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Ðwith€Healthy€People€2000,€even€in€areas€like€this€where€achievement€is€unlikely.€€Targets€for€2001€have€beenÏrecalibrated€based€on€Healthy€People€2010€objectives.Ô#†XŒ©XõôzFT#Ô Ô_ÔTable_B ³Ý ƒüÝ$Ýà  àòòÚ  Ú4Ú  ÚóóÝ  ÝÔ_Ô€Ô‡ôzFõXXÔFor€the€purposes€of€this€performance€report,€OPHS€has€retained€targets€for€FY€2000€that€are€consistentÐ 9 Ðwith€Healthy€People€2000,€even€in€areas€like€this€where€achievement€is€unlikely.€€Targets€for€2001€have€beenÏrecalibrated€based€on€Healthy€People€2010€objectives.Ô#†XŒ©XõôzFT#ÔTable_CTable_ATable_Fhttp://www.aspe.os.dhhs.gov/datacncl/datadirectoryTable_GTable_HÝ ƒ!ÝÝ  ÝÔ_ÔññÌÌÌà@– – ìàDEPARTMENT€OF€HEALTH€AND€HUMAN€SERVICESˆÌÌà@ŽŽìàGPRA€PERFORMANCE€PLANSˆÌà@  ìàFOR€DEPARTMENTAL€MANAGEMENTˆÌÌÌAssistant€Secretary€for€Planning€and€Evaluation€„€FY€2003€Performance€PlanÌÌññDepartmental€Appeals€Board€„€FY€2003€Performance€PlanññññÌÌAssisññññtant€Secretary€for€Budget,€Technology€and€Finance€„€FY€2003€Performance€Planñññ ñÌÌAssistant€Secretary€for€Administration€and€Management€„€FY€2003€ñ ññ ñPerformance€PlanÌÌOffice€of€Public€Health€and€Science€„€FY€2003€Performance€Planñ ñññÌñññ ñÌÌÌÐ  `° Ðñ ññ ñÌà@ìàÔ‡¼(£»XXÔASSISTANT€SECRETARY€FOR€PLANNING€AND€EVALUATIONÔ#†XŒ©X»¼(£,#ԈР ð ÐÌà@ppìàFY€2003€PERFORMANCE€PLANˆÌÌThe€Office€of€the€Assistant€Secretary€for€Planning€and€Evaluation€(OASPE)€advises€theÏSecretary€on€policy€development€in€health,€disability,€human€services,€and€science€and€providesÏadvice€and€analysis€on€economic€policy.€€OASPE€leads€special€initiatives€on€behalf€of€theÏSecretary;€coordinates€the€Departmentððs€evaluation,€research€and€demonstration€activities;€andÏmanages€cross„Department€planning€activities€such€as€strategic€planning,€development€of€theÏDepartments€legislative€program€and€review€of€regulations.€€Integral€to€this€role,€OASPEÏconducts€research€and€evaluation€studies,€develops€policy€analyses€and€estimates€the€cost€andÏbenefits€of€policies€and€programs€under€consideration€by€the€Department€or€the€Congress.€ÏReflecting€the€role€of€policy€advisor,€most€of€the€performance€measures€are€necessarilyÏqualitative.ÌÌÔ*’ƒi jddd Xdd Xdd X°(#°(#’ÔÔ,« dd ÔÔ,4dd ÔÔ,ždd ÔÔ,ûdd ÔÔ+  ÔÐ /€ú Ø( €€„„/Ðñ ññññ ñÔ‡&T%XXÔñ ññññ ñPerformance€GoalsÐ A€ú,!<Œ"ú „„AÐFY€TargetsÐ A€ú,!<Œ"ú „„AÐActual€PerformanceÐ A€ú,!<Œ"ú „„AÐò òReference*ó óÐ >4&<Œ"  ú „„‹‹>Ð1.€Provide€analyticalÏknowledge€(policy€researchÏand€evaluation€studies)€andÏleadership€that€contributes€toÏthe€development€of€soundÏDepartment€and€public€policyÐ 9/!øH „„‹‹9ÐFY03:€€Same€as€FY02ÌFY02:€€Same€as€FY01ÌFY01:€€DemonstrateÏimpact€of€policy€analysisÏand€leadership€onÏformulation€of€publicÏpolicy.ÌFY00:€€New€in€FY01€Ð 9/!°" „„‹‹9ÐFY03:€ÌFY02:€ÌFY01:€Objective€metÌÌÌÌÌFY00:€€New€in€FY01Ð 9/!°* „„‹‹9ÐÐ 9/!¬ü+ „„‹‹9Ð2.€Maintain€€human€andÏtechnological€capacity€toÏrespond€to€planning€andÏanalytical€needs€of€theÏSecretary.ÌÐ 9/!l!¼1 „„‹‹9ÐFY03:€€Same€as€FY€02ÌFY02:€€Same€as€FY01òòÐ üL3 ÐóóFY01:€€Same€as€FY00Ð Ø(4 ÐFY00:€€òòóó€ASPE€analyticÐ ´5 Ðsupport€functions€willÏmake€a€contribution€toÏthe€development€ofÏanalyses€for€theÏSecretary.€€StaffingÏ(hires)€and€staff€skillsÏ(training)€will€beÏenhanced.Ð 9/!”&ä!= „„‹‹9ÐFY03:ÌFY02:ÌFY01:€Objective€metÌFY00:€€Objective€metÌÐ 9/! àB „„‹‹9ÐÐ1'% pC   1ÐòòPreliminary€Performance€SummaryóóÐ  'ð"C ÐÌòòEstablishing€Performance€Targets:€óó€The€Office€of€the€Assistant€Secretary€for€Planning€and€EvaluationÐ X)¨$E Ð(ASPE)€continues€to€employ€descriptive€performance€goals€to€improve€the€performance€of€the€officeÏover€time.ÌÌòòPerformance€Progress:óó€ASPE€reports€significant€achievements€in€the€activities€supporting€all€of€theÐ È,(I Ðgoals€for€FY€2001.€€The€following€achievements€describe€the€ASPE€success€in€meeting€the€performanceÐ ¤-ô(J Ðgoals€stated€above.ÌÌÌ1.€òòAnalytic€Knowledge:€óó€As€a€result€of€its€strong€analytic€capacity,€OASPE€continues€to€play€a€major€roleÐ D” Ðin€policy€formulation.€For€example,€policy€research€studies€in€the€area€of€access€to€health€care€and€theÏextent€of€insurance€coverage€and€service€availability,€particularly€in€under€served€areas€and€amongÏvulnerable€populations.€€Central€and€ongoing€projects€assess€the€implementation€and€effectiveness€ofÏboth€t€he€State€Childrenððs€Health€Insurance€Program€(SCHIP)€and€Health€Insurance€Portability€andÏAccountability€Act€(HIPPA)€in€enhancing€insurance€coverage€and€improving€health€quality€andÏoutcomes€for€various€populations.€€OASPE€engages€in€research€studies€to€track€the€conditions€ofÏvulnerable€populations€and€compiles€data€monitoring€the€conditions€of€American€children.€€Analysis€willÏprovide€information€on€the€impact€these€changes€will€have€on€employment,€poverty,€family€compositionÏand€child€well„being.€€Another€area€of€emphasis€has€been€developing€models€and€practices€that€improveÏthe€quality€and€responsiveness€of€managed€care€for€children€and€adults€with€chronic€disability;Ïdeveloping€new€risk€adjustment€approaches€that€predict€the€health€care€costs€of€persons€with€disabilityÏand€chronic€illness€and€identifying€performance€indicators€for€measuring€the€quality€of€health€careÏreceived€by€such€individuals.ÌÌ2.€€òòHuman€and€Technological€Capacityóó:€€In€FY€2001€OASPE€continued€to€build€a€strong€analyticalÐ (x Ðcapacity.€€Policy€Support€Services€will€provide€simulation€modeling,€statistical€analysis,€and€otherÏtechnical€and€analytic€services€needed€in€order€to€carry€out€policy€research.€€The€goal€is€to€ensureÏefficient,€reliable,€and€timely€analytic€support,€while€offsetting€increases€in€costs€through€theÏintroduction€of€cost„saving€technologies.€€These€services€support€Department„wide€data€policy€andÏcollaboration€efforts€in€data€policy,€including€data€standards€and€privacy,€between€HHS€and€the€healthÏindustry.ÌOASPE€continues€to€support€academic€research€on€poverty€and€promote€secondary€analysis€of€under„¼utilized€but€rich€data€sets.ñ ññññññ ñÌÐ  ŒÜ ÐÌÌñ ññññ ñÔ#†Xœ±X%&Tç#Ôñ ññññ ñÔ‡¼hâ»XXŒ©Ôà@w w ìàDEPARTMENTAL€APPEALS€BOARDÔ#†XŒ©X»¼hâ#Ôñ ññññññ ñÔ‡&´è%XXŒ©ÔÔ#†XŒ©X%&´èé#Ôñ ññññññ ñˆÐ h¸ ÐÌà@” ” ìàPERFORMANCE€PLAN€FOR€FY€2003ˆÌÌThe€Departmental€Appeals€Board€(DAB)€is€an€independent€office€established€to€provide€conflictÏresolution€services.€€These€services€are€basically€of€two€types:€1)€adjudicatory€hearings,€appellateÏreview€of€decisions€of€Administrative€Law€Judges€(ALJs),€and€similarly€structured€formal€andÏinformal€reviews€of€contested€decisions;€and€2)€alternative€dispute€resolution€(ADR),€includingÏmediation€and€other€consensual€processes€and€training€related€to€ADR.€€ÌÌOrganizationally,€DAB€has€four€Divisions:ÌÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£‹ÝÔ2#ÔÚ  Ú1Ú  Ú.Ô3  Ôà0  àÝ  ÝòòThe€Appellate€Divisionóó€supports€the€Board€Members,€issuing€decisions€on€behalf€of€theÐ Ð  ÐSecretary€of€HHS€in€a€wide€variety€of€cases.€€In€some€cases,€the€Board€provides€a€hearingÏif€one€is€needed;€in€others,€the€Board€provides€an€appellate„type€review.€€ÝƒP3£‹¶ÝŒÐ (#(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£`ÝÔ2#ÔÚ  Ú2Ú  Ú.Ô3  Ôà0  àÝ  ÝòòThe€Civil€Remedies€Divisionóó€supports€ALJs€who€conduct€hearings€and€issue€initialÐ à Ðdecisions€in€health€care€fraud€and€abuse€cases,€provider€sanction€cases,€and€other€civilÏenforcement€cases.€€ÝƒP3£`‹ÝŒÐ (#(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£øÝÔ2#ÔÚ  Ú3Ú  Ú.Ô3  Ôà0  àÝ  ÝòòThe€Medicare€Operations€Divisionóó€supports€Administrative€Appeals€Judges€(AAJs)€whoÐ P  Ðact€as€the€Medicare€Appeals€Council€for€review€of€decisions€by€SSA€ALJs€in€MedicareÏentitlement€and€coverage€cases€(i.e.,€Medicare€Appeals).€€ÝƒP3£ø# ݌Р(#(# ÐŒÝ  ÝÌNOTE:€€The€Board€Members€and€other€judges€are€part€of€the€Immediate€Office€of€the€Chair€ofÏthe€Board€(together€with€administrative€support€staff),€but€are€considered€part€of€the€DivisionsÏfor€purposes€of€GPRA,€since€their€caseloads€are€identified€to€the€Divisions.ÌÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£½"ÝÔ2#ÔÚ  Ú4Ú  Ú.Ô3  Ôà0  àÝ  ÝòòThe€Alternative€Dispute€Resolution€(ADR)€Divisionóó€supports€the€Chair€of€the€Board€in€herÐ Ð  Ðfunction€as€Dispute€Resolution€Specialist€for€the€Department,€providing€overallÏleadership€for€ADR€at€HHS.€€The€Division€also€provides€some€direct€ADR€services,€suchÏas€mediation€in€Board€cases€and€other€Department€disputes€and€providing€ADR€training.݃P3£½"è"݌Р(#(# ÐŒÝ  ÝÌThe€DAB€has€no€control€over€its€caseload.€€Since€the€mid„1990's,€caseload€sizes€have€grown€veryÏrapidly,€particularly€for€the€Civil€Remedies€and€Medicare€Operations€Divisions.€€CaseloadÏprojections€signal€continued€growth.€€In€addition,€cases€are€increasing€in€complexity,€therebyÏrequiring€more€time€for€analysis€and€decision„making.€Finally,€the€use€of€ADR€is€expanding€ð!ð€Ïrequests€for€mediation€services€have€more€than€doubled€over€the€past€three€years.€€TheÏPerformance€Goals€support€and€respond€to€other€efforts€(e.g.,€work€redesign,€improved€dataÏcollection,€increased€staffing)€to€effectively€carry€out€DABððs€responsibilities€and€functions.ÌÐ  ,`'* ÐÔ‡&„©%XXŒ©ÔÔ*‹ƒ( )ddd Xdd Xdd X°(#°(#‹ÔÔ," dd ÔÔ,ždd ÔÔ,ždd ÔÔ,dd ÔÔ+  ÔÐ /€: ° €€„„/ÐÌPerformance€GoalsÐ A€:,!ð@": „„AÐÌFY€TargetsÐ A€:,!ð@": „„AÐActualÌPerformanceÐ A€:,!ð@": „„AÐÌReference*Ð =€W(&ð@"  : =ÐGoal€1.ÌMaintain€Appellate€Division€caseÏprocessing€rates.ÌÌMeasure:€€Percentage€of€decisionsÏwith€net€case€age€of€six€months€orÏless.Ð $ˆ ØW $ÐÌÌFY€03:€70%ÌFY€02:€70%ÌFY€01:€70%€€€€€€€€€€€€€€€ÏFY€00:€60%ÌFY€99:€80%€Ð  ˆ Ø ÐÌÌÌFY€02:ÌFY€01:€75%ÌFY€00:€81%ÌFY€99:€53%Ð  ˆ Ø „„ÐÐ )€W`°" )ÐGoal€2.ÌMaintain€Appellate€DivisionÏreversal€and€remand€rate€of€BoardÏdecisions€appealed€to€federalÏcourts.ÌÌMeasure:€number€of€decisionsÏreversed€or€remanded€on€appeal€toÏfederal€court€as€a€percentage€of€allÏBoard€decisions€issued.Ð $´(W $ÐÌÌÌÌÌFY€03:€2%ÌFY€02:€2%ÌFY€01:€2%ÌFY€00:€2%ÌFY€99:€2%Ð  ´2 ÐÌÌÌÌÌÌFY€02:ÌFY€01:€2%ÌFY€00:€2%ÌFY€99:€2%Ð  ´< „„ÐÐ )€Wø H =" )ÐGoal€3.€ÌMaintain€annual€output€of€CivilÏRemedies€Division€decisions€perÏALJ€year.ÌÌMeasure:€€number€of€decisionsÏannually€per€ALJ€year€(revised)ÌÌGoal€3€(new)ÌIncrease€Civil€Remedies€caseÏprocessing€rates€for€InspectorÏGeneral€cases.ÌÌMeasure:€percentage€of€decisionsÏissued€within€60€days€of€the€closeÏof€the€record.Ð $$XMW $ÐÌÌFY€03:€N/AÌFY€02:€N/AÌFY€01:€N/AÌFY€00:€10€per€ALJÏyear.€€ÌFY€99:€55ÌÌÌÌÌFY€03:€80%ÌFY€02:€80%ÌFY€01:€(new€goal)Ð  ,#|\ ÐÌÌÌÌFY€01:€N/AÌFY€00:€13ÌÌFY€99:€69€*€(seeÏnarrative)ÌÌÌÌÌÌFY€01:€78%€(baseline)Ð  ,#|k „„ÐÐ )€W$tl" )ÐGoal€4.ÌReduce€average€net€case€age€forÏCivil€Remedies€Division€decisions.ÌÌMeasure:€average€net€days€forÏcases€from€receipt€to€decision€inÏtarget€year€compared€to€FY€99.ÌÐ $|+Ì&tW $ÐÌFY€03:€15%ÌFY€02:€15%€ÌFY€01:€15%€ÌÌFY€00:€10%€reductionÌÌFY€99:€N/AÐ  |+Ì&| ÐÌÌFY€02:ÌFY€01:€559€days€(37%Ïincrease)ÌFY€00:€406€days€(22%Ïincrease)ÌFY€99:€332€daysÏ(baseline)Ð  X,¨'… „„ÐÐ )€Wx%È †" )ÐGoal€5.ÌIncrease€use€of€ADR€(i.e.,Ïmediation)€in€appealed€cases.ÌÌMeasure:€€number€of€casesÏmediated€in€FY€2003€comparedÏwith€number€of€cases€mediated€inÏFY€2002.Ð $d hW $ÐÌFY€03:€10%€increaseÏover€FY€2002ÌFY€02:€10%€increaseÏover€FY€2001ÌFY€01:€10%€increaseÏover€FY€2000ÌFY€00:€25%€increaseÏover€FY€99ÌFY€99:€25%€increaseÐ    ÐÌÌÌFY€02:ÌÌFY€01:€34€(14%Ïincrease)ÌFY€00:€29€for€a€€26%Ïincrease.ÌFY€99:€62€(23€used€forÏmeasurement€purposesÏfor€a€28€%€increase)ÌFY€98:€18€casesÏ(baseline)Ð  Œ  „„ÐÐ )€W`d!" )ÐGoal€6.ÌExpand€ADR€trainingÏopportunities.ÌÌMeasure€1:€€number€of€sessionsÏoffered.ÌÌÌÌMeasure€2:€number€of€HHS€staffÏtrained.Ð $”˜,W $ÐÌÌFY€03:€€12ÌFY€02:€€12ÌFY€01:€€12ÌFY€00:€€€9€sessionsÌFY€99:€€€6€sessionsÌÌFY€03:€400ÌFY€02:€400ÌFY€01:€400ÌFY€00:€400ÌFY€99:€200€Ð  LP9 ЀÌÌÌFY€02:ÌFY€01:€€14ÌFY€00:€€15ÌFY€99:€€12ÌÌFY€02:ÌFY€01:€409ÌFY€00:€435ÌFY€99:€400ÌFY€98:€150€(baseline)Ð  LPF „„ÐÐ )€Wü G" )ÐGoal€7:ÌEncourage€use€of€ADR€in€allÏOPDIVs,€including€OS.ÌÌMeasure€1:€number€of€meetingsÏand/or€presentations€withÏmanagement€and€others,€includingÏfederal€interagency€efforts,€toÏfoster€application€of€ADRÏtechniques.ÌÌMeasure€2:€number€of€HHS€casesÏmediated€through€Sharing€Neutrals.Ð $ *#TW $ÐÌÌÌFY€03:€€15ÌFY€02:€€15€ÌFY€01:€€15ÌFY€00:€€15ÌFY€99:€N/AÌÌFY€03:€36ÌFY€02:€34ÌFY€01:€30Ð  0)4"` ÐÌÌÌÌFY€02:ÌFY€01:€18ÌFY€00:€15ÌFY€99:€12€(baseline)ÌÌÌFY€02:ÌFY€01:€30ÌFY€00:€28€(baseline)Ð   *#m „„ÐÐ )€W¼Àn" )ÐGoal€8:ÌReduce€average€time€to€completeÏaction€on€Medicare€Appeals€beforeÏthe€Medicare€Appeals€Council.ÌÌMeasure:€average€time€to€completeÏaction€on€Medicare€Appeals€cases.ÌÌGoal€8€(Revised)ÌConstrain€growth€in€average€timeÏto€complete€action€on€MedicareÏAppeals€cases.€€(See€rationaleÏbelow)ÌÌMeasure:€average€time€to€completeÏaction€on€Medicare€Appeals€cases.€Ð $DH W $ÐÌÌÌÌFY€01:€N/AÌFY€00:€12€monthsÌFY€99:€€€6€monthsÌÌÌÌFY€03:€18€monthsÌFY€02:€16€monthsÌFY€01:€€21€monthsÐ  °´  ÐÌÌÌÌFY€01:€N/AÌFY€00:€15€monthsÌFY€99:€20€monthsÌÌÌÌÌFY€02:ÌFY€01:€14.2€monthsÌFY€00:15€monthsÌFY€99:20€monthsÏ(baseline)Ð  DH - „„ÐÐ )€W`d." )ÐGoal€9:ÌReduce€percentage€of€MedicareÏAppeals€cases€that€exceed€theÏaction€target.ÌÌMeasure:€percentage€of€cases€inÏpending€workload€that€exceed€the€Ïtarget€ÌÌGoal€9€(Revised)ÌIncrease€number€of€dispositions€ofÏMedicare€Appeals€cases.€€(SeeÏrationale€below).ÌÌMeasure:€Number€of€dispositions.Ð $¼!À=W $ÐÌÌÌÌÌFY€01:€N/AÌFY€00:€50%ÌFY€99:€N/AÌÌÌFY€03:€5,500ÌFY€02:€5,250€casesÌFY€01:€5,000€casesÌÌÐ  ¼!ÀL ÐÌÌÌÌÌFY€01:ÌFY€00:€52%ÌFY€99:€72%€(baseline)ÌÌÌÌFY€02:ÌFY€01:€7,955ÌFY€00:€4,435Ï(baseline)Ð  ¼!À[ „„ÐÐ )€W´¸\" )ÐGoal€10:€(Dropped€as€DAB€goal)ÌDevelop€program„specificÏregulations€governing€review€ofÏALJ€decisions€concerningÏMedicare€claims.ÌÌThis€is€no€longer€a€relevant€goal€forÏDAB€as€this€is€a€HCFA€initiative.€€Ð $0)4"dW $ÐÌÌFY€01:€N/AÌFY€00:€N/AÌFY€99:€DevelopÏregulationÐ  x'| j ÐÌÌÌÌFY€99:€HCFAÏestablishes€workgroup€Ì€€€Ð  T(X!q „„ÐÐ )€W,#0r" )ÐGoal€11:€Increase€MedicareÏOperations€staff€effectivenessÏthrough€training.ÌÌMeasure:€percentage€of€staffÏtrained.ÌÐ $ˆ ŒW $ÐÌÌFY€03:€100%ÌFY€02:€100%ÌFY€01:€100%ÌFY€00:€100%ÌFY€99:€N/AÐ  ˆ Œ ÐÌÌÌÌFY€01:€100%ÌFY€00:€100%ÌFY€99:€80%€(baseline)Ð  ˆ Œ „„ÐÐ"`d" "ÐÔ#†XŒ©X%&„©Ž'#ÔÌÌòòGoal€1:€€Maintain€Appellate€Division€case€processing€ratesóóÐ tx ÐÌMeasure:€percentage€of€decisions€with€a€net€case€age€of€six€months€or€less.