[Federal Register Volume 60, Number 54 (Tuesday, March 21, 1995)]
[Notices]
[Pages 14952-14954]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-6885]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Office of Research and Demonstrations; Statement of Organization,
Functions, and Delegations of Authority
Part F of the Statement of Organization, Functions, and Delegations
of Authority for the Department of Health and Human Services, Health
Care Financing Administration (HCFA), (Federal Register, Vol. 59, No.
60, pp. 14642-43, dated Tuesday, March 29, 1994) is amended to reflect
various changes resulting from the streamlining and reorganization of
the Office of Research and Demonstrations (ORD).
These changes abolish the current ORD substructure which consists
of three subordinate offices and one staff, and establish a new
substructure which consists of four subordinate offices and two
subordinate staffs. These changes will realign all current ORD
functions into the following activity areas: information dissemination;
financial, administrative, and procurement support; state health reform
demonstrations; payment, delivery, and financing research and
demonstrations; beneficiary related research and demonstrations; and
ORD program support activities.
The specific changes to Part F are:
Section F.10.C.3.a, through Section F.10.C.3.c.(2) is
deleted in its entirety and replaced by the following revised
functional statements. The new sections F.10.C.3.a through
F.10.C.3.f.(2) read as follows:
A. Dissemination Staff (FKB-2)
Produces and distributes ORD publications, such as the
Health Care Financing Review, Status Report, Publications Catalog, and
Reports to Congress.
Coordinates ORD's input for the annual HCFA Report to
Congress.
Markets materials, including electronically produced data
and publications to consumers, customers and other individuals or
organizations.
Develops new dissemination strategies that encourage the
adoption and diffusion of innovations in health care financing and
delivery.
Manages internal and external inquiries.
Provides conference support.
Provides technical and editorial support services.
Coordinates with the Government Printing Office and the
National Technical Information Service.
Maintains resource material for internal use.
Develops and disseminates internal communications and
operational procedures.
Reviews, coordinates and serves as liaison for
administrative correspondence.
B. Financial, Administrative and Procurement Staff (FKB-3)
Plans, directs and implements a comprehensive office-wide
human resources and employee development program.
Coordinates ORD's section of the HCFA strategic plan.
Coordinates the Federal Managers Financial Integrity Act.
Plans, directs and implements office-wide facilities and
property management programs.
Plans, directs and implements comprehensive office-wide
budget and financial management programs.
Coordinates grants, contracts, cooperative agreements and
waiver activities.
Plans and develops ORD's Acquisition Planning Document.
Develops and implements the ORD Waiver Compendium.
Manages Freedom of Information and Privacy Act issues.
C. Office of State Health Reform Demonstrations (FKB4)
Conducts research, demonstrations and evaluations to
support the development and implementation of State health and welfare
reform demonstrations.
In partnership with other HCFA bureaus and DHHS offices,
directs the [[Page 14953]] Department's response to all aspects of the
State's proposal and any proposed changes to ongoing demonstration
activities.
Monitors ongoing operations of the State's demonstration
in partnership with other HCFA bureaus and regional offices.
Funds technical assistance to States in the implementation
and evaluation of these programs.
D. Office of Payment and Delivery Research and Demonstrations
(FKB5)
Directs intramural and extramural research, demonstrations
and evaluations of managed care and other delivery systems including
studies supporting the development of associated payment systems and
the development of infrastructure in underserved areas.
Directs intramural and extramural research, demonstrations
and evaluations of broad reforms of the Medicare and Medicaid programs,
studies to evaluate the impact of proposals for reform of the health
care system and studies of health care financing systems.
Directs intramural and extramural research, demonstrations
and evaluations to support the development, implementation and
refinement of payment policies including the extension of existing
payment systems to excluded providers and other payers.
Directs and performs analyses to assist in delivery and
systems reform and payment policy development.
D.(1) Division of Delivery Systems and Financing (FKB51)
Conducts intramural and extramural research,
demonstrations and evaluations of managed care and other delivery
systems including the development of infrastructure in underserved
areas (rural/inner-city areas).
Conducts intramural and extramural research,
demonstrations and evaluations to support the development and
implementation of payment systems associated with delivery and systems
reform.
Conducts intramural and extramural research,
demonstrations and evaluations to develop and implement patient and
other classification systems, including risk adjustment methodologies,
for new delivery and payment systems.
Conducts intramural and extramural research,
demonstrations and evaluations of broad reforms of the Medicare and
Medicaid programs.
Conducts intramural and extramural research studies to
evaluate the impact of proposals for reform of the health care system.
Conducts intramural and extramural research,
demonstrations and evaluations of health care financing issues.
Performs analyses to assist in delivery and systems reform
policy development.
D.(2) Division of Payment Systems (FKB52)
Conducts intramural and extramural research,
demonstrations and evaluations to support the development,
implementation and refinement of payment policy for hospitals,
physicians, drugs, outpatient facilities, skilled nursing facilities,
home health agencies and other providers.
Conducts intramural and extramural research,
demonstrations and evaluations to support the extension of payment
systems to excluded providers and to other payers.
Conducts intramural and extramural research,
demonstrations and evaluations to develop and implement patient and
other classifications for payment systems.
Conducts intramural and extramural research studies of the
impact of payment systems on providers and other payers.
Conducts intramural and extramural research studies on
developments/changes in the health care sector and evaluate the
implications for payment policy.
Assists in the development and implementation of payment
policies to expand access and develop infrastructure in underserved
areas (rural/inner-city areas).
Performs analyses to assist in payment policy development.
