Transcript DEPARTMENT OF HEALTH AND HUMAN SERVICES

HEALTH AND HUMAN SERVICES
AN OVERVIEW
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
HISTORICAL HIGHLIGHTS
 THE
ROOTS OF THE U.S.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES GO BACK TO
THE EARLIEST DAYS OF THE
NATION
 1798
 THE
FIRST MARINE HOSPITAL,
A FORERUNNER OF TODAY’S
PUBLIC HEALTH SERVICE, WAS
ESTABLISHED TO CARE FOR
SEAFARERS.
 1862

PRESIDENT LINCOLN APPOINTED A
CHEMIST, CHARLES M. WETHERILL,
TO SERVE IN THE NEW
DEPARTMENT OF AGRICULTURE.
THIS WAS THE BEGINNING OF THE
BUREAU OF CHEMISTRY,
FORERUNNER TO THE FOOD AND
DRUG ADMINISTRATION.


1887
THE FEDERAL GOVERNMENT
OPENED A ONE-ROOM LABORATORY
ON STATEN ISLAND FOR RESEARCH
ON DISEASE, THEREBY PLANTING
THE SEED THAT WAS TO GROW
INTO THE NATIONAL INSTITUTES
OF HEALTH.
 1906

CONGRESS PASSED THE FIRST
FOOD AND DRUG ACT,
AUTHORIZING THE GOVERNMENT
TO MONITOR THE PURITY OF
FOODS AND THE SAFETY OF
MEDICINES, NOW A
RESPONSIBILITY OF THE HHS’S
FOOD AND DRUG ADMINISTRATION.
 1912
 PRESIDENT
THEODORE
ROOSEVELT’S FIRST WHITE
HOUSE CONFERENCE URGED
CREATION OF A CHILDREN’S
BUREAU TO COMBAT
EXPLOITATION OF CHILDREN.
 1935
 CONGRESS
PASSED THE
SOCIAL SECURITY ACT


1939
RELATED FEDERAL ACTIVITIES IN
THE FIELDS OF HEALTH,
EDUCATION, SOCIAL INSURANCE
AND HUMAN SERVICES WERE
BROUGHT TOGETHER UNDER THE
NEW FEDERAL SECURITY AGENCY.
 1946
 THE
COMMUNICABLE DISEASE
CENTER WAS ESTABLISHED,
FORERUNNER OF THE CENTERS
FOR DISEASE CONTROL AND
PREVENTION.
 1955
 LICENSING
VACCINE.
OF SALK POLIO
 1961
 FIRST
WHITE HOUSE
CONFERENCE ON AGING.
 1962
 PASSAGE
OF THE MIGRANT
HEALTH ACT, PROVIDING
SUPPORT FOR CLINICS
SERVING AGRICULTURAL
WORKERS.
 1964
 RELEASE
OF THE FIRST
SURGEON GENERAL’S REPORT
ON SMOKING AND HEALTH.
 1965
 THE
MEDICARE AND MEDICAID
PROGRAMS WERE CREATED,
MAKING COMPREHENSIVE
HEALTH AVAILABLE TO
MILLIONS OF AMERICANS.
 1965
 THE
OLDER AMERICANS ACT
CREATED THE NUTRITIONAL
AND SOCIAL PROGRAMS RUN
BY HHS’ ADMINISTRATION ON
AGING.


1966
INTERNATIONAL SMALLPOX
ERADICATION PROGRAM
ESTABLISHED. LED BY THE U.S.
PUBLIC HEALTH SERVICE, THE
WORLDWIDE ERADICATION OF
SMALLPOX WAS ACCOMPLISHED IN
1977.
 1970
 CREATION
OF THE NATIONAL
HEALTH SERVICE CORPS.
 1971
 NATIONAL
CANCER ACT
SIGNED INTO LAW.
 1975
 CHILD
SUPPORT
ENFORCEMENT PROGRAM
ESTABLISHED.