€€ÌÌòòEstablishing€Performance€Targetsóó:€€The€Appellate€Division€reviews€1)€determinations€appealedÐ 48  Ðdirectly€to€the€Board€in€a€wide€range€of€cases,€including€disallowances€under€discretionary€andÏmandatory€grant€programs,€disapprovals€of€cost€allocation€plans,€unilateral€determinations€ofÏindirect€cost€rates,€terminations€of€Head€Start€and€other€discretionary€grants,€sanctions€inÏresearch€misconduct€cases,€and€determinations€of€ineligibility€for€ANA€grants;€and€2)€appeals€byÏeither€party€of€ALJ€decisions€in€cases€heard€by€the€Civil€Remedies€Division,€decisions€by€FDAÏALJs,€and€decisions€by€ALJs€in€the€Department€of€the€Interior€in€cases€involving€the€IndianÏHealth€Serviceððs€declination€of€proposed€Indian€Self„Determination€Act€contracts.€ÌÌThis€goal€addresses€the€timeliness€of€case€review€and€decisions€issued.€€The€Performance€TargetÏfor€FY€2001€was€70%.€€Although€the€Appellate€Division€exceeded€this€goal,€the€Division€isÏunlikely€to€maintain€the€higher€level€of€case€processing€rates,€due€to€a€€projected€growth€in€theÏcaseload.€€As€a€result,€the€performance€targets€are€maintained€at€70%€for€FY€2002€and€FY2003.€ÌÌòòPerformance€Progress:óó€€N/AÐ T X* ÐÌòòGoal€2:€€Maintain€the€Appellate€Divisionððs€reversal€and€remand€rate€on€Board€decisions€appealedÐ 4"8, Ðto€Federal€courts.óóÐ $#(- ÐÌMeasure:€Number€of€decisions€reversed€or€remanded€on€appeal€to€Federal€court,€as€a€percentageÏof€all€Board€decisions€issued€(1,789€decisions€by€the€end€of€FY€2001).ÌÌEstablishing€Performance€Targets:€This€goal€addresses€the€quality€of€Board€decisions.€ÏHistorically,€2%€or€less€of€all€Board€decisions€have€been€reversed€or€remanded€on€appeal€toÏFederal€court.€€A€performance€target€of€2%€was€established€for€FY€2001,€and€continues€forÏFY2002€and€FY€2003.ÌÌòòPerformance€Progress:€óó€The€performance€target€for€FY€2001€was€met.Ð „,ˆ%7 ÐÐ t-x&8 ÐòòGoal€3:€€Maintain€annual€output€of€ALJ€decisionsóó.€(replaced€by€revised€Goal€3€below)Ð ° ÐÌMeasure:€Total€number€of€decisions€in€FY1999.ÌRevised€Measure:€Number€of€decisions€annually€per€ALJ€year.ÌÌòòEstablishing€Performance€Targets:óó€€The€original€target€was€based€on€an€annual€number€ofÐ ` ° Ðdecisions€over€time€in€a€fairly€stable€environment.€€The€measure€was€changed€to€reflect€the€largeÏincrease€in€caseload,€growing€backlogs,€and€the€addition€of€ALJs.€€Cases€that€go€to€decision€areÏgenerally€complex,€involve€a€large€record€and€an€in„person€hearing€that€can€last€up€to€a€week,Ïand€require€considerable€time€to€decide.€€In€addition,€although€the€majority€of€cases€before€theÏALJs€are€settled,€withdrawn,€or€otherwise€dismissed,€€they€still€require€judicial€time€at€the€pre„¼decisional€phase.€òò€óóWith€these€factors€in€mind,€the€measure€identified€a€target€number€of€decisionsÐ P  Ðper€ALJ€year,€rather€than€a€total€number.€(òòNoteóó:€results€for€FY€1999€reported€the€òòtotalóó€number€ofÐ ð@  Ðdecisions).€€The€target€for€FY€2000€was€10€decisions€for€each€ALJ€year.ÌÌDAB€replaced€this€goal€for€FY€2001.€€The€goal€is€inappropriate,€as€output€quotas€cannot,€by€law,Ïbe€established€for€ALJs.ÌÌòòPerformance€Progress:€óó€N/AÐ à ÐÌòòGoal€3€(new€for€FY€2002):€€Increase€Civil€Remedies€Division€case€processing€rates€for€InspectorÐ pÀ ÐGeneral€(IG)€cases.óóÐ `° ÐÌMeasure:€Percentage€of€decisions€within€60€days€of€the€close€of€the€record.ÌÌòòEstablishing€Performance€Targets:€óóAccording€to€regulations,€decisions€on€IG€cases€are€to€beÐ  p Ðmade€within€60€days€of€the€close€of€the€record.€€In€actuality,€that€deadline€is€sometimesÏexceeded.€€This€goal€focuses€on€tracking€and€increasing€the€percentage€of€cases€decided€withinÏ60€daysòò.€€óóThe€target€for€FY€2002€is€80%€of€decisions€made€within€60€days€of€the€close€of€theÐ ð@ Ðrecord.€€This€target€continues€for€FY€2003.ÌÌòòGoal€4:€€Reduce€average€net€case€age€of€Civil€Remedies€Division€decisions.Ð À! ÐÌóóMeasure:€Average€net€case€age€for€cases€to€move€from€receipt€to€decision.Ð  #ð! ÐÌòòEstablishing€Performance€Targets:€óóThis€goal€addresses€timeliness.€€The€target€for€FY€2000,€theÐ €%Ð # Ðfirst€year€for€this€goal,€was€a€10%€reduction€in€the€average€net€case€age€for€cases€requiring€aÏwritten€decision.€€A€target€of€15%€was€set€for€FY€2001,€and€continues€for€€FY€2002€andÏFY2003.ÌÌòòPerformance€Progress:óó€The€Civil€Remedies€Division€did€not€meet€its€goal€of€reducing€theÐ 0*€%( Ðaverage€case€age€by€15%€in€FY€2001,€because€the€Division€lost€three€experienced€ALJs€inÏJanuary€and€February€of€2001.€€Although€the€Division€replaced€one€ALJ€in€May,€there€is€anÏinitial€learning€curve€which€depresses€productivity.€€In€addition,€the€Division€lost€several€supportÏstaff€who€would€have€been€available€to€write€decisions€and€assist€in€monitoring€cases.Ð ð-@), ЇòòGoal€5:€€Increase€the€use€of€Alternative€Dispute€Resolution€(ADR)€in€appealed€cases.Ð ° ÐÌóóòòEstablishing€Performance€Targets:óó€€This€goal€is€directed€at€expanding€the€use€of€ADR€(i.e.,Ð à Ðmediation)€in€cases€appealed€to€the€DAB.€€Mediation,€when€successful,€can€resolve€appeals€fasterÏand€less€expensively€than€the€formal€appeal€process.€€Greater€use€of€mediation€also€has€theÏpotential€for€reducing€case€backlogs.€€The€target€for€FY€1999€was€a€25%€increase€in€the€numberÏof€appealed€cases€mediated€compared€to€FY€1998.ÌÌIn€FY€1999,€63€cases€were€mediated;€however,€40€of€these€cases€represent€a€one„time€appeal€of€aÏblock€of€cases€involving€a€unique€cost€allocation€issue.€€For€performance€measurement€purposesÏover€time,€DAB€proposes€to€factor€out€this€block,€leaving€a€total€of€23€cases€mediated.€€AnÏadditional€increase€of€25%€was€targeted€for€FY€2000;€the€target€for€FY€2001€was€a€10%€increaseÏover€FY€2000.€€This€same€rate€of€increase€is€targeted€for€FY€2002€and€FY€2003.ÌÌòòPerformance€Progress:óó€Thirty€cases€were€mediated€in€FY€2001,€for€a€14%€€increase€overÐ Ð  ÐFY2000,€thus€exceeding€the€goal.€ÌÌòòGoal€6:€€Expand€ADR€training€opportunities.óóÐ  ð ÐÌMeasure€1:€€Number€of€training€sessions€offered.ÌMeasure€2:€€Number€of€HHS€staff€trained.ÌòòÌEstablishing€Performance€Targets:óó€€Increased€use€of€ADR€is€the€result€of€several€factors:€Ð P  Ðincreasing€the€awareness€of€alternatives€to€the€typical€ways€of€dealing€with€conflict;Ïunderstanding€ADR€processes€and€their€potential€use;€and€expanding€the€availability€of€trainedÏneutrals.€€Identified€measures€address€both€the€availability€of€training€and€the€number€of€staffÏtrained.€€ÌÌThe€target€for€Measure€1,€number€of€sessions€conducted,€was€12€for€€FY€2001.€€This€targetÏcontinues€for€FY€2002€and€FY€2003.€€The€Measure€2€target€for€FY€2001€was€400€staff€trained;€itÏcontinues€for€FY€2002€and€FY€2003.ÌÌòòPerformance€Progress:óóÐ °"  ÐMeasure€1:€14€sessions€were€held€in€€FY€2001,€exceeding€the€target€of€12.€ÌÌMeasure€2:€409€staff€€were€trained€in€FY€2001,€exceeding€the€target€of€400.€€ÌÌòòGoal€7:€€Encourage€the€use€of€ADR€in€all€Operating€Divisions.óóÐ `'°"% ÐÌMeasure€1:€Number€of€meetings€and/or€presentations€with€management€and€others,€includingÏFederal€interagency€efforts,€to€foster€the€application€of€ADR€techniques.ÌÌMeasure€2:€Number€of€HHS€cases€mediated€through€Sharing€Neutrals.€ÌÌòòEstablishing€Performance€Targets:óó€This€goal€supports€the€functions€of€the€Departmentððs€DisputeÐ ð-@), ÐResolution€Specialist;€the€Chair€of€DAB€is€designated€as€such€by€the€Secretary.€€€€ÌÌMeasure€1:€€Performance€target€for€FY€2001€was€15€sessions;€this€target€continues€for€FY€2002Ïand€FY€2003.ÌÌMeasure€2:€This€measure,€new€in€FY€2001,€reflects€the€increasing€demand€for€low„cost,€qualifiedÏmediators€and€the€role€of€Sharing€Neutrals€in€meeting€this€demand.€€Sharing€Neutrals€isÏadministered€by€the€ADR€division.€€FY€2000€serves€as€the€baseline;€in€that€year,€28€disputes€(inÏfive€OPDIVs€and€OS)€were€mediated€through€Sharing€Neutrals.€€The€FY€2001€target€was€30Ïcases€mediated;€34€cases€is€the€target€for€FY€2002,€increasing€to€36€cases€mediated€for€FY€2003.€ÌòòÌPerformance€Progress:€óóÐ P  ÐMeasure€1:€The€FY€2001€target€was€exceeded,€in€large€part€because€of€the€ADR€DivisionððsÏleadership€role€in€initiatives€sponsored€by€DOJ€and€ABA€to€clarify€confidentiality€protectionsÏunder€the€ADR€Act€and€best€practices€in€the€Federal€sectorððs€ADR€proceedings.ÌÌMeasure€2:€The€FY€2001€target€was€met.ÌÌòòGoal€8€(Revised):€€Constrain€growth€in€the€average€time€to€complete€action€on€Medicare€AppealsÐ à Ðbefore€the€Medicare€Appeals€Council.ÌÌóóMeasure:€Average€time€to€complete€action€on€Medicare€Appeals€casesÐ `° ÐòòÌEstablishing€Performance€Targets:óó€€The€original€goal€(to€reduce€the€average€time€to€completeÐ @ Ðaction€on€requests€for€review€before€the€Medicare€Appeals€Council)€was€based€on€the€assumptionÏthat€the€Medicare€Operations€Division€(MOD)€would€be€fully€staffed,€and€that€the€number€ofÏincoming€cases€would€remain€relatively€stable.€€For€the€following€reasons,€this€became€anÏunrealistic€target:€a€static€or€decreasing€number€of€staff;€an€increase€in€the€number€of€casesÏreceived€(from€2,262€in€FY€1998€to€7,237€in€FY€2000,€7,931€in€FY€2001,€and€a€projected€9,015Ïin€FY€2002);€increased€complexity€of€cases;€and€an€increase€in€the€number€of€civil€actions€filed.€ÏAs€a€result,€the€target€goal€was€revised€to€ð ðconstrain€the€growth€in€the€average€time.ððÌÌThe€target€was€21€months€for€FY€2001€and€24€months€for€FY2002€and€FY2003.€€The€targets€forÏFY2002€and€FY2003€have€now€been€revised€downward€to€16€months€for€FY2002€and€18Ïmonths€for€FY2003,€to€reflect€new€information.€€The€targets€now€assume€that€implementation€ofÏthe€Benefits€Improvement€Protection€Act€(BIPA)€will€be€delayed;€therefore,€MOD€will€not€haveÏto€give€priority€to€BIPA€deadline€cases€or€devote€resources€to€processing€cases€for€court,€and€theÏbacklog€will€not€age€as€rapidly€as€previously€thought.€€Nevertheless,€the€average€time€toÏcomplete€action€on€a€case€will€increase€each€year€that€MOD€does€not€have€sufficient€resources€toÏclose€cases€on€a€current€basis,€as€is€reflected€in€the€increase€from€FY€2002€to€FY2003.€€IfÏimplementation€of€BIPA€is€òònotóó€delayed,€MOD€may€not€be€able€to€meet€the€FY2002€andÐ 0*€%( ÐFY2003€goals.€ÌÌòòPerformance€Progress:óó€€In€FY€2001,€the€average€number€of€months€to€complete€action€onÐ -P(+ ÐMedicare€Appeals€decreased€€to€14.2€months,€exceeding€the€goal€by€6.8€months.€€This€was€due€toÐ ð-@), Ðcontinued€progress€toward€full€implementation€of€MOD€redesign,€and€lower€than€projectedÏintake€of€cases.€ÌÌòòGoal€9€(Revised):€Increase€Number€of€Dispositions.óóÐ €Ð ÐÌMeasure:€Number€of€dispositions€ÌÌòòEstablishing€Performance€Targetsóó:€As€with€Goal€8,€the€original€Goal€9€„„€to€reduce€the€age€ofÐ @  ÐMedicare€Appeals€cases€by€measuring€the€percentage€of€appeals€exceeding€the€action€target€„„Ïwas€based€on€the€assumptions€that€the€Medicare€Operations€Division€(MOD)€would€be€fullyÏstaffed,€and€that€the€number€of€incoming€cases€would€remain€relatively€stable.€€However,€due€toÏa€dramatically€increased€number€of€newly„filed€appeals,€the€goal€to€reduce€the€percentage€ofÏpending€cases€exceeding€€processing€time€targets€diminished€in€value€as€a€workload€measure.€€ÏThe€number€of€cases€filed€in€FY€2000€increased€by€80%€to€7,237,€with€a€year„end€pendingÏcaseload€of€11,500.€€Based€on€this€analysis,€the€target€goal€was€revised€to€increase€the€number€ofÏdispositions€for€FY€2001€(5,000€dispositions)€and€FY€2002€(5,250).€€By€increasing€the€number€ofÏdispositions,€the€growth€in€the€average€case€age€may€also€be€constrained.€€ÌÌMOD€case€processing€has€been€evaluated,€and€recommendations€are€now€being€implemented.€ÏMoreover,€MOD€was€finally€able€to€fill€vacant€clerical€positions€in€FY€2001,€and€two€new€FTEÏare€to€be€added€in€the€last€half€of€FY2002.€€As€a€result,€DAB€is€projecting€an€increase€to€5,250Ïdispositions€in€FY€2002€and€5,500€in€FY2003,€when€the€two€new€positions€become€fullyÏproductive.€€€ÌòòÌMeasuring€Performance:€óó€FY€2000€serves€as€the€baseline.Ð 0€ ÐÌòòPerformance€Progress:€Performance€Progressóó:€The€actual€number€of€dispositions€in€FY2001Ð ` Ð(7,955)€exceeded€projections€(5,000).€€This€was€due€to€continued€implementation€of€MODððsÏreinvented€case€processing€procedures,€plus€an€unusually€large€number€of€remands€(roughlyÏ2,000)€resulting€from€the€unavailability€of€hearing€records€and/or€claim€files€from€SSA€ALJs.€ÌÌòòGoal€10:€€Develop€program„specific€regulations€governing€review€of€ALJ€decisions€concerningÐ À! ÐMedicare€claims.óó€€(This€goal€has€been€dropped).Ð °"  ÐÌDAB€has€dropped€this€goal€for€performance€measurement€purposes,€although€DAB€continues€toÏbelieve€that€the€hearings€and€appeals€process€needs€improvement.€€DAB€has€participated€on€aÏCMS€work€group€established€to€address€this€and€related€issues.ÌÌòòGoal€11:€€Increase€the€effectiveness€of€MOD€staff€through€training.Ð P( #& ÐÌóóMeasure:€Percentage€of€staff€trained€in€at€least€two€substantive€areas.€€This€is€a€revised€measure,Ð 0*€%( Ðusing€percentages€rather€than€numbers.€€Since€the€number€of€staff€has€fluctuated,€DAB€believesÏpercentages€will€be€a€more€effective€measure.ÌÌòòEstablishing€Performance€Targets:€óó€FY€1999€served€as€the€baseline.€€DAB€determined€theÐ ð-@), Ðnumber€of€staff€who€attended€training€sessions€(12)€as€a€percentage€of€total€staff€(15),€or€80%.€ÏBecause€of€a€revamped€tracking€system€and€other€organizational€changes,€a€target€of€100%€wasÏset€for€FY2000€and€FY€2001.€€This€target€continues€for€FY€2002€and€FY€2003.ÌÌòòPerformance€Progress:€óó100%€of€staff€received€training€in€FY€2001.Ð pÀ ÐÌòòData€Verification€and€ValidityóóÐ P   ÐÌCase€data€are€entered€in€controlled„access€databases,€with€case„specific€identification.€€OtherÏprogram€data€(e.g.,€number€of€training€sessions,€number€of€cases€reversed€or€remanded)€are€alsoÏrecorded€and€tracked.€€Data€used€in€performance€measures€are€validated€by€generating€periodicÏreports.€€At€the€end€of€the€fiscal€year,€the€report€totals€will€be€cross„checked€with€annual€totalsÏfor€each€measure.ñ ññññññ ñÐ  ° Ðñ ññññññ ñÔ‡&´è%XXŒ©Ôñ ññññññ ñÓL€ PAx3 LÓò òñ ññññññ ñÔ#†XŒ©X%&´è÷y#Ôñ ññññññ ñÔ‡¼hâ»XXŒ©ÔÓ  ÓASSISTANT€SECRETARY€FOR€BUDGET,€TECHNOLOGY€ANDÐ ° ÐFINANCEÌÔ#†XŒ©X»¼hâµz#Ôñ ññññññ ñÔ‡&´è%XXŒ©ÔÔ#†XŒ©X%&´è!{#Ôñ ññññññ ñ(Formerly€the€Assistant€Secretary€for€Management€and€Budget)Ð à0 ÐÓÔzÓÌÓ  Óà@@ppìàFY2003€PERFORMANCE€PLANó óÐ À ÐÓ|ÓÌÌAt€the€beginning€of€Fiscal€Year€(FY)€2002€the€Office€of€the€Assistant€Secretary€for€ManagementÏBudget€(ASMB)€was€retitled€the€Office€of€the€Assistant€Secretary€for€Budget,€Technology€andÏFinance€(ASBTF).