Received: from s1 ([80.242.225.42]) by visionfactory.nl (Lotus Domino Release 5.0.5) with SMTP id 2002100500580340:3 ; Sat, 5 Oct 2002 00:58:03 +0100 Message-ID: <000501c26c01$e054b4d0$0100a8c0@VISION> From: "VisionFactory" To: "John Nivard" Subject: HHS Strategic Plan FY 2003 - 2008.htm Date: Sat, 5 Oct 2002 00:58:03 +0100 MIME-Version: 1.0 X-Priority: 3 (Normal) X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 5.50.4807.1700 X-MimeOLE: Produced By Microsoft MimeOLE V5.50.4807.1700 X-MIMETrack: Itemize by SMTP Server on s1/JMN(Release 5.0.5 |September 22, 2000) at 05-10-2002 00:58:03, Serialize by POP3 Server on s1/JMN(Release 5.0.5 |September 22, 2000) at 05-10-2002 10:05:42 Content-Type: multipart/related; type="multipart/alternative"; boundary="----=_NextPart_000_0001_01C26C0A.42087B00" ------=_NextPart_000_0001_01C26C0A.42087B00 Content-Type: multipart/alternative; boundary="----=_NextPart_001_0002_01C26C0A.42087B00" ------=_NextPart_001_0002_01C26C0A.42087B00 Content-Transfer-Encoding: quoted-printable Content-Type: text/plain; charset="Windows-1252" HHS Strategic Plan FY 2003 - 2008 Department of Health and Human Services=20 -------------------------------------------------------------------------= - =20 Strategic Plan FY 2003 - 2008=20 Draft - July 29, 2002 =20 Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate the section/goal/objective that you are commenting on. Comments = will be accepted through September 9, 2002. Contents a.. Web Sites for Department of Health and Human Services=20 b.. EXECUTIVE SUMMARY=20 c.. INTRODUCTION a.. The Department=20 b.. Development and Update of the Plan=20 c.. Our Mission=20 d.. Strategic Goals=20 e.. Our Core Values=20 d.. GOALS, OBJECTIVES, STRATEGIES=20 a.. Goal 1: Reduce the Major Threats to the Health and Well-being of = Americans=20 b.. Goal 2: Enhance the Ability of the Nation's Health Care System = to Effectively Respond to Bioterrorism and Other Public Health = Challenges=20 c.. Goal 3: Increase the Percentage of the Nation's Children and = Adults Who Have Access to Regular Health Care and Expand Consumer = Choices=20 d.. Goal 4: Enhance the Capacity and Productivity of the National's = Health Science Research Enterprise=20 e.. Goal 5: Improve the Quality of Health Care Services=20 f.. Goal 6: Improve the Economic and Social Well-being of = Individuals, Families and Communities, Especially Those Most In Need=20 g.. Goal 7: Improve the Stability and Healthy Development of Our = Nation's Children and Youth=20 h.. Goal 8: Achieve Excellence in Management Practices=20 e.. Appendix A - Coordination=20 f.. Appendix B - External Factors=20 g.. Appendix C - Performance Plan Linkage and Success Indicators=20 h.. *** More appendices will be posted shortly, please check back *** View the PDF version -------------------------------------------------------------------------= ------- =93...the great thing about this world is not so much where we stand as in what direction we are moving. We must sail sometimes with the wind and sometimes against it. But we must sail, and not drift, nor lie at anchor.=94 =97 Oliver Wendell Holmes -------------------------------------------------------------------------= ------- WEB SITES FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary (OS) www.hhs.gov=20 Administration for Children and Families (ACF) www.acf.dhhs.gov=20 Administration on Aging (AoA) www.aoa.gov =20 Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov=20 Agency for Toxic Substances and Disease Registry (ATSDR) = www.atsdr.cdc.gov=20 Centers for Disease Control and Prevention (CDC) www.cdc.gov=20 Centers for Medicare & Medicaid Services (CMS) www.cms.hhs.gov=20 Food and Drug Administration (FDA) www.fda.gov=20 Health Resources and Services Administration (HRSA) www.hrsa.gov=20 Indian Health Service (IHS) www.ihs.gov=20 National Institutes of Health (NIH) www.nih.gov=20 Substance Abuse and Mental Health Services Administration (SAMHSA) = www.samhsa.gov=20 Office of the Surgeon General www.surgeongeneral.gov =20 -------------------------------------------------------------------------= ------- EXECUTIVE SUMMARY We have established eight (8) strategic goals for accomplishing the = Department of Health and Human Services (HHS) mission to protect and = improve the health and well-being of the American public. These goals = and accompanying objectives provide the focus for HHS investments of = effort and resources over the next five years. The following summary = highlights the key priorities of the Secretary that are found in the = plan: To PREVENT DISEASE AND ILLNESS, Goal 1 is to =93reduce the major threats = to the health and well-being of Americans.=94 To achieve our goal, we = will focus on the behavioral and environmental threats that have a = significant effect on health. We especially will focus on: a.. Promoting healthy behaviors, such as regular exercise and a = healthy diet to reduceobesity and the incidence of chronic diseases, = such as diabetes;=20 b.. increasing abstinence education for young Americans and providing = educational and other materials aimed at reducing unsafe sexual = behaviors and preventing unintended pregnancies; and=20 c.. reducing substance abuse by expanding and improving communities=92 = substance abuse prevention and treatment programs. To PROTECT OUR HOMELAND, Goal 2 is to =93enhance the ability of the = Nation=92s health care system to effectively respond to bioterrorism and = other public health challenges.=94 To achieve this goal we will focus = our efforts on: a.. building the capacity of the health care system to prepare for and = respond to public health threats, especially bioterrorism; and=20 b.. Initiating steps to ensure the safety of food, drugs, biological = products, and medical devices. To CLOSE THE GAPS IN HEALTH CARE, Goal 3 is to =93increase the = percentage of the Nation=92s children and adults who have access to = regular health care and expand consumer choices.=94 To achieve our goal, = we plan to undertake a multi-faceted approach that includes: a.. creating new, affordable health insurance options;=20 b.. expanding the health care safety net, especially in underserved = rural and urban areas and for low income persons; and=20 c.. expanding the availability of health services for populations with = special needs, such as those needing organ and tissue transplantations, = persons with HIV/AIDS, and persons with mental illnesses. To IMPROVE HEALTH SCIENCE, Goal 4 is to =93enhance the capacity and = productivity of the Nation=92s health science research enterprise.=94 To = achieve this goal we will concentrate on: a.. making investments that advance the understanding of basic = biomedical and behavioral science and how to prevent, diagnose, and = treat disease and disability; and=20 b.. accelerating the development of new drugs, medical technology, and = biologic therapies. To REALIZE THE POSSIBILITIES OF 21st CENTURY HEALTH CARE, Goal 5 is to = =93improve the quality of health care services.=94 For this goal, we = will especially focus on: a.. steps to reduce medical errors and improve consumer and patient = protections; and=20 b.. accelerating the development and use of an electronic health = information infrastructure. To WORK TOWARD INDEPENDENCE, Goal 6 is to =93improve the economic and = social well-being of individuals, families, and communities, especially = those most in need.=94 Our efforts will concentrate on: a.. engaging all welfare families in work leading to self sufficiency; = b.. reducing barriers to independent living for persons with = disabilities; and=20 c.. expanding community and faith-based partnerships to find more = creative and effective ways of delivering human services. To LEAVE NO CHILD BEHIND, Goal 7 is to =93improve the stability and = healthy development of our Nation=92s children and youth.=94 In = achieving this goal we will focus on: a.. promoting family formation and healthy marriages; and=20 b.. instituting creative and innovate ways to improve the learning = readiness of preschool children. To IMPROVE DEPARTMENT MANAGEMENT, Goal 8 is to =93achieve excellence in = management practices.=94 To help us achieve the above seven program = objectives, we will institute a multi-pronged approach to improve = management practices and achieve excellence by focusing on the key areas = in the President=92s Management Agenda. For example, management reforms = will center on: a.. Creating a unified =93One HHS=94=20 b.. Improving workforce planning and financial management;=20 c.. enhancing the efficiency and effectiveness of competitive = sourcing; and=20 d.. enhancing the use of electronic commerce. Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate the section/goal/objective that you are commenting on. -------------------------------------------------------------------------= ------- INTRODUCTION The Department - =93One HHS=94 The over-arching central direction of the Department is to function as a = single entity =96 as One HHS. To ensure that HHS is =93One Department=94 = rather than a collection of disparate and unrelated agencies, we have = taken a number of actions, and are planning more. We are reforming the = management of the Department and improving the programs that our = Department runs. Over the next few years we will be increasingly = collaborating and coordinating significant activities among HHS = agencies, such as work on HIV/AIDS, Medicare, Medicaid, delivery of = health care services to children and families, privacy and = confidentiality policies, and research on the effectiveness of HHS = programs. For the first time ever, the HHS Strategic Plan contains a = Management Improvement Goal, including strategies to reduce the number = of personnel offices; modernize and improve human, financial, and = technological management at HHS; and reform regulations to reduce = excessive paperwork and burden to doctors and hospitals. To provide = accountability, as well as feedback and tracking of how we are doing, we = are instituting performance contracts (tied to the strategic goals and = objectives) for the Department=92s senior leadership which will cascade = throughout the Department. This performance contract will institute = explicit standards against which HHS officials=92 work will be measured. In terms of our structure, the Department of Health and Human Services = (HHS) is one of the largest federal departments, the Nation=92s largest = health insurer, and the largest grant-making agency in the United States = federal government. The Department promotes and protects the health and = well-being of all Americans and provides world leadership in biomedical = and public health sciences. As indicated above, in doing this, HHS is = committed to becoming a unified Department. HHS will be accomplishing its objectives through an array of programs in = basic and applied science, public health, income support, child = development, and the financing and regulation of health and social = services. The Department manages this broad range of activities in = collaboration with its state, local, tribal, and non-governmental = partners, and with the coordination of the staff agencies in the Office = of the Secretary. Appendix XX provides a brief description of HHS = Agencies and staff offices. Development and Update of the Plan In 1997, HHS published its first strategic plan in response to the = Government Performance and Results Act (GPRA). This plan was updated = and transmitted to Congress in September 2000. Part of our quality = improvement efforts in strategic planning have focused on updating the = HHS Strategic Plan to reflect the emergence of new priorities and the = experience that has been gained while implementing the initial two = plans. The result is an expansion and revision of Strategic Plan goals = and objectives. The discussion of implementation strategies also is = expanded and refined. A more thorough discussion of data and management = challenges and solutions is provided (Appendices XX and XX). A more = complete analysis of external factors that might affect the = goals/objectives and how the Department might mitigate them is included = (Appendix XX). Possible outcome indicators are defined and an = explanation of how the strategic and annual performance plans are = closely linked is now discussed in detail (Appendix XX). Despite these changes, the basic logic of the plan remains the same. The = strategic goals and objectives reflect Department-wide priorities that = cut across individual HHS agencies and programs. In contrast, our = implementation strategies are aligned with the authority and funding of = categorical programs. Often, however, individuals and families have = needs that go beyond the individual Department programs. For example, = the person who is moving from welfare to work may also need access to = affordable housing=97a program that is within the purview of the = Department of Housing and Urban Development (HUD). In this respect, the = HHS implementation strategies for helping clients would appear to be = constrained by the scope of the programs that we administer. However, HHS works with a wide range of federal, state, tribal, and = local service providers to coordinate the planning and delivery of = services in a way that maximizes resources and provides clients with an = integrated approach to meeting their needs. The discussion of internal = and external coordination has been significantly expanded to provide a = clearer sense of where the Department=92s programs and activities = intersect with each other and with organizations outside HHS (see = Appendix XX). In addition, Appendix XX describes the unique service delivery = partnerships that we have with state and local governments, tribes, and = private organizations that have programs and goals similar to those of = HHS. The appendix provides a discussion of how these partnerships work = in planning and delivering services and the important role that these = organizations play in helping us achieve the objectives we have set in = the HHS Strategic Plan. Many of the Department's objectives and implementation strategies focus = on populations within our program authority (e.g., persons with = particular diseases, low-income, underserved and minority populations). = Given finite resources, where we have discretion, we target groups with = the greatest needs. We do not cast our objectives and implementation = strategies by particular populations, given the number of separate = populations that are eligible for special services. Similarly, the Strategic Plan is not a depository for all actions that = we might take to achieve an objective. Therefore, implementation = strategies under each objective are merely illustrative and not meant as = a catalogue of all potential implementation plans; they illustrate the = general direction we plan to take. For example, a research strategy may = be central to achieving one of our objectives. In this case, we would = list selected research priorities to provide readers with the major = thrust of our agenda and how research relates to achieving the = particular objective. Listing every possible research activity would be = impossible, given the number of potential research priorities that we = might support. Our Mission The mission of the Department of Health and Human Services it to enhance = the health and well-being of Americans by providing for effective health = and human services and by fostering strong, sustained advances in the = sciences underlying medicine, public health and social services. Healthy and productive individuals, families, and communities are the = very foundation of the Nation=92s present and future security and = prosperity. Through leadership in medical sciences and public health, = and as guardian of critical components of America's health and safety = net programs, HHS seeks to improve the health and well-being of people = in this country and throughout the world. =20 Planning and Assessment Cycle=20 The Department's successes are measured against a yardstick of steady, = progressive improvements in the physical and mental health and economic = well-being of individuals, families, and communities, and advances in = medicine and public health that benefit the entire world. Achieving and = sustaining good health as individuals and communities is a shared = responsibility. To realize our goals, we will develop the policies, = tools, and resources that are appropriately national in scope. To = realize the objectives for improving the Nation=92s health, = strengthening the social and economic fabric, and contributing to global = health, the Department will form many kinds of partnerships. These = include partnerships with other federal departments; state, local, and = tribal governments; academic institutions; the business community; = nonprofit and volunteer organizations;and our counterparts in other = countries and international organizations. Strategic Goals HHS=92 strategic goals are broad statements of what we plan to = accomplish over the next five years. More detailed objectives are set = for each goal. We have articulated the key strategies we plan to = undertake to work toward our objectives and goals in order to help us to = achieve the overall HHS mission. Our Core Values In the Department=92s ongoing management of its programs, and in our = strategic planning process, we have been guided by a set of core values = that define the HHS organizational culture. These are: a.. To deliver results that are useful both to the people and = communities that are directly served by the Department=92s programs and = to the taxpayers who pay for these programs.