HEALTH AND HUMAN SERVICES

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HEALTH AND HUMAN SERVICES

• AN OVERVIEW

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

• HISTORICAL HIGHLIGHTS

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

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• 1798
• THE FIRST MARINE HOSPITAL, A FORERUNNER OF
  TODAYS PUBLIC HEALTH SERVICE, WAS ESTABLISHED TO
  CARE FOR SEAFARERS.

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• 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.

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• 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.

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• 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 HHSS FOOD AND DRUG
  ADMINISTRATION.

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• 1912
• PRESIDENT THEODORE ROOSEVELTS FIRST WHITE HOUSE
  CONFERENCE URGED CREATION OF A CHILDRENS BUREAU
  TO COMBAT EXPLOITATION OF CHILDREN.

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• 1935
• CONGRESS PASSED THE SOCIAL SECURITY ACT

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

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

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• 1955
• LICENSING OF SALK POLIO VACCINE.

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• 1961
• FIRST WHITE HOUSE CONFERENCE ON AGING.

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

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• 1964
• RELEASE OF THE FIRST SURGEON GENERALS REPORT ON
  SMOKING AND HEALTH.

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

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

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

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• 1970
• CREATION OF THE NATIONAL HEALTH SERVICE CORPS.

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• 1971
• NATIONAL CANCER ACT SIGNED INTO LAW.

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• 1975
• CHILD SUPPORT ENFORCEMENT PROGRAM ESTABLISHED.

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

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

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• 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.

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• 1984
• NATIONAL ORGAN TRANSPLANTATION SIGNED INTO LAW.

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• 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.

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

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• 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.

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

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

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

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• 2004
• MEDICARE MODERNIZATION ACT WAS PASSED.

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• HEALTH AND HUMAN SERVICES
• FACTS AND INFORMATION

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• HHS BUDGET IN FY 2010 (proposed)
• 879 BILLION
• HHS EMPLOYEES
• 68,000

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

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

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

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

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

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• COMPREHENSIVE HEALTH SERVICES DELIVERY FOR
  AMERICAN INDIANS AND ALASKAN NATIVES

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

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• MAJOR PUBLIC HEALTH SERVICE OPERATING DIVISIONS

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• NATIONAL INSTITUTES OF HEALTHWORLDS PREMIER
  MEDICAL RESEARCH ORGANIZATION, SUPPORTING SOME
  38,000 RESEARCH PROJECTS

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• 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.

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• CENTERS FOR DISEASE CONTROL AND PREVENTIONTHE
  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.

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

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

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

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

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

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

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

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• CORE VALUES

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

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• TO BE AN ACCOUNTABLE STEWARD OF THE DEPARTMENTS
  PROGRAMS AND TO ENHANCE THE EFFICIENCY AND
  QUALITY OF THE SERVICES PROVIDED TO ITS
  CUSTOMERS.

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

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

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

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• STRATEGIC GOALS

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

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

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• IMPROVE ACCESS TO HEALTH SERVICES AND ENSURE THE
  INTEGRITY OF THE NATIONS HEALTH ENTITLEMENT AND
  SAFETY NET PROGRAMS.

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• GOAL NUMBER THREE EXPANDED
• TO IMPROVE ACCESS..
• OVER 45 MILLION AMERICANS LACK HEALTH
  INSURANCEINCLUDING MANY CHILDREN.

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

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• 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

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

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

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

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• INFANT MORTALITY RATES ARE HIGHER FOR MINORITY
  GROUPS.

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• 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.

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• OBJECTIVES

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OBJECTIVE

• INCREASE THE PERCENTAGE OF THE NATIONS CHILDREN
  AND ADULTS WHO HAVE HEALTH INSURANCE COVERAGE.

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

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OBJECTIVE

• ELIMINATE DISPARITIES IN HEALTH ACCESS AND
  OUTCOMES

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OBJECTIVE

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

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OBJECTIVE

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

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

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• WILL CARRY OUT AN INTENSE FRAUD AND CONTROL
  PROGRAM.

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OBJECTIVE

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

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OBJECTIVE

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

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

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OBJECTIVE

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

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• End of lecture for September 8th 2010
• 7TH Period
• Questions?
• Discussion?