€€€ASBTF€retained€functional€responsibility€for€budget€and€financialÏmanagement€as€well€as€information€resources€management€including€the€investments€theÏDepartment€is€making€in€e„government€and€technology.€€€The€office€consists€of€the€followingÏcomponents:ÌÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£>~ÝÔ2AÔððÔ3  Ôà0  àÝ  ÝImmediate€Office€of€the€ASBTF݃P3£>~i~݌Рp (#(# ÐŒÝ  ÝÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÝÔ2AÔððÔ3  Ôà0  àÝ  ÝOffice€of€Budget݃P3£:ÝŒÐ`(#(# ÐŒÝ  ÝÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÓÝÔ2AÔððÔ3  Ôà0  àÝ  ÝOffice€of€Finance݃P3£ÓþÝŒÐP(#(# ÐŒÝ  ÝÝ ‚P3£ ÝÝ  ÝÝ‚P3£˜€ÝÔ2AÔððÔ3  Ôà0  àÝ  ÝOffice€of€Information€Resources€Management݃P3£˜€Ã€ÝŒÐð@(#(# ÐŒÝ  ÝÌThe€ASBTF€performance€plan€for€FY€2003€and€revised€final€performance€plan€for€FY€2002€isÏstructured€to€reflect€the€categories€above.€€This€plan€contains€23€performance€measures€for€FYÏ2003€and€includes€new€measures€which€demonstrate€both€the€Departmentððs€commitment€to€andÏASBTFððs€role€in€the€implementation€of€the€Presidentððs€Government„wide€Management€ReformsÏand€the€Secretaryððs€additional€Management€Priorities.ÌÌòòFY€2003€Government„wide€Management€Reforms€óóÐ pÀ Ðò òó óÌÝ ‚P3£ ÝÝ  Ýà  àÝ‚P3£qƒÝÔ2AÔððÔ3  Ôà0 ` àÝ  Ýò òImprove€Financial€Performanceó 󀄀The€FY€2003€ASBTF€performance€planÐ P  Ðincludes€performance€measures€addressing€the€timeliness€and€reliability€ofÏfinancial€information€(see€Finance€Goal€1,€Goal€2€and€Goal€3).݃P3£qƒ¨ƒÝŒÐ ` (#` (# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  Ýà  àÝ‚P3£…ÝÔ2AÔððÔ3  Ôà0 ` àÝ  Ýò òExpanding€Electronic€Governmentó 󀄀The€FY€2003€ASBTF€performance€planÐ "` Ðincludes€a€performance€measure€to€improve€the€Departmentððs€e„gov€infrastructureÏ(see€Information€Resources€Management€measures€1.7„€1.10).€ÝƒP3£…G…݌Р` (#` (# ÐŒÝ  ÝÌòòOther€Management€PrioritiesÐ Ð% !# Ðóóò òó óÌÝ ‚P3£ ÝÝ  Ýà0  àÝ‚P3£ó†ÝÔ2AÔððÔ3  Ôà0` (#(#àÝ  Ýò òUnified€Financial€Management€Systems€ó ó„€The€Secretary€has€established€this€asÐ °'#% Ða€Department„wide€management€priority.€€The€FY€2003€ASBTF€performance€planÏincludes€a€performance€measure€to€assess€progress€toward€the€achievement€of€thisÏgoal€(see€Finance€Goal€4).݃P3£ó†*‡ÝŒÐ ` (#` (# ÐŒÝ  ÝÌÌÐ P- (+ ÐÝ ‚P3£ ÝÝ  Ýà0  àÝ‚P3£çˆÝÔ2AÔððÔ3  Ôà0` (#(#àÝ  Ýò òConsolidation€of€HHS€Information€Technology€(IT)€Architecture€andÐ ° ÐEnhanced€IT€Securityó 󀄀The€Secretary€has€established€this€as€a€Department„wideÐ  ð Ðmanagement€priority.€€The€FY€2003€ASBTF€performance€plan€includes€Ïperformance€measures€to€assess€progress€toward€the€achievement€of€this€goal€(seeÏInformation€Resources€Management€measures€1.1„1.8).݃P3£çˆ‰ÝŒÐ ` (#` (# ÐŒÝ  ÝÌò òòòÌBudgetóóÔ‡&„©%XXŒ©Ôó óÐ @  ÐÔ*‹ƒn oddd Xdd Xdd X°(#°(#‹ÔÔ," dd ÔÔ,Êdd ÔÔ,½dd ÔÔ,edd ÔÔ+  ÔÐ /€: 0 € €€„„/ÐÌPerformance€GoalsÐ A€:,!p À ": „„AÐÌFY€TargetsÐ A€:,!p À ": „„AÐActualÐ ” ä  ÐPerformanceÐ A€:,!p À": „„AÐÌReference*Ð F€W1&p À"  : €€‚$‚FÐÔ#†XŒ©X%&„©>‹#ÔÔ‡ôzFõXXŒ©ÔÌGoal€1a.€€For€significant€HHS€budgetÏand€management€processes€and€issues,Ïprovide€timely,€reliable€and€innovativeÏanalysis€that€is€useful€and€adds€value€toÏthe€policy€and€resource€decisions€ofÏthe€ASBTF€and€the€Secretary.ÌÌ1b.€Meet€the€standards€of€quality€andÏtimeliness€established€by€the€ASBTF,ÏOMB,€Congress€and€oversightÏagencies€for€the€annual€BudgetÏsubmission.€€Prepare€clear,€conciseÏassessments€that€articulate€HHSÏOPDIV€priorities€and€meet€DepartmentÏrequirements€in€preparation€of€theÏDepartmentððs€budget.Ð $@!W $ÐÌFY02:€DroppedÌFY01:ÌFY00:€€SetÌFY99:€€Set€11/98ÌÌÌÌFY03:€Develop€FY05€BudgetÌFY02:€Develop€FY04€BudgetÌFY01:€New€in€FY€02Ð  „Ô, ÐÌFY02:ÌFY01:€Objective€metÌFY00:€€Objective€metÌFY99:€€Objective€metÌÌÌÌÌÐ  º 6 „„ÐÌÌÐ 4€W4„ 9" $0  4ÐGoal€2.€€Provide€timely€and€usefulÏassistance€and€guidance€to€OMB€andÏcommittee€staffs€and€monitor€effectiveÏimplementation€of€authorizing€andÏother€legislation€and€regulations€forÏFederal€budget€and€managementÏfunctions;€identify€and€coordinate€theÏresolution€of€serious€issues.Ð $$"tAW $ÐFY03:€Oversee€FY03€BudgetÌFY02:€Oversee€FY02€BudgetÌFY01:€ÌFY00:€€SetÌFY99:€€Set€11/98ÌÌÐ  Z!ªH ÐÌFY02:ÌFY01:€€Objective€metÌFY00:€€Objective€metÌFY99:€€Objective€metÐ  ÆM „„ÐÐ )€WžîN" )ÐGoal€3a.€€Develop€and€implementÏstrategies€for€the€timely€and€effectiveÏpresentation€and€defense€of€the€HHSÏbudget,€and€prepare€timely,€reliableÏand€relevant€reports€to€OMB,€CongressÏand€others.ÌÌ3b.€€Professional€management€of€theÏappropriation€process.€€Provide€high„¼quality€budget€justifications€to€theÏAppropriations€Committees€in€time€forÏhearings.ÌÐ $ú,J([W $ÐFY02:ÌFY01:ÌFY00:€€SetÌFY99:€€Set€11/98ÌÌÌÌFY03:€Submit€FY04€BudgetÌFY02:€Submit€FY03€BudgetÌFY01:€New€for€FY02Ð  œ*ì%e ÐFY02:ÌFY01:€€Objective€metÌFY00:€€Objective€metÌFY99:€€Objective€met€Ð  à%0!i „„ÐÔ#†XŒ©XõôzFŽ#ÔÔ‡ôzFõXXŒ©ÔÐ )€W‚#Òj" )ÐGoal€4.€€The€OS€EEO€Office€willÏprovide€useful,€timely€and€reliableÏEEO€services€to€the€STAFFDIVs,Ïensuring€equality€of€opportunityÏthrough€compliance€with€EEOÏregulations€and€proactive€outreachÏprograms.ÌÌMeasure€1.€€Increase€EEO€outreach€toÏcustomers,€through:Ì„„€training/briefingsÌÌÌÌÌ„„€printed/electronic€informationÌÌÌÌÌÌÌMeasure€2.€€Reduce€the€ratio€of€formalÌEEO€complaints€to€total€EEOÏcomplaints.Ð $PTW $ÐÌÌÌÌÌÌÌÌFY02:€Transferred€to€ASAMÌFY01:€62ÌFY00:€53ÌFY99:€43ÌÌÌÌFY02:€Transferred€to€ASAMÌFY01:€44ÌFY00:€39ÌFY99:€25ÌÌÌÌFY02:€Transferred€to€ASAMÌFY01:€50%ÌFY00:€52%ÌFY99:€56%Ð  3 ÐÌÌÌÌÌÌÌÌFY02:ÌFY01:€3/02ÌFY00:€67ÌFY99:€47ÌFY98:€Baseline€38ÌÌÌFY02:ÌFY01:€3/02ÌFY00:€43ÌFY99:€34ÌFY98:€Baseline€19ÌÌÌFY02:ÌFY01:€3/02ÌFY00:€55%ÌFY98:€Baseline€60%Ð  M „„ÐÐ 2€W`dN" €€‚$‚2ÐGoal€5.€Provide€support€to€theÏSecretary€by€providing€quality€andÏtimely€analyses€and€reporting€of€majorÏbudget€events€(including€theÏDepartmentððs€Budget€Preparation,ÏOMB€Passback,€OMB€Mid€SessionÏReview,€the€Budget€Resolution,€andÏAppropriations€Status).Ð $¾!ÂVW $ÐFY03:€Provide€accurate,Ïtimely€analyses€and€reports€toÏthe€Secretary€without€anyÏjustifiable€complaint.ÌÌFY02:€Same€as€FY03ÌÌFY01:€New€for€FY02Ð  ¾!Â^ ÐFY03:€8/03ÌÌÌÌÌFY02:€8/02ÌÌFY01:€Objective€metÐ  ¾!Âf „„ÐÐ-#!8<g" $0   -ÐÌòòÔ#†XŒ©XõôzF\–#Ôò òPerformance€Summaryó óóóÐ ‚#†h Ðà  àà ` àà ¸ àà  àÌòòóóShortly€after€submitting€the€FY€2002€budget,€the€ASBTF€Budget€Office€reviewed€its€Ð b%fj Ðperformance€goals€to€determine€opportunities€for€improvement.€We€concluded€that€we€could€takeÏa€more€focused€approach€to€Budget€Office€operations€and€concentrate€on€core€functions.€€As€aÏresult,€some€goals€were€changed€and€one€goal€was€added€to€place€greater€emphasis€on€what€theÏoffice€is€actually€accomplishing.€€ÌÌThe€revised€and€new€goals,€while€still€descriptive,€can€be€objectively€measured.€€We€areÏconvinced€that€the€office€is€on€the€way€to€quantitative€measures.€ÌÌÐ Ò-Ö&s ÐòòGoal€1€(revised):€Meet€the€standards€of€quality€and€timeliness€established€by€the€ASBTF,€OMB,Ð ° ÐCongress€and€oversight€agencies€for€annual€budget€submission.€€€Prepare€clear,€conciseÏassessments€that€articulate€HHS€Operating€Agency€priorities€and€meet€Department€requirementsÏin€preparation€of€the€Departmentððs€budget.ÌóóÌòòPerformance€Objective:€€€óóPreviously,€this€goal€read:€For€significant€HHS€budget€andÐ ` ° Ðmanagement€processes€and€issues,€provide€timely,€reliable€and€innovative€analysis€that€is€usefulÏand€adds€value€to€the€policy€and€resource€decisions€of€the€ASMB€and€the€Secretary.€€The€changeÏadds€more€prevision€to€what€the€Budget€Office€actually€does,€and€recognizes€the€need€to€balanceÏOperating€Agency€priorities€and€Departmental€requirements€as€the€budget€is€developed.€€It€placesÏthe€measurement€of€success€outside€of€the€Budget€Office€and€squarely€with€the€ASBTF.òòÐ `  ÐÌóóòòPerformance€Report:óó€During€FY€2001,€the€Budget€Office€consistently€provided€timely,€accurate,Ð ð@  Ðand€innovative€analysis€and€information€in€an€environment€characterized€by€competing€prioritiesÏand€non„negotiable€deadlines.€€Briefing€materials€were€succinct,€and€questions€from€theÏSecretary€and€his€staff€were€answered€quickly€and€accurately.ÌòòóóÌòòPerformance€Target:óó€Met€in€FY€2001.Ð  ð ÐÌòòGoal€2:€Provide€timely€and€useful€assistance€and€guidance€to€OMB€and€committee€staffs€andÐ €Ð Ðmonitor€effective€implementation€of€authorizing€and€other€legislation€and€regulations€for€FederalÏbudget€and€management€functions;€identify€and€coordinate€the€resolution€of€serious€issues.óóÐ `° ÐÌ€òòPerformance€Objective:óó€Both€the€House€and€Senate€must€pass€appropriations€bills,€which€areÐ @ Ðreconciled€in€conference.€€The€Budget€Office€can€provide€timely€information€to€the€Secretary€andÏhis€staff,€but€their€primary€job€is€to€provide€compelling€justifications€to€committee€staffs€in€timeÏfor€their€hearings.ÌÌòòPerformance€Report:óó€For€FY€2001,€a€number€of€factors€outside€the€control€of€the€ExecutiveÐ ð@ ÐBranch€conspired€to€delay€the€signing€of€the€Labor/HHS€bill€until€January€2002.€€Budget€OfficeÏstaff€remained€engaged€with€congressional€staff,€providing€both€staff€and€HHS€leadership€withÏinformation€as€needed.€ÌÌòòPerformance€Target:óó€Met€in€FY€2001.Ð  #ð! ÐòòóóÌòòGoal€3€(revised):€Professional€management€of€the€appropriation€process.€€Provide€high„qualityÐ €%Ð # Ðbudget€justifications€to€the€Appropriations€Committees€in€time€for€hearings.óóÐ p&À!$ ÐòòÌPerformance€Objective:óó€Previously€this€goal€read:€Develop€and€implement€strategies€for€theÐ P( #& Ðtimely€and€effective€presentation€and€defense€of€the€HHS€budget,€and€prepare€timely,€reliableÏand€relevant€reports€to€OMB,€Congress€and€others.€€The€òòóórevision€focuses€more€specifically€on€theÐ 0*€%( Ðcritical€appropriation€process€and€the€end€result,€rather€than€the€processes€that€lead€up€to€it.€€ItÏalso€expands€responsibility€to€the€entire€array€of€products€that€support€hearings.ÌÌòòPerformance€Target:óó€New€for€FY€2002.Ð ð-@), ЇòòGoal€4:€The€OS€EEO€Office€will€provide€useful,€timely€and€reliable€EEO€services€to€theÐ ° ÐSTAFFDIVs,€ensuring€equality€of€opportunity€through€compliance€with€EEO€regulations€andÏproactive€outreach€programs.ÌóóÌòòPerformance€Objective:óó€This€function€has€been€transferred€to€the€Office€of€the€AssistantÐ pÀ ÐSecretary€for€Administration€and€Management€(ASAM).€€Future€performance€reports€will€beÏincorporated€in€the€ASAM€plan.ÌÌòòPerformance€Report:€óóThe€OS€EEO€office€continued€to€increase€outreach€efforts€under€MeasureÐ 0 € Ð1,€with€training/briefings€on€topics€such€as€sexual€harassment€prevention€and€assisting€employeesÏreturning€to€work€after€experiencing€a€trauma.€€Printed/electronic€information€included€guidanceÏon€providing€reasonable€accommodation€and€EEO€posters€for€regional€offices.€€Under€MeasureÏ2,€the€percentage€of€information€EEO€complaints€going€formal€increased€for€the€first€time€duringÏthe€first€two€quarters€of€FY€2001€to€62%,€slightly€higher€than€the€baseline€of€60%€during€FYÏ1998.€€A€major€factor€in€this€increase€was€the€type€of€actions€complained€about.€€Seven€of€the€tenÏformal€complaints€involved€issues€that€were€difficult€to€resolve€(non„selection,€termination,Ïreassignment).€€ÌòòóóÌòòóóòòGoal€5€(new).€€Provide€support€to€the€Secretary€by€providing€quality€and€timely€analyses€andÐ à Ðreporting€of€major€budget€events€(including€the€Departmentððs€Budget€Preparation,€OMBÏPassback,€OMB€Mid€Session€review,€the€Budget€Resolution,€and€Appropriations€Status).óóÐ pÀ ÐÌòòPerformance€Target:€óóNew€for€FY€2002.€Ð P  ÐÌÌòòò òFinanceóóó óÐ  p ÐÔ*žƒp qdd" dd " Êdd ʽdd ½edd en o°(#°(#žÔÔ," dd ÔÔ,Ê<< ÔÔ,dd ÔÔ,edd ÔÔ+  ÔÐ /€: ` €€„„/ÐÌÔ‡&„©%XXŒ©ÔPerformance€GoalsÔ#†XŒ©X%&„©ð³#ÔÔ‡ôzFõXXŒ©ÔÐ A€:,!d´": „„AÐÌÔ#†XŒ©XõôzFC´#ÔÔ‡&„©%XXŒ©ÔFY€TargetsÔ#†XŒ©X%&„©Ç´#ÔÔ‡ôzFõXXŒ©ÔÐ A€:,!>Ž": „„AÐÔ#†XŒ©XõôzFµ#ÔActualÐ tÄ ÐPerformanceÔ‡ôzFõXXŒ©ÔÐ A€:,!d´ ": „„AÐÌÔ#†XŒ©XõôzF¼µ#ÔÔ‡&„©%XXŒ©ÔReference*Ô#†XŒ©X%&„©@¶#ÔÔ‡ôzFõXXŒ©ÔÐ F€W1&>Ž""  : €€‚$‚FÐÌGoal€1.€€(Revised)€HHS€completes€itsÏaudited€financial€statements€on€time.ÌÌMeasure:€Complete€HHS€auditedÏfinancial€statements€by€due€date.ÌÌGoal€1.€€HHS€and€all€HHS€componentsÏsubmit€audited€financial€statements€onÏtime€in€accordance€with€mutuallyÏagreed€upon€due€dates.ÌÌMeasure:€Number€of€Audited€FinancialÏStatements€submitted€by€due€date.€Ð $ê):%0W $ÐÌÌÌÌFY03:€€€02/01/04ÌFY02:€€€02/01/03ÌÌÌÌÌÌÌFY01:€€€10€of€10€+€HHS€ÌFY00:€€€€€9€of€€€9€+€HHSÌÌFY99:€€€€€9€of€€€9€€HHSÏcomponents€+€HHSÌÐ  -b(B ÐÌÌÌÌFY03:ÌFY02:ÌÌÌÌÌÌÌFY01:€€€05/02ÌFY00:€€€€5€of€9€+€HHSÏ(Interim)ÌFY99:€€€€8€of€9€+€HHS€ÌFY98:€€€€8€of€8€+€HHS€ÌFY97:€€€Baseline€€0€Ð  -b(T „„ÐÌÐ 4€Wr ÂV" $0  4ÐGoal€2.€(Revised)€HHSðð€financialÏstatements€earn€an€unqualified€(clean)Ïaudit€opinion.ÌÌMeasure:€HHSðð€financial€statementsÏreceive€no€audit€qualifications.ÌÌGoal€2.€€HHS€components€and€HHSÏaudit€opinions€are€unqualified€(clean).ÌÌMeasure:€Number€of€Audited€FinancialÏStatements€with€no€qualifications.€Ð $6 W $ÐÌÌÌÌFY03:€Unqualified€opinionÌFY02:€Unqualified€opinionÌÌÌÌÌFY01:€€€€€9€of€10€+€HHSÌFY00:€€€€€9€of€€€9€+€HHS€Ì€ÌFY99:€€€€€8€of€€9€audited€HHSÏcomponents€+€HHSÐ  ”p  ÐÌÌÌÌFY03:ÌFY02:ÌÌÌÌÌFY01:€5/02ÌFY00:€€€€8€of€9€+€HHSÏ(Interim)€ÌFY99:€€€€8€of€9€+€HHSÌÌFY98:€€2€of€8€auditedÏHHS€components€+ÏHHS€received€Ïunqualified€opinions.ÌÌFY97:€Baseline€0Ïunqualified.Ð  ö1 „„ÐÐ )€Wˆd2" )ÐGoal€3.€€HHS€submits€a€timelyÏAccountability€ReportÌÌMeasure:€Submit€the€HHSÏAccountability€Report€to€OMB€by€theÏdue€date.€Ð $jF8W $ÐÌÌÌFY03:€€02/01/04ÌFY02:€€02/01/03ÌFY01:€€02/27/02€ÌFY00:€€03/01/01ÌFY99:€€03/01/00€ÌÐ  ȤA ÐÌÌÌFY03:ÌFY02:ÌFY01:€€02/02ÌFY00:€€02/28/01ÌFY99:€€03/01/00ÌFY98:€€03/01/99ÌFY97:€€BaselineÌ€04/29/98€€for€FY97Ì€reportÐ  &"M „„ÐÐ 2€WxTN" €€‚$‚2ÐGoal€4.€(New)€Improve€HHS€financialÏmanagement€systems€to€better€provideÏuniform,€integrated€financialÏinformation€for€all€of€HHS.ÌÌMeasure:€Establish€a€unified€financialÏmanagement€system.Ð $(Ü UW $ÐÌÌÌFY03:€€Meet€FY03€milestonesÏidentified€in€Project€Plan.ÌÌFY02:€€Meet€FY€02€milestonesÏidentified€in€Project€Plan.ÌÌFY01:€€Develop€a€Project€PlanÏto€implement€a€unifiedÏdepartment„wide€financialÏmanagement€system.Ð  ¼,˜%b ÐÌÌÌFY03:ÌÌÌFY02:ÌÌÌFY01:€A€high„levelÏProject€Plan€Ïdeveloped;€milestones€Ïestablished€for€FY02Ïand€03Ð  †-b&p „„ÐÐ =€W(D# q" $0  €€‚$‚=ÐGoal€5.€Maximize€the€use€of€electronicÏpayments.ÌÌMeasure:€Percentage€of€paymentsÏtransferred€electronically€(ElectronicÏFunds€Transfer).ÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÐ $ìW $ÐÌÌÌFY03:€ÌVendor€payments€€€€€€€€95%ÌTravel€payments€€€€€€€€100%ÌÌFY02:€€(Revised)ÌVendor€payments€€€€€€€€95%ÌTravel€payments€€€€€€€€100%ÌÌFY01:€ÌGrant€payments€€€€€€€€€100%ÌSalary€payments€€€€€€€€100%ÌVendor€payments€€€€€€€€90%ÌTravel€payments€€€€€€€€100%ÌÌFY00:€ÌGrant€payments€€€€€€€€€100%ÌSalary€payments€€€€€€€€100%ÌVendor€payments€€€€€€€€75%ÌTravel€payments€€€€€€€€€€75%ÌÌFY99:ÌGrant€payments€€€€€€€€€100%ÌSalary€payments€€€€€€€€100%ÌVendor€payments€€€€€€€€69%ÌTravel€payments€€€€€€€€€€69%ÌÐ  `<2 ÐÌÌÌFY03:€12/03ÌÌÌÌFY02:€12/02ÌÌÌÌFY01:ÌGrant€payments€€€100%ÌSalary€payments€€€€99%ÌVendor€payments€€90%ÌTravel€payments€€€€96%ÌÌFY00:ÌGrant€payments€€€100%ÌSalary€payments€€€€99%ÌVendor€payments€€86%ÌTravel€payments€€€€95%ÌÌFY99:€ÌGrant€payments€€€100%ÌSalary€payments€€€€99%ÌVendor€payments€€85%ÌTravel€payments€€€€93%ÌÌFY98:€€BaselineÌGrant€payments€€€100%ÌSalary€payments€€€€98%ÌVendor€payments€€42%ÌTravel€payments€€€€43%€Ð  R!.T „„ÐÐ 9€W$H$U" $0  €Œ€9ÐÑÀ°ÑGoal€6.€€Timely€vendor€payments.ÌÌMeasure:€Percentage€of€vendorÏpayments€made€on€time.€ÌÐ $Ø%´ZW $ÐFY03:€€€€95%ÌFY02:€€€€95%ÌFY01:€€€€95%ÌFY00:€€€€95%ÌFY99:€€€€95%ÌÐ  ¢&~` ÐFY03:ÌFY02:ÌFY01:€€€€97.7%ÌFY00:€€€€96.6%ÌFY99:€€€€96.4%€ÌFY98:€€Baseline€€€91%€Ð  ¢&~f „„ÐÐ .€W°"Œg Œ .ÐGoal€7.€€Collect€debt€owed€to€HHS.ÌÌMeasure:€Percent€increase€in€totalÏcollections€over€prior€year.€€ÌÌÐ $z VW $ÐFY03:€€10%€above€FY02€ÌÌFY02:€€10%€above€FY01ÌÌFY01:€€10%€above€FY00€Ì€€€€€€€€€€€€€€€($16.8€billion)ÌÌFY00:€€10%€above€FY99Ì€€€€€€€€€€€€€€€($15.7€billion)ÌÌFY99:€€10%€above€FY98Ì€€€€€€€€€€€€€€€($14.6€billion)Ð  6  ÐFY03:ÌÌFY02:ÌÌFY01:€€$14.4€billionÌÌÌFY00:€€$15.3€billionÌÌÌFY99:€€$14.27€billionÌÌFY98:€Baseline€$13.3BÐ  Ü  „„ÐÐ )€Wˆd " )ÐGoal€8.€Improve€the€Average€Time€forÏResolving€Audits*Ð $( "W $ÐFY03:€3%ÌFY02:€3%ÌFY01:€3%€decrease€from€FY00Ï(137.4€days)ÌFY00:€3%€decrease€from€FY99Ï(141.9€days)ÌFY99:€3%€decrease€fromÏbaseline€(146.5€days)Ð  äÀ* ÐFY03:ÌFY02:€10/10/02ÌFY01:€140.5€daysÌÌFY00:€120.1€daysÌÌFY99:€112.9€daysÌÌFY98:€Baseline€151Ïdays€Ð  xT4 „„ÐÐ"^: 5"  "ÐÌÔ#†XŒ©XõôzFŒ¶#ÔNOTE:€The€targets€for€the€audited€financial€statement€goals€matches€the€year€covered€by€theÐ <6 Ðfinancial€statement.ÌÌ*Ô‡ôzFõXXŒ©ÔIn€FY€2002€the€Office€of€Audit€Resolutions€and€Cost€Policy€was€transferred€from€the€Office€of€Grants€andÐ  è9 ÐAcquisition€Management€to€the€Office€of€Finance.€€€€This€FY€2003€GPRA€plan€includes€the€goals,€etc.€for€auditÏresolution.Ô#†XŒ©XõôzF:Ì#ÔРƢ; ÐÌThe€Office€of€Finance€(OF)€provides€leadership€and€guidance€on€HHS€financial€management€€toÏmaintain€the€confidence€of€the€public€that€all€resources€are€managed€effectively.€€OF€achievesÏthis€outcome€by€ensuring€the€timely€and€accurate€disbursements€and€collections€and€recording€of€Ìfunds€and€by€informing€its€customers,€i.e.€decision„makers€and€the€taxpayers€with€usefulÏfinancial€information.ÌÌThe€OF€is€committed€to€achieving€two€HHS€financial€management€strategic€goals:€€Ô‡ôzFõXXŒ©ÔÐ  'üC ÐÌÔ#†XŒ©XõôzFeÏ#Ôà  à1.€€Decision„makers€have€timely,€accurate€and€useful€program€and€financial€information.Ð Ú(¶!E Ðà  à2:€€All€HHS€resources€are€used€appropriately€and€effectively.ÌÌASBTF€Finance€will€accomplish€these€goals€in€partnership€with€the€HHS€components,€with€theÏgovernment„wide€Chief€Financial€Officerððs€Council€through€its€various€committees€and€workÏgroups€and€with€the€central€agencies€including€OMB,€Treasury,€etc.€€The€Office€of€Finance€willÏutilize€these€key€results€to€achieve€its€long„range€performance€goals€which€include€developmentÐ z.V'K Ðof€an€integrated€process€which€captures€financial,€budget€and€program€performance€informationÏand€which€makes€financial€information€more€useful€for€program€managers.€€ÌÌÔ& à Ôò òÔ  ÔòòPerformance€SummaryóóÔ ÃÒÔó óÐ €Ð ÐÔ'à€´ÒÔÌòòPerformance€Goal€€1.€€Timely€Audit€Opinion.óóÐ ` ° ÐòòÌEstablishing€Performance€Targets:óó€€The€due€dates€for€completion€of€audited€financial€statementsÐ @  Ðare€established€by€law.€HHS,€as€the€equivalent€of€a€corporate€entity,€is€obligated€to€meet€thoseÏdue€dates.€€The€HHS€financial€statements€and€the€auditorððs€opinion€on€those€statements,€roll€upÏfrom€and€rely€upon€the€statements€and€audit€opinions€of€HHS€components.€Of€the€13Ïcomponents€of€HHS,€9€components€prepared€audited€financial€statements€for€the€FY€1999€andÏFY€2000€cycle.€They€are:€ACF,€CDC/ATSDR,€CMS,€FDA,€HRSA,€IHS,€NIH,€PSC,€andÏSAMHSAò ò.€ó ó(Since€ATSDR€is€included€in€the€CDC€statements,€CDC/ATSDR€are€counted€as€oneÐ à0  ÐHHS€component).ò òó ó€AoA€will€have€its€first€full€audit€for€the€FY€2001€statements.€AHRQ€and€OSÐ Ð  Ðhave€financial€statements,€but€they€are€not€audited€individually.ò ò€ó óÐ À ÐÔ‡ôzFõXXŒ©ÔÌÔ#†XŒ©XõôzFäÖ#ÔThe€target€year€applies€to€the€period€covered€by€the€statements€although€the€audit€of€theÐ zÊ Ðstatements€is€performed€in€a€subsequent€year.ÌÌòòDiscussion€of€FY€2002€and€FY€2003€targetsóó:€OMB€has€issued€guidance€which€proposes€toÐ Jš Ðaccelerate€the€schedule€to€require€that€the€statements€and€report€be€available€at€the€time€of€theÏPresidentððs€budget€submission).€€The€February€1,€2003€and€February€1,€2004€target€due€datesÏreflect€that€guidance.€€They€will€be€adjusted€if€the€guidance€changes.€ÌÌGiven€the€fact€that€new,€updated€financial€systems€will€not€be€fully€implemented€and€the€inherentÏlag€in€GPRA€program€performance€data€for€the€overviews,€this€will€be€a€very€difficult€challengeÏand€will€tax€available€resources.€€The€òòóómilestones€will€apply€to€CMS,€NIH,€ACF,€CDC,€and€FDAÐ Ú* Ðas€well€as€HHS€since€these€HHS€component€audited€statements€are€material€to€the€HHSÏstatement.€€The€other€HHS€component€audited€statements€will€also€have€established€milestoneÏdates€that€will€enable€the€Department€to€meet€the€revised€OMB€deadlines.€ÌÌòòData€Source€for€Performance:óó€Dates€of€Inspector€Generalððs€Report€for€HHS„wide€Audit€andÐ Š"Ú  ÐIndependent€Auditors€Report€for€HHS€components€Audits.ÌòòData€Verification€and€Validation:óó€€Copies€of€these€reports€are€provided€by€the€Inspector€GeneralÐ j$º" Ðand€are€kept€on€record.Ìòòò òÌó óPerformance€Progress:óó€€HHS,€CMS,€and€FDA€audits€were€timely€and€ACF,€NIH,€and€HRSAÐ :'Š"% Ðwere€substantially€completed€on€time.€The€SAMHSA€audit€was€delayed€due€to€implementationÏissues€with€the€new€grant€payment€system.€CDCððs€audit€was€delayed€by€these€same€issues€andÏalso€by€issues€related€to€reimbursable€activities.€€The€PSC€audit€was€delayed€as€a€result€of€theÏgrant€payment€management€system€delay€in€other€OPDIV€audits.€The€IHS€financial€statementÏaudit€for€IHS€was€also€delayed,€but€was€completed.€€None€of€these€delays€affected€the€HHSÏopinion,€however€they€do€reflect€the€difficulty€in€maintaining€timely,€clean€opinions.€€InÏpreparation€for€its€first€full€audit€in€FY€2001,€AoA€had€an€audit€review€completed€on€its€BalanceÏSheet.€€Ô‡ôzFõXXŒ©ÔÐ º. *- Їò òòòó óÔ#†XŒ©XõôzF³ß#ÔChanges€over€Previous€Yearóó:€€The€goal€and€measure€was€revised€for€FYs€2002€and€2003€toÐ ° Ðemphasize€the€fact€that€HHS€is€a€single€organization.€€This€is€consistent€with€the€SecretaryððsÏdirection.€HHS€will€continue€to€track€the€performance€of€each€individual€component€internally.ÌÌòòPerformance€Goal€€2.€€Clean€Audit€Opinion.ò òóóÐ pÀ ÐòòÌó óEstablishing€Performance€Targets:óó€The€independent€auditorððs€opinion€determines€whether€theÐ P   Ðstatements€fairly€present€the€financial€condition€of€an€entity€while€complying€with€generallyÏaccepted€accounting€principles.€€If€they€do,€an€unqualified€or€ð ðcleanðð€opinion€is€rendered.€If€not,Ïeither€a€qualified€opinion€(one€or€more€serious€findings€of€deviations€from€accounting€principles)Ïor€a€disclaimer€(not€auditable)€is€given.€ÌÔ‡ôzFõXXŒ©ÔÌÔ#†XŒ©XõôzF^ã#ÔThe€same€basis€for€quantifying€the€Performance€Goal€1€above,€applies€to€Goal€2.Ð Ê  ÐÌòòDiscussion€of€FY€2002€and€FY€2003€Targets:óó€Due€to€the€accelerated€schedule€and€relatedÐ ªú  Ðchallenges€discussed€under€Goal€1€above,€the€HHS€clean€opinion€will€be€difficult€to€maintain.€€ItÏis€dependent€on€human€resource€skills€and€financial€systems.ÌÌòòData€Source:óó€€Financial€Statement€Auditors€Opinion€and€Date€of€the€Opinion.Ð jº ÐòòData€Verification€and€Validation:óó€Copies€of€these€reports€are€provided€by€the€Inspector€GeneralÐ Zª Ðand€are€kept€on€record.Ì€ÌòòPerformance€Progress:ò ò€€óóó óHHS€has€continued€to€improve€the€reliability€of€the€financial€statements.Ð *z ÐNone€of€the€statements€prepared€for€the€FY€1997€€period€were€unqualified,€but€two€HHSÏcomponents€received€unqualified€opinions€for€FY€1998€and€HHS€received€its€first€clean€opinionÏfor€FY€1999.€€A€second€clean€opinion€was€earned€for€FY€2000.€€Eight€of€the€9€HHS€Ìcomponentsðð€statements€that€support€this€goal,€also€received€a€clean€opinion.€€The€ninthÏcomponent€(IHS)€did€not€receive€a€clean€opinion.ÌÌòòChanges€over€Previous€Yearóó:€€The€goal€and€measure€were€revised€for€FYs€2002€and€2003€toÐ º  Ðemphasize€the€fact€that€HHS€is€a€single€organization.€€This€is€consistent€with€the€SecretaryððsÏdirection.€€HHS€will€continue€to€track€the€performance€of€each€individual€component€internally.€Ìà  àà ` àà ¸ àÌòòPerformance€Goal€3.€Accountability€Reportò òóóÐ z#Ê! ÐòòÌó óEstablishing€Performance€Targets:ò òóó€ó ó€With€the€passage€of€the€Reports€Consolidation€Act€of€2000,Ð Z%ª # Ðthe€authorization€for€Accountability€Reports€is€now€permanent€with€the€reports€due€180€daysÏafter€the€end€of€the€òòóófiscal€years€2000€and€2001€and€due€150€days€after€the€end€of€the€fiscal€year,Ð :'Š"% Ðthereafter.€€OMB€has€accelerated€this€schedule€further,€as€discussed€in€Goals€1€and€2.€The€reportÏstreamlines€various€individual€reports€that€are€required€under€other€legislation€and€presents€the€Ïfinance,€program,€and€budget€information€in€a€way€that€is€more€useful€to€the€public€and€toÏdecision„makers.€Ô‡ôzFõXXŒ©ÔÐ ú*J&) ÐÌÔ#†XŒ©XõôzFSì#ÔòòDiscussion€of€FY€2002€and€FY€2003€Targets:óó€The€risks€associated€with€the€accelerated€scheduleÐ ´,(+ Ðfor€these€fiscal€years€will€cascade€and€have€a€significant€impact€on€the€content€and€production€ofÏthe€Accountability€Report.€€Trade„offs€will€have€to€be€made€in€the€program€performance€andÐ ”.ä)- Ðanalysis€discussion€in€order€to€meet€the€accelerated€dates.€€Even€then,€if€there€are€any€problemsÏwith€the€audits,€they€will€affect€HHSðð€ability€to€accomplish€these€targets.ÌÌòòData€Source:óó€Transmittal€memo€and€report€from€HHS€to€OMB.Ð €Ð ÐòòData€Verification€and€Validation:óó€€The€OMB€verification€of€timely€receipt€of€HHS€submission.Ð pÀ Ðòòò òÌó óPerformance€Progress:óó€€HHS€met€the€target€in€FY€1999€and€exceeded€the€FY€2000€target€by€oneÐ P   Ðday.€The€FY€1999€report€was€judged€to€be€ð ðexcellentðð€and€was€cited€for€best€practices€in€aÏCertificate€for€Excellence€in€Accountability€Reporting€review.€€The€FY€2000€review€has€not€beenÏcompleted€yet.Ìò òòòÌó óPerformance€Goal€4€.€€Unified€Financial€Management€Systemsò òóóÐ P  Ðòòóóó óÌAs€HHS€moves€forward€in€Electronic€Government€(e„gov),€we€are€assessing€our€current€e„¼business€capabilities€and€status.€€Part€of€the€Departmentððs€effort€is€to€address€the€publicððs€Ïdemand€for€on„line€government€interaction€and€simplified,€standardized€ways€to€accessÏgovernment€information€and€services.€€One€of€the€Departmentððs€objectives€is€to€have€a€unifiedÏautomated€financial€management€system€that€provides€complete,€reliable,€and€timely€financialÏinformation€and€€that€supports€€preparation€of€HHSðð€financial€statements.€€Currently€HHS€hasÏfive€accounting€systems€running€on€varying€platforms€at€various€locations.€€HHS€is€now€workingÏto€achieve€greater€economies€of€scale,€eliminate€duplication,€and€provide€better€service€deliveryÏby€consolidating€the€existing€systems€into€a€unified€system€that€will€provide€uniform,€integratedÏfinancial€information€for€HHS€management€and€decision„makers.€€Also,€the€Department€isÏconsolidating€€accounting€services€and€streamlining€its€financial€infrastructure.ÌÌòòDiscussion€of€FY€2002€and€FY€2003€targets:óó€Consistent€with€the€Presidentððs€ManagementÐ  p ÐAgenda€under€the€improving€financial€performance€initiative,€HHS€has€announced€a€ð ðOneÏDepartmentðð€approach€to€information€technology€which€emphasizes€management€of€resources€onÏan€enterprise€basis€with€a€common€infrastructure.€€In€FY€2001,€HHS€initiated€a€six„year€projectÏto€implement€a€Unified€Financial€Management€System€(UFMS)€to€replace€five€legacy€systemsÏand€integrate€two€major€sub„systems.€€Specifically,€HHS€will€have€one€financial€managementÏsystem€comprised€of€two€major€sub„components.€€One€sub„component€will€be€for€CMS€and€theÏMedicare€Contractors€called€the€Healthcare€Integrated€General€Ledger€and€Accounting€SystemÏ(HIGLAS),€and€another€sub„component€for€the€rest€of€HHS€will€both€be€integrated€into€aÏDepartment€reporting€system.€€This€unified€system€will€be€designed€to€automate€all€internal€andÏexternal€financial€reporting€needs.ÌÌòòò òó óData€Verification€and€Validation:ò ò€€óóó óData€Verification€and€Validation€will€be€determined€by€theÐ `'°"% Ðdevelopment€and€execution€of€the€milestones,€which€will€be€verified€and€validated€in€theÏauditorððs€opinion.€€The€existence€of€two€systems€rather€than€five€will€also€serve€as€validation.€ò òòòÐ @)$' Ðó óÌPerformance€Progress:€óó€€New€Measureò òòòÐ  +p&) ÐÌÌÌÐ à.0*- Ðóóòòó óPerformance€Goal€5€.€€Electronic€Funds€Transfer€(EFT)ò òóóÐ ° ÐòòÌó óEstablishing€Performance€Targets:ò ò€óóó óÓE1ÿÿ°½ m Å uÍ%}Õ-… Ð (#°œXEÓ€Treasury€guidelines€issued€in€January,€1999€establishedÐ à Ðconversion€targets€of€69%€for€FY€1999€and€75%€for€FY€2000€for€EFT€payments€for€all€FederalÏAgencies.€Treasury€has€not€determined€the€targets€for€FY€2001€and€beyond;€those€targets€will€beÏincluded€in€our€plan€when€and€if€they€are€identified.€The€percent€achieved€is€based€on€theÏuniverse€of€payments€eligible€for€EFT.ÌÌòòDiscussion€of€FY€2002€and€FY€2003€Targets:óó€The€HHS€target€for€travel€payments€will€remain€atÐ 0 € Ð100%€and€will€increase€from€90%€to€95%€for€vendor€payments.€New€accounting€systems€willÏimpact€performance€under€these€targets.€€Ô‡ôzFõXXŒ©ÔÐ `  ÐÌòòÔ#†XŒ©XõôzFÿý#ÔChanges€over€Previous€Year:óó€€The€targets€for€grants€and€salary€payments€were€deleted€sinceÐ Ê  Ðthere€is€a€three„year€trend€of€substantial€achievement€of€this€goal€and€targets€for€them.€TheseÏrates€will€Ìcontinue€to€be€monitored€internally.€€Should€there€be€a€change,€they€will€once€again€become€theÏfocus€of€GPRA€targets.