=20 b.. To be an accountable steward of the Department=92s programs and = enhance the efficiency and quality of the services provided.=20 c.. To focus on health promotion and the prevention of disease and = social problems, including the prevention of discrimination in the = provision of health and human services.=20 d.. To create useful, effective forms of collaboration with partners = in regulation, research, service delivery, and management.=20 e.. To provide accurate, reliable, understandable, and timely = information to our partners and customers.=20 f.. To apply the most current scientific knowledge when making = decisions that affect public well-being.=20 g.. To foster flexibility and encourage innovation in the effective = delivery of health and human services programs.=20 h.. To maintain a work environment that encourages creativity, = diversity, innovation, teamwork, accountability, continuous learning, a = sense of urgency, enthusiasm, trust, celebration of achievement, and the = highest ethical standards.=20 i.. To work as a single corporate entity with a =93One HHS=94 approach = to management. Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate the section/goal/objective that you are commenting on. -------------------------------------------------------------------------= ------- GOALS The Department has established eight goals to fulfill its mission: Goal 1 Reduce the major threats to the health and well-being of = Americans=20 Goal 2 Enhance the ability of the Nation=92s health care system to = effectively respond to bioterrorism and other public health challenges=20 Goal 3 Increase the percentage of the Nation=92s children and = adults who have access to regular health care and expand consumer = choices=20 Goal 4 Enhance the capacity and productivity of the Nation=92s = health science research enterprise=20 Goal 5 Improve the quality of health care services=20 Goal 6 Improve the economic and social well-being of individuals, = families, and communities, especially those most in need=20 Goal 7 Improve the stability and healthy development of our = Nation=92s children and youth=20 Goal 8 Achieve excellence in management practices=20 HHS Goals and Objectives =96 FY 2003-2008 =93PREVENTING DISEASE AND ILLNESS=94 GOAL 1: Reduce the major threats to the health and well-being of = Americans.=20 Objective 1.1 Reduce risky behaviors and other factors that = contribute to the development of chronic diseases, especially diabetes = and asthma=20 Objective 1.2 Reduce the proportion of adolescents engaged in = sexual activity, the proportion of persons engaged in unsafe sexual = behaviors, and unintended pregnancies=20 Objective 1.3 Increase immunization rates among adults and = children=20 Objective 1.4 Reduce substance abuse.=20 Objective 1.5 Reduce tobacco use, especially among youth=20 Objective 1.6 Reduce the incidence and consequences of injuries = and violence=20 =93PROTECTING OUR HOMELAND=94 Goal 2: Enhance the ability of the Nation=92s health care system = to effectively respond to bioterrorism and other public health = challenges=20 Objective 2.1 Build the capacity of the health care system to = respond to public health threats in a more timely and effective manner, = especially bioterrorism threats=20 Objective 2.2 Improve the safety of food, drugs, biological = products, and medical devices=20 =93CLOSING THE GAPS IN HEALTH CARE=94 Goal 3: Increase the percentage of the Nation=92s children and = adults who have access to regular health care and expand consumer = choices=20 Objective 3.1 Create new, affordable health insurance options=20 Objective 3.2 Expand the health care safety net =20 Objective 3.3 Strengthen and improve Medicare=20 Objective 3.4 Eliminate racial and ethnic health disparities=20 Objective 3.5 Expand access to health care services for = populations with special needs=20 Objective 3.6 Increase access to health services for American = Indians and Alaska Natives (AI/AN)=20 =93IMPROVING HEALTH SCIENCE=94 Goal 4: Enhance the capacity and productivity of the Nation=92s = health science research enterprise=20 Objective 4.1 Advance the understanding of basic biomedical and = behavioral science and how to prevent, diagnose, and treat disease and = disability=20 Objective 4.2 Accelerate private sector development of new drugs, = biologic therapies, and medical technology=20 Objective 4.3 Strengthen and diversify the base of qualified = health and behavioral science researchers=20 Objective 4.4 Improve the coordination, communication, and = application of health research results=20 Objective 4.5 Strengthen the mechanisms for ensuring the = protection of human subjects and the integrity of the research process=20 =93REALIZING THE POSSIBILITIES OF 21ST CENTURY HEALTH CARE=94 Goal 5: Improve the quality of health care services=20 Objective 5.1 Reduce medical errors=20 Objective 5.2 Increase the appropriate use of effective health = care services=20 Objective 5.3 Increase consumer and patient use of health care = quality information=20 Objective 5.4 Improve consumer and patient protections=20 Objective 5.5 Accelerate the development and use of an electronic = health information infrastructure=20 =93WORKING TOWARD INDEPENDENCE=94 Goal 6: Improve the economic and social well-being of individuals, = families, and communities, especially those most in need=20 Objective 6.1 Increase the economic independence and workforce = participation of low income families and persons receiving welfare=20 Objective 6.2 Increase the proportion of older Americans who stay = active and healthy=20 Objective 6.3 Increase the independence and quality of life of = persons with long-term care needs=20 Objective 6.4 Improve the economic and social development of = distressed communities=20 Objective 6.5 Expand community and faith-based partnerships=20 =93LEAVING NO CHILD BEHIND=94 Goal 7: Improve the stability and healthy development of our = Nation=92s children and youth=20 Objective 7.1 Promote family formation and healthy marriages=20 Objective 7.2 Improve the development and learning readiness of = preschool children=20 Objective 7.3 Increase the involvement and financial support of = non-custodial parents in the lives of their children=20 Objective 7.4 Increase the percentage of children and youth living = in a permanent, safe environment=20 =93IMPROVING DEPARTMENT MANAGEMENT=94 Goal 8: Achieve excellence in management practices=20 Objective 8.1 Create a unified HHS committed to functioning as One = Department=20 Objective 8.2 Improve the strategic management of human capital=20 Objective 8.3 Enhance the efficiency and effectiveness of = competitive sourcing=20 Objective 8.4 Improve financial management=20 Objective 8.5 Enhance the use of electronic commerce in service = delivery and record keeping=20 Objective 8.6 Achieve integration of budget and performance = information=20 Objective 8.7 Reduce regulatory burden on providers and consumers = of HHS services=20 STRATEGIES FOR ACCOMPLISHING OUR GOALS In this section we describe our strategies for accomplishing our = strategic goals and objectives. Legislation and/or regulations required = to accomplish objectives are presented as part of the strategies. In = general, we conduct a number of activities to achieve objectives and = goals, such as disseminating information; providing technical assistance = to contractors, states, and local governments; conducting research and = demonstrations; financing services for program beneficiaries; and = delivering services directly to program recipients. (See exhibit = below.) A discussion of resources that will support these strategies is = found in Appendix XXX, and a matrix relating the Department's strategic = objectives to programs is shown in Appendix XXX. The design and implementation of strategies/actions to accomplish our = objectives and goals is a process that is influenced by information = gained through program evaluation. Appendix XXX provides an in-depth = discussion of program evaluations and the Department's plans to look at = the effectiveness of the implementation strategies. Goals/Objectives/Strategies =93PREVENTING DISEASE AND ILLNESS=94 GOAL 1: Reduce the major threats to the health and well-being of = Americans=20 Objective 1.1 Reduce the risky behaviors and other factors that = contribute to the development of chronic diseases, especially diabetes = and asthma=20 How We Will Accomplish Our Objective a.. Physical Activity and Diet a.. Promote proper nutrition and regular physical exercise with a = focus on public education, content labeling for foods, and meals for the = elderly.=20 b.. Support research to better understand the effects of nutrition, = physical exercise, and genetics and other biological factors on health. b.. Environmental Conditions=20 a.. Provide assistance to states and tribes to develop and implement = surveillance and prevention programs that reduce environmental health = threats.=20 b.. Support research to better understand the effects of = environmental toxins on health, and develop more effective monitoring = and prevention interventions.=20 c.. Help enhance the capacity of other countries in risk assessment = for, and in response to, toxic substances, hazardous wastes, and other = forms of pollution introduced into the environment. c.. Prevention and Treatment=20 a.. Provide patient information and training for health personnel on = the care for chronic diseases, such as diabetes, to prevent the = complications of the diseases.=20 b.. Promote the use of early detection and screening services.=20 c.. Support research to determine the causes of chronic diseases = (such as asthma) and develop effective interventions to prevent their = onset.=20 d.. Disseminate information about effective interventions that = reduce the incidence and effects of chronic diseases, particularly = asthma and diabetes.=20 e.. Expand the use of evidence-based chronic disease treatment = protocols in health programs funded by the department.=20 f.. Test the effectiveness of disease management models for the = chronically ill Medicare population through disease management = demonstrations.=20 g.. Support a Healthy Community Innovation Initiative for improving = community-based systems of care for the chronically ill. Objective 1.2 Reduce the proportion of adolescents engaged in = sexual activity, the proportion of persons engaged in unsafe sexual = behaviors, and unintended pregnancies=20 How We Will Accomplish Our Objective a.. Expand abstinence education programs and use evaluation and = technical assistance to identify and promote successful approaches, = especially those oriented toward young people.=20 b.. Incorporate abstinence messages into Department programs that = target adolescents.=20 c.. Provide technical and financial assistance for state, tribal, and = local efforts to monitor and reduce the incidence of sexually = transmitted diseases (STD).=20 d.. Promote the implementation of effective HIV and STD prevention = programs, including implementation in HHS-funded programs such as = community health centers.=20 e.. Help states, tribes, schools, faith-based and community-based = organizations, and medical and public health professionals develop = curricula and train staff in the prevention of STD and HIV infection.=20 f.. Support research to learn more about the prevention of STDs and = HIV and develop more effective prevention strategies, including = biomedical and behavioral interventions. Objective 1.3 Increase immunization rates among adults and = children=20 How We Will Accomplish Our Objective a.. Disseminate public information to patients and providers about the = importance of vaccinations, and educate the public about the efficacy = and safety of vaccines for children and adults.=20 b.. Provide financial assistance to health departments, state Medicaid = agencies and State Children=92s Health Insurance Programs, health care = providers, and community health organizations to purchase and administer = vaccines.=20 c.. Support and conduct research to learn more about adverse reactions = to vaccines and develop safer, more effective vaccines.=20 d.. Help countries and global partners increase their capacity to = detect, monitor and investigate diseases that emerge abroad that could = affect Americans. Objective 1.4 Reduce substance abuse.=20 How We Will Accomplish Our Objective Prevention a.. Provide support to states, tribes, and communities to help them = expand and improve substance abuse prevention programming.=20 b.. Provide support to states, tribes, and communities to help them = identify, adapt, and adopt programs tested and known to be effective in = discouraging underage drinking and illicit drug use.=20 c.. Support surveillance and data systems that monitor substance = abuse.=20 d.. Conduct research to understand the causes of addiction and to = develop new prevention methods. Treatment a.. Provide support to states, tribes, and communities to help them = expandand improve alcohol and drug treatment programming.=20 b.. Develop innovative ways to expand public and private financing = alternatives for treatment services.=20 c.. Provide support for identification, dissemination, adaptation and = adoption of evidence-based practices.=20 d.. Provide support to strengthen the knowledge, skills, and = competencies of treatment and related-health professionals.=20 e.. Provide support for data systems that track substance abuse = treatment service delivery characteristics and outcomes.=20 f.. Conduct research to develop new treatment methods. Objective 1.5 Reduce tobacco use, especially among youth=20 How We Will Accomplish Our Objective a.. Sponsor education campaigns about the adverse health effects of = tobacco use.=20 b.. Incorporate anti-tobacco education messages into Department = programs that target youth.=20 c.. Promote the adoption of tobacco education programs by primary care = professionals.=20 d.. Help states, tribes, schools, local governments, and anti-tobacco = organizations develop tobacco control programs through financial and = technical assistance.=20 e.. Participate in negotiations around the Framework Convention on = Tobacco Control and provide technical assistance to international = tobacco education and prevention programs.=20 f.. Conduct research to understand addiction to tobacco and develop = new biomedical and behavioral interventions to prevent and stop its use. = g.. Disseminate research findings and provide technical assistance to = help states implement the Synar Amendment, which requires states to = conduct random inspections of tobacco vendors to assess their compliance = with state tobacco access laws. Objective 1.6 Reduce the incidence and consequences of injuries = and violence =20 How We Will Accomplish Our Objective Prevention a.. Provide financial assistance to community-based injury and = violence prevention programs.=20 b.. Disseminate information on how to prevent injuries and violence to = public safety and community-based organizations, employers, the elderly, = schools, and youth.=20 c.. Conduct research on the causes and risk factors for violence and = injuries and develop more effective prevention strategies.=20 d.. Provide technical assistance to hospitals and public health = agencies on how to improve surveillance and monitoring activities for = injuries in order to devise more effective methods of prevention.=20 e.. Promote the development and improvement of state and tribal safety = legislation. Treatment a.. Educate health and human service providers on recognizing the = symptoms of violence-related injuries and develop and disseminate = effective protocols for addressing the needs of those affected by = violence. =93PROTECTING OUR HOMELAND=94 Goal 2 Enhance the ability of the Nation=92s health care system to = effectively respond to bioterrorism and other public health challenges=20 Objective 2.1 Build the capacity of the health care system to = respond to public health threats in a more timely and effective manner, = especially bioterrorism threats=20 How We Will Accomplish Our Objective a.. Stockpile sufficient products, including vaccines and = therapeutics, to counteract the most likely bioterrorism threats.=20 b.. Upgrade the capacity of federal, state, tribal, and local public = health, hospital, and other health care facilities.=20 c.. Upgrade the Nation=92s laboratory capacity to quickly identify and = characterize suspected biological threat substances and respond to = actual incidents.=20 d.. Create a national electronic communications system to link = federal, state, tribal, and local public health and other health = officials so that relevant information regarding public health threats = can be rapidly shared.=20 e.. Establish =93continuity of operations=94 plans to ensure that = personnel and analytical capability will still be operational in the = event of a terrorist attack.=20 f.. Upgrade the skills of the health careworkforce to meet new and = emerging threats.=20 g.. Increase the size and skills of the fully deployable PHS = Commissioned Corps.