1977
CREATION OF THE HEALTH CARE
FINANCING ADMINISTRATION TO
MANAGE MEDICARE AND MEDICAID
SEPARATELY FROM THE SOCIAL
SECURITY ADMINISTRATION.
 1980
 FEDERAL
FUNDING PROVIDED
TO STATES FOR FOSTER CARE
AND ADOPTION ASSISTANCE.


1981
IDENTIFICATION OF ACQUIRED
IMMUNE DEFICIENCY SYNDROME,
AIDS, IN 1984, THE HIV VIRUS WAS
IDENTIFIED BY PHS AND FRENCH
SCIENTISTS, IN 1985, A BLOOD
TEST TO DETECT HIV WAS
LICENSED.
 1984
 NATIONAL
ORGAN
TRANSPLANTATION SIGNED
INTO LAW.



1988
CREATION OF THE JOBS PROGRAM
AND FEDERAL SUPPORT FOR CHILD
CARE WAS INITIATED.
THE MCKINNEY ACT WAS SIGNED
INTO LAW, PROVIDING HEALTH
CARE TO THE HOMELESS.
 1989
 CREATION
OF THE AGENCY
FOR HEALTH CARE POLICY AND
RESEARCH.

1990

HUMAN GENOME PROJECT ESTABLISHED.


THE NUTRITION LABELING AND EDUCATION
ACT WAS SIGNED INTO LAW.
THE RYAN WHITE COMPREHENSIVE AIDS
RESOURCE EMERGENCY ACT BEGAN IN 1990
TO PROVIDE SUPPORT FOR COMMUNITIES TO
HELP PEOPLE WITH AIDS.
 1995
 THE
SOCIAL SECURITY
ADMINISTRATION BECAME AN
INDEPENDENT AGENCY.
 1996
 REGULATIONS
WERE
PUBLISHED PROVIDING FOR
FDA REGULATION OF TOBACCO
PRODUCTS TO PREVENT USE
OF TOBACCO BY MINORS.
 1996
 HIPPA
LEGISLATION WAS
PASSED. (HEALTH INSURANCE
PORTABILITY AND
ACCOUNTABILITY ACT)
 2004
 MEDICARE
MODERNIZATION
ACT WAS PASSED.
 HEALTH
AND HUMAN SERVICES
 FACTS
AND INFORMATION
 HHS
BUDGET IN FY 2010
(proposed)
 $879
 HHS
BILLION
EMPLOYEES
 68,000

THE DEPARTMENT OF HEALTH AND
HUMAN SERVICES IS THE UNITED
STATE’S GOVERNMENT’S PRINCIPAL
AGENCY FOR PROTECTING THE HEALTH
OF ALL AMERICANS AND PROVIDING
ESSENTIAL HUMAN SERVICES,
ESPECIALLY FOR THOSE WHO ARE LEAST
ABLE TO HELP THEMSELVES.
 THE
DEPARTMENT INCLUDES
MORE THAN 300 PROGRAMS
COVERING A WIDE SPECTRUM
OF ACTIVITIES


MEDICAL AND SOCIAL SCIENCE
RESEARCH
PREVENTING OUTBREAK OF INFECTIOUS
DISEASE

ASSURING FOOD AND DRUG SAFETY

MEDICARE AND MEDICAID




FINANCIAL ASSISTANCE FOR LOWINCOME FAMILIES
CHILD SUPPORT ENFORCEMENT
IMPROVING MATERNAL AND INFANT
HEALTH
HEAD START



PREVENTING CHILD ABUSE AND
DOMESTIC VIOLENCE
SUBSTANCE ABUSE TREATMENT AND
PREVENTION
SERVICES FOR OLDER AMERICANS

COMPREHENSIVE HEALTH SERVICES
DELIVERY FOR AMERICAN INDIANS AND
ALASKAN NATIVES

HHS IS THE LARGEST GRANT-MAKING
AGENCY IN THE FEDERAL GOVERNMENT,
PROVIDING SOME 60,000 GRANTS PER
YEAR. HHS’S MEDICARE PROGRAM IS THE
NATION’S LARGEST INSUROR, HANDING
MORE THAN ONE BILLION CLAIMS PER
YEAR.
• MAJOR PUBLIC HEALTH SERVICE
OPERATING DIVISIONS
 NATIONAL
INSTITUTES OF
HEALTH…WORLD’S PREMIER
MEDICAL RESEARCH
ORGANIZATION, SUPPORTING
SOME 38,000 RESEARCH
PROJECTS…

