DEPARTMENT OF HEALTH AND HUMAN SERVICES

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					HEALTH AND HUMAN SERVICES


        AN OVERVIEW
DEPARTMENT OF HEALTH AND
     HUMAN SERVICES




HISTORICAL HIGHLIGHTS
 THEROOTS OF THE U.S.
 DEPARTMENT OF HEALTH AND
 HUMAN SERVICES GO BACK TO
 THE EARLIEST DAYS OF THE
 NATION
 1798


 THEFIRST MARINE HOSPITAL,
 A FORERUNNER OF TODAY’S
 PUBLIC HEALTH SERVICE, WAS
 ESTABLISHED TO CARE FOR
 SEAFARERS.
 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.
   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.
 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 HHS’S
    FOOD AND DRUG ADMINISTRATION.
 1912


 PRESIDENTTHEODORE
 ROOSEVELT’S FIRST WHITE
 HOUSE CONFERENCE URGED
 CREATION OF A CHILDREN’S
 BUREAU TO COMBAT
 EXPLOITATION OF CHILDREN.
 1935


 CONGRESS PASSED THE
 SOCIAL SECURITY ACT
   1939

   RELATED FEDERAL ACTIVITIES IN
    THE FIELDS OF HEALTH,
    EDUCATION, SOCIAL INSURANCE
    AND HUMAN SERVICES WERE
    BROUGHT TOGETHER UNDER THE
    NEW FEDERAL SECURITY AGENCY.
 1946


 THECOMMUNICABLE DISEASE
 CENTER WAS ESTABLISHED,
 FORERUNNER OF THE CENTERS
 FOR DISEASE CONTROL AND
 PREVENTION.
 1955


 LICENSING   OF SALK POLIO
 VACCINE.
 1961


      WHITE HOUSE
 FIRST
 CONFERENCE ON AGING.
 1962


 PASSAGEOF THE MIGRANT
 HEALTH ACT, PROVIDING
 SUPPORT FOR CLINICS
 SERVING AGRICULTURAL
 WORKERS.
 1964


        OF THE FIRST
 RELEASE
 SURGEON GENERAL’S REPORT
 ON SMOKING AND HEALTH.
 1965


 THEMEDICARE AND MEDICAID
 PROGRAMS WERE CREATED,
 MAKING COMPREHENSIVE
 HEALTH AVAILABLE TO
 MILLIONS OF AMERICANS.
 1965


 THEOLDER AMERICANS ACT
 CREATED THE NUTRITIONAL
 AND SOCIAL PROGRAMS RUN
 BY HHS’ ADMINISTRATION ON
 AGING.
   1966

   INTERNATIONAL SMALLPOX
    ERADICATION PROGRAM
    ESTABLISHED. LED BY THE U.S.
    PUBLIC HEALTH SERVICE, THE
    WORLDWIDE ERADICATION OF
    SMALLPOX WAS ACCOMPLISHED IN
    1977.
 1970


 CREATIONOF THE NATIONAL
 HEALTH SERVICE CORPS.
 1971


 NATIONALCANCER ACT
 SIGNED INTO LAW.
 1975


      SUPPORT
 CHILD
 ENFORCEMENT PROGRAM
 ESTABLISHED.
   1977

   CREATION OF THE HEALTH CARE
    FINANCING ADMINISTRATION TO
    MANAGE MEDICARE AND MEDICAID
    SEPARATELY FROM THE SOCIAL
    SECURITY ADMINISTRATION.
 1980


 FEDERALFUNDING PROVIDED
 TO STATES FOR FOSTER CARE
 AND ADOPTION ASSISTANCE.
   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.
 1984


 NATIONAL ORGAN
 TRANSPLANTATION SIGNED
 INTO LAW.
   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.
 1989


 CREATIONOF THE AGENCY
 FOR HEALTH CARE POLICY AND
 RESEARCH.
   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.
 1995


 THESOCIAL SECURITY
 ADMINISTRATION BECAME AN
 INDEPENDENT AGENCY.
 1996


 REGULATIONSWERE
 PUBLISHED PROVIDING FOR
 FDA REGULATION OF TOBACCO
 PRODUCTS TO PREVENT USE
 OF TOBACCO BY MINORS.
 1996


      LEGISLATION WAS
 HIPPA
 PASSED. (HEALTH INSURANCE
 PORTABILITY AND
 ACCOUNTABILITY ACT)
 2004


 MEDICAREMODERNIZATION
 ACT WAS PASSED.
 HEALTH   AND HUMAN SERVICES

   FACTS   AND INFORMATION
 HHS BUDGET IN FY 2010
 (proposed)