=20 h.. Cooperate with other countries and with international = organizations to enhance bioterrorism preparedness and response.=20 i.. Conduct and support research to produce more effective vaccines, = therapeutics, rapid diagnostic tests and other monitoring technologies = to address bioterrorism and other public health threats. Objective 2.2 Improve the safety of food, drugs, biological = products, and medical devices=20 How We Will Accomplish Our Objective Food a.. Increase inspection of domestic food supplies with a particular = focus on the highest risk products, processes, and establishments. = (e.g., infant formula, shell fish, ready to eat foods).=20 b.. Use integrated information and a global =93food lifecycle = approach=94 to focus on the safety of imported foods at their point of = origin, at the U.S. border and as they move through domestic commerce.=20 c.. Develop and enhance prevention standards to assure food safety.=20 d.. Develop and deploy new methods for detecting food borne pathogens. = e.. Promote the use of food borne illness surveillance and = diagnostics.=20 f.. Educate consumers and state, tribal, and local public health = professionals on detecting and preventing food borne illness. Drugs a.. Make information on drugs and drug safety more understandable to = consumers and health professionals.=20 b.. Continue to regularly inspect drug manufacturing and repackaging = establishments, with particular emphasis on establishments that pose the = highest potential risk.=20 c.. Respond quickly to reported adverse drug events. Medical Devices a.. Continue to regularly inspect mammography facilities (annually) = and =93high risk=94 medical device manufacturing establishments to = ensure compliance with established standards.=20 b.. Expand the network of medical facilities that recognize and report = adverse events with medical devices. Biological Products a.. Continue to regularly inspect biological manufacturing, = repackaging, and blood bank establishments for conformance with safety = and purity standards.=20 b.. Respond quickly to reported adverse events.=20 c.. Develop safer and more effective vaccines. =93CLOSING THE GAPS IN HEALTH CARE=94 GOAL 3: Increase the percentage of the Nation=92s children and = adults who have access to regular health care and expand consumer = choices=20 Objective 3.1 Create new, affordable health insurance options=20 How We Will Accomplish Our Objective a.. Support legislative changes that remove excessive restrictions on = Medical Savings Accounts and make them permanent.=20 b.. Promote the creation of purchasing groups and state insurance = pools.=20 c.. Support adoption of tax credits for Americans without = employer-subsidized insurance.=20 d.. Support adoption of temporary health credits for workers who have = lost their jobs.=20 e.. Implement the Health Insurance Portability and Accountability Act = (HIPAA), and provide assistance to providers regarding HIPAA compliance. = f.. Conduct research to understand changes in the health insurance = market and the impact of changes on access to care. Objective 3.2 Expand the health care safety net=20 How We Will Accomplish Our Objective a.. Medicaid/SCHIP=20 a.. Provide flexibility through waivers to states to design more = effective ways to provide health coverage to children and families under = the Medicaid and SCHIP programs.=20 b.. Provide transitional medical assistance for welfare to work = clients. b.. Underserved Rural and Urban Areas=20 a.. Expand support for telemedicine and distance learning programs = to extend state-of-the-art health care and information to the Nation=92s = most isolated communities.=20 b.. Provide Rural Health Outreach Grants to help establish new = partnerships between health organizations and schools, churches, = emergency medical services providers, private practitioners, and other = groups, to improve the delivery of clinical care.=20 c.. Enhance flexibility in provision of health care in rural areas = by helping communities tailor health care services to the needs of their = communities.=20 d.. Provide scholarship and loan repayments to doctors, nurses, = emergency medical technicians, and other health professionals who serve = in rural areas lacking adequate access to care through the National = Health Service Corps. c.. Primary health care services for underserved populations=20 a.. Expand the Consolidated Health Center and National Health = Service Corps programs and provide incentives to increase the supply of = nurses, physicians, and other health care providers in underserved, = e.g., rural and urban areas.=20 b.. Ensure that resource allocation methodologies direct resources = to the underserved areas most in need of services.=20 c.. Encourage people to enter the nursing profession by supporting = nursing educational programs and providing student loan repayment = assistance.=20 d.. Conduct research on where and how uninsured and underinsured = people receive health care, as well as research on primary care services = to identify difficulties in access, quality, and outcomes, and develop = better strategies to improve these services. Objective 3.3 Strengthen and improve Medicare=20 How We Will Accomplish Our Objective a.. Support legislation to provide a prescription drug benefit option = for Medicare beneficiaries, beginning with comprehensive drug coverage = for low-income beneficiaries.=20 b.. Support interim measures to assist Medicare beneficiaries with = accessing prescription drugs, such as through model Medicaid pharmacy = waivers and Medicare-endorsed prescription drug discount cards.=20 c.. Test new health plan options for beneficiaries by developing = flexible demonstration programs.=20 d.. Support Medicare contracting reform through administrative = measures to improve program management as well as customer service and = Medicare contractor reform legislation.=20 e.. Provide more private health plan options for Medicare = beneficiaries by ensuring that payment formulas are fair and by creating = incentives for popular coverage options like point-of-service and = preferred provider plans.=20 f.. Support new Medigap options with lower deductible, co-payments, = and premium costs for Medigap policies that protect beneficiaries = against catastrophic illness.=20 g.. Support lower co-payments and better coverage for preventive care. = h.. Develop strategies and tools to promote price and quality = competition among health plans and providers. =20 i.. Support the option for current Medicare beneficiaries and those = approaching retirement to keep the traditional Medicare coverage with no = changes.=20 j.. Streamline the process of approving national coverage for proven = new medical procedures. Objective 3.4 Eliminate racial and ethnic health disparities=20 How We Will Accomplish Our Objective a.. Undertake outreach efforts to raise awareness among minority = communities about major health risks prevalent in their specific = populations and provide access to information on how to reduce these = risks.=20 b.. Reduce communication barriers between providers and patients = through provider education and training.=20 c.. Partner with faith-based groups to help reach diverse racial and = ethnic populations concerning major health risks and prevention in their = communities.=20 d.. Conduct and support research to understand the underlying causes = of racial and ethnic health disparities and develop and disseminate = effective strategies to eliminate all preventable disparities.=20 e.. Increase inclusion of racial/ethnic minorities and women in = clinical trials. Objective 3.5 Expand access to health care services for = populations with special needs=20 How We Will Accomplish Our Objective a.. Organ and tissue transplantations=20 a.. Promote awareness of the importance of organ donations.=20 b.. Evaluate strategies for increasing donations and promote what = works.=20 c.. Develop and disseminate the curriculum concerning organ and = tissue donation for health care professionals.=20 d.. Support research on alternative sources of tissue and organs = suitable for transplantation. b.. HIV/AIDS=20 a.. Target Ryan White Care Act resources to underserved communities = and uninsured people disproportionately impacted by HIV/AIDS.=20 b.. Support HIV healthcare workforce development through training, = technical assistance and dissemination of evidence-based guidelines to = Ryan White CARE Act grantees and providers.=20 c.. Evaluate results and utilize evidence-based best practices as a = part of quality management programs to ensure responsible provision of = HIV/AIDS care and treatment.=20 d.. Support Medicaid=92s Maternal HIV Consumer Information Project.=20 e.. Increase technical assistance to state Medicaid agencies on = appropriate treatment and monitoring of HIV.=20 f.. Provide technical and financial support to the Global Fund to = Fight HIV/AIDS. c.. Mental health services=20 a.. Promote the development of comprehensive community-based mental = health care, for persons of all ages including prevention and early = intervention.=20 b.. Provide support to eliminate barriers that impede the ability of = Americans with mental health problems to live, learn, work, and = participate fully in their communities.=20 c.. Provide technical assistance to states, tribes, and communities = on how to improve the financing and organization of mental health = services.=20 d.. Promote the adoption of evidence-based treatment services, = supports, and prevention strategies.=20 e.. Promote the integration of mental health treatment with medical = treatment for people of all ages with co-occurring disorders.=20 f.. Provide assistance to develop the knowledge and skills of mental = health service providers.=20 g.. Provide support for data systems that track mental illness, = epidemiology, service system characteristics, and outcomes.=20 h.. Conduct and support research to improve the effectiveness of = existing mental illness treatments and develop new interventions to = prevent and treat mental disorders. d.. Children with special health care needs=20 a.. Provide outreach to educate special needs populations about = systems of care.=20 b.. Utilize information from national surveys and research to fill = gaps in services.=20 c.. Conduct research to develop improved screening tools for = identifying special needs children.=20 d.. Provide guidance to states to ensure that special needs children = receive appropriate care under capitated Medicaid managed care programs. Objective 3.6 Increase access to health services for American = Indians and Alaska Natives (AI/AN)=20 How We Will Accomplish Our Objective a.. Provide scholarship and loan repayment programs for health = professionals willing to serve in tribal locations.=20 b.. Increase the capacity of tribal epidemiology programs.=20 c.. Support the integration of traditional healing practices into = conventional health care.=20 d.. Increase the collection of payments to tribal providers from = third-party health insurance.=20 e.. Support tribal self-governance of health programs.=20 f.. Allocate resources to services that address health conditions that = disproportionately affect American Indian and Native Alaskan populations = in urban and rural settings. =93IMPROVING HEALTH SCIENCE=94 Goal 4: Enhance the capacity and productivity of the Nation=92s = health science research enterprise=20 Objective 4.1 Advance the understanding of basic biomedical and = behavioral science and how to prevent, diagnose, and treat disease and = disability=20 How We Will Accomplish Our Objective a.. Continue to support basic, clinical, and applied biomedical and = behavioral research, with stringent peer review for scientific quality = of research proposals.=20 b.. Develop and implement processes for setting research priorities = that ensure research is responsive to public health needs, scientific = opportunities, and advances in technology.=20 c.. Promote scientific and technology transfer through mechanisms such = as interagency collaborations and partnerships with academia and = industry. Objective 4.2 Accelerate private sector development of new drugs, = biologic therapies, and medical technology=20 How We Will Accomplish Our Objective a.. Streamline the review process for approval of new products.=20 b.. Harmonize regulatory standards with those of other nations, where = applicable.=20 c.. Prioritize the review of new products, focusing on those that = offer the greatest potential for treating serious or life-threatening = diseases.=20 d.. Consult early with product sponsors, exercise quality control in = the review process for new products, and closely monitor new products = when they enter the market. Objective 4.3 Strengthen and diversify the base of qualified = health and behavioral science researchers=20 How We Will Accomplish Our Objective a.. Invest in research training and career development programs in = both basic and clinical research.=20 b.. Recruit minorities and other under-represented populations into = research training and career development programs. Objective 4.4 Improve the communication and application of health = research results=20 How We Will Accomplish Our Objective a.. Provide for easy access by academia and industry to HHS databases = and findings from HHS research, with appropriate privacy and = confidentiality protection.=20 b.. Expand the use of electronic technology and media channels to = gather and transfer research information to researchers, practitioners, = and the public.=20 c.. Establish partnerships with health professional associations, = industry groups, patient representatives, community groups, and = purchasers of care to more widely disseminate research findings.=20 d.. Support =93implementation research=94 to determine how innovative, = effective interventions can be implemented in actual settings and = populations.=20 e.. Ensure that research, demonstration, and evaluation results are = communicated effectively across HHS agencies.=20 f.. Support development of databased quality of care and outcome = measurement systems to track adoption of evidence-based practices. Objective 4.5 Strengthen the mechanisms for ensuring the = protection of human subjects and the integrity of the research process=20 How We Will Accomplish Our Objective Human Subjects Protection a.. Promote education of institutional administrators, investigators, = and Institutional review board members and staff on the application of = human subjects protection requirements.=20 b.. Promote programs to increase the quality, performance, and = efficiency of an institution=92s human subjects protection program and = help institutions ensure compliance with federal regulations.=20 c.. Promote the development and use of valid accreditation for human = subjects protection programs.=20 d.. Develop sensible, effective policies and procedures for dealing = with financial relationships in human research as part of ensuring = protections for human research participants without impeding appropriate = research activities. Research Integrity=20 a.. Expand education on conducting responsible research for our = research partners.=20 b.. Conduct research on research integrity, including methods to make = education more effective, discovery of regulatory standards that work, = and the identification of best practices that can be adopted to ensure = responsible research. =93REALIZING THE POSSIBILITIES OF 21ST CENTURY HEALTH CARE=94 Goal 5: Improve the quality of health care services =20 Objective 5.1 Reduce medical errors=20 How We Will Accomplish Our Objective a.. Support the development and dissemination of evidence-based = practices, including information systems and new technology for the home = and for clinical settings.=20 b.. Work with public and private sector and standard development = organizations to develop consensus on standards for content and = transmission of patient-specific clinical information.=20 c.. Improve reporting systems for medical errors and adverse events = (including those related to medical devices and drugs). Objective 5.2 Increase the appropriate use of effective health = care services=20 How We Will Accomplish Our Objective a.. Provide quality improvement assistance to providers and = practitioners and enhance the utilization of market forces though = entities such as Quality Improvement Organizations and other public and = private sector partnerships to spur quality improvement.=20 b.. Conduct research and evaluation to develop knowledge about = effective health services.=20 c.. Translate this knowledge into strategies, tools, and information = that help clinicians and health care policy makers improve health care = quality. Objective 5.3 Increase consumer and patient use of health care = quality information=20 How We Will Accomplish Our Objective a.. Disseminate health care quality information through provider = networks, =93report cards,=94 toll-free numbers, faith-based and = community groups and Internet information sites.=20 b.. Work with private sector partners to educate Medicare = beneficiaries on making informed decisions about health care.=20 c.. Work with private sector and health care provider communities to = develop and make publicly available standardized indicators of health = care quality that are meaningful to purchasers, providers, and = consumers.