Component 1: Introduction to Health Care and Public Health in the U.S.

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 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. 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. 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 • ACF - Administration for Children & Families • AoA - Administration on Aging • AHRQ - Agency for Healthcare Research & Quality • ATSDR - Agency for Toxic Substances & Disease • CDC - Centers for Disease Control & Prevention 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 • FDA - Food & Drug Administration • HRSA - Health Resources & Services Administration • IHS - Indian Health Service • NIH - National Institutes of Health • OIG - Office of Inspector General • SAMHSA - Substance Abuse & Mental Health Services Administration 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

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

9. The Organization of Federal Health Care (cont’d) • AoA - Administration on Aging • 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. 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 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. 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'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. 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

13. The Organization of Federal Health Care (cont’d) • ATSDR - Agency for Toxic Substances & Disease • 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. 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 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. 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′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. 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' Mission - To ensure effective, up-to-date health care coverage and to promote quality care for beneficiaries 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' 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

18. The Organization of Federal Health Care (cont’d) • FDA - Food & Drug Administration • 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.  Health IT Workforce Curriculum Version 1.0/Fall 2010

19. The Organization of Federal Health Care (cont’d) • FDA - Food & Drug Administration (cont’d) • 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

20. The Organization of Federal Health Care (cont’d) • HRSA - Health Resources & Services Administration • 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 Health IT Workforce Curriculum Version 1.0/Fall 2010

21. The Organization of Federal Health Care (cont’d) • IHS - Indian Health Service • 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

22. The Organization of Federal Health Care (cont’d) • IHS - Indian Health Service (cont’d) • 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

23. The Organization of Federal Health Care (cont’d) • NIH - National Institutes of Health • 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. 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) • 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. Health IT Workforce Curriculum Version 1.0/Fall 2010

25. The Organization of Federal Health Care (cont’d) • OIG - Office of Inspector General • 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. 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) • 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. 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’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.  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) • 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.  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. Health IT Workforce Curriculum Version 1.0/Fall 2010