           $879   BILLION

 HHS   EMPLOYEES
              68,000
   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.
 THEDEPARTMENT INCLUDES
 MORE THAN 300 PROGRAMS
 COVERING A WIDE SPECTRUM
 OF ACTIVITIES
   MEDICAL AND SOCIAL SCIENCE
    RESEARCH

   PREVENTING OUTBREAK OF INFECTIOUS
    DISEASE

   ASSURING FOOD AND DRUG SAFETY

   MEDICARE AND MEDICAID
   FINANCIAL ASSISTANCE FOR LOW-
    INCOME FAMILIES

   CHILD SUPPORT ENFORCEMENT

   IMPROVING MATERNAL AND INFANT
    HEALTH

   HEAD START
   PREVENTING CHILD ABUSE AND
    DOMESTIC VIOLENCE

   SUBSTANCE ABUSE TREATMENT AND
    PREVENTION

   SERVICES FOR OLDER AMERICANS
   COMPREHENSIVE HEALTH SERVICES
    DELIVERY FOR AMERICAN INDIANS AND
    ALASKAN NATIVES
   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 DIVISIONS
 NATIONALINSTITUTES OF
 HEALTH…WORLD’S PREMIER
 MEDICAL RESEARCH
 ORGANIZATION, SUPPORTING
 SOME 38,000 RESEARCH
 PROJECTS…
   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.
   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.
 AGENCYFOR TOXIC
 SUBSTANCES AND DISEASE
 REGISTRY. SEEKS TO
 PREVENT EXPOSURE TO
 HAZARDOUS WASTE SITES.
       HEALTH SERVICE…HAS
 INDIAN
 49 HOSPITALS, 247 HEALTH
 CENTERS, 4 SCHOOLS HEALTH
 CENTERS AND 348 HEALTH
 STATIONS. PROVIDES
 SERVICES TO 1.5 AMERICAN
 INDIANS AND ALASKAN
 NATIVES.
   CENTERS FOR MEDICARE AND
    MEDICAID SERVICES. CREATED IN
    2004 UNDER THE MEDICARE
    MODERNIZATION ACT (MMA)

   CMS IS RESPONSIBLE FOR
    MEDICARE, MEDICAID, STATE
    CHILDREN’S HEALTH INSURANCE
    PROGRAM (SCHIP), HEALTH
    INSURANCE PORTABILITY AND
    ACCOUNTABILITY ACT (HIPPA), AND
    CLINICAL IMPROVEMENT
           ALL AGENCIES

 ADMINISTRATION FOR CHILDEN
  AND FAMILIES
 ADMINISTRATION FOR AGING
 AGENCY FOR HEALTHCARE
  RESEARCH AND QUALITY
 AGENCY FOR TOXIC SUBSTANCE
  AND DISEASE REGISTRY
 CENTERS FOR DISEASE CONTROL
  AND PREVENTION (CDC)
 CENTERS FOR MEDICARE AND
  MEDICAID SERVICES (CMS)
 FOOD AND DRUG ADMINISTRATION
  (FDA)
 HEALTH RESOURCES AND
  SERVICES ADMINISTRATION
 INDIANHEALTH SERVICE
 NATIONAL INSTITUTES OF
  HEALTH
 PROGRAM SUPPORT CENTER
  (PSC)
 SUBSTANCE ABUSE AND
  MENTAL HEALTH SERVICES
  ADMINISTRATION
 DEPARTMENT  OF HEALTH AND
       HUMAN SERVICES
 STRATEGIC PLAN FY 2001-2006
• CORE VALUES
   TO DELIVER RESULTS THAT ARE
    SATISFACTORY AND MEANINGFUL
    BOTH TO THE PEOPLE AND
    COMMUNITIESTHAT ARE DIRECTLY
    SERVED BY THE DEPARTMENT’S
    PROGRAMS, AND TO THE AMERICAN
    PEOPLE WHO PAY FOR THESE
    PROGRAMS.
   TO BE AN ACCOUNTABLE STEWARD
    OF THE DEPARTMENT’S PROGRAMS
    AND TO ENHANCE THE EFFICIENCY
    AND QUALITY OF THE SERVICES
    PROVIDED TO ITS CUSTOMERS.
   TO PROTECT AGAINST
    DISCRIMINATION IN THE PROVISION
    OF HEALTH AND HUMAN SERVICES.
   TO FOCUS CONSISTENTLY ON THE
    PREVENTION OF HEALTH AND
    SOCIAL PROBLEMS.
 TOMAINTAIN A WORK
 ENVIRONMENT THAT
 ENCOURAGES CREATIVITY,
 DIVERSITY, INNOVATION,
 TEAMWORK, ACCOUNTABILITY,
 AND CONTINUOUS LEARNING.
 STRATEGIC   GOALS
   REDUCE THE MAJOR THREATS TO
    THE HEALTH AND PRODUCTIVITY
    OF ALL AMERICANS
   IMPROVE THE ECONOMIC AND
    SOCIAL WELL-BEING OF
    INDIVIDUALS, FAMILIES, AND
    COMMUNITIES IN THE UNITED
    STATES.
   IMPROVE ACCESS TO HEALTH
    SERVICES AND ENSURE THE
    INTEGRITY OF THE NATION’S
    HEALTH ENTITLEMENT AND SAFETY
    NET PROGRAMS.
       GOAL NUMBER THREE EXPANDED