E. Office of Beneficiary and Program Research and Demonstrations
(FKB6)
Directs intramural and extramural research, demonstrations
and evaluations on the Medicare and Medicaid programs and beneficiary
populations that include, but are not limited to, maternal and child
health, End Stage Renal Disease (ESRD), persons with Acquired Immune
Deficiency Syndrome (AIDS), prescribed drugs, persons with cancer,
persons with mental and physical chronic disease and disabilities,
where the issues to be studied include, but are not limited to, health
status and outcomes, information, eligibility, service use, access to
care, coverage, expenditures and quality of care.
Directs intramural and extramural studies on the impact of
existing and new HCFA programs and payment systems on the
beneficiaries.
Directs intramural and extramural research, demonstrations
and evaluations on ways to improve the decision-making process by which
consumers select health insurance coverage, providers and treatments,
and beneficiary satisfaction.
Directs intramural and extramural research, demonstrations
and evaluations related to new measures of quality of care.
Directs intramural and extramural research, demonstrations
and evaluations to support coverage policy for new and existing
technology and procedures.
Directs and performs the policy analyses of findings on
issues that affect beneficiary populations and programs.
E.(1) Division of Health, Information and Outcomes (FKB61)
Conducts intramural and extramural research,
demonstrations and evaluations related to issues that affect the health
status, outcomes, eligibility, access to, and use and costs of services
for Medicare and Medicaid beneficiaries and special populations, such
as, maternal and child health, persons with AIDS and cancer patients.
Conducts intramural and extramural research,
demonstrations and evaluations related to issues that affect the ESRD
program.
Conducts intramural and extramural research,
demonstrations and evaluations related to beneficiary satisfaction.
Conducts intramural and extramural studies on the impact
of existing and new HCFA programs and payment systems on the
beneficiaries.
Conducts intramural and extramural research,
demonstrations and evaluations on ways to improve the decision-making
process by which consumers select health insurance coverage, providers
and treatments.
Carries out and analyzes the results of the Medicare
Health Status Registry.
Conducts intramural and extramural research,
demonstrations and evaluations on health information for providers.
Conducts intramural and extramural research,
demonstrations and evaluations related to new measures of quality of
care (not related to the aged and disabled).
Conducts intramural and extramural research,
demonstrations and evaluations to support coverage policy for new and
existing technologies, procedures and pharmaceuticals. [[Page 14954]]
Analyzes the policy implications of findings on health,
information, outcomes, access, coverage and quality.
E.(2) Division of Aging and Disability (FKB62)
Conducts intramural and extramural research,
demonstrations and evaluations on issues that affect program
eligibility for populations that include persons with mental and
physical chronic disease and disabilities.
Conducts intramural and extramural research,
demonstrations and evaluations on issues that affect coverage for
populations that include persons with mental and physical chronic
disease and disabilities.
Conducts intramural and extramural research,
demonstrations and evaluations on issues that affect cost of care for
populations that include persons with mental and physical chronic
disease and disabilities.
Conducts intramural and extramural research,
demonstrations and evaluations on issues that affect access to care for
populations that include persons with mental and physical chronic
disease and disabilities.
Conducts intramural and extramural research,
demonstrations and evaluations on issues that affect quality of health
and long-term care services for populations that include persons with
mental and physical chronic disease and disabilities.
Conducts intramural and extramural research,
demonstrations and evaluations related to new measures of quality of
care for populations that include persons with mental and physical
chronic disease and disabilities.
Analyzes trends in long-term care programs and market
characteristics.
Analyzes the policy implications of findings on issues
that affect aging and disability.
F. Office of Research and Demonstrations Support (FKB7)
Directs the Fiscal Intermediary and Carrier activities for
demonstrations.
Directs the development, implementation and ongoing
operations of demonstrations.
Directs the design and development of payment
methodologies for demonstrations, special cost reports and operational
manuals.
Directs the design, development and implementation of
mainframe and personal computer (PC) based claims processing systems
and collation of evaluation data.
Directs the development of data programs to monitor and
evaluate trends in Medicare/Medicaid and the health care system.
Oversees programming and dataset technical assistance.
Directs the control and support for PC's, local area
networks (LAN's), computer communications and mainframe computer
hardware/software packages.
Participates with the Bureau of Data Management and
Strategy (BDMS) in providing support and access to HCFA's data bases as
required by research and demonstration activities.
F.(1) Division of Demonstrations Support (FKB71)
Serves as Fiscal Intermediary and Carrier for
demonstrations.
Participates in the development, implementation and
ongoing operations of demonstrations.
Designs and develops payment methodologies when needed for
demonstrations and studies, such as special cost reports, special
operational manuals and participates in facilitating demonstrations.
Designs, develops and implements mainframe and PC claims
processing systems and collates data for evaluations.
Conducts on-site audits of submitted costs reports and
validates services rendered.
F.(2) Division of Data Systems Resources (FKB72)
Develops, manages and maintains a variety of data programs
to monitor and evaluate trends in Medicare/Medicaid and the health care
system.
Provides and participates in a variety of data support
activities related to quality control and data verification.
Provides programming and dataset technical assistance.
Provides control and support for PCs, LAN, computer
communications and mainframe computer hardware/software packages.
Participates with BDMS in providing necessary support and
access to HCFA's data bases as required by research and demonstration
activities.
Coordinates ORD's participation in computer-based systems.
Designs and develops a variety of analytic data bases.
Dated: March 8, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-6885 Filed 3-20-95; 8:45 am]
BILLING CODE 4120-01-P
