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From page 275... ... measuring and evaluating value budget/funding, 8, 10, 28, 29, 35, 74, 97-98, 127, 134-138 57, 77, 89, 96, 152, 172 performance assessment comparative effectiveness systems, 127-131, 132 research, 89 n.2, 96, 187, 190, performance improvement plans, 229-231, 257 131 data collection and sharing, 8, program implementation and 11, 51, 187, 190, 228-229 results, 19, 48, 126, 132, 173 director's term and selection ratings, 130-131 process, 56 275 Read the entire page →
From page 276... ... , 26, 42, 47, 61, 62, 64, Center for Food Safety and Applied 165, 205, 214, 224, 227, 250 Nutrition, 78-79 Association of State and Territorial Center for Veterinary Medicine, Health Officials, 118 76-79 Autism, 73, 237 Centers for Disease Control and Prevention budget allocations, 10, 28, 29, B 35, 48, 57, 76, 77, 152, 172 data collection and sharing, 11, Baby boom generation, 1, 21, 109, 51, 187, 190, 262 113 n.4, 134, 224 director's term and selection Balanced Scorecard, 132 process, 9, 34-35, 56, 62, 66, Beering, Steven, 121 68, 94, 171-172 Best Pharmaceuticals for Children food safety functions, 79-80, 82 Act, 220 mission and responsibilities, 7, Biomedical research, 73, 74 166 Bioterrorism, 1, 41, 102 organizational structure, 26, 62, Budget for HHS, 1. See also 165, 214, 219 individual agencies origin, 27, 219 continuing resolutions, 76 science base and scientific departments compared, 21, 22 credibility, 75 Read the entire page →
From page 277... ... utilization, 50 administrator selection and term, workforce shortages, 114 60, 205 Comparative Effectiveness budget allocation, 28, 29, 69 Advisory Board, 89 n.2 data collection and sharing, 11, Comparative effectiveness research 94, 135, 187, 190 by AHRQ, 89 n.2, 96, 187, 190, graduate medical education 229-231, 257 funding, 115 and clinical decision making, 94 health care expenditures, 10, 29, data collection and sharing, 11, 60, 90, 91, 92, 93 n.4, 185 12, 87, 93, 175, 186, 190 n.14, 189 n.16 defined, 178 n.5 mission, 166 evaluative framework, 179-183 organizational structure, 62, 165 evolution of the field, 182-183 oversight, 199 foreign models, 176, 177-178, role in evidence-based care and 185-186 HTA issues, 11, 88-89, 94, health information technology 96-97, 135, 141, 187, 190 and, 101-103 reimbursement policies, 10, 35, holistic approach, 179, 182-183 76, 88, 97, 115, 141 n.9, 185, impact on cost of care, 184-185 186 objections to cost-effectiveness statutory requirements and analysis, 183-190 restrictions, 141, 213, 217- separation of costs from, 183 218, 227 Comparative Effectiveness Charge to committee, 24-25, 163- Research Act of 2008, 89 n.2 164 Comprehensive Environmental assumptions and approach, 3-4 Response, Compensation, and statement of task, 2-3 Liability Act, 223 Children's Health and Medicare Congress. See also Protection Act, 89 n.2 Recommendations to Chronic disease management, 1, Congress 11, 12, 14, 25, 26, 40, 42, 59, appointment process for key 72, 91, 92, 97, 102, 114, 119, officials, 9, 34, 35, 56, 67 n.3, 185, 187, 189 68, 171-172, 205, 220, 242Climate change, 25, 41, 64, 75 243 Collins, Jim, 105 appropriations and earmarks, 5, Commissioned Corps, 8, 34, 55, 64, 141 66, 171. Read the entire page →
From page 278... ... See Health care costs/ spending E Council for Excellence in Government, 109, 130 n.5 Economy, health care cost and, 50 Council of Teaching Hospitals and Egg Products Inspection Act, 226 Health Systems, 91, 92 Eisenhower, Dwight D., 55, 192, Council on Graduate Medical 210 Education, 115 Elders, Joycelyn, 64 Embryonic stem cell research, 64, 74 D Emerging infections, 1, 25, 41, 102 Emerging Leaders Program, 110 Data collection and information Employee Retirement Income systems. See also Health Security Act, 42 information technology Enhanced Health Care Value for for accountability, 10, 16-17, 18- All Act, 89 n.2 19, 47, 134-139 Evidence-based practices. Read the entire page →
From page 279... ... . See also Food safety accountability, 81 regulations globalization and, 80 accountability, 62, 197 oversight, 8, 80-81 budget allocation, 10, 17, 28, 29, unification of FDA and FSIS 35, 48, 57, 77, 83 n.10, 152, activities, 10, 35, 57, 78-79, 172 81-83, 172 commissioner's term and weaknesses in, 8, 78-81 selection process, 9, 34-35, 56, Foundation for the National 66, 67 n.3, 68, 171-172, 204, Institutes of Health, 248 205 congressional oversight, 17, 43, 142 G data collection and sharing, 11, 51, 94, 135, 187, 190 Gerberding, Julie, 75 food safety regulation, 78-83 Goals and goal setting by HHS, 4, health technology assessment, 6 180-181 and accountability, 5, 16, 45, integration and coordination with 127, 128, 129 other agencies, 10, 35, 57, 78, data collection based on, 135 80-82, 83, 151, 172, 212 department-wide objectives, 128 mission and responsibilities, 7, 8, five-year strategic plan, 16 n.3, 79-80, 167 73-74, 128, 129, 130, 131, 134 Read the entire page →