   TO IMPROVE ACCESS…..

   OVER 45 MILLION AMERICANS LACK
    HEALTH INSURANCE…INCLUDING
    MANY CHILDREN.
   OVER 2000 COUNTIES IN THE
    UNITED STATES ARE DESIGNATED
    HEALTH PROFESSION SHORTAGE
    AREAS.
   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
   LESS THAN ONE-THIRD OF ADULTS
    WITH A DIAGNOSABLE MENTAL
    DISORDER RECEIVES TREATMENT
    IN A GIVEN YEAR.
   COST OF CARE FOR CHILDREN WITH
    SPECIAL HEALTH CARE NEEDS IS
    NOT AFFORDABLE BY MANY
    FAMILIES.
   38 PERCENT OF HISPANIC, 24
    PERCENT OF AFRICAN-AMERICAN
    ADULTS ARE WITHOUT HEALTH
    INSURANCE COMPARED WITH 14%
    FOR WHITE ADULTS.
 INFANTMORTALITY RATES
 ARE HIGHER FOR MINORITY
 GROUPS.
 REDUCE FRAUD WHICH IS NOW
 ESTIMATED TO BE ABOUT 33
 BILLION DOLLARS A YEAR.

 WILLSPEND 1.3 BILLION
 COMBATING FRAUD IN THE
 2008 BUDGET.
 OBJECTIVES
         OBJECTIVE
 INCREASETHE PERCENTAGE
 OF THE NATION’S CHILDREN
 AND ADULTS WHO HAVE
 HEALTH INSURANCE
 COVERAGE.
CONTINUE TO ASSIST
 STATES IN IDENTIFYING
 AND ENROLL ELIGIBLE
 CHILDREN AND ADULTS IN
 MEDICAID, STATE
 CHILDREN’S HEALTH
 INSURANCE PROGRAM, AND
 OTHERS.
          OBJECTIVE
          DISPARITIES IN
 ELIMINATE
 HEALTH ACCESS AND
 OUTCOMES
         OBJECTIVE
 INCREASETHE AVAILABILITY
 OF PRIMARY HEALTH CARE
 SERVICES FOR UNDER-SERVED
 POPULATIONS
            OBJECTIVE
 PROTECTAND IMPROVE THE
 HEALTH AND SATISFACTION OF
 BENEFICIARIES IN MEDICARE
 AND MEDICAID
ENHANCE THE FISCAL
 INTEGRITY OF CMS
 PROGRAMS AND PURCHASE
 THE BEST VALUE HEALTH
 CARE FOR BENEFICIARIES
WILL CARRY OUT AN
 INTENSE FRAUD AND
 CONTROL PROGRAM.
         OBJECTIVE
 INCREASETHE AVAILABILITY
 AND EFFECTIVENESS OF
 SERVICES FOR THE
 TREATMENT AND
 MANAGEMENT OF HIV/AIDS
         OBJECTIVE
 INCREASE THE AVAILABLITY
 AND EFFECTIVENESS OF
 MENTAL HEALTH CARE
 SERVICES.
WILL CARRY OUT
 RESEARCH AND
 KNOWLEDGE
 DEVELOPMENT ACTIVITIES
 TO IMPROVE THE
 EFFECTIVENESS OF
 MENTAL HEALTH SERVICES.
         OBJECTIVE
 INCREASETHE AVAILABILITY
 AND EFFECTIVENESS OF
 HEALTH SERVICES FOR
 CHILDREN WITH SPECIAL
 HEALTH CARE NEEDS.
 End of lecture for September 8th
 2010
 7TH Period


 Questions?


 Discussion?