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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• 2010
• Affordable Health Care Act

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• HEALTH AND HUMAN SERVICES
• FACTS AND INFORMATION

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• HHS BUDGET IN FY 2013 (proposed)
• 941 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 2010-2015

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Goal 1 Transform Health Care
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Objective A  Make coverage more secure for those
who have insurance, and extend affordable
coverage to the uninsured
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Objective B  Improve healthcare quality and
patient safety
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Objective C  Emphasize primary and preventive
care linked with community prevention services
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Objective D  Reduce the growth of healthcare
costs while promoting high-value, effective care
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Objective E  Ensure access to quality,
culturally competent care for vulnerable
populations
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Objective F  Promote the adoption and meaningful
use of health information technology
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Goal 2 Advance Scientific Knowledge and
Innovation
Goal 3 Advance the Health, Safety, and
Well-Being of the American People
Goal 4 Increase Efficiency, Transparency, and
Accountability of HHS Programs
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Goal 5 Strengthen the Nations Health and Human
Service Infrastructure and Workforce
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• End of lecture for August 29th 2012
• 7TH Period
• Questions?
• Discussion?