From page 280... ... See also specific required characteristics, 45-46 challenges secretary's 500-day plan, 128, cross-department collaboration, 130 41, 42 and vision for health, 40, 46 goal setting, 46 Gross domestic product, 10, 50 greatest, 49 identifying and prioritizing, 40 43 H overview, 1-2, 25, 40-41 public health, 69 Head Start, 23, 59, 71 Health information technology Health Care Comparative and accountability, 102-103 Effectiveness Research and comparative effectiveness Institute, 89 n.2 research, 101-103 Health care costs/spending. See electronic medical records, 11, also Health reform 12, 100-103 CMS expenditures, 10, 29, 60, food safety-related, 78-79 90, 91, 92, 93 n.4, 185 n.14, incentives for adopting, 102 189 n.16 public health benefits, 101-102 CMS reimbursement strategies public information, 11, 12, 98 and, 88, 185, 187, 189 100 comparative effectiveness and, 185, 189 Read the entire page →
From page 281... ... assessment strategy, 106, 119 budget allocation, 28, 29 120 data collection and sharing, 51 hiring practices, 111, 140 mission, 167 information technology organizational structure, 26, 165, personnel, 111 222, 226-227 leadership and management statutory requirements and training, 110 n.3 constraints, 222, 235, 236, leadership selection and term 256-262 length, 9, 34-35, 56, 61, 66 workforce training programs, 68, 72, 171-172, 202-205 116, 117, 256 minority representation, 14 Health technology assessment, 101- organizations promoting public 103. See also Comparative service careers, 109 effectiveness research performance rewards, 15, 105Health workforce 106, 112-113, 134 advanced practice nurses and recruitment strategies, 14, 15, 65, physician assistants, 14, 115- 105, 108, 110, 111-113, 140, 116 204 clinical care, 113-117 retirement rates, 108-109 Read the entire page →
From page 282... ... See also 187, 190 Data collection and flexibility in, 5, 17, 18, 33, 37, information systems; Health 41, 46, 111, 112, 125, 126, information technology 139-144, 150, 171, 173 workforce shortages, 111 foreign models for HTA, 177Institute of Medicine, 2, 24, 49, 69 178 n.4, 70, 81, 88, 106, 110, 187 general principles, 156-157 Intermountain Healthcare, 90 political pressure and interference, 64, 72, 74-47, 60-63 K political pressure and interference, 64, 72, 74-75 Kaplan, Robert, 132 positions reporting to the King, Martin Luther, Jr., 44 secretary of HHS, 7, 8-9, 46Koop, C Everett, 63, 64 47, 60-63 public health agenda, 69-72 Marine Hospital Service, 27 Mayo Clinic, 90 McKinsey Global Institute, 179 n.6 Read the entire page →
From page 283... ... See also Substance mission and responsibilities, 7, Abuse and Mental Health 167, 220, 243-244, 245-249, Services Administration 253 Mission, 47-48 organizational structure, 26, 62, agencies of HHS, 3 165, 212, 214, 220, 221, 249 HHS, 2, 4, 27, 40, 45 origin, 27 and vision for health, 40 and public health emergencies, 247 Scientific Management Review N Board, 222 statutory requirements and National Academy of Sciences, 67 constraints, 220-222, 236, National Aeronautics and Space 242-249 Administration, 22, 45, 194 trans-institute initiatives, 143National Association of County and 144, 246 City Health Officials, 118 workforce, 62, 66, 243, 247, 248 National Board of Public Health National Institutes of Health Examiners, 118 Reform Act of 2006, 222 National Center for Health National Marine Fisheries Service, Statistics, 17, 215, 228 80 National Institute for Clinical National Science Board, 121 Excellence (UK) , 176, 177 National Science Foundation, 22, n.2,186 67 n.3 Natural disasters, 41, 64 n.1 Read the entire page →
From page 284... ... , 16 n.3, 127, 128, 131, Technology, 28, 165 197 Older Americans Act, 212 Presidential Management Fellows Organizational structure of HHS. program, 110 See also Management and Private sector decision making; partnering with HHS, 3, 15, 46, Reorganization of HHS; 72 Secretary of HHS; Structure of strategic planning role, 42 HHS; individual agencies Program Assessment Rating Tool alignment of agency activities, 3, (PART) Read the entire page →