=20 d.. Conduct research on ways to improve the availability of = information on quality of care that will enable individuals to make = informed health care choices. Objective 5.4 Improve consumer and patient protections=20 How We Will Accomplish Our Objective a.. Support a prohibition on the use of genetic information to deny = access to health insurance.=20 b.. Improve survey and certification processes for participation in = Medicare and Medicaid.=20 c.. Provide better information to HHS beneficiaries on grievance and = appeal rights in HHS health care programs. =20 d.. Provide training and technical assistance to HHS =93protection and = advocacy programs=94 for the elderly, mentally ill, and developmentally = disabled.=20 e.. Develop and implement options to streamline the Medicare appeals = process. Objective 5.5 Accelerate the development and use of the national = health information infrastructure=20 How We Will Accomplish Our Objective a.. Provide leadership to promote the rapid development of the = technology necessary for an electronic health record, consistent with = secure and confidential treatment of health information.=20 b.. Promote the voluntary adoption of national data standards, within = the private and public health sectors, as the building blocks for a = national health information infrastructure.=20 c.. Conduct research on the practical applications of a national = health information infrastructure that serves consumers and patients at = home, as well as professionals and other decision makers.=20 =93WORKING TOWARD INDEPENDENCE=94 Goal 6: Improve the economic and social well-being of = individuals, families, and communities, especially those most in need=20 Objective 6.1 Increase the economic independence and workforce = participation of low-income families and persons receiving welfare=20 How We Will Accomplish Our Objective a.. Require states and tribes to engage all families on welfare in = work and constructive activities leading to self-sufficiency.=20 b.. Use waivers to enhance states=92 and tribes=92 flexibility and = capacity to coordinate services across a broad range of public = assistance and workforce programs so that families CAN better access = services to obtain and maintain employment and ensure child and family = well-being.=20 c.. Provide adequate support for child care services and parental = choice that allows low income parents to enter and remain in the = workforce.=20 d.. Conduct research, provide technical assistance, and identify best = practices on ways to eliminate barriers to employment for persons who = experience significant employment difficulties, such as individuals with = disabilities, homeless persons, and minority populations.=20 e.. Provide energy assistance to households.=20 f.. Develop and implement a research, evaluation, and data strategy to = create an integrated picture of the low-income population and understand = the effects of welfare reform on children, families, and communities. Objective 6.2 Increase the proportion of older Americans who stay = active and healthy=20 How We Will Accomplish Our Objective a.. Provide health care providers with information about the = preventive care, primary health care, and chronic disease management = needs of the elderly.=20 b.. Educate people over 50 about the benefits of health screening, = immunizations, and life-style counseling and behavior changes.=20 c.. Support state, tribal, and community programs that provide basic = services (meals & transportation) to combat factors (such as poor = nutrition, social isolation & accidents) that lead to functional decline = in the elderly.=20 d.. Support biomedical, behavioral, and health services research to = better understand the aging process and factors that prolong independent = functioning, such as the use of assistive devices and technology. Objective 6.3 Increase the independence and quality of life of = persons with long-term care needs=20 How We Will Accomplish Our Objective a.. Implement the Olmstead Supreme Court decision on community = integration under the Americans with Disabilities Actand provide = technical assistance to states in its implementation.=20 b.. Support tax and respite care benefits for home caregivers.=20 c.. Provide caregiver training and link caregivers to support = networks.=20 d.. Facilitate development of new long-term care insurance products to = give Americans more choice in covering long-term care needs.=20 e.. Support tax deductions for long-term care insurance.=20 f.. Identify and eliminate barriers to community living for persons = with disabilities.=20 g.. Allow states and tribes to demonstrate new options of = community-based services, including options to children=92s residential = treatment facilities.=20 h.. Help communities develop comprehensive community-based, long-term = care services.=20 i.. Develop and disseminate financing and service delivery models that = improve the coordination and integration of home health, rehabilitation, = and nursing facility services.=20 j.. Promote policies that empower individuals needing long-term care = to be involved in the planning and direction of their services.=20 k.. Improve the long-term care data infrastructure to better monitor = the demand for and use of services, and transitions across residential = care settings. Objective 6.4 Improve the economic and social development of = distressed communities=20 How We Will Accomplish Our Objective a.. Support individual development accounts to encourage low-income = individuals to save for purchasing homes and starting businesses.=20 b.. Provide employment and entrepreneurial opportunities for = low-income individuals through partnerships with industrial and = commercial business.=20 c.. Provide training, technical assistance, and financial resources to = state, local, public, and private agencies for economic development and = related social service support activities.=20 d.. Assist community development corporations and community action = agencies in leveraging existing federal, state, and local resources for = neighborhood revitalization activities.=20 e.. Sponsor programs that develop community leadership and empower = residents to participate in the design and implementation of programs = that best meet local needs. Objective 6.5 Expand community and faith-based partnerships=20 How We Will Accomplish Our Objective a.. Identify and reduce unnecessary legislative, regulatory, and = programmatic barriers to participation of these organizations in federal = programs.=20 b.. Improve the communication channels, disseminate information, and = provide technical assistance to community and faith-based organizations = on how to participate in federal programs.=20 c.. Develop and disseminate =93best practices,=94 highlighting = successful community and faith-based programs. =93LEAVING NO CHILD BEHIND=94 Goal 7: Improve the stability and healthy development of our = Nation=92s children and youth=20 Objective 7.1 Promote healthy marriages and family formation=20 How We Will Accomplish Our Objective a.. Support research, evaluation, demonstrations, and technical = assistance that exemplify best practices in healthy marriages and family = formation.=20 b.. Encourage states to provide equitable treatment of two-parent = married families under state TANF programs.=20 c.. Provide competitive matching grants to states, territories, and = tribal organizations to develop innovative approaches to support healthy = marriages.=20 d.. Provide grants to community and faith-based organizations to = promote responsible fatherhood and help both custodial and non-custodial = fathers become more involved in the lives of their children.=20 e.. Support efforts within international organizations to strengthen = families. Objective 7.2 Improve the development and learning readiness of = preschool children=20 How We Will Accomplish Our Objective a.. In Head Start and childcare, strengthen language and early = literacy services through evidence-based training and technical = assistance, while continuing to promote children=92s social and = emotional competence, health, and nutrition.=20 b.. Develop a new Head Start accountability system to assess standards = of learning in early literacy, language, and numeracy.=20 c.. Promote better coordination of services through service = partnerships among Head Start, childcare, pre-kindergarten, family = literacy, and health programs.=20 d.. Conduct research on ways to improve children=92s healthy = development and school readiness, and use research findings to improve = practice. Objective 7.3 Increase the involvement and financial support of = non-custodial parents in the lives of their children=20 How We Will Accomplish Our Objective a.. Support rigorous enforcement of child support obligations.=20 b.. Provide states and tribes with financial incentives to increase = the amount of collections on overdue child support given directly to = families, especially those that have left welfare.=20 c.. Require states and tribes to regularly review and adjust child = support orders for families that participate in TANF.=20 d.. Provide training and technical assistance to state and tribal = child support enforcement agencies on the use of the Federal Parent = Locator Services and best collection practices.=20 e.. Identify access and visitation practices that encourage = non-custodial parents to be more involved in their children=92s lives. Objective 7.4 Increase the percentage of children and youth living = in a permanent, safe environment=20 How We Will Accomplish Our Objective a.. Encourage adoptions, for example, by identifying and addressing = the sources of delays in inter-jurisdictional adoptions; and holding = states to standards for improving the timeliness of adoptions, = particularly for children with special needs.=20 b.. Provide financial support for developmental and other services to = help homeless and runaway youth return home or live in secure = alternative environments.=20 c.. Provide financial support for independent living services to help = foster youth transition to independence, including support for = educational vouchers to help that transition.=20 d.. Improve the safety, permanency, and well-being of children in the = child welfare system by emphasizing outcomes for children in child and = family services reviews and through technical assistance to states.=20 e.. Support research and demonstrations to better understand how to = prevent and treat child abuse and neglect and family violence, and = provide stable family situations. =93IMPROVING DEPARTMENT MANAGEMENT=94 Goal 8: Achieve Excellence in Management Practices=20 Objective 8.1 Create a unified HHS committed to functioning as one = department=20 How we will Accomplish Our Objective a.. Consolidate HHS operations, including:=20 a.. facilities management, centralizing building and = location-related decisions and to help co-locate HHS employees who work = together;=20 b.. HHS legislative offices and functions for greater efficiency;=20 c.. Departmental personnel operations to enhance effectiveness and = efficiency in hiring, training, and deployment of personnel; and=20 d.. administrative services. b.. Implement more effective coordination of HHS research and = evaluation activities.=20 c.. Enhance the coordination of administration of programs and = policies, such as the State Children=92s Health Insurance Program and = privacy and confidentiality policies, across HHS to better leverage our = collective resources so that services to program recipients from HHS = agencies are seamless and complimentary.=20 d.. Consolidate the work and physical location of some of our agencies = to increase efficiencies and reduce costs.=20 e.. Eliminate excessive management layers to speed decision-making.=20 f.. Consolidate and modernize existing financial management systems.=20 g.. Establish a single corporate information technology enterprise = system and standardize electronic communications systems and software so = that all HHS agencies can communicate easily. Objective 8.2 Improve the strategic management of human capital=20 How We Will Accomplish Our Objective a.. Conduct ongoing workforce planning to assess the skills we need to = accomplish the Department=92s mission now and in the future.=20 b.. Attract, hire, and retain exceptional individuals in a variety of = occupations within HHS through the =93Emerging Leaders=93 program.=20 c.. Hold employees accountable for achieving measurable results = through performance contracts linked to the Department=92s program and = management priorities.=20 d.. Develop effective succession planning and career development = programs to build the next generation of HHS leaders. Objective 8.3 Enhance the efficiency and effectiveness of = competitive sourcing=20 How We Will Accomplish Our Objective a.. Require that Agencies set progressive targets for competitive = sourcing of commercial activities each year; the percentage each year = should meet or exceed the targets established by the Office of = Management and Budget.=20 b.. Ensure all resulting contracts with both public and private = entities are =93performance based=93 and provide a process for vigorous = contract monitoring and administration.=20 c.. Produce a competitive sourcing plan, and require each HHS Agency = to produce a plan, which studies a progressive percentage of commercial = activities performed by Departmental staff.=20 d.. Use competitive sourcing information generated to identify new = performance efficiencies and institute ongoing, continuous improvement.=20 e.. Ensure that competitive sourcing targets are aligned with HHS = workforce restructuring plans, and conduct studies that examine each = area of operations for cost comparisonwhere efficiencies would be = gained. Objective 8.4 Improve financial management=20 How We Will Accomplish Our Objective a.. Reduce payment error rates and improve accounting systems.=20 b.. Pursue modernization of Medicare contractors=92 financial systems = by implementing the Healthcare Information General Ledger Accounting = System (HIGLAS).=20 c.. Develop financial management systems that support integrated = financial analysis and performance measurement.=20 d.. Assess programs=92 risk of payment errors, and take action to = minimize improper payments.=20 e.. Maintain high standards for reporting requirements, and deliver = timely financial statements that exhibit sound financial practices. Objective 8.5 Enhance the use of electronic commerce in service = delivery, communications, and record keeping=20 How We Will Accomplish Our Objective a.. Implement electronic standards for archival and record keeping = that facilitate electronic storage of information.=20 b.. support e-government initiatives with e-government productivity = measures, strong IT security, and integrated enterprise architecture.=20 c.. Institute seamless electronic communications systems within HHS = with the use of standardized, compatible, electronic mail and software = systems. Objective 8.6 Achieve integration of budget and performance = information=20 How We Will Accomplish Our Objective a.. Develop Departmental Agency Performance Plans that align budget = requests and priorities with national health and human services = outcomes.=20 b.. Develop Department-wide performance measures to measure overall, = strategic direction in HHS crosscutting areas, such as measures of = prevention and anti-bioterrorismefforts. Objective 8.7 Reduce regulatory burden on providers and consumers = of HHS services=20 How We Will Accomplish Our Objective a.. Seek advice from stakeholders and the Advisory Committee on = Regulatory Reform on ways to reduce regulatory burden and eliminate = rules and paperwork that serve little purpose while maintaining = effectiveness and accessibility and continuing to ensure the fiscal = soundness of the Department=92s programs.=20 b.. Implement promising recommendations from the Advisory Committee, = such as improved collaboration between Centers for Medicare and Medicaid = Services and the Food and Drug Administration on the approval of new = medical technology.=20 c.. Clarify and simplify confusing regulations.=20 d.. Provide the health care provider community with regular and = predictable information on new regulatory and other developments in the = Medicare and Medicaid programs.=20 e.. Conduct open-door forums and other outreach efforts to enhance = communication with beneficiaries, health care providers, and other = stakeholders to increase responsiveness and identify areas for reducing = regulatory burden under the Medicare and Medicaid programs.=20 f.. Promote health plan participation in Medicare by fostering = stability and predictability in health plan payments and reducing = administrative burden. Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate the section/goal/objective that you are commenting on. -------------------------------------------------------------------------= ------- U.S. Department of Health & Human Services Assistant Secretary for Planning and Evaluation 200 Independence Avenue, SW Washington, DC 20201 ------=_NextPart_001_0002_01C26C0A.42087B00 Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="Windows-1252" HHS Strategic Plan FY 2003 - 2008
 