FOOD AND DRUG ADMINISTRATION
ASSURES THE SAFETY OF FOOD AND
COSMETICS, AND THE SAFETY AND
EFFICACY OF PHARMACEUTICALS,
BIOLOGICAL PRODUCTS AND MEDICAL
DEVICES WHICH REPRESENT 25% OF ALL
U.S. CONSUMER SPENDING.

CENTERS FOR DISEASE CONTROL AND
PREVENTION…THE LEAD FEDERAL
AGENCY RESPONSIBLE FOR PROTECTING
THE HEALTH OF THE AMERICAN PUBLIC
THROUGH MONITORING OF DISEASE
TRENDS, INVESTIGATION OF OUTBREAKS,
AND IMPLEMENTATION OF ILLNESS AND
INJURY CONTROL AND PREVENTION
INTERVENTIONS.
 AGENCY
FOR TOXIC
SUBSTANCES AND DISEASE
REGISTRY. SEEKS TO
PREVENT EXPOSURE TO
HAZARDOUS WASTE SITES.
 INDIAN
HEALTH SERVICE…HAS
49 HOSPITALS, 247 HEALTH
CENTERS, 4 SCHOOLS HEALTH
CENTERS AND 348 HEALTH
STATIONS. PROVIDES
SERVICES TO 1.5 AMERICAN
INDIANS AND ALASKAN
NATIVES.


CENTERS FOR MEDICARE AND
MEDICAID SERVICES. CREATED IN
2004 UNDER THE MEDICARE
MODERNIZATION ACT (MMA)
CMS IS RESPONSIBLE FOR
MEDICARE, MEDICAID, STATE
CHILDREN’S HEALTH INSURANCE
PROGRAM (SCHIP), HEALTH
INSURANCE PORTABILITY AND
ACCOUNTABILITY ACT (HIPPA), AND
CLINICAL IMPROVEMENT

ALL AGENCIES
ADMINISTRATION FOR CHILDEN
AND FAMILIES
 ADMINISTRATION FOR AGING
 AGENCY FOR HEALTHCARE
RESEARCH AND QUALITY
 AGENCY FOR TOXIC SUBSTANCE
AND DISEASE REGISTRY

CENTERS FOR DISEASE CONTROL
AND PREVENTION (CDC)
 CENTERS FOR MEDICARE AND
MEDICAID SERVICES (CMS)
 FOOD AND DRUG ADMINISTRATION
(FDA)
 HEALTH RESOURCES AND
SERVICES ADMINISTRATION

 INDIAN
HEALTH SERVICE
 NATIONAL INSTITUTES OF
HEALTH
 PROGRAM SUPPORT CENTER
(PSC)
 SUBSTANCE ABUSE AND
MENTAL HEALTH SERVICES
ADMINISTRATION
 DEPARTMENT
OF HEALTH AND
HUMAN SERVICES
 STRATEGIC PLAN FY 2010-2015
Goal 1: Transform Health Care
Objective A: Make coverage more secure
for those who have insurance, and extend
affordable coverage to the uninsured
Objective B: Improve healthcare
quality and patient safety
Objective C: Emphasize primary
and preventive care linked with
community prevention services
Objective D: Reduce the growth of
healthcare costs while promoting
high-value, effective care
Objective E: Ensure access to
quality, culturally competent care
for vulnerable populations
Objective F: Promote the adoption
and meaningful use of health
information technology
Goal 2: Advance Scientific
Knowledge and Innovation
Goal 3: Advance the Health, Safety, and
Well-Being of the American People
Goal 4: Increase Efficiency,
Transparency, and Accountability of
HHS Programs
Goal 5: Strengthen the Nation’s Health
and Human Service Infrastructure and
Workforce
 End
of lecture for August 31st,
2011

7TH Period
 Questions?
 Discussion?