From page 285... ... , 9, 34Public Health Service Act, 209, 35, 56, 68, 171-172 211, 212-213, 214-216, 218, outcome-based programs and 219, 220-221, 222, 223, 227, reimbursement policies (3b) , 232, 249, 256, 257 12-13, 35, 88, 98, 172 Public information strategic initiative fund (5g) Read the entire page →
From page 286... ... , scholars, 120 6, 34, 39, 43-44 lack of interest in, 15, 16 public health programs and minority underrepresentation, reimbursement policies (2f) , 120 9-10, 12, 13, 35, 56, 72 workforce shortages, 13, 14, 107, public information on prevention 120-121 and treatment options (3d) Read the entire page →
From page 287... ... See also 224, 249-250 Organizational structure of AHRQ, 218-219, 228-2 HHS; Reorganization of HHS barriers to reorganization, 226- challenges, 3, 57-59 227 food safety regulation, 8, 58, 78 CDC, 219, 231-240 83 CMS, 217-218 internal challenges, 46-47 constraints on HHS organization, leadership selection process and 227-262 terms of office, 7, 66-68 Department of Veterans Affairs opportunities for change, 32-33 undersecretary for health, 225 origins, 23, 25-27 FDA, 220, 241-242 and performance, 30, 44, 191 health functions of other federal planning, see Strategic planning offices, 225-226 public health agenda, 7-8, 69-72 Health Resources and Services research funding, 8, 76-77 Administration, 222, 256-262 scientific expertise, 7, 8, 73-76 history of secretary's exercise of Substance Abuse and Mental reorganization authority, 213- Health Services 226 Administration (SAMHSA) Indian health Service, 224, 250- budget allocation, 28, 29 251 mission, 167 NIH, 220-222, 242-249 organizational structure, 26, 165, regional offices, 224 214, 223 reorganization authority, 215- origin, 223 216 statutory requirements and Reorganization Plan No. Read the entire page →
From page 288... ... . See Accountability at HHS; individual agencies, offices, T and programs activities and programs, 1, 22-23 Taylor, Frederick, 207 alignment of agencies and Temporary Assistance for Needy programs, see Organizational Families, 23, 216, 217 structure of HHS; Structure of Terry, Luther L., 63 HHS Thompson, Tommy, 169, 196, 197 budget, see Budget for HHS Tobacco control programs, 26, 42, decision making, see 63, 129 Accountability at HHS; Transition to new secretary Management and decision continuity throughout tenure, making; Secretary of HHS 153-155 goals, see Goals and goal first 90 days, 150-151 setting by HHS first year in office, 151-153 international relationships, 23-24 general principles, 19-20, 156- leadership, see Assistant 157 secretary for health; HHS and restructuring, 31 workforce; Secretary of HHS scenario, 148 mission, 2, 4, 27, 40, 45, 69 steps, 149-155 organization, see Organizational Truman, Harry S., 21 structure of HHS; Reorganization of HHS; Structure of HHS U oversight, 132 performance, 44 Uninsured Americans, 1, 50, 70 planning, see Strategic planning U.S. Read the entire page →
From page 289... ... Public Health Service. See comparative effectiveness also specific offices and research, 67, 89-93, 101-103, agencies 175-190 accountability, 70 data collection and sharing, 87, alignment and flexibility in, 69- 101-103 70, 71-72 electronic information attributes of integrated agenda, capabilities, 98, 100-103 71-72 evidence-based care, 1, 11, 13, Commissioned Corps, 8, 34, 55, 94-98 64, 66, 171; see also Surgeon home care technologies, 99 general and innovation, 178 n.4, 181-182 communicable disease control, n.10, 186 27 integrated care, 11, 92-93, 97, emergency response funding, 46, 101, 176 64 legislation, 89 n.2 Read the entire page →
From page 290... ... See also Strategic planning Vulnerable populations access to care, 7, 9-10, 35, 40, 41, 56, 58, 71, 72, 107, 117, 181 n.9 programs for, 216-217 W Waxman, Henry A., 2, 24, 163, 187, 190 WebMD, 99 Workforce. See Health workforce; HHS workforce; Science-base professions World Health Organization, 41 Read the entire page →

From page 275...

... measuring and evaluating value budget/funding, 8, 10, 28, 29, 35, 74, 97-98, 127, 134-138 57, 77, 89, 96, 152, 172 performance assessment comparative effectiveness systems, 127-131, 132 research, 89 n.2, 96, 187, 190, performance improvement plans, 229-231, 257 131 data collection and sharing, 8, program implementation and 11, 51, 187, 190, 228-229 results, 19, 48, 126, 132, 173 director's term and selection ratings, 130-131 process, 56 275

Index Pages 275-290

Index
Pages 275-290