ÌÌÓN1ÿÿ°½ m Å uÍ%}Õ-… Ý"(#ÿÿ°½‹XÐ XNÓòòData€Source:€óóQuarterly€EFT€Reports€and€Treasury€Guidelines€of€January€1999€Ð jº ÐòòData€Verification€and€Validation:óó€Each€OPDIV€has€an€automated€process€for€tabulating€theÐ Zª Ðnumber€and€types€of€payments€made;€this€information€is€used€to€compile€the€quarterly€statistics.€ÏThe€data€is€validated€and€verified€via€Treasury€who€tabulates€the€number€and€types€of€paymentsÏmade€based€on€the€Agency€Location€Code(s)€of€an€agency.Ô‡ôzFõXXŒ©ÔÐ *z Ðò òòòÌó óÔ#†XŒ©XõôzFÏ#ÔPerformance€Progress:óó€€HHS€met€or€substantially€met€all€of€its€targets€except€travel€payments.€Ð ä4 ÐHowever,€actual€performance€for€travel€showed€improvement€above€FY€2000€levels€andÏachieved€96%,€which€was€very€close€to€the€100%€target.Ìà ½ àÌòòPerformance€Goal€6.€Timely€Vendor€Paymentsò òóóÐ ¤ô ÐÌòòó óEstablishing€Performance€Targets:óó€€Timely€payment€by€HHS€of€bills€owed€to€vendors€will€avoidÐ „ Ô Ðlate€fees€and€interest€penalties€mandated€under€the€Prompt€Pay€Act.€òòò ò€óóó óThey€also€indicate€soundÐ t!Ä Ðbusiness€practices.ÌÌòòDiscussion€of€FY€2002€and€FY€2003€Targets:óóò ò€ó óHHS€will€work€to€meet€and€maintain€the€95%€on„Ð D$”" Ðtime€targets€that€were€established€by€OMB.€Since€new€financial€systems€will€be€implemented,Ïthey€may€have€an€impact€on€these€targets€and€accomplishments,€but€it€cannot€be€fully€projectedÏnow,€€so€the€target€will€not€be€increased€at€this€time.€ÌÌòòData€Source:óóò ò€ó óQuarterly€HHS€Component€Prompt€Pay€reports€Ð ô(D$' Ðòòò òÌó óPerformance€Progress:ò òóóó ó€Since€FY€1996,€HHS€has€shown€increasing€rates€of€on„time€payments.€Ð Ô*$&) ÐIn€FY€2001,€HHS€achieved€a€department„wide€record€by€making€over€97%€of€its€payments€onÏtime.ÌÌÐ ”.ä)- ÐòòPerformance€Goal€7.€€Collection€of€Debtsò òóóÐ ° ÐòòÌó óEstablishing€Performance€Targets:óó€€The€10%€target€is€the€increase€in€dollars€collected€over€theÐ à Ðprior€fiscal€year€for€debts€owed€to€the€HHS.€Ìòòò òà ½ àÌó óPerformance€Progress:ò òóó€ó ó€€In€FY€2001€the€$14.4€billion€in€collections€represents€a€5.8%€decreaseÐ ` ° Ðfrom€FY€2000.€€However,€at€the€same€time€collections€decreased,€total€receivables€decreased€byÏ$1.2€billion.€€As€a€percent€of€total€receivables,€collections€in€FY€2001€were€51.6%€which€isÏapproximate€to€the€52.6€collection€rate€for€FY€2000.ÌÌòòDiscussion€of€FY€2002€and€2003€Targets:óó€The€dollar€amount€of€these€targets€will€continue€to€beÐ `  Ð10%€above€the€dollars€collected€for€the€prior€year.€The€measure€was€clarified€from€that€in€the€FYÏ2001€plan€to€be€clearer€and€consistent€with€the€Accountability€Report.€ÌÌòòData€Source:óó€Treasury€Report€on€Receivables€(formerly€Schedule€9s).Ð Ð  ÐòòData€Verification€and€Validation:óó€The€HHS€Chief€Financial€Officer€or€Deputy€Chief€FinancialÐ À ÐOfficer€certifies€annually€in€December,€that€the€amounts€reported€on€the€receivables€report€areÏcorrect€and€will€be€used€to€monitor€compliance€with€the€Debt€Collection€Improvement€Act.€€TheÏChief€Financial€Officer€also€verifies€that€the€report€has€been€reconciled€to€the€HHS€auditedÏfinancial€statements.€This€verification€is€submitted€by€March€31òòstóó€of€each€year.€Ð €Ð ÐÌòòPerformance€Goal€8.€€Improve€the€Average€Time€for€Resolving€AuditsóóÐ `° ÐÌòòEstablishing€Performance€Targets:óó€A€reduction€of€3%€in€the€average€time€in€days€required€toÐ @ Ðresolve€an€audit.ÌÌThe€Office€of€Audit€Resolution€and€Cost€Policy€resolves€audit€findings€of€a€cross„programÏnature.€€The€cross„program€findings€that€are€resolved€at€this€level€of€the€Department,€generallyÏare€not€related€directly€to€program€effectiveness,€but€rather€are€related€to€establishing€accurateÏmeasures€of€the€costs€of€program€operations€and€to€assure€grantee€compliance€with€their€financialÏresponsibilities€consistent€with€generally€accepted€accounting€principles.€€The€Single€Audit€ActÏrequires€that€Federal€awarding€agencies€resolve€audit€findings€within€6€months€after€the€receiptÏof€an€audit€report.€€This€performance€goal€is€to€reduce€the€time€required€to€resolve€audits.ÌÌGenerally,€timely€resolution€of€these€issues€is€in€the€interest€of€the€grantee€and€the€taxpayers.€ÏHowever,€the€Office€has€limited€control€over€the€quality€and€complexity€of€audit€findings.ÌÌòòDate€Source:óó€DAR€Management€Information€SystemÐ `'°"% ÐòòData€Verification€and€Validation:óó€Office€Director€reviews€and€approves€the€systemððs€input€andÐ P( #& Ðanalysis€by€the€senior€audit€resolution€staff.ÌÌòòPerformance€Progress:€óóThe€performance€target€for€FY€2001€is€137.4€days.€€The€average€time€toÐ  +p&) Ðresolve€an€audit€in€FY€2001€was€140.5€days.€€FY€2001€and€prior€year€performances€of€thisÏfunction€was€under€the€Office€of€Grants€and€Acquisition€Management.€€Responsibility€wasÏtransferred€to€the€Office€of€Finance€in€October€2001.ÌÐ à.0*- ÐThe€most€significant€and€relevant€factor€for€the€improved€performance€is€that€the€businessÏprocesses€of€OARCP€have€been€redesigned€to€triage€audit€findings€so€that€the€most€time€isÏavailable€for€the€most€complex€issues.€€Individual€performance€plans€were€in€turn€re„designed€toÏstress€the€importance€of€improving€the€processing€of€audit€findings.€€An€audit€resolution€trackingÏsystem€was€refined€to€incorporate€individual€and€group€statistics€on€timeliness,€and€regularÏreports€are€being€issued.€€Other€factors€also€are€related€to€the€improvements€in€this€performanceÏmeasure.€€OARCP€assumed€the€responsibility€of€the€Departmentððs€Compliance€SupplementÏOfficer.€€This€requires€the€coordination€of€all€programmatic€supplements€to€OMB€Circular€A„¼133.€€OARCP€also€develops€and€coordinates€the€implementation€of€a€new€Department„wideÏsystem€for€ensuring€the€receipt€of€all€audits€required€by€the€Single€Audit€Act.€€€Finally€inÏcoordination€with€the€Inspector€General,€OARCP€took€on€new€responsibilities€for€reportingÏoutstanding€monetary€audit€findings€and€the€status€of€collections€to€Congressional€appropriationsÏcommittees.€€These€additional€activities€continue€to€provide€conditions€that€also€require€theÏacceleration€of€audit€resolution€activities€within€OARCP.ÌÌòòChanges€over€Previous€Year:óó€The€average€time€required€for€resolving€audits€was€not€as€good€asÐ À Ðeither€the€performance€target€or€prior€year€performance.€€The€office€lost€one„third€of€its€staffÏunexpectedly€in€FY€2000,€and€this€shortage€continued€for€most€of€FY€2001.€€The€vacancies€nowÏhave€been€filled.ÌÌÌò òòòInformation€Resources€Managementóóó óÐ `° ÐÔ‡ôzFõXXŒ©ÔÔ*žƒ* 0d d" dd " Ê<< Êdd edd ep q°(#°(#žÔÔ,N dd ÔÔ, dd ÔÔ,‘dd ÔÔ,dd ÔÔ+  ÔÐ /€: P  €€„„/ÐÌÔ#†XŒ©XõôzFs#ÔÔ‡&„©%XXŒ©ÔPerformance€GoalsÔ#†XŒ©X%&„©ù#ÔÔ‡ôzFõXXŒ©ÔÐ A€:,!~Î": „„AÐÌÔ#†XŒ©XõôzFL#ÔÔ‡&„©%XXŒ©ÔFY€TargetsÔ#†XŒ©X%&„©Ð#ÔÔ‡ôzFõXXŒ©ÔÐ A€:,!~Î": „„AÐÔ#†XŒ©XõôzF#ÔÔ‡&„©%XXŒ©ÔActualÐ ´ ÐPerformanceÔ#†XŒ©X%&„©Ÿ#ÔÔ‡ôzFõXXŒ©ÔÐ A€:,!à": „„AÐÌÔ#†XŒ©XõôzF#ÔÔ‡&„©%XXŒ©ÔReferenceÔ#†XŒ©X%&„©‹#ÔÔ‡ôzFõXXŒ©ÔÐ F€W1&~Î"  : €€‚$‚FÐÌGoal€1.€Major€systems€development/majorÏmodification€efforts€demonstrate€a€highÏprobability€of€success.ÌÌImplement€the€Departmental€InformationÏTechnology€Review€Board€process€toÏassure€soundness€of€IT€capital€investmentsÏand€to€initiate€appropriate€corrective€actionsÏon€major€efforts€as€needed.ÌÌ1.1.€100%€of€IT€investments€approved€byÏthe€ITIRB€meet€review€criteria€(i.e.,€OMBÏMemorandum€M„97„02).€Ìà0 ½ àÐ ½š½š ÐÌ1.2.€100%€of€IT€investments€considered€butÏnot€approved€by€the€ITIRB€are€subject€toÏappropriate€corrective€actions€and€fundingÏrestrictions€or€terminations.ÌÌEstablish€Operating€Agency„LevelÏInformation€Technology€ArchitecturesÏ(ITA)€within€a€Departmental€ITA€for€use€inÏevaluating€IT€investments.Ð °.*7 Ї1.3.€100%€of€IT€investments€approved€byÏITIRB€meet€review€criteria€(i.e.,€OMBÏMemorandum€M„97„02).ÌÌInitiate€Enterprise€InfrastructureÏManagement€to€provide€softwareÏdistribution;€asset,€problem,€and€facilitiesÏmanagement.ÌÌ1.4.€100%€of€all€COTS€software€(Tivoli)Ïneeded€to€distribute€software€is€purchasedÏand€distributed,€phased€in€over€three€years.ÌÌÌ1.5.€100%€of€all€COTS€softwareÏ(Peregrine)€needed€to€provide€asset,Ïproblem€and€facilities€management€isÏpurchased€and€distributed,€phased€in€overÏthree€years.ÌÌInitiate€Enterprise€Software€Licenses€toÏconsolidate€duplicative€efforts.ÌÌ1.6.€100%€of€all€SAS€software€products€areÏpurchased€from€the€Enterprise€License€toÏachieve€a€20%€purchase€savings.ÌÌConsolidate€and€Protect€Departmentððs€ITÏInfrastructure.ÌÌ1.7.€Establish€and€Implement€aÏconsolidated€IT€Strategic€5„Year€Plan€thatÏsupports€ð ðOne€DepartmentððÌÌÌÌÌÌÌÌÌÌ1.8.€Inventory€IT€AssetsÌÌÌÌÌÌÌÌÐ ”.˜'3 Ð1.9.€Enhance€the€security€of€HHS€internalÏnetwork.ÌÌÌÌÌ1.10.€Maintain€the€reliability€of€HHS€ITÏsystems.Ð $¦ ªW $ÐÌÌÌÌÌÌÌÌÌÌÌFY03:€€100%ÌFY02:€€100%ÌFY01:€€100%ÌFY00:€€100%ÌÌFY03:€€100%ÌFY02:€€100%ÌFY01:€€100%ÌFY00:€€100%ÌÌÌÌÌÐ °.*! ЇÌFY03:€€100%ÌFY02:€€100%ÌFY01:€€100%ÌFY00:€€100%ÌÌÌÌÌÌFY03:€€N/AÌFY02:€€N/AÌFY01:€€€50%ÌÌÌFY03:€€N/AÌFY02:€€N/AÌFY01:€€€€70%ÌÌÌÌÌÌÌFY03:€€100%ÌFY02:€€100%ÌFY01:€€€€70%ÌÌÌÌÌFY03:€Reduce€number€ofÏservers€throughout€HHS€byÏ25%;€and€completeÏconsolidation€of€circuitsÏthroughout€10€regional€offices.ÌFY02:€Reduce€number€ofÏservers€throughout€HHS€byÏ10%€and€consolidate€circuitsÏamong€5€regional€offices.ÌFY01:€Establish€5€year€plan.ÌÌÌFY03:€Complete€inventoryÏDepartment„wideÌFY02:€Initiate€inventory€of€ITÏassets€and€complete€35%.ÌÌÌÌÐ ”.˜'3 ÐFY03:€Reduce€successfulÏintrusions€by€an€additionalÏ25%.ÌFY02:€Reduce€successfulÏintrusions€by€25%.ÌÌFY03:€€€99.7%ÌFY02:€€€99.7%Ð  ¦ ª ÐÌÌÌÌÌÌÌÌÌÌÌFY03:ÌFY02:ÌFY01:€€100%ÌFY00:€€100%ÌÌFY03:ÌFY02:ÌFY01:€€100%ÌFY00:€€100%ÌÌÌÌÌÐ °.*! ЇÌFY03:ÌFY02:ÌFY01:€€100%ÌFY00:€€100%ÌÌÌÌÌÌFY03:ÌFY02:ÌFY01:€€€20%ÌFY00:€€€10%ÌÌFY03:ÌFY02:ÌFY01:€€€80%ÌFY00:€€€60%ÌÌÌÌÌÌFY03:ÌFY02:ÌFY01:€€€80%ÌÌÌÌÌFY03:ÌÌÌÌÌFY02:ÌÌÌÌFY01:ÌÌÌFY03:ÌÌFY02:€100%Ì(hardware)ÌÌÌÌÐ ”.˜'3 ÐFY03:ÌÌÌFY02:ÌÌÌFY03:ÌFY02Ð  ¦ ª „„ÐÌÌÔ#†XŒ©XõôzFÖ#ÔÔ‡ôzFõXXŒ©ÔÐ T¤  ÐÐ  $ ÐÐ =€W( $" $0  €€‚$‚=ÐGoal€2.€Departmental€collections€ofÏinformation€meet€the€requirements€of€theÏPaperwork€Reduction€Act€of€1995.ÌÌEliminate€illegal/bootleg€collections€ofÏinformation.ÌÌ2.1.€99%€of€Departmental€informationÏcollections€have€current€OMB€approval€inÏFY€2000.ÌÌÔ#†XŒ©XõôzFW+#ÔÔ‡ôzFõXXŒ©ÔÌÌÌReduce,€minimize€and€control€burden€placeÏon€the€public€by€Departmental€informationÏcollections.ÌÌ2.2.€Achieve€a€35%€reduction€in€burdenÏhours€imposed€on€the€public€by€HHSÏinformation€collection€inventory€in€FYÏ2000€(òòcompared€with€the€FY€1995€baselineóó,Ð VZ Ðto€be€phased€in€by€10%€for€FY€1996,€10%Ïfor€FY€1997,€5%€for€FY€1998,€5%€for€FYÏ1999,€and€5%€for€FY€2000).Ô#†XŒ©XõôzFþ,#ÔÔ‡ôzFõXXŒ©ÔÐ ´ ¸ ÐÌ2.3.€Achieve€a€5%€reduction€in€burdenÏhours€from€the€previous€year.Ô#†XŒ©XõôzFÃ.#ÔÔ‡ôzFõXXŒ©ÔÐ # ÐÌÌMonitor€Departmentððs€implementation€ofÏGPEA.ÌÌ2.4.Information€collections€reviewed€by€theÏDepartment€are€in€compliance€with€theÏrequirements€of€GPEA.Ô#†XŒ©XõôzF^/#ÔÔ‡ôzFõXXŒ©ÔÐ b)f"% ÐÐ $,*0#&W $ÐÌÌÌÌÌÌÌFY03:€€€99%ÌFY02:€€€99%ÌFY01:€€€99%ÌFY00:€€€98%ÌFT99:€€€97%ÌFY98:€€€90%Ô#†XŒ©XõôzFO0#ÔÔ‡ôzFõXXŒ©ÔÐ <@3 ÐÌÌÌÌÌFY02:€€N/AÌFY01:€€N/AÌFY00:€€€€€€„5%ÌFY99:€€€€€€„5%ÌFY98:€€€€€€„5%ÌFY97:€€€€„10%ÌFY96:€€€€„10%Ô#†XŒ©XõôzF1#ÔÔ‡ôzFõXXŒ©ÔÐ ´ ¸? ÐÌFY03:€€€€€€„5%€of€FY02ÌFY02:€€€€€€„5%€of€FY01ÌFY01:€€€€€€„5%€of€FY00Ô#†XŒ©XõôzFÒ1#ÔÔ‡ôzFõXXŒ©ÔÐ Ü#àC ÐÔ#†XŒ©XõôzFn2#ÔÔ‡ôzFõXXŒ©ÔÌÌÌÌFY03:€100%ÌFY02:€90%Ô#†XŒ©XõôzFÅ2#ÔÔ‡ôzFõXXŒ©ÔÐ  ˜(œ!I ÐÌÌÌÌÌÌÌÌFY02:ÌFY01:€11/1/01ÌFY00:€€€€99%ÌFY99:€€€€99%ÌFY98:€€€€90%ÌÔ#†XŒ©XõôzF3#ÔÔ‡ôzFõXXŒ©ÔÌÌÌÌÌÌÌFY00:€€€€+7.1%ÌFY99:€€€€+7.7%ÌFY98:€€€€„€8.7%ÌFY97:€€€„10.0%ÌFY96:€€€€„€9.9%Ô#†XŒ©XõôzF¹3#ÔÔ‡ôzFõXXŒ©ÔÐ ´ ¸b ÐÔ#†XŒ©XõôzFN4#ÔÔ‡ôzFõXXŒ©ÔÌÌFY02:ÌFY01:€11/1/01Ô#†XŒ©XõôzF¥4#ÔÔ‡ôzFõXXŒ©ÔÐ Ü#àf ÐÔ#†XŒ©XõôzFü4#ÔÔ‡ôzFõXXŒ©ÔÌÌÌÌFY03:ÌFY02:Ô#†XŒ©XõôzFS5#ÔÔ‡ôzFõXXŒ©ÔÐ  ˜(œ!l „„ÐÔ#†XŒ©XõôzF¤5#ÔÔ‡ôzFõXXŒ©Ôñ ññññ ñÔ‡Xœ±XXXœ±Ôñ ññññ ñÐ-#!Ä Èm" $0   -ÐÌÌÌÌÐ N.R'q ÐòòÔ#†XŒ©XõôzF6#ÔGoal€1.€€Major€systems€development/major€modification€efforts€demonstrate€a€high€probabilityÐ ° Ðof€successóó.Ð  ð ÐÌòòPerformance€Objectiveóó:€Implement€the€Departmental€Information€Technology€Review€BoardÐ €Ð Ðprocess€to€assure€soundness€of€IT€capital€investments€and€to€initiate€appropriate€correctiveÏactions€on€major€efforts€as€needed.ÌÌMeasure€1.1:à0  à100%€of€IT€investments€approved€by€the€ITIRB€meet€review€criteria€(i.e.,€OMBÐ @  ÐMemorandum€M„97„02).Ð  (# (# ÐÌMeasure€1.2:à0  à100%€of€IT€investments€considered€but€not€approved€by€the€ITIRB€are€subject€toÐ`  (# (# Ðà ½ àà  àappropriate€corrective€actions€and€funding€restrictions€or€terminations.ÌÌòòEstablishing€Performance€Targets:óó€Three€meetings€were€held€in€FY€2001€that€reviewed€threeÐ à0  Ðsystems:€EIM€Business€Case„approved€December€2000.€€CITs€Procurement€Contract€VehicleÏfrom€CDC€approved„May€2001€to€continue€and€directed€to€be€expanded€from€Department„wideÏuse;€CMSððs€integrated€General€Ledger€Accounting€System€(HIGLAS„CMS€has€beenòò€óóworkingÐ ° Ðwith€the€Department€since€January€2001€to€improve€their€documentation€in€preparation€for€anÏITIRB€planned€in€August€2001).€€The€Department€has€held€several€business€case€reviewsÏ(January,€March,€April)€of€the€HIGLAS€ITIRB€documentation€still€under€development€to€assistÏand€guide€the€HIGLAS€program€to€a€successful€ITIRB€review.€€The€Board€has€expanded€itsÏpurview€into€any€and€all€cross„cutting€IT€initiatives,€including€procurement€vehicles€that€canÏhave€Department„wide€use.ÌÌNote:€OIRM€is€in€the€process€of€evaluating€the€efficacy€of€the€structure€of€the€current€targets.€€AnÏoversight€role€involving€reviews€of€OPDIV„LEVEL€performance€may€provide€more€insight€intoÏITIRB€processes€and€results€than€the€current€meeting„oriented€measure.ÌÌòòPerformance€Objective:óó€Establish€OPDIV„LEVEL€Information€Technology€Architectures€(ITA)Ð ð@ Ðwithin€a€Departmental€ITA€for€use€in€evaluating€IT€investments.ÌÌMeasure€1.3:à0  à100%€of€IT€investments€approved€by€the€ITIRB€meet€review€criteria€(i.e.,€OMBÐÀ! (# (# Ðà ½ àà  àMemorandum€M„97„02).ÌÌòòEstablishing€Performance€Targets:óó€In€1998,€ASMB€determined€that€HHS€and€the€OPDIVsÐ $à" Ðneeded€information€technology€architectures€(ITA).€€In€1999€an€ASMB/FDA„led€task€forceÏbegan€work€on€developing€ITAs€for€the€Department€and€each€of€the€OPDIVs.€€The€first€two€ÌÌphases€of€this€work€have€been€completed€and€are€used€to€gauge€the€investments€brought€beforeÏthe€Board.ÌÌòòPerformance€Report:óó€All€of€the€investments€either€met€the€requirements€of€the€ITA€or€wereÐ  +p&) Ðbrought€into€alignment€through€Board€actions.