[Federal Register Volume 63, Number 6 (Friday, January 9, 1998)]
[Notices]
[Pages 1486-1487]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-534]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Statement of Mission, Organization, Functions and Delegation of
Authority
Part G, of the Statement of Organization, Functions, and
Delegations of Authority of the Department of Health and Human
Services, as amended at 60 FR 56606, November 9, 1995, and most
recently amended at 61 FR 67048, December 19, 1996, is amended to
reflect a realignment of the California Area Indian Health Service. The
changes are as follows:
Delete the functional statements for the California Area Indian
Health Service in their entirety and replace with the following:
Section GFG-00, California Area Indian Health Service--Mission
The California IHS provides a comprehensive health services
delivery system for American Indians and Alaska Natives (AI/AN) with
opportunity for maximum tribal involvement in developing and managing
programs to meet their health needs. The goal of the California Area
IHS is to raise the health level of the AI/AN people to the highest
possible level.
Section GFG-10, Functions. Office of the Director (GFGA)
Provides overall direction and leadership for the California Area
Indian Health Service (IHS) by: (1) Encouraging maximum consultation
and participation by California Area tribes and tribal and urban Indian
organizations in establishing the goals and objectives of the
California Area IHS, and in developing the policies of the California
Area IHS; (2) coordinates the California Area IHS activities and
resources internally and externally with those of other Federal, State,
local and privately funded health care programs to maximize quality
health care services to tribal and urban Indians in the State of
California; (3) ensuring compliance to the IHS guidelines and
administrative procedures pertinent to Indian Self-Determination
contracting processes and Tribal Self-Governance compacting; (4)
assuring that Indian Tribes and Indian organizations are informed
regarding pertinent health policy and program management issues and
coordinates meetings and other communications with tribal delegations;
(5) advocating for the health needs and concerns of American Indians
and Alaska Natives (AI/AN); (6) developing and demonstrating methods
and techniques for continuous improvement of health services management
and delivery by California Area tribes and tribal and urban Indian
organizations; (7) ensuring that the principles of Equal Employment
Opportunity laws and the Civil Rights Act are applied in the management
of the human resources of the California Area IHS, and (8) advises the
Director, IHS, of issues and potential issues, relevant to the
California Area, or to the IHS in general, and recommending and
participating in actions to prevent or correct problems.
Office of Management Support (GFGAB)
(1) Provides advice to the Area Director and functional area
managers on California Area IHS administrative and management policy
and procedures requirements, delegations of authority, documenting the
organizations and functions of the California Area IHS, personnel
administration and management, and agency agreements management; (2)
develops, recommends and implements processes for management
accountability and the periodic assessment of managerial performance;
(3) provides guidance and support to Area managers regarding resources,
personal property, acquisition management; (4) provides a full
complement of administrative services in support of the Area-wide
health services delivery and management systems, i.e., forms
management, travel management, communications management, supplies
management, printing, mail management, etc.; (5) advises the Area
Director and functional area managers on the civil service and
commissioned corps personnel programs' administration and management
requirements; (6) directs the personnel security and suitability
clearance, and other ethics in employment programs, for the California
Area IHS, and (7) provides advice, consultation, and assistance to
tribal officials and tribal organizations on tribal health program
personnel policy issues.
Resources Management Staff (GFGAB-1)
(1) Develops and submits the budget for the California Area IHS;
(2) distributes, coordinates, and monitors resource allocations; (3)
interprets policies, guidelines, manual issuances, and OMB circulars
relevant to budget development, presentation and execution for the Area
Director, functional area managers, and tribal and urban program
officials; (4) directs the collection, review, and analysis of program
and financial data to determine resource requirements; (5) recommends
and coordinates Area budget execution; (6) maintains fund control; and
(7) prepares reprogramming requests.
Acquisition Management Staff (GFGAB-2)
(1) Develops and recommends policies and procedures specific to
acquisition operations in the California Area IHS that are consistent
with higher echelon and government oversight agency policy issuances;
(2) provides advice, technical consultation, and training to California
Area managers and staff; (3) reviews and makes recommendations for
approval/disapproval of contract-related documents such as: pre- and
post-award documents, unauthorized commitments, procurement planning
documents, Justification for Other Than Full and Open Competition,
waivers, and deviations; (4) executes and administers contracts for the
California Area IHS; (5) reviews, recommends, and issues delegations of
acquisition authority in the California Area IHS, and (6) supports and
maintains the IHS Contract Information System and controls entry of
data into the HHS Contract Information System.