Department of Health
and Human Services

Strategic Plan
FY 2003 - 2008
Draft - July 29, 2002=20

Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate=20 the section/goal/objective that you are commenting on. Comments will be = accepted=20 through September 9, 2002.

Contents

View the PDF version

=93...the great thing about this world is not so = much where we=20 stand
as in what direction we are moving. We must sail = sometimes
with=20 the wind and sometimes against it. But we must sail,
and not = drift, nor=20 lie at anchor.=94

=97 Oliver Wendell = Holmes

WEB SITES FOR
DEPARTMENT OF HEALTH AND HUMAN=20 SERVICES

Office of the Secretary (OS) www.hhs.gov
Administration for Children and Families = (ACF) www.acf.dhhs.gov
Administration on Aging (AoA) www.aoa.gov =
Agency for Healthcare Research and Quality=20 (AHRQ) www.ahrq.gov
Agency for Toxic Substances and Disease = Registry=20 (ATSDR) www.atsdr.cdc.gov
Centers for Disease Control and=20 Prevention (CDC) www.cdc.gov
Centers for Medicare & Medicaid Services=20 (CMS) www.cms.hhs.gov
Food and Drug Administration (FDA) www.fda.gov
Health Resources and Services Administration=20 (HRSA) www.hrsa.gov
Indian Health Service (IHS) www.ihs.gov
National Institutes of Health (NIH) www.nih.gov
Substance Abuse and Mental Health Services = Administration (SAMHSA) www.samhsa.gov
Office of the Surgeon General www.surgeongeneral.gov=20

EXECUTIVE SUMMARY

We have established eight (8) strategic goals for accomplishing = the=20 Department of Health and Human Services (HHS) mission to protect and = improve the=20 health and well-being of the American public.  These goals and = accompanying=20 objectives provide the focus for HHS investments of effort and resources = over=20 the next five years. The following summary highlights the key priorities = of the=20 Secretary that are found in the plan:

To PREVENT DISEASE AND ILLNESS, Goal 1 is to =93reduce the = major threats=20 to the health and well-being of Americans.=94 To achieve our goal, we = will focus=20 on the behavioral and environmental threats that have a significant = effect on=20 health. We especially will focus on:

  • Promoting healthy behaviors, such as regular exercise and a = healthy diet=20 to reduceobesity and the incidence of chronic diseases, such as = diabetes;=20
  • increasing abstinence education for young Americans and providing=20 educational and other materials aimed at reducing unsafe sexual = behaviors and=20 preventing unintended pregnancies; and=20
  • reducing substance abuse by expanding and improving communities=92 = substance=20 abuse prevention and treatment programs.

To PROTECT OUR HOMELAND, Goal 2 is to =93enhance the ability = of the=20 Nation=92s health care system to effectively respond to bioterrorism and = other=20 public health challenges.=94 To achieve this goal we will focus our = efforts=20 on:

  • building the capacity of the health care system to prepare for and = respond=20 to public health threats, especially bioterrorism; and=20
  • Initiating steps to ensure the safety of food, drugs, biological = products,=20 and medical devices.

To CLOSE THE GAPS IN HEALTH CARE, Goal 3 is to =93increase the = percentage of the Nation=92s children and adults who have access to = regular health=20 care and expand consumer choices.=94 To achieve our goal, we plan to = undertake a=20 multi-faceted approach that includes:

  • creating new, affordable health insurance options;=20
  • expanding the health care safety net, especially in underserved = rural and=20 urban areas and for low income persons; and=20
  • expanding the availability of health services for populations with = special=20 needs, such as those needing organ and tissue transplantations, = persons with=20 HIV/AIDS, and persons with mental illnesses.

To IMPROVE HEALTH SCIENCE, Goal 4 is to =93enhance the = capacity and=20 productivity of the Nation=92s health science research enterprise.=94 To = achieve=20 this goal we will concentrate on:

  • making investments that advance the understanding of basic = biomedical and=20 behavioral science and how to prevent, diagnose, and treat disease and = disability; and=20
  • accelerating the development of new drugs, medical technology, and = biologic therapies.

To REALIZE THE POSSIBILITIES OF 21st CENTURY HEALTH = CARE, Goal=20 5 is to =93improve the quality of health care services.=94 For this = goal, we=20 will especially focus on:

  • steps to reduce medical errors and improve consumer and patient=20 protections; and=20
  • accelerating the development and use of an electronic health = information=20 infrastructure.

To WORK TOWARD INDEPENDENCE, Goal 6 is to =93improve the = economic and=20 social well-being of individuals, families, and communities, especially = those=20 most in need.=94 Our efforts will concentrate on:

  • engaging all welfare families in work leading to self sufficiency; =
  • reducing barriers to independent living for persons with = disabilities; and=20
  • expanding community and faith-based partnerships to find more = creative and=20 effective ways of delivering human services.

To LEAVE NO CHILD BEHIND, Goal 7 is to =93improve the = stability and=20 healthy development of our Nation=92s children and youth.=94 In = achieving this goal=20 we will focus on:

  • promoting family formation and healthy marriages; and=20
  • instituting creative and innovate ways to improve the learning = readiness=20 of preschool children.

To IMPROVE DEPARTMENT MANAGEMENT, Goal 8 is to =93achieve = excellence in=20 management practices.=94 To help us achieve the above seven program = objectives, we=20 will institute a multi-pronged approach to improve management practices = and=20 achieve excellence by focusing on the key areas in the President=92s = Management=20 Agenda. For example, management reforms will center on:

  • Creating a unified =93One HHS=94=20
  • Improving workforce planning and financial management;=20
  • enhancing the efficiency and effectiveness of competitive = sourcing; and=20
  • enhancing the use of electronic commerce.

Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate=20 the section/goal/objective that you are commenting on.

INTRODUCTION

The Department - =93One HHS=94

The over-arching central direction of the Department is to function = as a=20 single entity =96 as One HHS. To ensure that HHS is =93One = Department=94 rather=20 than a collection of disparate and unrelated agencies, we have taken a = number of=20 actions, and are planning more. We are reforming the management of the=20 Department and improving the programs that our Department runs. Over the = next=20 few years we will be increasingly collaborating and coordinating = significant=20 activities among HHS agencies, such as work on HIV/AIDS, Medicare, = Medicaid,=20 delivery of health care services to children and families, privacy and=20 confidentiality policies, and research on the effectiveness of HHS = programs. For=20 the first time ever, the HHS Strategic Plan contains a Management = Improvement=20 Goal, including strategies to reduce the number of personnel offices; = modernize=20 and improve human, financial, and technological management at HHS; and = reform=20 regulations to reduce excessive paperwork and burden to doctors and = hospitals.=20 To provide accountability, as well as feedback and tracking of how we = are doing,=20 we are instituting performance contracts (tied to the strategic goals = and=20 objectives) for the Department=92s senior leadership which will cascade = throughout=20 the Department. This performance contract will institute explicit = standards=20 against which HHS officials=92 work will be measured.

In terms of our structure, the Department of Health and Human = Services (HHS)=20 is one of the largest federal departments, the Nation=92s largest health = insurer,=20 and the largest grant-making agency in the United States federal = government. The=20 Department promotes and protects the health and well-being of all = Americans and=20 provides world leadership in biomedical and public health = sciences. =20 As indicated above, in doing this, HHS is committed to becoming a = unified=20 Department.

HHS will be accomplishing its objectives through an array of programs = in=20 basic and applied science, public health, income support, child = development, and=20 the financing and regulation of health and social services. The = Department=20 manages this broad range of activities in collaboration with its state, = local,=20 tribal, and non-governmental partners, and with the coordination of the = staff=20 agencies in the Office of the Secretary. Appendix XX provides a brief=20 description of HHS Agencies and staff offices.

Development and Update of the Plan

In 1997, HHS published its first strategic plan in response to the = Government=20 Performance and Results Act (GPRA).  This plan was updated and = transmitted=20 to Congress in September 2000. Part of our quality improvement efforts = in=20 strategic planning have focused on updating the HHS Strategic Plan to = reflect=20 the emergence of new priorities and the experience that has been gained = while=20 implementing the initial two plans. The result is an expansion and = revision of=20 Strategic Plan goals and objectives. The discussion of implementation = strategies=20 also is expanded and refined. A more thorough discussion of data and = management=20 challenges and solutions is provided (Appendices XX and XX). A more = complete=20 analysis of external factors that might affect the goals/objectives and = how the=20 Department might mitigate them is included (Appendix XX). Possible = outcome=20 indicators are defined and an explanation of how the strategic and = annual=20 performance plans are closely linked is now discussed in detail = (Appendix=20 XX).

Despite these changes, the basic logic of the plan remains the same. = The=20 strategic goals and objectives reflect Department-wide priorities that = cut=20 across individual HHS agencies and programs. In contrast, our = implementation=20 strategies are aligned with the authority and funding of categorical = programs.=20 Often, however, individuals and families have needs that go beyond the=20 individual Department programs. For example, the person who is moving = from=20 welfare to work may also need access to affordable housing=97a = program that=20 is within the purview of the Department of Housing and Urban Development = (HUD).=20 In this respect, the HHS implementation strategies for helping clients = would=20 appear to be constrained by the scope of the programs that we = administer.

However, HHS works with a wide range of federal, state, tribal, and = local=20 service providers to coordinate the planning and delivery of = services in a=20 way that maximizes resources and provides clients with an integrated = approach to=20 meeting their needs. The discussion of internal and external = coordination has=20 been significantly expanded to provide a clearer sense of where the = Department=92s=20 programs and activities intersect with each other and with organizations = outside=20 HHS (see Appendix XX).

In addition, Appendix XX describes the unique service delivery=20 partnerships that we have with state and local governments, tribes, = and=20 private organizations that have programs and goals similar to those of = HHS. The=20 appendix provides a discussion of how these partnerships work in = planning and=20 delivering services and the important role that these organizations play = in=20 helping us achieve the objectives we have set in the HHS Strategic = Plan.

Many of the Department's objectives and implementation strategies = focus on=20 populations within our program authority (e.g., persons with particular=20 diseases, low-income, underserved and minority populations). Given = finite=20 resources, where we have discretion, we target groups with the greatest = needs.=20 We do not cast our objectives and implementation strategies by = particular=20 populations, given the number of separate populations that are eligible = for=20 special services.

Similarly, the Strategic Plan is not a depository for all actions = that we=20 might take to achieve an objective.  Therefore, implementation = strategies=20 under each objective are merely illustrative and not meant as a = catalogue of all=20 potential implementation plans; they illustrate the general direction we = plan to=20 take. For example, a research strategy may be central to achieving one = of our=20 objectives.  In this case, we would list selected research = priorities to=20 provide readers with the major thrust of our agenda and how research = relates to=20 achieving the particular objective.  Listing every possible = research=20 activity would be impossible, given the number of potential research = priorities=20 that we might support.

Our Mission

The mission of the Department of Health and Human Services it to = enhance the=20 health and well-being of Americans by providing for effective health and = human=20 services and by fostering strong, sustained advances in the sciences = underlying=20 medicine, public health and social services.

Healthy and productive individuals, families, and communities are the = very=20 foundation of the Nation=92s present and future security and prosperity. = Through=20 leadership in medical sciences and public health, and as guardian = of=20 critical components of America's health and safety net programs, HHS = seeks to=20 improve the health and well-being of people in this country and = throughout the=20 world.

Planning and Assessment = Cycle
The=20 Department's successes are measured against a yardstick of steady, = progressive=20 improvements in the physical and mental health and economic = well-being of=20 individuals, families, and communities, and advances in medicine and = public=20 health that benefit the entire world. Achieving and sustaining good = health as=20 individuals and communities is a shared responsibility. To realize our = goals, we=20 will develop the policies, tools, and resources that are appropriately = national=20 in scope. To realize the objectives for improving the Nation=92s health, = strengthening the social and economic fabric, and contributing to global = health,=20 the Department will form many kinds of partnerships. These include = partnerships=20 with other federal departments; state, local, and tribal governments; = academic=20 institutions; the business community; nonprofit and volunteer = organizations;and=20 our counterparts in other countries and international organizations.

Strategic Goals

HHS=92 strategic goals are broad statements of what we plan to = accomplish over=20 the next five years.  More detailed objectives are set for each = goal. We=20 have articulated the key strategies we plan to undertake to work toward = our=20 objectives and goals in order to help us to achieve the overall HHS = mission.

Our Core Values

In the Department=92s ongoing management of its programs, and in our = strategic=20 planning process, we have been guided by a set of core values that = define the=20 HHS organizational culture. These are:

  • To deliver results that are useful both to the people and = communities that=20 are directly served by the Department=92s programs and to the = taxpayers who pay=20 for these programs.=20
  • To be an accountable steward of the Department=92s programs and = enhance the=20 efficiency and quality of the services provided.=20
  • To focus on health promotion and the prevention of disease and = social=20 problems, including the prevention of discrimination in the provision = of=20 health and human services.=20
  • To create useful, effective forms of collaboration with partners = in=20 regulation, research, service delivery, and management.=20
  • To provide accurate, reliable, understandable, and timely = information to=20 our partners and customers.=20
  • To apply the most current scientific knowledge when making = decisions that=20 affect public well-being.=20
  • To foster flexibility and encourage innovation in the effective = delivery=20 of health and human services programs.=20
  • To maintain a work environment that encourages creativity, = diversity,=20 innovation, teamwork, accountability, continuous learning, a sense of = urgency,=20 enthusiasm, trust, celebration of achievement, and the highest ethical = standards.=20
  • To work as a single corporate entity with a =93One HHS=94 approach = to=20 management.

Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate=20 the section/goal/objective that you are commenting on.