ÌÌòòPerformance€Objective:óó€Initiate€Enterprise€Infrastructure€Management€to€provide€softwareÐ ð-@), Ðdistribution;€asset,€problem,€and€facilities€management.Ð à.0*- ЇMeasure€1.€4:à0  à100%€of€all€COTS€software€(Tivoli)€needed€to€distribute€software€is€purchased€Ð° (# (# Ðà ½ àà  àand€distributed,€phased€in€over€three€years.ÌÌòòEstablishing€Performance€Targets:€óóIn€1999,€ASMB€determined€that€HHS€and€the€OPDIVsÐ €Ð Ðneeded€an€Enterprise€Information€Management€to€establish€and€conform€to€the€Clinger„CohenÏAct€that€establishes€not€only€an€IT€review€board€for€technology€expenditure€assessments€againstÏthe€Strategic€Plan,€but€also€established€conformance€to€a€mandated€architecture.€€As€part€of€thatÏarchitecture€strategy,€the€Enterprise€Infrastructure€Management€(EIM)€program€requiresÏstandardized€products,€distribution€and€monitoring€to€assess€and€control€expenditure,€dataÏexchange€and€provides€Department„wide€standards.€€Tivoli€is€one€of€the€products€chosen,€via€theÏresults€of€the€IM€Business€Case€analysis€and€Information€Technology€Investment€Review€BoardÏ(ITIRB),€that€meets€the€Departmentððs€conformity€mandates.€€We€are€reexamining€the€utility€andÏnecessity€of€the€Tivoli€product€due€to€Peregrineððs€advances,€therefore,€we€are€not€includingÏperformance€targets€for€FY02€and€FY€03.ÌÌòòPerformance€Report:óó€All€of€the€investments€met€the€requirements€of€EIM.Ð À ÐÌMeasure€1.5:à  à100%€of€all€COTS€software€(Peregrine)€needed€to€provide€asset,€problem€andÐ  ð Ðà ½ àà  àfacilities€management€is€purchased€and€distributed,€phased€in€over€three€years.ÌÌòòEstablishing€Performance€Targets:óó€In€1999,€ASMB€determined€that€HHS€and€the€OPDIVsÐ pÀ Ðneeded€an€EIM€to€establish€and€conform€to€the€Clinger„Cohen€Act€that€establishes€not€only€an€ITÏreview€board€for€technology€expenditure€assessments€against€the€Strategic€Plan,€but€alsoÏestablished€conformance€to€a€mandated€architecture.€€As€part€of€that€architecture€strategy,€theÏEIM€program€requires€standardized€products,€distribution€and€monitoring€to€assess€and€controlÏexpenditure,€data€exchange€and€provides€Department„wide€standards.€€Peregrine€is€one€of€theÏproducts€chosen,€via€the€results€of€the€EIM€Business€Case€analysis€and€ITIRB,€that€meets€theÏDepartmentððs€conformity€mandates.€€We€are€reexamining€the€utility€and€necessity€of€the€TivoliÏproduct€due€to€Peregrine€advances,€therefore,€we€are€not€including€performance€targets€for€eitherÏproduct€at€this€time.ÌÌòòPerformance€Report:€óóAll€of€the€investments€met€the€requirements€of€EIM.Ð À! ÐÌòòPerformance€Objective:€óóInitiate€Enterprise€Software€Licenses€to€consolidate€duplicative€efforts.Ð  #ð! ÐÔ‡ôzFõXXŒ©ÔÌÔ#†XŒ©XõôzFÎL#ÔMeasure€1.6:à0  à100%€of€all€SAS€software€products€are€purchased€from€the€Enterprise€License€toÐZ%ª # (# (# Ðà ½ àà  àachieve€a€20%€purchase€savings.ÌÌòòEstablishing€Performance€Targets:€óóIn€1999,€ASMB€determined€that€HHS€and€the€OPDIVsÐ *(z#& Ðneeded€an€Enterprise€Software€Licensing€effort€as€part€of€the€Departmentððs€conformance€to€theÏClinger„Cohen€Act.€€Eliminating€duplicative€contract€administrative€efforts€and€achievingÏcorporate€purchasing€power,€consolidated€efforts€and€provides€benefits€the€Department€costÏsavings€and€unlimited€seat€licensing€for€all€OPDIVððs.€€This€effort€also€contributes€to€theÏrequirement€to€manage€technology€expenditures€per€the€Strategic€Plan.€€As€part€of€the€ÌÌÐ º. *- Ðarchitecture€strategy,€the€EIM€program€requires€standardized€products,€distribution€andÏmonitoring€to€assess€and€control€expenditures,€data€exchange€and€provides€Department„wideÏstandards.ÌÌòòPerformance€Report:óó€All€of€the€investments€met€the€requirements€of€EIM.Ð pÀ ÐÌòòPerformance€Objective:óó€Consolidate€and€protect€Departmentððs€Information€TechnologyÐ P   ÐInfrastructure.ÌÌMeasure€1.7:à0  àEstablish€and€implement€a€consolidated€IT€5„year€Strategic€Plan€that€supports€Ð p  (# (# Ðà ½ àà  àð ðone€Departmentðð.ÌÌòòFY01€Target:óó€Establish€and€implement€an€IT€5€year€strategic€plan.Ð ð@  ÐÌòòEstablishing€Performance€Targets:€óóThe€Department€established€the€target€of€an€InformationÐ Ð  ÐTechnology€(IT)€Five€Year€Strategic€Plan€based€on€the€Clinger„Cohen€requirements€to€establishÏan€enterprise„wide€architecture.€€In€order€to€accomplish€this,€and€to€achieve€the€Secretaryððs€goalÏof€ð ðOne€Departmentðð,€the€IT€Five€Year€Strategic€Plan€focuses€the€resource€requirements€as€wellÏas€expenditures€on€the€prioritized€objectives€and€projects€of€the€Department.òò€€óóÐ à ÐÌòòPerformance€Report:€óóThe€strategic€plan€will€be€monitored€and€updated€as€needed.Ð pÀ ÐÌòòFY02€Target:óó€Reduce€number€of€servers€throughout€HHS€by€10%;€and€consolidate€circuitsÐ P  Ðamong€5€regional€offices.ÌÌòòEstablishing€Performance€Targets:€óóReducing€the€number€of€servers€throughout€the€DepartmentÐ  p Ðby€10%€and€consolidating€circuits€among€5€regional€offices€in€FY€02€begins€to€centralize€theÏphysical€IT€infrastructure€into€one€Department€through€consolidation.ÌÌòòPerformance€Report:€óóAsset€Center,€a€Peregrine€application,€will€provide€IT€asset€inventoryÐ à0 Ðreports€that€can€be€monitored€for€the€progress€of€consolidation.ÌÌòòFY€03€Target:óó€Reduce€the€number€of€servers€throughout€HHS€by€25%€and€completeÐ °"  Ðconsolidation€of€circuits€throughout€10€regional€offices.ÌÌòòEstablishing€Performance€Targetsóó:€Reducing€the€number€of€servers€throughout€the€DepartmentÐ €%Ð # Ðby€25%€and€consolidating€circuits€among€10€regional€offices€in€FY03€continues€to€centralize€theÏphysical€IT€infrastructure€into€one€Department€through€consolidation.ÌÌòòPerformance€Report:€óóAsset€Center,€a€Peregrine€application,€will€provide€IT€asset€inventoryÐ @)$' Ðreports€that€can€be€monitored€for€the€progress€of€consolidation.ÌÌMeasure€1.€8:à0  àInventory€IT€Assets.Ð,`'* (# (# ÐÌòòFY02€Target:óó€Initiate€inventory€of€IT€assets€via€the€installation€and€implementation€ofÐ ð-@), ÐPeregrineððs€Asset€Center€application€and€complete€35%€of€the€inventory€for€FY€02.Ð à.0*- ЇòòEstablishing€Performance€Targets:€óóThe€Department€established€a€35%€completion€for€FY02Ð ° Ðsince€funds€are€not€available€to€continue€distribution€and€installation€of€the€Peregrine€AssetÏCenter€application.ÌÌòòPerformance€Report:óó€As€of€December€5,€2001€we€have€completed€the€automated€IT€hardwareÐ pÀ Ðasset€inventory.ÌÌòòFY03€Target:óó€Complete€inventory€Department„wide.Ð @  ÐÌòòEstablishing€Performance€Targets:€óóThe€Department€will€complete€the€inventory€of€IT€assets€inÐ  p  ÐFY03,€providing€funds€are€available€to€continue€distribution€and€installation.ÌÌòòPerformance€Report:óó€Asset€Center,€a€Peregrine€application,€will€provide€IT€asset€inventoryÐ ð@  Ðreports€that€can€be€monitored€for€the€progress€of€consolidation.ÌÌMeasure€1.9:à0  àEnhance€the€security€of€the€HHS€internal€network.ÐÀ (# (# ÐÌòòFY02€Target:óó€Reduce€the€successful€intrusions€by€25%.Ð  ð ÐÌòòEstablishing€Performance€Targets:€óóThe€Department€has€established€the€target€of€a€reduction€byÐ €Ð Ð25%€of€successful€intrusions€for€FY02.€€This€will€be€accomplished€by€distribution€andÏimplementation€of€Tivoliððs€Policy€Director,€Risk€Manager,€and€Intrusion€Detection€applications.ÌÌòòPerformance€Report:óó€These€three€Tivoli€applications€cumulatively€will€produce€security€reportsÐ @ Ðthat€delineate€intrusion€attempts€to€routers,€firewalls€and€webservers€while€providing€the€identityÏof€the€IP€address,€the€physical,€geographic€location€of€the€intruder€and€restricts€access€to€certainÏnetwork€resources.ÌÌòòFY03€Target:óó€Reduce€the€successful€intrusions€by€an€additional€25%.Ð ð@ ÐÌòòEstablishing€Performance€Targets:óó€We€will€continue€to€reduce€successful€intrusions€by€anÐ Ð  Ðadditional€25%€in€FY03€as€Tivoliððs€Policy€Director,€Risk€Manager,€and€Intrusion€DetectionÏapplications€are€rolled€out€to€the€remaining€Agencies.ÌÌòòPerformance€Report:óó€These€three€Tivoli€applications€cumulatively€will€produce€security€reportsÐ $à" Ðthat€delineate€intrusion€attempts€to€routers,€firewalls€and€webservers€while€providing€the€identify€Ìof€the€IP€address,€the€physical,€geographic€location€of€the€intruder€and€restricts€access€to€certainÏnetwork€resources.ÌÌMeasure€1.10:€€Maintain€the€reliability€of€HHS€IT€systems.ÌÌòòFY02€Target:óó€The€Department€established€a€target€success€rate€of€99.7%€for€FY02€becauseÐ  +p&) Ðanything€less€would€be€unacceptable.ÌÌÌÐ à.0*- ÐòòEstablishing€Performance€Targets:óó€During€FY02,€the€Uninterrupted€Power€Source€(UPS)€systemÐ ° Ðwill€be€installed€to€ensure€uninterrupted€power€during€emergency€and€natural€disasters.€€BackupÏand€disaster€recovery€procedures€will€be€implemented€across€the€Department.ÌÌòòPerformance€Report:óó€Power€availability€can€be€measured€via€machine€utilization€reports€andÐ pÀ Ðreporting€instruction€via€the€backup€and€recovery€procedures.ÌÌòòFY03€Target:óó€The€Department€established€a€target€success€rate€of€99.7%€for€FY03€becauseÐ @  Ðanything€less€would€be€unacceptable.ÌÌòòEstablishing€Performance€Targets:óó€During€FY03,€the€UPS€system€will€be€maintained€to€ensureÐ `  Ðuninterrupted€power€during€emergency€and€natural€disasters.€€Backup€and€disaster€recoverÏprocedures€will€be€monitored€across€the€Department.ÌÌòòPerformance€Report:€óó€€Power€availability€can€be€measured€via€machine€utilization€reports,€serverÐ Ð  Ðuptime€and€reporting€instruction€via€the€backup€and€recovery€procedures.Ô‡ôzFõXXŒ©ÔÐ À ÐÌÔ#†XŒ©XõôzFi#ÔòòGoal€2.€€Departmental€collections€of€information€meet€the€requirements€of€the€PaperworkÐ zÊ ÐReduction€Act€of€1995ÌÌòòóóPerformance€Objective:€óóEliminate€illegal/bootleg€collections€of€information.Ð Jš ÐÌMeasure€2.1:à0  à99%€of€Departmental€information€collections€have€current€OMB€approval€Ð*z (# (# Ðà ½ àà  àin€FY€2000.ÌÌòòEstablishing€Performance€Targets:óó€The€Paperwork€Reduction€Act€requires€that€collections€ofÐ úJ Ðinformation€from€the€public€receive€prior€approval€from€OMB.€€Accordingly€in€FY€1997,€theÏDepartment€set€a€goal€of€having€at€least€99%€of€information€collections€in€compliance€by€FYÏ2000€and€maintaining€this€level€in€the€out€years.€€A€goal€of€100%€would€not€be€realistic€becauseÏnew€and€revised€collections€are€always€under€development.ÌÌòòPerformance€Report:€óóAs€of€the€end€of€FY€1999,€99%€of€Departmental€collections€had€currentÐ š!ê ÐOMB€approval€number.ÌÌòòPerformance€Objective:óó€Reduce,€minimize€and€control€burdens€placed€on€the€public€byÐ j$º" ÐDepartmental€information€collections.Ô‡ôzFõXXŒ©ÔÐ Z%ª # ÐÌÔ#†XŒ©XõôzF^n#ÔMeasure€2.2:à0  àAchieve€a€35%€reduction€in€burden€hours€imposed€on€the€public€by€the€HHSÐ 'd"% Ðinformation€collection€inventory€in€FY€2000€(òòcompared€with€the€FY€1995€baselineóó,Ð (T#& Ðto€be€phased€in€by€10%€for€FY€1997,€5%€for€FY€1998,€5%€for€FY€1999,€and€5%Ïfor€FY€2000).Ð  (# (# ÐÌòòEstablishing€Performance€Targets:óó€The€Paperwork€Reduction€Act€required€that€agencies€attemptÐ Ä+'* Ðto€reduce€burden€on€the€public€by€10%€in€both€FY€1996€and€FY€1997.€€In€addition,€the€Act€ÌÌÐ ”.ä)- Ðrequires€that€agencies€further€reduce€burden€by€an€additional€5%€in€FY€1998,€FY€1999€and€FYÏ2000.€€Accordingly,€the€Department€established€a€target€of€reducing€burden€on€the€public€by€aÏcumulative€figure€of€35%€by€FY€2000.ÌÌòòPerformance€Report:€óóBy€FY€1998,€the€Department€had€achieved€an€8.79%€burden€reduction.€Ð pÀ ÐHowever,€this€was€turned€around€in€FY€1999,€where€the€Department€showed€a€7.7%€increase€inÏburden€due€to€the€new€legislative€requirements€in€HCFA€and€FDA.ÌÔ‡ôzFõXXŒ©ÔÌÔ#†XŒ©XõôzFÚr#ÔMeasure€2.3:à0  àAchieve€a€5%€reduction€in€burden€hours€from€the€base€of€the€previous€year,€€notÐ  Z Ðincluding€any€new€requirements€until€the€following€year.Ð  (# (# ÐÌòòEstablishing€Performance€Targets:óó€The€existence€of€new€legislative€requirements€„€and€theÐ Ú*  Ðpotential€for€additional€legislative€requirements€in€the€future€„€has€caused€the€Department€to€alterÏits€strategy€by€adopting€targets€that€measure€annual€burden€reduction€from€the€prior€year€ratherÏthan€cumulative€reduction€from€a€base€year.€€New€requirements€will€not€be€considered€in€Ìdescribing€burden€changes€but€will€be€added€to€the€base€for€calculations€made€in€the€followingÏyear.ÌÌòòPerformance€Objective:óó€Monitor€Departments€Implementation€of€GPEA.Ð jº ÐÌMeasure€2.€4:à0  àInformation€collections€reviewed€by€the€Department€are€in€compliance€with€theÐ Jš Ðrequirements€of€GPEA.Ð  (# (# ÐÌòòFY02€Target:óó€The€Department€established€a€target€success€rate€of€90%€for€FY€2002€becauseÐ j Ðanything€less€would€be€unacceptable.Ô‡ôzFõXXŒ©ÔÐ  Z ÐÔ#†XŒ©XõôzFw#ÔÌòòEstablishing€Performance€Targets:óó€During€FY€2002€the€Department€expects€that€some€out€ofÐ ê: Ðcompliance€will€still€occur€due€to€the€need€for€PKI€to€be€established€to€allow€electronicÏsignatures€to€accommodate€the€public€need.ÌÌòòPerformance€Report:€óóThe€Department€has€a€comprehensive€report€that€shows€by€Agency€courseÐ ª ú Ðof€action€that€the€Agency€plans€to€get€the€collections€into€conformance.€€The€Department€willÏmonitor€that€report€and€update€it€to€track€each€Agencyððs€progress€towards€accomplishing€theirÏcited€goals.ÌÌòòFY03€Target:óó€The€Department€established€a€target€success€rate€of€100%€for€FY€2003€becauseÐ Z%ª # Ðanything€less€would€be€unacceptable.Ìà ½ àà  àà m àà Å àà  àà u àÌòòEstablishing€Performance€Targets:óó€During€FY03€the€Department€expects€that€PKI€will€beÐ *(z#& Ðestablished€to€allow€electronic€signatures€to€accommodate€the€public€need.ÌÌòòPerformance€Report:€óóThe€Department€continues€to€monitor€each€Agencyððs€action€plan€to€trackÐ ú*J&) Ðeach€Agencyððs€progress€towards€accomplishing€their€cited€goals.ñ ññññññ ñÌÌÌÌÌñ ññññ ñÑe°Ñòòóóò òÔ#†Xœ±XXXœ±Ç5#ÔÑ€2ÇÑÑ€3¯PÑÔ"USú:!ú &úÔÔ‡„Š„XXœ±ÔÓ  Óñ ñññññÌññññññññÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÐ =,Ø' ÐÑ2ÇÑâ 2âÑÑÑ  ÑÑ eÑÑh°ÑÑTRXà3Ø' LetterXà3Ø' Letter3Ø' Letterÿ3Ø'TÑâ 2âÑ  ÑÌÌÌÌÐ Ì  ÐÌÌÌñññ ñAssistant€Secretary€for€Administration€and€Managementñ ññññ ñÔ#†Xœ±X„„Š¼|#Ôñ ññññ ñÔ‡è(%çXXŒ©ÔÐ l @  ÐÔ#†XŒ©Xçè(%Š#ÔÔ‡„¯Æ„XXŒ©Ô(ASAM)Ô#†XŒ©X„„¯Æá#ÔÔ‡è(%çXXŒ©ÔÐ Ô ¨  Ðñ ññññ ñó óñ ññññ ñÔ‡XŒ©XXXŒ©ÔÔ#†XŒ©Xçè(%)€#Ôñ ññññ ñÓÛ|Óñ ññññ ñÌÓ  Óò òFY€2003€GPRA€SUBMISSIONó óÐ ,  ÐÌÔ#†XŒ©XXXŒ©`€#Ôò òÓ  ÓÔ‡¼hâ»XXŒ©ÔGrants€and€Acquisition€Management€ServicesÔ#†XŒ©X»¼hâ$#ÔÔ‡R4÷QXXŒ©Ôó óÐ  à  ÐÓÓÔ#†XŒ©XQR4÷#ÔÌÔ*‹ƒ4 5ddd Xdd Xdd X°(#°(#‹ÔÔ, dd ÔÔ,Q dd ÔÔ, dd ÔÔ+  ÔÐ  è ÐÔ‡6X;#XXXŒ©ÔÌÔ#†XŒ©XX6X;#÷‚#ÔPerformance€GoalsÐ  N" ÐÓ  ÓÌFY€TargetsÐ h<  ÐÓ  ÓActualÌ€PerformanceÐ h<  Ðò òGoal€1.