HHS in the 21st Century Charting a New Course for a Healthier America (2009) / Chapter Skim
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7 The Transition
7 The Transition
Pages 147-158
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From page 147... ...
1 Frances Perkins, "The Roots of Social Security," address delivered at the Social Security Administration, Baltimore, Maryland (October 23, 1962)
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From page 148... ...
Some current executives want to stay -- not always the most ef fective ones; interest groups recommend various candidates; congressional committee chairs propose their top aides; and the Presi dent-elect's transition team and others put forward individuals, some with little familiarity with the substance of health policy or the health sci ences. By January 19, the next secretary has barely had time to think.
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From page 149... ...
THE TRANSITION 149 TRANSITION STEPS Table 7-1 presents informal advice for achieving a successful transition to a new secretary's tenure. Most of the steps correspond to recommendations contained in this report or originated in discussions of the committee or the summary of interviews with former secretaries, included as Appendix G
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From page 150... ...
Set a standard of excellence, ensuring scientific and administrative integrity; include career officials to build trust and use knowledge; hold regular meetings to jointly review budget and operations; pro mote long fixed terms for key science heads. 2 Determine early policy priorities (Chapter 2)
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Reorganization efforts suggested include reducing the number of positions reporting directly to the secretary, and unifying FDA and USDA food safety ac tivities within HHS. continued 151
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The department should play a major role in national health reform efforts because it will ultimately inherit the responsibility of implementing any health reform legislation that is enacted. 4 Review plans and obtain funding for an improved information Commission rapid review of the current information sys system (Chapter 6)
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. Examine HHS programs from the perspective of indi viduals who use them -- health care providers, state and local health departments, researchers, patients and fami lies, manufacturers and distributors of regulated products, and so on.
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From page 154... ...
8 Promote electronic information capabilities, including electronic Help the health care system move into the twenty-first health records (Chapters 4 and 5)
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. 11 Continue emphasis on "value" in health care (Chapter 4)
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From page 156... ...
Where scientific opinions differ, the department must have a credible, transparent mechanism for resolving disputes. • Use department leverage to improve the health care system -- The department has unequalled influence over the nation's entire health care system and needs to use that leverage to encourage (a)
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From page 157... ...
• Look for partners everywhere -- Today's health challenges require new, more effective collaborations -- with Congress, with the White House and other federal departments, with state and local government and public health agencies, with health care professionals and providers, with health care leaders worldwide, with the private sector, and with the public.
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