GOALS

The Department has established eight goals to fulfill its = mission:

Goal 1 Reduce the major threats to the health and well-being of=20 Americans
Goal 2 Enhance the ability of the Nation=92s health care system to = effectively=20 respond to bioterrorism and other public health = challenges
Goal 3 Increase the percentage of the Nation=92s children and adults = who have=20 access to regular health care and expand consumer = choices
Goal 4 Enhance the capacity and productivity of the Nation=92s health = science=20 research enterprise
Goal 5 Improve the quality of health care services
Goal 6 Improve the economic and social well-being of individuals, = families,=20 and communities, especially those most in need
Goal 7 Improve the stability and healthy development of our Nation=92s = children=20 and youth
Goal 8 Achieve excellence in management = practices
HHS Goals and Objectives =96 FY 2003-2008

=93PREVENTING DISEASE AND ILLNESS=94

GOAL 1: Reduce the major threats to the health and = well-being of=20 Americans.
Objective 1.1 Reduce risky behaviors and other factors that contribute to the=20 development of chronic diseases, especially diabetes and = asthma
Objective 1.2 Reduce the proportion of adolescents engaged in sexual activity, = the=20 proportion of persons engaged in unsafe sexual behaviors, and = unintended=20 pregnancies
Objective 1.3 Increase immunization rates among adults and children
Objective 1.4 Reduce substance abuse.
Objective 1.5 Reduce tobacco use, especially among youth
Objective 1.6 Reduce the incidence and consequences of injuries and=20 violence

=93PROTECTING OUR HOMELAND=94

Goal 2: Enhance the ability of the Nation=92s health care = system to=20 effectively respond to bioterrorism and other public health=20 challenges
Objective 2.1 Build the capacity of the health care system to respond to = public=20 health threats in a more timely and effective manner, especially=20 bioterrorism threats
Objective 2.2 Improve the safety of food, drugs, biological products, and = medical=20 devices

=93CLOSING THE GAPS IN HEALTH CARE=94

Goal 3: Increase the percentage of the Nation=92s children = and adults=20 who have access to regular health care and expand consumer = choices
Objective 3.1 Create new, affordable health insurance options
Objective 3.2 Expand the health care safety net
Objective 3.3 Strengthen and improve Medicare
Objective 3.4 Eliminate racial and ethnic health disparities
Objective 3.5 Expand access to health care services for populations with = special=20 needs
Objective 3.6 Increase access to health services for American Indians and = Alaska=20 Natives (AI/AN)

=93IMPROVING HEALTH SCIENCE=94

Goal 4: Enhance the capacity and productivity of the = Nation=92s=20 health science research enterprise
Objective 4.1 Advance the understanding of basic biomedical and behavioral = science=20 and how to prevent, diagnose, and treat disease and = disability
Objective 4.2 Accelerate private sector development of new drugs, biologic=20 therapies, and medical technology
Objective 4.3 Strengthen and diversify the base of qualified health and = behavioral=20 science researchers
Objective 4.4 Improve the coordination, communication, and application of = health=20 research results
Objective 4.5 Strengthen the mechanisms for ensuring the protection of human=20 subjects and the integrity of the research = process

=93REALIZING THE POSSIBILITIES OF 21ST CENTURY HEALTH = CARE=94

Goal 5: Improve the quality of health care = services
Objective 5.1 Reduce medical errors
Objective 5.2 Increase the appropriate use of effective health care = services
Objective 5.3 Increase consumer and patient use of health care quality=20 information
Objective 5.4 Improve consumer and patient protections
Objective 5.5 Accelerate the development and use of an electronic health = information=20 infrastructure

=93WORKING TOWARD INDEPENDENCE=94

Goal 6: Improve the economic and social well-being of = individuals,=20 families, and communities, especially those most in need
Objective 6.1 Increase the economic independence and workforce participation = of low=20 income families and persons receiving welfare
Objective 6.2 Increase the proportion of older Americans who stay active and=20 healthy
Objective 6.3 Increase the independence and quality of life of persons with=20 long-term care needs
Objective 6.4 Improve the economic and social development of distressed=20 communities
Objective 6.5 Expand community and faith-based = partnerships

=93LEAVING NO CHILD BEHIND=94

Goal 7: Improve the stability and healthy development of = our=20 Nation=92s children and youth
Objective 7.1 Promote family formation and healthy marriages
Objective 7.2 Improve the development and learning readiness of preschool=20 children
Objective 7.3 Increase the involvement and financial support of non-custodial=20 parents in the lives of their children
Objective 7.4 Increase the percentage of children and youth living in a = permanent,=20 safe environment

=93IMPROVING DEPARTMENT MANAGEMENT=94

Goal 8: Achieve excellence in management = practices
Objective 8.1 Create a unified HHS committed to functioning as One = Department
Objective 8.2 Improve the strategic management of human capital
Objective 8.3 Enhance the efficiency and effectiveness of competitive = sourcing
Objective 8.4 Improve financial management
Objective 8.5 Enhance the use of electronic commerce in service delivery and = record=20 keeping
Objective 8.6 Achieve integration of budget and performance = information
Objective 8.7 Reduce regulatory burden on providers and consumers of HHS=20 services
STRATEGIES FOR ACCOMPLISHING OUR GOALS

In this section we describe our strategies for accomplishing our = strategic=20 goals and objectives.  Legislation and/or regulations required to=20 accomplish objectives are presented as part of the strategies. In = general, we=20 conduct a number of activities to achieve objectives and goals, such as=20 disseminating information; providing technical assistance to = contractors,=20 states, and local governments; conducting research and demonstrations; = financing=20 services for program beneficiaries; and delivering services directly to = program=20 recipients.  (See exhibit below.) A discussion of resources that = will=20 support these strategies is found in Appendix XXX, and a matrix relating = the=20 Department's strategic objectives to programs is shown in Appendix = XXX.

The design and implementation of strategies/actions to accomplish our = objectives and goals is a process that is influenced by information = gained=20 through program evaluation. Appendix XXX provides an in-depth discussion = of=20 program evaluations and the Department's plans to look at the = effectiveness of=20 the implementation strategies.

Goals/Objectives/Strategies
=93PREVENTING DISEASE AND ILLNESS=94
GOAL 1: Reduce the major threats to the health and well-being of=20 Americans
Objective 1.1 Reduce the risky behaviors and other factors that contribute to = the=20 development of chronic diseases, especially diabetes and=20 asthma

How We Will Accomplish Our Objective

  • Physical Activity and Diet
    • Promote proper nutrition and regular physical exercise with a = focus on=20 public education, content labeling for foods, and meals for the = elderly.=20
    • Support research to better understand the effects of nutrition, = physical=20 exercise, and genetics and other biological factors on = health.
  • Environmental Conditions=20
    • Provide assistance to states and tribes to develop and implement = surveillance and prevention programs that reduce environmental = health=20 threats.=20
    • Support research to better understand the effects of = environmental=20 toxins on health, and develop more effective monitoring and = prevention=20 interventions.=20
    • Help enhance the capacity of other countries in risk assessment = for, and=20 in response to, toxic substances, hazardous wastes, and other forms = of=20 pollution introduced into the environment.
  • Prevention and Treatment=20
    • Provide patient information and training for health personnel on = the=20 care for chronic diseases, such as diabetes, to prevent the = complications of=20 the diseases.=20
    • Promote the use of early detection and screening services.=20
    • Support research to determine the causes of chronic diseases = (such as=20 asthma) and develop effective interventions to prevent their onset.=20
    • Disseminate information about effective interventions that = reduce the=20 incidence and effects of chronic diseases, particularly asthma and = diabetes.=20
    • Expand the use of evidence-based chronic disease treatment = protocols in=20 health programs funded by the department.=20
    • Test the effectiveness of disease management models for the = chronically=20 ill Medicare population through disease management demonstrations.=20
    • Support a Healthy Community Innovation Initiative for improving=20 community-based systems of care for the chronically = ill.
 =20
Objective 1.2Reduce the proportion of adolescents engaged in sexual activity, = the=20 proportion of persons engaged in unsafe sexual behaviors, and = unintended=20 pregnancies

How We Will Accomplish Our Objective

  • Expand abstinence education programs and use evaluation and = technical=20 assistance to identify and promote successful approaches, especially = those=20 oriented toward young people.=20
  • Incorporate abstinence messages into Department programs that = target=20 adolescents.=20
  • Provide technical and financial assistance for state, tribal, and = local=20 efforts to monitor and reduce the incidence of sexually transmitted = diseases=20 (STD).=20
  • Promote the implementation of effective HIV and STD prevention = programs,=20 including implementation in HHS-funded programs such as community = health=20 centers.=20
  • Help states, tribes, schools, faith-based and community-based=20 organizations, and medical and public health professionals develop = curricula=20 and train staff in the prevention of STD and HIV infection.=20
  • Support research to learn more about the prevention of STDs and = HIV and=20 develop more effective prevention strategies, including biomedical and = behavioral interventions.
Objective 1.3 Increase immunization rates among adults and=20 children

How We Will Accomplish Our Objective

  • Disseminate public information to patients and providers about the = importance of vaccinations, and educate the public about the efficacy = and=20 safety of vaccines for children and adults.=20
  • Provide financial assistance to health departments, state Medicaid = agencies and State Children=92s Health Insurance Programs, health care = providers, and community health organizations to purchase and = administer=20 vaccines.=20
  • Support and conduct research to learn more about adverse reactions = to=20 vaccines and develop safer, more effective vaccines.=20
  • Help countries and global partners increase their capacity to = detect,=20 monitor and investigate diseases that emerge abroad that could affect=20 Americans.
Objective 1.4 Reduce substance abuse.

How We Will Accomplish Our Objective

Prevention

  • Provide support to states, tribes, and communities to help them = expand and=20 improve substance abuse prevention programming.=20
  • Provide support to states, tribes, and communities to help them = identify,=20 adapt, and adopt programs tested and known to be effective in = discouraging=20 underage drinking and illicit drug use.=20
  • Support surveillance and data systems that monitor substance = abuse.=20
  • Conduct research to understand the causes of addiction and to = develop new=20 prevention methods.

Treatment

  • Provide support to states, tribes, and communities to help them = expandand=20 improve alcohol and drug treatment programming.=20
  • Develop innovative ways to expand public and private financing=20 alternatives for treatment services.=20
  • Provide support for identification, dissemination, adaptation and = adoption=20 of evidence-based practices.=20
  • Provide support to strengthen the knowledge, skills, and = competencies of=20 treatment and related-health professionals.=20
  • Provide support for data systems that track substance abuse = treatment=20 service delivery characteristics and outcomes.=20
  • Conduct research to develop new treatment methods.
Objective 1.5 Reduce tobacco use, especially among = youth

How We Will Accomplish Our Objective

  • Sponsor education campaigns about the adverse health effects of = tobacco=20 use.=20
  • Incorporate anti-tobacco education messages into Department = programs that=20 target youth.=20
  • Promote the adoption of tobacco education programs by primary care = professionals.=20
  • Help states, tribes, schools, local governments, and anti-tobacco=20 organizations develop tobacco control programs through financial and = technical=20 assistance.=20
  • Participate in negotiations around the Framework Convention on = Tobacco=20 Control and provide technical assistance to international tobacco = education=20 and prevention programs.=20
  • Conduct research to understand addiction to tobacco and develop = new=20 biomedical and behavioral interventions to prevent and stop its use.=20
  • Disseminate research findings and provide technical assistance to = help=20 states implement the Synar Amendment, which requires states to conduct = random=20 inspections of tobacco vendors to assess their compliance with state = tobacco=20 access laws.
Objective 1.6 Reduce the incidence and consequences of injuries and violence=20

How We Will Accomplish Our Objective

Prevention

  • Provide financial assistance to community-based injury and = violence=20 prevention programs.=20
  • Disseminate information on how to prevent injuries and violence to = public=20 safety and community-based organizations, employers, the elderly, = schools, and=20 youth.=20
  • Conduct research on the causes and risk factors for violence and = injuries=20 and develop more effective prevention strategies.=20
  • Provide technical assistance to hospitals and public health = agencies on=20 how to improve surveillance and monitoring activities for injuries in = order to=20 devise more effective methods of prevention.=20
  • Promote the development and improvement of state and tribal safety = legislation.

Treatment

  • Educate health and human service providers on recognizing the = symptoms of=20 violence-related injuries and develop and disseminate effective = protocols for=20 addressing the needs of those affected by violence.
=93PROTECTING OUR HOMELAND=94
Goal 2 Enhance the ability of the Nation=92s health care system to = effectively=20 respond to bioterrorism and other public health = challenges
Objective 2.1 Build the capacity of the health care system to respond to = public=20 health threats in a more timely and effective manner, especially=20 bioterrorism threats

How We Will Accomplish Our Objective

  • Stockpile sufficient products, including vaccines and = therapeutics, to=20 counteract the most likely bioterrorism threats.=20
  • Upgrade the capacity of federal, state, tribal, and local public = health,=20 hospital, and other health care facilities.=20
  • Upgrade the Nation=92s laboratory capacity to quickly identify and = characterize suspected biological threat substances and respond to = actual=20 incidents.=20
  • Create a national electronic communications system to link = federal, state,=20 tribal, and local public health and other health officials so that = relevant=20 information regarding public health threats can be rapidly shared.=20
  • Establish =93continuity of operations=94 plans to ensure that = personnel and=20 analytical capability will still be operational in the event of a = terrorist=20 attack.=20
  • Upgrade the skills of the health careworkforce to meet new and = emerging=20 threats.=20
  • Increase the size and skills of the fully deployable PHS = Commissioned=20 Corps.=20
  • Cooperate with other countries and with international = organizations to=20 enhance bioterrorism preparedness and response.=20
  • Conduct and support research to produce more effective vaccines,=20 therapeutics, rapid diagnostic tests and other monitoring technologies = to=20 address bioterrorism and other public health threats.
Objective 2.2 Improve the safety of food, drugs, biological products, and = medical=20 devices

How We Will Accomplish Our Objective

Food

  • Increase inspection of domestic food supplies with a particular = focus on=20 the highest risk products, processes, and establishments. (e.g., = infant=20 formula, shell fish, ready to eat foods).=20
  • Use integrated information and a global =93food lifecycle = approach=94 to focus=20 on the safety of imported foods at their point of origin, at the U.S. = border=20 and as they move through domestic commerce.=20
  • Develop and enhance prevention standards to assure food safety.=20
  • Develop and deploy new methods for detecting food borne pathogens. =
  • Promote the use of food borne illness surveillance and = diagnostics.=20
  • Educate consumers and state, tribal, and local public health = professionals=20 on detecting and preventing food borne illness.

