liiiiiim illi@illigo Draft 11'rc)posa,'L for a Ilealtli Resources Pi@iniii-fig Org@iniza.-tioii PURPOS.E: The -organization proposed is to be a .@.,-L-cau level structure within the context of the Ilealti-i Resources Administration designed to carry out the intent of I-I.R. 16204 or substantially similar legislation. 'Fhe current legislation clearly dictates the ability to perform the folloi,,lin(,, functions 1. Develop, foriiat, promulgate, coordinate, ai)d revise a@ necessary a sufficient body of policy, regulation.,,, and operational procedures to facilitate the practice o-E the legislative inte-,it. 4 2. EsL:@tb'l:'Isli, career, develop, and support health @icTe -L in designated areas to provide effective health plaiiniiiT, anl-l to promote the development of health Sys-L-C-3-,iS, manpower and facilities which meet identified needs and reduce lnoiN,n def@i.c4j-e,-ik---ies wit'jai,.l the designated @10 y, 4 3. -Ltor, assess, and regulate within the co--,-itext c,@, existing law the progress and practice of the ost@bli.sl)cd agencic-.s. 4. Provide. for the research, tion, and effective utilization of 1-@(-aA'-tli methoO,oloo),. Tl p f T 'I'o tj S 4- F jo- OR(@@,@N I ZA "I @'A!I, tl,C o i.- Li nt i oI s li o -Li (-I 1) c @i.@ r, V(-Ytl.lca.] i I t: :I.e 2 - for promoting horizontal communication) coopcrati-ori, and pendeiice to avoid "turf" problems. Such an organization must provide the capacity for its leadership botli to delegate autliori-t)@ aiid responsibility completely and also to become as closely in- volved in any activity as circumstance may iiarriiit. 7'lie orE!,aniza- tion will be strongly centralized from the standpoin- of policy ,'voice", but its program operation will be largely decentralized. The central office structure will be functionally orioritecl while the concomitant regional structure V.1i.11 be ffeneralist--;c ajid tasi-, oriented. STRUCTURE: See attached chai-t. BASIC CO@NIPONI@NT FUNCTIONS: 1. Office of the Bureau Direci-or - Provides executive leadership and direction for all facets of bureau acLivi-t,,. Co- ordinates the functioning of the bureau both iii@crnel]-y Ind if the context of other national health programs. Serves as pri-iici- pal contact and advisor to the Department, Health Resources Ac,',-,i'L-Tl- istration, the National Couiici-I for Health Policy and oti-ic--,, in- terested parties on matters related to p'laiiii-inc, and dci!-elop,,i,,cnt of health services and facilities. Vitll CXC,,CUt4 2. Special Staff - Provides 'the Director -Lve level staff support to facilitate problem resolution planning, analysis, evaluation, synthesis, @;@'id 3 - Provides the foca.1 poin@ for implementation and transitional administration. @lay provide, staff support to groups such as the National I-lealth Policy Counc@'L.1, subject to Tlic! Directors needs and wishes. 3 . Office of '@,--aELgc,-,qoTit Res(-)i,,,rces and Pla.n.-iiDg - Serves the bureau by providing all requisite management resources. Admin-isters Ili,,ien, money, and materials". Incorporates within its structure the functions of the L-xecutive Socrc,'L-ari,)t. Is 4 responsible for, or coord.L@-iates, manageriori-t planiii,,-i(T and -i@e- porting systems such as OPS and The Forward Plan. Obtains or provides systems analysis and programming expertise for the development and iiiaintei-L@tnce of @'lana-eiiient Information and Monitoring Systems. Carries out a complete proorain of reports management for the bureau. Provides other administrative fur@ct]"O@lis required to support the operating divisions such as bu,,Ioct forriu- lation and administration of funds sot aside for evaluation projects. 4. Division of PlEiii-@iii@i Nlothocis - Furictior-s a,-; the bureau focal point for matters concerning the methodology of I-lealth Systems I'lanning. Provides guidaiic,,- for the establisl-,nont, evolution and accomplishments of the agencies through the deve- lopinent, synthesis, analysis, and proi,,i-!.(jation of health planii-'@ng C, expertise and. technology. Develops and maintains standards, criteria and guidelines with regard to the effective use of plann-iiia for health systort,,s as ivel-i@ as for the, Oove-I.opmoiit of a@el.,@-y nj-ng cal)abiliL-, Incorpiji@,ites in its structure the for gathering, s4Lo-riii(,, -,Tid retri.ev@"L ii C-7, li @i 1 tp 1, 4 - data and reference resources. Makes its resources available directly to the agencies, or through central and regional office channels, as need and activity dictate. Responsible for the establishment and development of the Centers for Health Planning. S. Division of Facilities Construction - Functions as the bureau focal point for all matters pertaining to the construction, modernization -or expansion of health care facilities. Given con- tinuity to the evolution of the facilities program in its transi- tion from the current Hill-Burton program to that activity envisions in H.R. 16204. Develops and maintains the criteria, standards and models by which State Health Planning and Development Agencies will be able to prepare and administer the State Facilities plans. Serves as liaison and resource to the Federal Hospital Council centrally, and through the regional staffs provides consultative resources to the Statewide Health Coordinative Councils on faci- lities matters. 6. Division of Operations, Liaison, and Monitoring - Functions as the bureau focal point for operational and programmatic matters dealt with through and by the regional staffs. Serves as the "line" channel for day to day communication and transmission of information. Carries out the preponderance of bureau liaison activities. Incorporates within its structure the mechanism for requisite monitoring and appraisal functions. Provides resources for, assists in the development of a system to monitor the effective ness of regional staff performance of bureau and program activities. s - i)r imary responsibility or the cstablishment and operation f gement Information System and other management moni toring the Mana and control mechani sms and operations. 7. Division of System ReRulation - FunctiorF-, the bureau focal point for all currently envisioned and prosl ive regulatory activity. Creates and maintains standards, criter a, guidelines and models for'the establishment and maintenance of regulatory activities., Designs and maintains within its structure the necessary mechanisms and resources to aid in the development of regulatory activities such as 1122 agreements and rate review, as well as to oversee the imposition of, and compliance with, Federal requirements. 8. Division of Agency Development - Functions as the bureau focal point for health systems, and State agency establishment, coordination, and continual development. Incorporates within its Structure the necessary mechanisms, resources and expertise to .develop and maintain a responsive and positively evolving body of criteria, guidelines, and procedures to support the effective operation of I-lealth Systems and State Health Planning and Deve- lopment Agencies. Directly, or through regional staff, provides consultative resources to the agencies to maintain the currency and effectiveness of their activities. t= t= (D H. 0 (D :i0 n:j (D @ :i0 rt C/) cn@ rt 0 p 0 Hh 0It Po n r+ 0 nrt 00 (D 0 0 n n o (D r+ 0 0 CD P3 0p@ H. (D Fi. L r+ op or+ 0 r+ 0 0 0 0 0 (A H- 0 n CD n 0 (D It (D o F- @ r+ H-0 r+ crq 0 on 9