Health IT Workforce Curriculum Version 1.0/Fall 2010

19. The Organization of Federal Health Care (cont’d) FDA - Food & Drug Administration (cont’d) FDA – The FDA is also responsible for advancing the public health by helping to speed innovations that make medicines and foods more effective, safer, and more affordable; and helping the public get the accurate, science-based information they need to use medicines and foods to improve their health. Component 1/Unit 2a19 Health IT Workforce Curriculum Version 1.0/Fall 2010

20. The Organization of Federal Health Care (cont’d) HRSA - Health Resources & Services Administration HRSA – The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable Component 1/Unit 2a20 Health IT Workforce Curriculum Version 1.0/Fall 2010

21. The Organization of Federal Health Care (cont’d) IHS - Indian Health Service IHS – Our Mission... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. – Our Goal... to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people. Component 1/Unit 2a21 Health IT Workforce Curriculum Version 1.0/Fall 2010

22. The Organization of Federal Health Care (cont’d) IHS - Indian Health Service (cont’d) IHS – Our Foundation... to uphold the Federal Government's obligation to promote healthy American Indian and Alaska Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes. Component 1/Unit 2a22 Health IT Workforce Curriculum Version 1.0/Fall 2010

23. The Organization of Federal Health Care (cont’d) NIH - National Institutes of Health NIH – NIH’s mission is to seek fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce the burdens of illness and disability. Component 1/Unit 2a23 Health IT Workforce Curriculum Version 1.0/Fall 2010

24. The Organization of Federal Health Care (cont’d) NIH - National Institutes of Health (cont’d) NIH – Goals- Foster creative discovery; develop, maintain, and renew resources to ensure the nation’s capability to prevent disease; expand the knowledge base in medical and associated sciences; and exemplify and promote the highest level of scientific integrity, public accountability, and social responsibility in the conduct of science. Component 1/Unit 2a24 Health IT Workforce Curriculum Version 1.0/Fall 2010

25. The Organization of Federal Health Care (cont’d) OIG - Office of Inspector General OIG – The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452 (as amended), is to protect the integrity of Department of Health and Human Services (HHS) programs, as well as the health and welfare of the beneficiaries of those programs. Component 1/Unit 2a25 Health IT Workforce Curriculum Version 1.0/Fall 2010

26. The Organization of Federal Health Care (cont’d) OIG - Office of Inspector General (cont’d) OIG – The OIG has a responsibility to report both to the Secretary and to the Congress program and management problems and recommendations to correct them. The OIG's duties are carried out through a nationwide network of audits, investigations, inspections and other mission- related functions performed by OIG components. Component 1/Unit 2a26 Health IT Workforce Curriculum Version 1.0/Fall 2010

27. The Organization of Federal Health Care (cont’d) SAMHSA - Substance Abuse & Mental Health Services Administration SAMHSA – SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities. The Agency was established in 1992 and directed by Congress to target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and more rapidly into the general health care system. Component 1/Unit 2a27 Health IT Workforce Curriculum Version 1.0/Fall 2010

28. The Organization of Federal Health Care (cont’d) SAMHSA - Substance Abuse & Mental Health Services Administration (cont’d) SAMHSA – Over the years SAMHSA has demonstrated that - prevention works, treatment is effective, and people recover from mental and substance use disorders. Behavioral health services improve health status and reduce health care and other costs to society. Continued improvement in the delivery and financing of prevention, treatment and recovery support services provides a cost effective opportunity to advance and protect the Nation’s health. Component 1/Unit 2a28 Health IT Workforce Curriculum Version 1.0/Fall 2010

29. The Organization of Federal Health Care (cont’d) Summary – The US Department of Health and Human Services is the branch of the federal government which is charged with advancing and maintaining the health of the American people. It has 11 operating departments that oversee hundreds of agencies and offices. Component 1/Unit 2a29 Health IT Workforce Curriculum Version 1.0/Fall 2010