Drugs

  • Make information on drugs and drug safety more understandable to = consumers=20 and health professionals.=20
  • Continue to regularly inspect drug manufacturing and repackaging=20 establishments, with particular emphasis on establishments that pose = the=20 highest potential risk.=20
  • Respond quickly to reported adverse drug events.

Medical Devices

  • Continue to regularly inspect mammography facilities (annually) = and =93high=20 risk=94 medical device manufacturing establishments to ensure = compliance with=20 established standards.=20
  • Expand the network of medical facilities that recognize and report = adverse=20 events with medical devices.

Biological Products

  • Continue to regularly inspect biological manufacturing, = repackaging, and=20 blood bank establishments for conformance with safety and purity = standards.=20
  • Respond quickly to reported adverse events.=20
  • Develop safer and more effective vaccines.
=93CLOSING THE GAPS IN HEALTH CARE=94
GOAL 3: Increase the percentage of the Nation=92s children and adults = who have=20 access to regular health care and expand consumer = choices
Objective 3.1 Create new, affordable health insurance = options

How We Will Accomplish Our Objective

  • Support legislative changes that remove excessive restrictions on = Medical=20 Savings Accounts and make them permanent.=20
  • Promote the creation of purchasing groups and state insurance = pools.=20
  • Support adoption of tax credits for Americans without = employer-subsidized=20 insurance.=20
  • Support adoption of temporary health credits for workers who have = lost=20 their jobs.=20
  • Implement the Health Insurance Portability and Accountability Act = (HIPAA),=20 and provide assistance to providers regarding HIPAA compliance.=20
  • Conduct research to understand changes in the health insurance = market and=20 the impact of changes on access to care.
Objective 3.2 Expand the health care safety net

How We Will Accomplish Our Objective

  • Medicaid/SCHIP=20
    • Provide flexibility through waivers to states to design more = effective=20 ways to provide health coverage to children and families under the = Medicaid=20 and SCHIP programs.=20
    • Provide transitional medical assistance for welfare to work=20 clients.
  • Underserved Rural and Urban Areas
    • Expand support for telemedicine and distance learning programs = to extend=20 state-of-the-art health care and information to the Nation=92s most = isolated=20 communities.=20
    • Provide Rural Health Outreach Grants to help establish new = partnerships=20 between health organizations and schools, churches, emergency = medical=20 services providers, private practitioners, and other groups, to = improve the=20 delivery of clinical care.=20
    • Enhance flexibility in provision of health care in rural areas = by=20 helping communities tailor health care services to the needs of = their=20 communities.=20
    • Provide scholarship and loan repayments to doctors, nurses, = emergency=20 medical technicians, and other health professionals who serve in = rural areas=20 lacking adequate access to care through the National Health Service=20 Corps.
  • Primary health care services for underserved populations
    • Expand the Consolidated Health Center and National Health = Service Corps=20 programs and provide incentives to increase the supply of nurses,=20 physicians, and other health care providers in underserved, e.g., = rural and=20 urban areas.=20
    • Ensure that resource allocation methodologies direct resources = to the=20 underserved areas most in need of services.=20
    • Encourage people to enter the nursing profession by supporting = nursing=20 educational programs and providing student loan repayment = assistance.=20
    • Conduct research on where and how uninsured and underinsured = people=20 receive health care, as well as research on primary care services to = identify difficulties in access, quality, and outcomes, and develop = better=20 strategies to improve these services.
Objective 3.3 Strengthen and improve Medicare

How We Will Accomplish Our Objective

  • Support legislation to provide a prescription drug benefit option = for=20 Medicare beneficiaries, beginning with comprehensive drug coverage for = low-income beneficiaries.=20
  • Support interim measures to assist Medicare beneficiaries with = accessing=20 prescription drugs, such as through model Medicaid pharmacy waivers = and=20 Medicare-endorsed prescription drug discount cards.=20
  • Test new health plan options for beneficiaries by developing = flexible=20 demonstration programs.=20
  • Support Medicare contracting reform through administrative = measures to=20 improve program management as well as customer service and Medicare = contractor=20 reform legislation.=20
  • Provide more private health plan options for Medicare = beneficiaries by=20 ensuring that payment formulas are fair and by creating incentives for = popular=20 coverage options like point-of-service and preferred provider plans.=20
  • Support new Medigap options with lower deductible, co-payments, = and=20 premium costs for Medigap policies that protect beneficiaries against=20 catastrophic illness.=20
  • Support lower co-payments and better coverage for preventive care. =
  • Develop strategies and tools to promote price and quality = competition=20 among health plans and providers. =20
  • Support the option for current Medicare beneficiaries and those=20 approaching retirement to keep the traditional Medicare coverage with = no=20 changes.=20
  • Streamline the process of approving national coverage for proven = new=20 medical procedures.
Objective 3.4 Eliminate racial and ethnic health = disparities

How We Will Accomplish Our Objective

  • Undertake outreach efforts to raise awareness among minority = communities=20 about major health risks prevalent in their specific populations and = provide=20 access to information on how to reduce these risks.=20
  • Reduce communication barriers between providers and patients = through=20 provider education and training.=20
  • Partner with faith-based groups to help reach diverse racial and = ethnic=20 populations concerning major health risks and prevention in their = communities.=20
  • Conduct and support research to understand the underlying causes = of racial=20 and ethnic health disparities and develop and disseminate effective = strategies=20 to eliminate all preventable disparities.=20
  • Increase inclusion of racial/ethnic minorities and women in = clinical=20 trials.
Objective 3.5 Expand access to health care services for populations with = special=20 needs

How We Will Accomplish Our Objective

  • Organ and tissue transplantations=20
    • Promote awareness of the importance of organ donations.=20
    • Evaluate strategies for increasing donations and promote what = works.=20
    • Develop and disseminate the curriculum concerning organ and = tissue=20 donation for health care professionals.=20
    • Support research on alternative sources of tissue and organs = suitable=20 for transplantation.
  • HIV/AIDS=20
    • Target Ryan White Care Act resources to underserved communities = and=20 uninsured people disproportionately impacted by HIV/AIDS.=20
    • Support HIV healthcare workforce development through training, = technical=20 assistance and dissemination of evidence-based guidelines to Ryan = White CARE=20 Act grantees and providers.=20
    • Evaluate results and utilize evidence-based best practices as a = part of=20 quality management programs to ensure responsible provision of = HIV/AIDS care=20 and treatment.=20
    • Support Medicaid=92s Maternal HIV Consumer Information Project.=20
    • Increase technical assistance to state Medicaid agencies on = appropriate=20 treatment and monitoring of HIV.=20
    • Provide technical and financial support to the Global Fund to = Fight=20 HIV/AIDS.
  • Mental health services=20
    • Promote the development of comprehensive community-based mental = health=20 care, for persons of all ages including prevention and early = intervention.=20
    • Provide support to eliminate barriers that impede the ability of = Americans with mental health problems to live, learn, work, and = participate=20 fully in their communities.=20
    • Provide technical assistance to states, tribes, and communities = on how=20 to improve the financing and organization of mental health services. =
    • Promote the adoption of evidence-based treatment services, = supports, and=20 prevention strategies.=20
    • Promote the integration of mental health treatment with medical=20 treatment for people of all ages with co-occurring disorders.=20
    • Provide assistance to develop the knowledge and skills of mental = health=20 service providers.=20
    • Provide support for data systems that track mental illness,=20 epidemiology, service system characteristics, and outcomes.=20
    • Conduct and support research to improve the effectiveness of = existing=20 mental illness treatments and develop new interventions to prevent = and treat=20 mental disorders.
  • Children with special health care needs
    • Provide outreach to educate special needs populations about = systems of=20 care.=20
    • Utilize information from national surveys and research to fill = gaps in=20 services.=20
    • Conduct research to develop improved screening tools for = identifying=20 special needs children.=20
    • Provide guidance to states to ensure that special needs children = receive=20 appropriate care under capitated Medicaid managed care=20 programs.
Objective 3.6 Increase access to health services for American Indians and = Alaska=20 Natives (AI/AN)

How We Will Accomplish Our Objective

  • Provide scholarship and loan repayment programs for health = professionals=20 willing to serve in tribal locations.=20
  • Increase the capacity of tribal epidemiology programs.=20
  • Support the integration of traditional healing practices into = conventional=20 health care.=20
  • Increase the collection of payments to tribal providers from = third-party=20 health insurance.=20
  • Support tribal self-governance of health programs.=20
  • Allocate resources to services that address health conditions that = disproportionately affect American Indian and Native Alaskan = populations in=20 urban and rural settings.
=93IMPROVING HEALTH SCIENCE=94
 =20
Goal 4:Enhance the capacity and productivity of the Nation=92s health = science=20 research enterprise
Objective 4.1 Advance the understanding of basic biomedical and behavioral = science=20 and how to prevent, diagnose, and treat disease and=20 disability

How We Will Accomplish Our Objective

  • Continue to support basic, clinical, and applied biomedical and = behavioral=20 research, with stringent peer review for scientific quality of = research=20 proposals.=20
  • Develop and implement processes for setting research priorities = that=20 ensure research is responsive to public health needs, scientific=20 opportunities, and advances in technology.=20
  • Promote scientific and technology transfer through mechanisms such = as=20 interagency collaborations and partnerships with academia and=20 industry.
Objective 4.2 Accelerate private sector development of new drugs, biologic=20 therapies, and medical technology

How We Will Accomplish Our Objective

  • Streamline the review process for approval of new products.=20
  • Harmonize regulatory standards with those of other nations, where=20 applicable.=20
  • Prioritize the review of new products, focusing on those that = offer the=20 greatest potential for treating serious or life-threatening diseases.=20
  • Consult early with product sponsors, exercise quality control in = the=20 review process for new products, and closely monitor new products when = they=20 enter the market.
Objective 4.3 Strengthen and diversify the base of qualified health and = behavioral=20 science researchers

How We Will Accomplish Our Objective

  • Invest in research training and career development programs in = both basic=20 and clinical research.=20
  • Recruit minorities and other under-represented populations into = research=20 training and career development programs.
Objective 4.4 Improve the communication and application of health research=20 results

How We Will Accomplish Our Objective

  • Provide for easy access by academia and industry to HHS databases = and=20 findings from HHS research, with appropriate privacy and = confidentiality=20 protection.=20
  • Expand the use of electronic technology and media channels to = gather and=20 transfer research information to researchers, practitioners, and the = public.=20
  • Establish partnerships with health professional associations, = industry=20 groups, patient representatives, community groups, and purchasers of = care to=20 more widely disseminate research findings.=20
  • Support =93implementation research=94 to determine how innovative, = effective=20 interventions can be implemented in actual settings and populations.=20
  • Ensure that research, demonstration, and evaluation results are=20 communicated effectively across HHS agencies.=20
  • Support development of databased quality of care and outcome = measurement=20 systems to track adoption of evidence-based practices.
Objective 4.5 Strengthen the mechanisms for ensuring the protection of human=20 subjects and the integrity of the research = process

How We Will Accomplish Our Objective

Human Subjects Protection

  • Promote education of institutional administrators, investigators, = and=20 Institutional review board members and staff on the application of = human=20 subjects protection requirements.=20
  • Promote programs to increase the quality, performance, and = efficiency of=20 an institution=92s human subjects protection program and help = institutions=20 ensure compliance with federal regulations.=20
  • Promote the development and use of valid accreditation for human = subjects=20 protection programs.=20
  • Develop sensible, effective policies and procedures for dealing = with=20 financial relationships in human research as part of ensuring = protections for=20 human research participants without impeding appropriate research=20 activities.