Office of Public Health (GFGAC)
(1) Provides leadership and consultation to tribal and urban public
health programs on the IHS goals, objectives, policies, program
standards, and priorities; (2) serves as the primary source of
technical and policy advice to the Area Director, Area office staff,
and tribal and urban health program officials on the full scope of
clinical health care programs, including their quality assurance and
preventive aspects, and tort claims; (3) participates in identifying
and articulating the health needs of the AI/AN population in the State
of California; (4) coordinates the availability and accessibility of
Medicare and Medicaid programs, and other managed care programs'
services, to AI/AN in the State of California; (5) provides
consultation and technical support to tribal and urban public health
programs including, but not limited to, dental services, diabetes and
other chronic disease prevention, nutrition services, and nursing
services, alcohol/substance abuse prevention and treatment, including
the coordination of the Youth Regional Treatment Center
[[Page 1487]]
services; (6) provides assistance in the development and implementation
of Area policy and procedures regarding managed care services, third
party collections and reimbursements, health care facility
accreditation, risk management and quality assurance; (7) coordinates
the reimbursement of allowable costs for qualified high cost contract
health service cases from the IHS Catastrophic Health Emergency Fund to
tribal health care programs in the State of California; (8) serves as
project officer on contract awarded in the State of California for the
delivery of health care services, and coordinates activities for
monitoring and evaluating contractor performance; (9) provides advice
to the Area Director on the activities and issues related to the
implementation of Title V of the American Indian Health Care
Improvement Act, as amended, in the State of California; (10) provides
support to urban Indian health programs and organizations in managing
health programs and attending financial and other types of support
available from other public and private agencies and organizations, and
(11) designs, maintains, and controls the data collection, analysis,
and publication of health program information in the activities.
Information Resource Staff (GFGAC-1)
(1) Is the principal advisor to the Area Director, functional area
managers, and tribal and urban health program officials in the State of
California, regarding the design and implementation of automated
information systems; (2) provides advice on the installation and
maintenance services to the Area managers and tribal and urban health
programs on operational automated information systems used in the IHS,
i.e., RPMS, CHSMIS, CDMIS, etc., for improved personal productivity and
health services data collection; (3) provides reports and information
on a priority basis and gathers, consolidates, and transmits automated
RPMS data to central processing centers, and (4) serves as the focal
point for clearance of requests to purchase information systems
hardware and software for the California Area IHS.
Office of Environmental Health and Engineering (GFGAD)
(1) Serves as the principal advisor, advocate, consultant, and
technical assistant on all services relating to Sanitation Facilities
Construction, Environmental Health Services, Operation and Maintenance,
Injury Prevention, and Facilities Management for the California Area
IHS; (2) plans, coordinates, implements, and evaluates all aspects of
Title I contracting and Title III compacting under the Indian Self-
Determination and Education Assistance Act, as amended; (3) consults
with tribal groups/organizations in the development and implementation
of environmental health and engineering policies and initiatives; (4)
provides consultation and technical guidance to tribal health programs
including preventive maintenance surveys, personnel training, and
fiscal reviews; (5) performs or directs surveys and investigations to
determine the condition of tribal health facilities; (6) serves as the
principal advisor regarding the real property management program which
oversees owned and leased real property and GSA assigned space;
interacts with GSA Region IX and Engineering Services to ensure
adequacy of facilities, and (7) coordinates property management
activities including space assignments, space need determinations,
regulatory compliance, and reporting.
Division of Environmental Health Services (GFGAD1)
(1) Plans, coordinates, and evaluates the Area's Environmental
Health Services program; (2) serves as the principle advisor on all
matters pertaining to environmental health program activities,
policies, and procedures; (3) plans, coordinates, implements, and
evaluates a comprehensive Injury Prevention Program throughout the
Area; (4) assists health programs to meet the goal of accreditation by
the appropriate accrediting agency; (5) plans, coordinates, and
evaluates the Area fluoridation program; and (6) Plans, coordinates,
and evaluates the Area Operation and Maintenance Program.
Division of Sanitation Facilities Construction (GFGAD2)
(1) Plans, coordinates, and evaluates the Area's Sanitation
Facilities Construction responsibilities; (2) serves as the principal
advisor on matters relating to public health engineering and Sanitation
Facilities Construction activities, policies, and procedures; (3)
coordinates the provision of sanitation facilities for new housing
projects sponsored by other Government agencies; and (4) coordinates
the provision of sanitation facilities for new and existing housing.
OEHE District Offices: Redding District Office (GFGA1); Sacramento
District Office (GFGA2); Escondido District Office (GFGA3)
(1) Implements the Sanitation Facilities Construction and
Environmental Health Services responsibilities; (2) serves as the
principal advisor to communities, individuals, contractors, and other
organizations on all matters pertaining to Sanitation Facilities
Construction and Environmental Health Services; (3) implements
activities that assist all health programs to be attain accreditation
by appropriate accrediting agencies; (4) implements the Area
fluoridation and Operation and Maintenance activities, and (5)
implements the provision of sanitation facilities for new housing
projects sponsored by other government agencies and for existing
housing.
Section GFG-20, The Order of Succession to the Area Director
Deputy Director
Associate Director, Office of Public Health
Associate Director, Office of Management Support
Associate Director, Office of Environmental Health and Engineering
Section GFG-30, California Area IHS--Delegations of Authority
All delegations and redelegations of authority made to officials in
the California Area IHS that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization, shall
continue in effect pending further redelegation.
This reorganization shall be effective on the date of signature.
Dated: December 23, 1997.
Michael H. Trujillo,
Assistant Surgeon General Director.
[FR Doc. 98-534 Filed 1-8-98; 8:45 am]
BILLING CODE 4160-16-M