€€Increase€theÐ ìÀ ÐEffectiveness€of€HHSÏGrants,€Procurement,Ïand€Logistics€Policiesó óÐ ¼ Ðò òusing€periodic€customerÐ ¬€ Ðfeedbackó óÐ œp ÐÌÔ‡7Xü¥ XXXŒ©ԀР |P ÐFY€03ÌFY€02:€ÌFY€01:€3.9€of€5ÌFY€00:€*ÌFY€99:€*ÌÌ*Effectiveness€is€measuredÏevery€third€year.€€FY„01€will€beÏmeasured€in€FY„02Ð  l@& ÐFY€03ÌFY€02:ÌFY€01:€10/01/02ÌFY€00:€*ÌFY€99:€*ÌFY€98:€Baseline€3.4Ð  œp, Ðò òGoal€2.€€Increase€theÐ ðÄ- ÐEffectiveness€of€HHSÏGrants,€Procurement,Ïand€Logistics€Trainingó ó,Ð À"”!0 Ðusing€periodic€customerÏfeedback̀Р %d$3 ÐFY€03ÌFY€02:€ÌFY€01:€3.9€of€5ÌFY€00:€*ÌFY€99:€*ÌÌ*Effectiveness€is€measuredÏevery€third€€year.€€FY„01€will€beÏmeasured€in€FY„02ÌÐ  `(4'= ÐFY€03ÌFY€02:ÌFY€01:10/01/02ÌFY€00:*€ÌFY€99:€*ÌFY€98:€Baseline€3.4Ð   $t#C ÐÑ3¯PÑâ 3âÑk Ñâ 3âÑ  Ñò òGoal€3.€€Improve€theÐ Ïd ÐAverage€Time€forÏResolving€Auditsó óÐ  ¯D Ð*In€FY€2002,€Office€of€AuditÏResolution€and€Cost€PolicyÏbecame€part€of€Office€ofÏFinance,€ASBTF.€€InformationÏon€targets€and€performance€forÏthis€goal€have€been€moved€to€theÏOffice€of€Finance€submission€inÏits€entirety.ÌÐ  O ä  ÐPerformance€to€be€trackedÏby€Office€of€Finance,ÏASBTF.Ð  ¯D „„Ðò òGoal€4.€€Achieve€100%€ofÐ Ïd Ðthe€SBA€Negotiated€goalÏcategoriesÌ4.1€€Small€BusinessÌÌÌÌÌÌÌ4.2€€8(A)€AwardsÌÌÌÌÌÌ4.3.€€SDB€AwardsÌ(Small€DisadvantagedÏBusiness€AwardsÌÌÌ4.4€€WOSB€AwardsÌ(Women„owned€smallÌbusiness)ÌóŒóÌÌÌÌÌÌÌÌÌ4.5€.€€HUBZONE€AwardsÌÌÌÌÌ4.6€€€€SDVOSB€AwardsÌ(Service„DisabledÏVeterans€Owned€SmallÏBusinessÐ '?+Ô&* „„'ÐÌÌÌFY„03€„€(*)ÌFY„02€„€(*)ÌFY„01€„€32%€($1.4B)ÌFY„00€„€32%€($1.4B)ÌFY„99€„€32%$(1.4B)€ÌÌÌFY„03€„€(*)ÌFY„02€„€(*)ÌFY„01€„€4.3%€($200M)ÌFY„00€„€4.3%($225€M)ÌFY„99€„€4.8%€($223M)ÌÌFY„03€„€(*)ÌFY„02€„€(*)ÌFY„01€„€9.6%€($440M)ÌFY„00€„€9.6%€($440M)ÌFY„99€„€10.4%€($479M)€ÌÌFY„03€„€(*)ÌFY„02€„€(*)ÌFY„01€14%**($649M)ÌFY„00€„14%€($164M)€ÌFY„99€„€4.6%€($210M)Ì**This€is€an€administrativeÏerror€as€the€Government„wideÏgoal€for€Women„OwnedÏBusiness€is€5%.€€This€will€beÏadjusted€in€FY€02ÌÌFY„03€(*)ÌFY„02€(*)ÌFY„01€2.0%€($92M)ÌFY„00€€„€1.5%€($67M)ÌÌFY„03€(*)ÌFY„02€(*)ÌFY„01€„€1.5%€($69M)Ì(*)€denotes€that€the€goals€areÏnot€identified€because€the€goalsÏare€negotiated€for€eachÏpreceding€year€with€the€SmallÏBusiness€Administration.€ÏFluctuating€federal€budgets€areÏthe€basis€for€not€negotiatingñ ññññññ ñÔ ÿÿ Ôñ ññññññ ñÔ ÿÿ ÔÏgoals€beyond€the€upcomingÏyear.ÌŽÔ  ÔÐ (ß0t,Z „„(ÐÌÌÌFY„03ÌFY„02ÌFY„01ÌFY„00€„€26.05%€($1.1B)ÌFY„99€„€27.3%€($1.3B)Ì€€€€€€€€€€€€€€€€ÌÌFY„03ÌFY„02ÌFY„01ÌFY„00€„€3.3%€($145M)€€€€€€€€€ÏFY„99€„€4.4%€($221M)ÌÌFY„03ÌFY„02ÌFY„01ÌFY„00€„€7.2%€€($316M)€€€€€€ÏFY„99€„€9.0%€($345M)ÌÌFY„03ÌFY„02ÌFY„01ÌFY„00€„€3.9%€($170M)€€€€€€€€€ÏFY„99€„€3.3%€($166M)ÌÌÌÌÌÌÌFY„03ÌFY„02ÌFY„01ÌFY„00€„€.14€($6M)€€€€€€€€€ÌÌFY„03ÌFY„02ÌFY„01ÌÌÌ*Changes€have€been€madeÏin€Performance€numbersÏsince€2002€submissionÏbecause€data€input€is€aÏcontinual€process.Ð 'ß0t,Š „„'Ðò òGoal€5.€€ImproveÐ Ïd ÐContract€OperationsÌÌ5.1€Customer€SatisfactionÌÌÌÌ5.2€€€EmployeeÏSatisfaction€ÌÌÌÌ5.3€Vendor€SatisfactionóŒóÐ '¤  „„'ÐÌÌÌFY€03:ÌFY€02:€87.4%ÌFY€01:€n/aÌFY00:€€n/aÌÌFY€03:ÌFY€02:€75.7%ÌFY€01:€n/aÌFY00:€€n/aÌÌFY€03:ÌFY€02:€84.9%ÌFY€01:€n/aÌFY00€„€n/aÐ 'Ïd „„'ÐÌÌÌFY€03:ÌFY€02:ÌFY€01:ÌFY€00:€83.2%€baseline*ÌÌFY€03:ÌFY€02:ÌFY€01:ÌFY€00:€72.1%€baseline*ÌÌFY€03:ÌFY€02:ÌFY€01:ÌFY€00:€80.9%€baseline*ÌÌ*This€FY€00€baseline€hasÏbeen€adjusted€to€reflectÏmajor€system€changes,€andÏwill€be€the€starting€point€forÏfuture€targets.Ð o5 Ðò òGOAL€6.€€Increase€use€ofÐ óˆ6 ÐPerformance€BasedÏContractingó óÐ  Óh8 „„ÐFY€03:€30%ÌFY€02:€20%ÌÐ 'Óh; „„'ÐFY€03ÌFY€02Ð ãx= Ðò òGoal€7.€€Maximize€use€ofÐ Wì> ÐFedBiz€Oppsó óÐ  GÜ? „„ÐFY€03€100%ÌFY€02€100%Ð 'GÜA „„'ÐFY€03ÌFY€02Ð GÜC Ðò òGoal€8.€€IncreaseÐ Ë `D Ðcompetition€ofÏDepartmentððs€Fair€ActÏInventoryó óÐ  ›#0G „„ÐFY€03:€10%ÌFY€02:€5%Ð '»!PI „„'ÐFY€03ÌFY€02Ð »!PK Ðò òGoal€9.€€Ensure€€HHSÐ %´ L ÐGrant€AdministrativeÏPolicies€are€Currentó óÐ  ÿ&”"N „„ÐFY€03:€100%ÌFY€02:€100%ÌFY€01:€96%ÌFY€00:€93%ÌFY€99:€85%ÌÐ 'Ï)d%T „„'ÐFY€03ÌFY€02:ÌFY€01:€96%ÌFY€00:€93%€€€€€€€€ÌFY€99:€85%ÌFY€98:€Baseline€75%ÌÌÌÐ 'Ÿ,4(] „„'ÐGoal€10.€€Implement€theÐ Ïd ÐInitial€Plan€of€PublicÏLaw€106„107,€FederalÏFinancial€AssistanceÏManagementÏImprovement€Act€(new€inÏFY€2003)Ð o  ÐÔ#†XŒ©X X7Xü¥§„#Ôñ ññññññ ñÔ‡XŒ©XXXŒ©ÔÔ#†XŒ©XXXŒ©§#Ôñ ññññññ ñFY€03€Consolidate€andÐ Ïd Ðcoordinate€application€andÏreporting€forms€and€dataÏelements,€improve€the€qualityÏand€usefulness€of€grantee€audits,Ïand€increase€automation€in€allÏaspects€of€the€grants€processÌÌFY€02€Establish€the€baseline€ofÏapplication€and€reporting€formsÏand€data€elements,€review€federalÏaudit€processes,€and€identifyÏagency€automation€capabilities.ÌÌÐ  ï„  ÐFY€03ÌÌÌÌÌÌÌÌÌFY€02ÌÌÐ  ´ " „„ÐGoal€11.€€IncreaseÐ s# ÐLocation€Accuracy€ofÏCapitalized€PersonalÏProperty€RecordsÐ CØ& ÐFY€03:€96%ÌFY€02:€96%ÌFY€01:€96%ÌFY€00:€94%ÌFY€99:€92%Ð  3È+ ÐFY€03:ÌFY€02:ÌFY€01:€97%ÌFY€00:€97%€€€€€€€€€€ÌFY€99:€97%ÌFY€98:€Baseline€90%ÌÐ  ¨2 „„ÐGoal€12.€€IncreaseÐ —,3 ÐAccess€to€HHS€GrantsÏAdministrative€PoliciesÐ w 5 ÐFY€02:€100%*ÌFY€01:€100%ÌFY€00:€100%ÌFY€99:€80%ÌÌ*100%€achieved€for€3Ïconsecutive€years.€€Goal€will€beÏdropped€after€FY€02Ð  '!¼= ÐFY€02:€*ÌFY€01:€100%ÌFY€00:€100%ÌFY€99:€100%ÌFY€98:€Baseline€70%ÌÐ GÜC ÐÒe°ÒÓ  ÓÌò òGoal€1:ó ó€€ò òIncrease€the€Effectiveness€of€HHS€Grants,€Procurement,€and€Logistics€Policiesó óÐ 7#ÌD ÐÌò òPerformance€Goal:ó ó€€The€Office€of€Grants€and€Acquisition€Management€is€responsible€for€issuingÐ %¬ F ÐDepartment„wide€grants,€procurement,€and€logistics€policies.€€Policies€are€issued€to€improveÏstewardship€of€government€assets€such€as€grant€and€procurement€funds€and€personal€property,Ïwhile€reducing€administrative€burdens€on€HHS€offices,€grantees€and€contractors€and€whileÏprotecting€the€governmentððs€assets€and€maximizing€efficiency€and€effectiveness.€€This€goalÏmeasures€the€effectiveness€of€the€policies€in€meeting€these€objectives.ÌÌò òPerformance€Measurement:ó ó€Summary€of€Agency€€ratings€of€the€effectiveness€of€policies€on€aÐ §+<'M Ðscale€of€0€to€5.Ìò òÌó óIn€FY98,€to€measure€the€effectiveness€of€its€policies,€OGAM€developed€and€implemented€aÐ w. *P Ðsurvey€instrument€consisting€of€multiple€questions€in€different€areas€resulting€in€a€compositeÏscore,€to€obtain€opinions€from€the€HHS€Agencies€on€the€effectiveness€of€OGAMððs€policyÐ W0ì+R Ðfunctions.€€(The€Agencies€€will€be€surveying€grantees€and€contractors.)€€The€initial€survey,Ïconducted€in€FY98,€€established€a€baseline€3.4€on€scale€of€zero€to€five.€€The€survey€will€beÏconducted€every€third€€year€resuming€in€FY02.€€Many€new€initiatives€in€legislation€andÏmanagement€practices€have€occurred€in€FY€2000€AND€FY€2001.€€The€survey€has€been€postponedÏone€year€to€evaluate€OGAM€leadership€in€these€areas.ÌÌò òResults:ó ó€€Results€will€be€available€after€the€next€survey€is€completed€in€FY02.Ð    ÐÌò òGoal€2:€€Increase€the€Effectiveness€of€HHS€Grants,€Procurement,€and€Logistics€Trainingó óÐ ë € Ðà ½ àà  àà m àÌò òPerformance€Goal:ó ó€€The€Office€of€Grants€and€Acquisition€Management€is€responsible€forÐ Ë `  Ðproviding€Department„wide€grants,€procurement,€and€logistics€training.€€A€trained€workforce€isÏessential€to€assure€that€HHS€and€government„wide€policies€are€implemented€efficiently€andÏeffectively€and€to€assure€high€productivity€among€the€professional€grants,€procurement€andÏlogistics€personnel€in€carrying€out€their€stewardship€role.€€This€goal€measures€the€effectiveness€ofÏthe€training€in€meeting€these€objectives.ÌÌò òPerformance€Measurement:€ó óSummary€of€Agency€ratings€of€the€effectiveness€of€training€on€aÐ [ð Ðscale€of€0€to€5.ÌÌIn€FY98,€€to€measure€the€effectiveness€of€its€training€programs,€OGAM€developed€a€surveyÏinstrument€consisting€of€multiple€questions€in€different€areas€resulting€in€a€composite€score,€€toÏobtain€opinions€from€the€HHS€Agencies€€on€the€effectiveness€of€OGAMððs€training€€functions.€€AnÏinitial€survey€was€conducted€in€FY98€to€establish€a€baseline€(3.4€on€scale€of€0€to€5).€€The€surveyÏwill€be€conducted€every€third€€year€resuming€in€FY02.€€Many€new€initiatives€in€legislation€andÏmanagement€practices€have€occurred€in€FY€2000€and€FY€2001.€€The€survey€has€been€postponedÏfor€one€year€to€evaluate€OGAM€leadership€in€these€areas.ÌÌò òResultsó ó:€Results€will€be€available€after€the€next€survey€is€completed€in€FY02.Ð «@ ÐÌò òGoal€3:€Improve€the€Average€Time€for€Resolving€Audits€€Ð ‹  Ðó óÌ€In€FY€2002,€the€Office€of€Audit€Resolution€and€Cost€Policy€became€part€of€the€Office€of€Finance,ÏASBTF.€€Information€on€targets€and€performance€for€this€goal€have€been€moved€to€the€Office€ofÏFinance€submission€in€its€entirety.ò òÐ K$à" Ðó óÌò òGoal€4:€Achieve€100%€of€the€Small€Business€Administration€(SBA)€Negotiated€GoalÐ +&À!$ ÐCategoriesÌÌPerformance€Goal:ó ó€Public€Law€95„507,€Section€221,€and€Public€Law€100„656,€Sections€502€andÐ û($' Ð503,€require€the€head€of€each€Federal€agency,€after€consultation€with€the€US€Small€BusinessÏAdministration€(SBA),€to€establish,€annually,€realistic€goals€for€the€award€of€contracts€to€smallÏbusiness€concerns€and€to€small€business€concerns€owned€and€controlled€by€socially€andÏeconomically€disadvantaged€individualsÌò òÌPerformance€Measurement:€ó óSection€15(g)(1)€of€the€Small€Business€Act€requires€that€the€FederalÐ ›.0*- ÐGovernment€establish€a€goal€of€awarding€23%€of€all€prime€contract€dollars€for€small€businesses.€ÏOf€the€23%,€5%€should€be€awarded€to€socially€and€economically€disadvantaged€individuals€(S.B.)Ð {0,/ Ðand€to€women„owned€businesses€respectively,€2%€should€be€awarded€to€HistoricallyÏUnderutilized€Business€Zones€(HUBZone)€small€businesses,€and€3%€should€be€awarded€toÏService„Disabled€Veteran„owned€small€business€(SDVOSB).ÌÌIn€order€for€the€Federal€Government€to€accomplish€that€goal,€each€Federal€Agency€negotiates€aÏweighted€portion€of€the€goal€with€the€SBA.€€HHSðð€FY€2001€negotiated€goals€are€32%€for€smallÏbusiness€awards,€*4.3%€for€Section€8(a)€awards,€9.6%€for€S.B.,€**14%€for€women„ownedÏbusinesses,€2%€for€HUBZone€and€1.5%€for€Service„Disabled€Veteran€Owned€Small€BusinessÏ(SDVOSB).€€All€goals€are€expressed€in€terms€of€numbers,€dollars€and€percentages.€€If€there€is€anyÏvariance€from€the€projected€base€amount,€the€percentage€goal€is€the€controlling€factor€and€will€beÏused€to€measure€actual€attainment.€€Success€is€measured€in€terms€of€meeting€or€exceeding€eachÏAgencyððs€negotiated€percentages.ÌÌÓL€ %PÞsh3 LÓ*€The€8(a)€goal€is€agency€specific.€€8(a)€numbers€are€counted€as€part€of€the€overall€S.B.Ïgovernment„wide€accomplishment.ÌÌ**€The€14%€goal€for€women„owned€small€business€was€an€administrative€error.€€The€government„¼wide€goal€for€women„owned€business€is€5%.€€This€goal€will€be€adjusted€for€FY€2002.ÌÌò òResults:ó ó€The€Federal€Government€fell€slightly€short€of€its€FY€2000€goal€of€23€percent.€€Not€unlikeÐ ;Ð Ðmost€Federal€agencies,€HHS€did€not€meet€its€negotiated€small€business€goals€in€FY€2000.€ÏContract€bundling€and€other€aspects€of€acquisition€reform€are€factors€that€have€adversely€impactedÏthe€ability€of€small€business€firms€to€compete€on€larger,€more€complex€requirements.ÌÌAggressive€efforts€are€underway€to€mitigate€bundling,€as€appropriate.€€The€Department€is€alsoÏworking€to€enhance€its€subcontracting€program€to€ensure€that€small€businesses€receiveÏopportunities€on€larger€procurement€efforts.€€Finally,€HHS€is€working€to€implement€measures€thatÏwill€increase€opportunities€for€HUBZone€as€well€as€other€socio„economic€categories€of€smallÏbusinesses.ÌÌò òò òò òó óó óGoal€5:€Improve€Contract€Operationsó óÐ ‹  ÐÌò òPerformance€Goaló ó:€The€Office€of€Acquisition€Managementððs€(OAM)€goal€is€to€improve€contractÐ k"  Ðoperations€throughout€the€Department.ÌÌò òPerformance€Measurementó ó:€€Progress€in€achieving€this€goal€is€measured€by€using€a€compositeÐ ;%Ð # Ðcontract€operations€rating€based€on€survey€results€from€HHSððs€Acquisition€Balanced€Scorecard.€ÏOAM€has€developed€a€results„driven€Acquisition€Balanced€Scorecard€to€measure€and€improveÏacquisition€performance€throughout€the€Department.€€HHSððs€Acquisition€Balanced€ScorecardÏrepresents€a€new,€cost„effective€approach€to€performance€management€and€oversight.€€TheÏScorecard€strives€to€achieve€balance€among€various€perspectives€and€goals,€such€as€efficientÏbusiness€processes,€innovative€leadership,€empowered€employees,€satisfied€customers,€andÏdedicated€vendors.€€HHSððs€Agencies€compile€performance€data€using€pretested€surveys€ofÏstakeholders,€such€as€customers,€contractors,€and€employees.€€€€Performance€data€is€entered,Ïtracked€and€analyzed€using€a€variety€of€software€and€web„based€applications..€€Performance€gapsÏare€identified,€and€cross„functional€teams€are€used€to€target€opportunities€for€organizationalÏimprovement.Ìò òÐ {0,/ ÐResults:ó ó€€òòòòóóóóIn€FY2000,€OAM:€(a)€conducted€web„based€surveys€to€compile€current,€accurate€andÐ k Ðmeaningful€performance€data;€(b)€established€a€new,€fair,€and€GPRA„compliant€compositeÏbaseline€based€on€a€roll„up€of€that€data;€and€(c)€developed€realistic€acquisition€performance€targetsÏto€spur€organizational€improvements.€€Acquisition€Balanced€Scorecard€surveys€are€conductedÏevery€two€years.€€Thus,€performance€targets€are€aligned€with€that€two„€year€cycle.€€Moreover,€AMÏput€a€methodology€in€place€(i.e.,€a€bench€marking€forum)€to€promote€the€sharing€of€performanceÏresults€and€improvements€throughout€the€Department€„€„€while€avoiding€any€misleading€orÏsimplistic€performance€comparisons€among€HHSððs€contracting€offices.€€(Please€note€that€forÏsubsequent€GPRA€submissions,€we€plan€to€establish€and€incorporate€appropriate€internal€goalsÏand€objectives€to€gauge€our€progress€in€implementing€the€Procurement€Executive€CouncilððsÏð ðGovernment„wide€Acquisition€Performance€Measurement€Programðð.ÌÌò òGoal€6:€Increase€the€use€of€Performance„Based€ContractingÐ «@  ÐÌPerformance€Goal:ó ó€€The€Department€is€committed€to€reaching€the€OMB€and€ProcurementÐ ‹  ÐExecutive€Council€goal€of€using€performance„based€contracting€(PBC)€to€award€20%€of€eligibleÏservice€contracting€dollars€by€FY€2002.ò ò€€ó óAn€additional€10%€of€eligible€service€contracting€dollarsÐ k Ðwill€be€targeted€for€FY€03.ò òÐ [ð ÐÌPerformance€Measurement:€€ó óTo€meet€this€goal,€the€Secretary€sent€out€a€€letter€to€the€AgencyÐ ;Ð ÐHeads€stressing€the€need€for€program€and€contracting€communities€to€work€in€partnership€toÏaggressively€apply€PBC.