Research Integrity 

  • Expand education on conducting responsible research for our = research=20 partners.=20
  • Conduct research on research integrity, including methods to make=20 education more effective, discovery of regulatory standards that work, = and the=20 identification of best practices that can be adopted to ensure = responsible=20 research.
=93REALIZING THE POSSIBILITIES OF 21ST = CENTURY HEALTH=20 CARE=94
 
Goal 5:Improve the quality of health care services
Objective 5.1 Reduce medical errors

How We Will Accomplish Our Objective

  • Support the development and dissemination of evidence-based = practices,=20 including information systems and new technology for the home and for = clinical=20 settings.=20
  • Work with public and private sector and standard development = organizations=20 to develop consensus on standards for content and transmission of=20 patient-specific clinical information.=20
  • Improve reporting systems for medical errors and adverse events = (including=20 those related to medical devices and drugs).
Objective 5.2 Increase the appropriate use of effective health care=20 services

How We Will Accomplish Our Objective

  • Provide quality improvement assistance to providers and = practitioners and=20 enhance the utilization of market forces though entities such as = Quality=20 Improvement Organizations and other public and private sector = partnerships to=20 spur quality improvement.=20
  • Conduct research and evaluation to develop knowledge about = effective=20 health services.=20
  • Translate this knowledge into strategies, tools, and information = that help=20 clinicians and health care policy makers improve health care = quality.
Objective 5.3 Increase consumer and patient use of health care quality=20 information

How We Will Accomplish Our Objective

  • Disseminate health care quality information through provider = networks,=20 =93report cards,=94 toll-free numbers, faith-based and community = groups and=20 Internet information sites.=20
  • Work with private sector partners to educate Medicare = beneficiaries on=20 making informed decisions about health care.=20
  • Work with private sector and health care provider communities to = develop=20 and make publicly available standardized indicators of health care = quality=20 that are meaningful to purchasers, providers, and consumers.=20
  • Conduct research on ways to improve the availability of = information on=20 quality of care that will enable individuals to make informed health = care=20 choices.
Objective 5.4 Improve consumer and patient = protections

How We Will Accomplish Our Objective

  • Support a prohibition on the use of genetic information to deny = access to=20 health insurance.=20
  • Improve survey and certification processes for participation in = Medicare=20 and Medicaid.=20
  • Provide better information to HHS beneficiaries on grievance and = appeal=20 rights in HHS health care programs. =20
  • Provide training and technical assistance to HHS =93protection and = advocacy=20 programs=94 for the elderly, mentally ill, and developmentally = disabled.=20
  • Develop and implement options to streamline the Medicare appeals=20 process.
Objective 5.5 Accelerate the development and use of the national health = information=20 infrastructure

How We Will Accomplish Our Objective

  • Provide leadership to promote the rapid development of the = technology=20 necessary for an electronic health record, consistent with secure and=20 confidential treatment of health information.=20
  • Promote the voluntary adoption of national data standards, within = the=20 private and public health sectors, as the building blocks for a = national=20 health information infrastructure.=20
  • Conduct research on the practical applications of a national = health=20 information infrastructure that serves consumers and patients at home, = as well=20 as professionals and other decision makers.
=93WORKING TOWARD INDEPENDENCE=94
 =20
Goal 6:Improve the economic and social well-being of individuals, = families,=20 and communities, especially those most in need
Objective 6.1 Increase the economic independence and workforce participation = of=20 low-income families and persons receiving = welfare

How We Will Accomplish Our Objective

  • Require states and tribes to engage all families on welfare in = work and=20 constructive activities leading to self-sufficiency.=20
  • Use waivers to enhance states=92 and tribes=92 flexibility and = capacity to=20 coordinate services across a broad range of public assistance and = workforce=20 programs so that families CAN better access services to obtain and = maintain=20 employment and ensure child and family well-being.=20
  • Provide adequate support for child care services and parental = choice that=20 allows low income parents to enter and remain in the workforce.=20
  • Conduct research, provide technical assistance, and identify best=20 practices on ways to eliminate barriers to employment for persons who=20 experience significant employment difficulties, such as individuals = with=20 disabilities, homeless persons, and minority populations.=20
  • Provide energy assistance to households.=20
  • Develop and implement a research, evaluation, and data strategy to = create=20 an integrated picture of the low-income population and understand the = effects=20 of welfare reform on children, families, and communities.
Objective 6.2 Increase the proportion of older Americans who stay active and=20 healthy

How We Will Accomplish Our Objective

  • Provide health care providers with information about the = preventive care,=20 primary health care, and chronic disease management needs of the = elderly.=20
  • Educate people over 50 about the benefits of health screening,=20 immunizations, and life-style counseling and behavior changes.=20
  • Support state, tribal, and community programs that provide basic = services=20 (meals & transportation) to combat factors (such as poor = nutrition, social=20 isolation & accidents) that lead to functional decline in the = elderly.=20
  • Support biomedical, behavioral, and health services research to = better=20 understand the aging process and factors that prolong independent = functioning,=20 such as the use of assistive devices and technology.
Objective 6.3 Increase the independence and quality of life of persons with=20 long-term care needs

How We Will Accomplish Our Objective

  • Implement the Olmstead Supreme Court decision on community = integration=20 under the Americans with Disabilities Actand provide technical = assistance to=20 states in its implementation.=20
  • Support tax and respite care benefits for home caregivers.=20
  • Provide caregiver training and link caregivers to support = networks.=20
  • Facilitate development of new long-term care insurance products to = give=20 Americans more choice in covering long-term care needs.=20
  • Support tax deductions for long-term care insurance.=20
  • Identify and eliminate barriers to community living for persons = with=20 disabilities.=20
  • Allow states and tribes to demonstrate new options of = community-based=20 services, including options to children=92s residential treatment = facilities.=20
  • Help communities develop comprehensive community-based, long-term = care=20 services.=20
  • Develop and disseminate financing and service delivery models that = improve=20 the coordination and integration of home health, rehabilitation, and = nursing=20 facility services.=20
  • Promote policies that empower individuals needing long-term care = to be=20 involved in the planning and direction of their services.=20
  • Improve the long-term care data infrastructure to better monitor = the=20 demand for and use of services, and transitions across residential = care=20 settings.
Objective 6.4 Improve the economic and social development of distressed=20 communities

How We Will Accomplish Our Objective

  • Support individual development accounts to encourage low-income=20 individuals to save for purchasing homes and starting businesses.=20
  • Provide employment and entrepreneurial opportunities for = low-income=20 individuals through partnerships with industrial and commercial = business.=20
  • Provide training, technical assistance, and financial resources to = state,=20 local, public, and private agencies for economic development and = related=20 social service support activities.=20
  • Assist community development corporations and community action = agencies in=20 leveraging existing federal, state, and local resources for = neighborhood=20 revitalization activities.=20
  • Sponsor programs that develop community leadership and empower = residents=20 to participate in the design and implementation of programs that best = meet=20 local needs.
Objective 6.5 Expand community and faith-based = partnerships

How We Will Accomplish Our Objective

  • Identify and reduce unnecessary legislative, regulatory, and = programmatic=20 barriers to participation of these organizations in federal programs.=20
  • Improve the communication channels, disseminate information, and = provide=20 technical assistance to community and faith-based organizations on how = to=20 participate in federal programs.=20
  • Develop and disseminate =93best practices,=94 highlighting = successful=20 community and faith-based programs.
=93LEAVING NO CHILD BEHIND=94
Goal 7: Improve the stability and healthy development of our Nation=92s = children=20 and youth
Objective 7.1 Promote healthy marriages and family = formation

How We Will Accomplish Our Objective

  • Support research, evaluation, demonstrations, and technical = assistance=20 that exemplify best practices in healthy marriages and family = formation.=20
  • Encourage states to provide equitable treatment of two-parent = married=20 families under state TANF programs.=20
  • Provide competitive matching grants to states, territories, and = tribal=20 organizations to develop innovative approaches to support healthy = marriages.=20
  • Provide grants to community and faith-based organizations to = promote=20 responsible fatherhood and help both custodial and non-custodial = fathers=20 become more involved in the lives of their children.=20
  • Support efforts within international organizations to strengthen=20 families.
Objective 7.2 Improve the development and learning readiness of preschool=20 children

How We Will Accomplish Our Objective

  • In Head Start and childcare, strengthen language and early = literacy=20 services through evidence-based training and technical assistance, = while=20 continuing to promote children=92s social and emotional competence, = health, and=20 nutrition.=20
  • Develop a new Head Start accountability system to assess standards = of=20 learning in early literacy, language, and numeracy.=20
  • Promote better coordination of services through service = partnerships among=20 Head Start, childcare, pre-kindergarten, family literacy, and health = programs.=20
  • Conduct research on ways to improve children=92s healthy = development and=20 school readiness, and use research findings to improve = practice.
Objective 7.3 Increase the involvement and financial support of non-custodial=20 parents in the lives of their children

How We Will Accomplish Our Objective

  • Support rigorous enforcement of child support obligations.=20
  • Provide states and tribes with financial incentives to increase = the amount=20 of collections on overdue child support given directly to families, = especially=20 those that have left welfare.=20
  • Require states and tribes to regularly review and adjust child = support=20 orders for families that participate in TANF.=20
  • Provide training and technical assistance to state and tribal = child=20 support enforcement agencies on the use of the Federal Parent Locator = Services=20 and best collection practices.=20
  • Identify access and visitation practices that encourage = non-custodial=20 parents to be more involved in their children=92s lives.
Objective 7.4 Increase the percentage of children and youth living in a = permanent,=20 safe environment

How We Will Accomplish Our Objective

  • Encourage adoptions, for example, by identifying and addressing = the=20 sources of delays in inter-jurisdictional adoptions; and holding = states to=20 standards for improving the timeliness of adoptions, particularly for = children=20 with special needs.=20
  • Provide financial support for developmental and other services to = help=20 homeless and runaway youth return home or live in secure alternative=20 environments.=20
  • Provide financial support for independent living services to help = foster=20 youth transition to independence, including support for educational = vouchers=20 to help that transition.=20
  • Improve the safety, permanency, and well-being of children in the = child=20 welfare system by emphasizing outcomes for children in child and = family=20 services reviews and through technical assistance to states.=20
  • Support research and demonstrations to better understand how to = prevent=20 and treat child abuse and neglect and family violence, and provide = stable=20 family situations.
=93IMPROVING DEPARTMENT MANAGEMENT=94
Goal 8: Achieve Excellence in Management Practices
Objective 8.1 Create a unified HHS committed to functioning as one=20 department

How we will Accomplish Our Objective

  • Consolidate HHS operations, including:=20
    • facilities management, centralizing building and = location-related=20 decisions and to help co-locate HHS employees who work together;=20
    • HHS legislative offices and functions for greater efficiency;=20
    • Departmental personnel operations to enhance effectiveness and=20 efficiency in hiring, training, and deployment of personnel; and=20
    • administrative services.
  • Implement more effective coordination of HHS research and = evaluation=20 activities.=20
  • Enhance the coordination of administration of programs and = policies, such=20 as the State Children=92s Health Insurance Program and privacy and=20 confidentiality policies, across HHS to better leverage our collective = resources so that services to program recipients from HHS agencies are = seamless and complimentary.=20
  • Consolidate the work and physical location of some of our agencies = to=20 increase efficiencies and reduce costs.=20
  • Eliminate excessive management layers to speed decision-making.=20
  • Consolidate and modernize existing financial management systems.=20
  • Establish a single corporate information technology enterprise = system and=20 standardize electronic communications systems and software so that all = HHS=20 agencies can communicate easily.
Objective 8.2 Improve the strategic management of human = capital

How We Will Accomplish Our Objective

  • Conduct ongoing workforce planning to assess the skills we need to = accomplish the Department=92s mission now and in the future.=20
  • Attract, hire, and retain exceptional individuals in a variety of=20 occupations within HHS through the =93Emerging Leaders=93 program.=20
  • Hold employees accountable for achieving measurable results = through=20 performance contracts linked to the Department=92s program and = management=20 priorities.=20
  • Develop effective succession planning and career development = programs to=20 build the next generation of HHS leaders.
Objective 8.3 Enhance the efficiency and effectiveness of competitive=20 sourcing

How We Will Accomplish Our Objective

  • Require that Agencies set progressive targets for competitive = sourcing of=20 commercial activities each year; the percentage each year should meet = or=20 exceed the targets established by the Office of Management and Budget. =
  • Ensure all resulting contracts with both public and private = entities are=20 =93performance based=93 and provide a process for vigorous contract = monitoring and=20 administration.=20
  • Produce a competitive sourcing plan, and require each HHS Agency = to=20 produce a plan, which studies a progressive percentage of commercial=20 activities performed by Departmental staff.=20
  • Use competitive sourcing information generated to identify new = performance=20 efficiencies and institute ongoing, continuous improvement.=20
  • Ensure that competitive sourcing targets are aligned with HHS = workforce=20 restructuring plans, and conduct studies that examine each area of = operations=20 for cost comparisonwhere efficiencies would be gained.
Objective 8.4 Improve financial management

How We Will Accomplish Our Objective

  • Reduce payment error rates and improve accounting systems.=20
  • Pursue modernization of Medicare contractors=92 financial systems = by=20 implementing the Healthcare Information General Ledger Accounting = System=20 (HIGLAS).=20
  • Develop financial management systems that support integrated = financial=20 analysis and performance measurement.=20
  • Assess programs=92 risk of payment errors, and take action to = minimize=20 improper payments.=20
  • Maintain high standards for reporting requirements, and deliver = timely=20 financial statements that exhibit sound financial practices.
Objective 8.5 Enhance the use of electronic commerce in service delivery,=20 communications, and record keeping

How We Will Accomplish Our Objective

  • Implement electronic standards for archival and record keeping = that=20 facilitate electronic storage of information.=20
  • support e-government initiatives with e-government productivity = measures,=20 strong IT security, and integrated enterprise architecture.=20
  • Institute seamless electronic communications systems within HHS = with the=20 use of standardized, compatible, electronic mail and software = systems.
Objective 8.6 Achieve integration of budget and performance=20 information

How We Will Accomplish Our Objective

  • Develop Departmental Agency Performance Plans that align budget = requests=20 and priorities with national health and human services outcomes.=20
  • Develop Department-wide performance measures to measure overall, = strategic=20 direction in HHS crosscutting areas, such as measures of prevention = and=20 anti-bioterrorismefforts.
Objective 8.7 Reduce regulatory burden on providers and consumers of HHS=20 services

How We Will Accomplish Our Objective

  • Seek advice from stakeholders and the Advisory Committee on = Regulatory=20 Reform on ways to reduce regulatory burden and eliminate rules and = paperwork=20 that serve little purpose while maintaining effectiveness and = accessibility=20 and continuing to ensure the fiscal soundness of the Department=92s = programs.=20
  • Implement promising recommendations from the Advisory Committee, = such as=20 improved collaboration between Centers for Medicare and Medicaid = Services and=20 the Food and Drug Administration on the approval of new medical = technology.=20
  • Clarify and simplify confusing regulations.=20
  • Provide the health care provider community with regular and = predictable=20 information on new regulatory and other developments in the Medicare = and=20 Medicaid programs.=20
  • Conduct open-door forums and other outreach efforts to enhance=20 communication with beneficiaries, health care providers, and other=20 stakeholders to increase responsiveness and identify areas for = reducing=20 regulatory burden under the Medicare and Medicaid programs.=20
  • Promote health plan participation in Medicare by fostering = stability and=20 predictability in health plan payments and reducing administrative=20 burden.

Please send any comments or suggestions to strategicplan@hhs.gov. Please = indicate=20 the section/goal/objective that you are commenting on.

U.S. Department of Health & Human Services
Assistant = Secretary for=20 Planning and Evaluation
200 Independence Avenue, SW
Washington, DC = 20201
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