€€We€plan€to€continue€to€enhance€our€web„based€PBC€€knowledgeÏrepository€ð!ð€Ô4‚8Ý WÔÝ‚&ÍOÝÔÿÔòòÝ  ÝÔ5  Ôwww.ogam2000.com/acquisition/pbc.htm;Ô6ÂÔÝ‚&ÍO.Âs€onÝóóÔÿÔÝ  ÝÔ7ic¯\ÂÔ€to€strengthen€our€hands„on€PBC€Ð    Ðworkshops;€to€reward€and€recognize€PBC€€efforts;€to€target€opportunities€for€improvement€usingÏour€management€information€systems;€and€to€continue€to€address€this€topic€at€conferences€andÏmeetings€across€the€Department.ò òÐ Ûp ÐÌGoal€7.€€Maximize€use€of€FedBiz€Opps€(Federal€Business€Opportunities)ÌÌPerformance€Goal:ó ó€All€HHS€Agencies€are€on€track€to€use€FedBiz€Oppsð!ða€government„wideÐ ›0 Ðpoint€of€entryð!ðto€post€100%€of€synopses€and€applicable€solicitations€on„line,€beginning€October€1,Ï2001€(the€statutory€due€date).ÌÌò òPerformance€Measurement:€ó óOGAM€will€comply€with€all€laws€and€regulations€in€this€area,€andÐ [#ð! Ðwill€continue€to€alert€Agency€contracting€personnel€to€pertinent€training€opportunities.€€ForÏexample,€we€addressed€FedBiz€Opps€at€the€Departmentððs€May€8„9€acquisition€and€small€businessÏconference€on€performance„based€government.€€In€addition,€we€have€posted€registrationÏinstructions€and€other€important€information€regarding€FedBiz€Opps€on€our€e„Business€SupersiteÏunder€KnowNetð!ðHHSðð€award€winning€knowledge€management€system.€€This€FedBiz€OppsÏinformation€may€be€found€at€www.ogam2000.com/ec/.ò òÐ û($' ÐÌGoal€8:€Increase€Competition€of€the€Departmentððs€FAIR€Act€Inventory.ÌÌPerformance€Goal:€ó óThe€goal€of€competing€or€directly€outsourcing€5%€of€the€inventory€for€FYÐ »,P(+ Ð2002€has€been€officially€put€before€the€Agencies€and€their€plans€for€achieving€the€goal€were€dueÏto€ASMB€by€June€15,€2001,€along€with€the€revised€inventories.€€An€additional€10%€is€required€toÏbe€studied€€for€FY€03.ò òÐ ‹/ +. ÐÐ {0,/ ÐPerformance€Measurement:ó ó€OGAM€received€plans€from€all€OPDIVS€that€meet€the€5%€goal€ofÐ k Ðcompetitive€sourcing€for€FY€2002.€€The€OPDIVs€will€work€towards€that€goal€throughout€the€fiscalÏyear.€€An€additional€10%€goal€has€been€set€by€OMB€for€FY€2003,€and€ASAM€will€work€with€theÏOPDIVs€to€expand€their€planning€to€meet€the€new€goal.Ì.€€ò òÐ +À ÐGoal€9:€Ensure€that€HHS€Grant€Administrative€Policies€Are€Current€ó óÐ  ° ÐÌò òPerformance€Goal:ó ó€€€The€Office€of€Grants€Managementððs€(OGM)€goal€is€to€ensure€that€HHSÐ û  Ðgrant€administrative€policy€issuances€are€current.ÌÌò òPerformance€Measurement:€€ó óOGM€is€responsible€for€developing,€issuing€and€implementingÐ Ë `  Ðgrants€administrative€policies€used€by€the€various€HHS€awarding€agencies€in€the€award€andÏadministration€of€the€three€hundred„plus€grant€programs€HHS€€administers.€€Grants€policies,Ïissued€by€the€Department€to€ensure€accountability€of€the€grant€funds,€provide€guidance€to€grantsÏmanagement€staff€and€other€HHS€staff€€involved€in€the€award€and€administration€of€grants.€TheÏperformance€measure€is€based€on€the€percentage€of€policy€issuances€that€have€been€reviewed€and,Ïas€needed,€updated€at€least€once€every€four€years.ÌÌò òResults:ó ó€By€the€end€of€FY€2002,€OGM€€had€€reviewed€and,€as€needed,€updated€96%€of€its€grantsÐ Kà Ðpolicy€issuances.Ìò òò òò òó óó óÌGoal€10:€Implement€the€Initial€Plan€of€Public€Law€106„107,€Federal€Financial€AssistanceÏManagement€Improvement€Act€(new€in€FY€2003).ÌÌPerformance€Goal:€ó óThe€Federal€Grant€Streamlining€Program€is€responsible€for€overseeing€theÐ ë€ Ðgovernment€wide€grant€reform€effort€mandated€by€Public€Law€106„107.€€HHS€€is€the€lead€agencyÏfor€this€activity.€€The€purposes€of€the€Act€are€to€(1)€improve€the€effectiveness€and€performance€ofÏFederal€financial€assistance€programs,€(2)€simplify€Federal€financial€assistance€application€andÏreporting€requirements,€(3)€improve€the€delivery€of€services€to€the€public,€and€(4)€facilitate€greaterÏcoordination€among€those€responsible€for€delivering€the€services.€€Four€work€groups€and€anÏoversight€team€are€working€to€implement€the€plan.ÌÌò òPerformance€Measurement:€ó óEstablish€baseline€information€in€FY€2001€and€FY€2002€of€grantÐ k"  Ðrequirements.€€There€are€four€work€groups:€pre„award,€post„award,€audit€oversight,€and€electronicÏprocessing€which€collectively€address€all€aspects€of€federal€grant€administration.€€For€pre„awardÏand€post„award€efforts,€the€focus€is€on€consolidation€and€coordination€among€agencies€to€use€theÏsame€or€similar€forms€and€data€elements€to€apply€for,€administer,€and€report€on€grant€activity.€ÏThe€audit€team€is€addressing€the€quality,€timeliness,€and€usefulness€of€audit€information€for€grantÏmanagers.€€The€aim€of€the€electronic€work€group€is€to€establish€the€Federal€Commons,€which€willÏserve€as€the€single€point€of€entry€for€E„commerce€over€the€entire€grant€life€cycle,€offering€bothÏgeneral€information€exchange€and€secure€electronic€transaction€processing.ÌÌò òResults:€ó óResults€will€be€available€early€in€FY€2004€since€progress€can€be€measured€incrementallyÐ Ë+`'* Ð(on€a€quarterly€basis)€for€all€aspects€of€this€effort.ò òÐ »,P(+ Ðó óÌÌÌÐ {0,/ Ðò òGoal€11:à@ÞÞÆàIncreased€Location€Accuracy€of€Capitalized€Personal€Property€Recordsó óˆÐ H ÐÌò òPerformance€Goal:€ó óThe€goal€is€to€assure€that€adequate€stewardship€is€exercised€over€theÐ (à ÐDepartmentððs€investment€in€equipment.€€Equipment€is€essential€to€carry€out€the€DepartmentððsÏscientific,€regulatory,€and€administrative€missions.€€The€lack€of€adequate€property€stewardship€canÏresult€in€unnecessary€expenditures€of€funds.€€Funds€have€to€be€used€€to€replace€lost€items€or€toÏpurchase€duplicate€items€for€equipment€already€in€the€inventory.€€Productivity€is€lost€whenÏmission€essential€equipment€is€not€available.€€Good€stewardship€over€equipment€assets€also€willÏincrease€the€accuracy€of€€Departmentððs€presentation€of€personal€property€assets€in€the€annualÏfinancial€statements€required€by€the€Chief€Financial€Officer€Act€and€provide€a€betterÏunderstanding€of€the€resources€required€to€carry€out€the€Departmentððs€missions.ÌÌò òPerformance€Measurement:ó ó€€€Progress€toward€this€goal€will€be€measured€by€determining€aÐ ˆ@  Ðlocation€accuracy€òòpercentageóó€based€on€comparing€the€results€of€the€annual€physical€inventory€ofÐ x0  Ðcapitalized€equipment€to€the€capitalized€equipment€inventory€records.€€€To€calculate€theÏpercentage,€the€number€of€ð ðnot€found€itemsðð€and€the€number€of€ð ðfound€but€not€recorded€itemsððÏare€subtracted€from€the€number€of€capitalized€items€in€the€property€records€to€determine€theÏnumerator,€which€is€then€divided€by€the€number€of€capitalized€items€in€the€property€records.Ìò òÌResults:ó ó€€€The€Agencyððs€€reported€an€average€accuracy€role€of€97%,€exceeding€the€goal€of€94%.Ð Ð ÐÌò òGOAL€12:€Increase€Access€to€HHS€Grants€Administrative€PoliciesÐ ø° ÐÌPerformance€Goal:€ó óThe€Office€of€Grants€Managementððs€(O.M.)€goal€is€to€increase€access€toÐ Ø ÐHHS€grants€administrative€policy€issuances€through€use€of€the€Internet.ÌÌò òPerformance€Measurement:€€ó ó€€Increasing€access€to€Departmental€grants€administrative€policiesÐ ¨` Ðhelps€ensure€that€all€HHS€staffs€responsible€for€grant€programs€have€readily€available€to€them€theÏpolicy€guidance€necessary€to€administer€grant€programs.€€Using€web„based€services€accessible€toÏall€Departmental€staff€involved€in€grants€administration€is€an€effective€way€of€ensuring€readyÏaccess€to€such€guidance.€€Key€to€achieving€this€goal€is€the€electronic€posting€of€the€DepartmentalÏgrants€administrative€policy€issuances.ÌÌTo€measure€accomplishment€of€the€goal€O.M.€will€calculate€the€percentage€of€grantsÏadministrative€policy€issuances€posted€electronically€under€GrantsNet,€the€Departmentððs€onlineÏgrants€information€service.ÌÌò òResults:€ó ó100%€Actual€Performance€reached€in€three€consecutive€years.€€ò òGoal€will€be€dropped€inÐ ø%°"% ÐFY€2002.à  àÔ‡R4÷QXXŒ©Ôó óÐ è& #& ÐÌÑ  ÑÓ   ÓÓ  ÓÑHkÑÑHhÑÔ-  ÔÔ#†XŒ©XQR4÷Òá#ÔÔ‡ äX!XXŒ©Ôò òÌÌÌÌÐ 4.ì*, ÐÔ#†XŒ©X! äXyâ#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´èîñ#Ôñ ññññññ ñÔ‡¼hâ»XXŒ©ÔHuman€Resources€Servicesó óÐ H ÐÔ#†XŒ©X»¼hâ7ã#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´è¢ò#Ôñ ññññññ ñÔ‡ôzFõXXŒ©ÔÌÔ*‹ƒ9o;¬d! d dd  Q dd Q  dd  4 5e(#e(#‹ÔÔ,  tUÔÔ,º cUÔÔ,~ cUÔÔ,(ctÔÔ+  ÔÐ A€---:, *â € €‚‚ƒƒ„„†ÿÿÿÿÿÿd†AÐÓdÓÌÓ 0ÓÓ  ÓÓdÓò òPerformance€GoalsÐ G€-.-6+­e ---:ÿÿÿÿÿÿd „„GÐÓ 0ÓÓdÓÌÓ 0ÓÓ  ÓÓdÓFY€TargetsÐ =€-.-,!­e -.- „„=ÐÓ 0ÓÓdÓÌÓ 0ÓÓ  ÓÓdÓActual€PerformanceÐ ?€-.--,!­e -.- „„?ÐÓ 0ÓÓdÓÌÓ 0ÓÓ  ÓÓdÓReferenceÐ c€ - :N,­e    -.-- €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÓ 0ÓÓdÓÌÓdÓGoal€€€1:ó óÐ Ñ  Ðò òProvide€strategic€leadership€forÐ ã›  Ðmanaging€human€capitaló ó.Ð ­e ÐÓ 0ÓÐ I€ - 6+w / - :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓÐ ?€ - ,!Ñ -  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓÐ ?€ - ,!Ñ -  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓÌÓ 0ÓÐ c€ :N,ã›    -  €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓMeasure€1.1ÌÑ  ÑÓ 0ÓÓdÓProvide€corporate€HR€servicesÏand€expertiseÐ I€ 6+­ e :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓ€FY€99:€The€HR/EEO€CouncilÏparticipates€in€OHR€agenda„¼building€and€provides€feedbackÏon€results.Ð ?€ ,!A ù   „„?ÐÑ  ÑÓ 0ÓFY€00:€Goal€CompletedÌÑ  ÑÓ 0ÓFY€99:€Achieved.€ÌÌÌÐ ?€ ,!7ï #  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓ*€See€commentÏbelow.Ð c€ :N,­ e&     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓMeasure€1.2ÌOPDIVs€have€effective€self„¼assessment€programs,€integral€toÏGPRA€requirements,€as€indicatedÏby€internal€and€external€reviews.Ð I€ 6+û³, :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓFY€99:€€90%Ð ?€ ,!£[ .  „„?ÐÑ  ÑÓ 0ÓÓdÓFY€00:€Goal€CompletedÌÑ  ÑÓ 0ÓÓdÓFY€99:€€92%Ð ?€ ,!£[ 0  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓ*€See€commentÏbelow.Ð c€ :N,m% 3     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓMeasure€1.3ÌComplete€one€major€programÏcost€benefit€analysis.ÌÓ 0ÓÐ I€ 6+Å}8 :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓFY€99:€OneÐ ?€ ,!g:  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓFY€99:€Not€achievedÐ ?€ ,!g<  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓ*€See€commentÏbelowÐ c€ :N,1é?     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐMeasure€1.4ÌReduce€HR€service€delivery€costsÐ I€ 6+ÇA :ÿÿÿÿÿÿd „„IÐFY€01:€Measure€discontinuedÌFY€00:€Baseline€to€be€setÐ ?€ ,!ÇC  „„?ÐAnalysis€of€benchmarkingÏresults€inicate€no€need€forÏDepartmental€initiativeÐ ?€ ,!aF  „„?ÐÐ c€ :N,Í…G     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐMeasure€1.5ÌImprove€service€delivery€levelsÐ I€ 6+cI :ÿÿÿÿÿÿd „„IÐFY€01:€Measure€discontinuedÌFY€00:€Baseline€to€be€setÐ ?€ ,!cK  „„?ÐAnalysis€of€benchmarkingÏresults€inicate€no€need€forÏDepartmental€initiativeÐ ?€ ,!ýµN  „„?ÐÐ c€ :N,i!O     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓMeasure€1.6Ó 0ÓÌOPDIV€HR€office€have€results„¼oriented€performance€plansÏstrategically€aligned€with€OPDIVÏmissions€and€integratedÏassessment€programsÐ I€ 6+‹!CV :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓòòóóFY€01:€Goal€droppedÐ ½W ÐÑ  ÑÓ 0ÓÓdÓFY€00:€Ð ?€ ,!i!X  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÌFY€01:€Measure€discontinuedÌÌFY€00:ÌÑ  ÑÓ 0ÓÓdÓÐ ?€ ,!ù±^  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓÌ*€See€commentÏbelow.ÌÌÓ 0ÓÐ ^€ :I,‘ Id     ‚‚ƒƒ„„†ÿÿÿÿÿÿd†^ÐÓ 0ÓMeasure€1.7ÌOPDIVs€have€€HR€staffÏProficient€in€workforce€planning;€Ïall€OPDIVs€have€functioningÏworkforce€planning€system.€Ó 0ÓÐ I€ 6+»%s"i :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓFY€99:€€all€OPDIVsÌÌÌÌÌÌÓ 0ÓÐ ?€ ,!³'k$q  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓFY€99:€Partially€achieved.€ÏAgency€submissions€for€2001€toÏbudget€review€board€showedÏsome€continued€weaknesses.€€€ÌÓB.°°` ¸ hÀpÈ xÐ (#°œXBÓÌ[Measure€continued€below.]ÌÓ 0ÓÐ ?€ ,!³'k$y  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓ*€See€commentÏbelow.Ð Y€ :D'Á#y |    ‚‚ƒƒ„„†ÿÿÿÿÿÿd†YÐÌMeasure€1.7€(cont.)ÌComplete€development€ofÏworkforce€planning€capacity€andÏintegration€with€budget€andÏResults€Act€cycles.ÌÌÐ I€ 6+/¹+„ :ÿÿÿÿÿÿd „„IÐFY€02:€€100%€of€€OPDIVsÌFY€01:€€60%ÌFY€00:€€30%Ð ?€ ,!¯*g'‡  „„?ÐFY€02:ÌFY€01:AchievedÌFY€00:€33%Ð ?€ ,!¯*g'Š  „„?ÐÌÌÌÌÌÐ Y€- :D'-U*    ‚‚ƒƒ„„†ÿÿÿÿÿÿd†YÐMeasure€1.8ÌOHR€web€site€is€expanded€toÏinclude€content€for€additionalÏfunctional€area€coverage.Ð I€- 6+a­- :ÿÿÿÿÿÿd „„IÐÌFY€03:€Not€applicableÌFY€02:€Web€pages€are€developedÏfor€3€additional€functional€areas.Ð ?€- ,!‘Ý-  „„?ÐÌÌFY€03:ÌFY€02:Ð ?€- ,!Á  -  „„?ÐÐ Y€ - :D'Ó   -  ‚‚ƒƒ„„†ÿÿÿÿÿÿd†YÐÌMeasure€1.9ÌDevelop€a€departmentwideÏrecruitment€and€retention€strategyÏthat€addresses€skills€needsÏidentified€through€formalÏworkforce€planning€processes.Ð I€ - 6+å 1  - :ÿÿÿÿÿÿd „„IÐÌÌFY€03:€Ongoing€implementationÏresults€in€right€skills€in€mission„¼critical€occupations.ÌFY€02:€Strategy€is€developed€andÏdeployedÐ ?€ - ,!a  -  „„?ÐÌÌFY€03:ÌFY€02:Ð ?€ - ,!·  -  „„?ÐÌÌ*€See€commentÏbelowÐ Y€ - :D'‡ Ó#   -  ‚‚ƒƒ„„†ÿÿÿÿÿÿd†YÐMeasure€1.10ÌRestructure€the€Department'sÏpersonnel€service€deliveryÏfunction.Ð I€ - 6+«÷ ' - :ÿÿÿÿÿÿd „„IÐÌFY€03:€Reduce€the€number€ofÏpersonnel€offices€to€6ÌFY€02:€Reduce€the€number€ofÏHHS€Personnel€offices€from€Ì40€to€7.€€Deploy€the€personnelÏcomponent€of€the€EnterpriseÏHuman€Resources€and€PayrollÏSystem.Ð ?€ - ,!ýI0 -  „„?ÐFY€03:ÌÌFY€02:ÌÌÐ ?€ - ,!Q5 -  „„?ÐÐ ^€- - :I'i 6   -  €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†^ÐÑ  ÑÓdÓÌÑ  ÑÓdÓò òGoal€2:ó ó€€ò òImprove€the€Quality€ofÐ ™å8 ÐWorklife€of€HHS€Employeesó óÐ I€- - 6+c¯9- - :ÿÿÿÿÿÿd „„IÐÌÐ ?€- - ,!ÿK;- -  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓÐ ?€- - ,!iµ=- -  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓÐ c€ :N,iµ?   - -  €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓMeasure€2.1ÌSecretary's€and€OPDIV€annualÏreports,€supplemented€by€theÏresults€of€the€annual€€survey€ofÏemployees,€show€improvement€inÏQWL€indicators.€Ð I€ 6+ñ=F :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓFY€03:Significant€improvementÌÑ  ÑÓdÓFY€02:Significant€improvementÌFY€01:Significant€improvementÌFY€00:Significant€improvementÓ 0ÓÐ ?€ ,!c¯J  „„?ÐÓ 0ÓÌFY€03:ÌFY€02:ÌFY€01:òòAchievedóóÐ ÉN ÐFY€00:€AchievedÌÓ 0ÓÐ ?€ ,!]©P  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓ*€See€commentÏbelow.Ð c€ :N,™åS     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓMeasure€2.2ÌÑ  ÑÓ 0ÓÓdÓHHS,€€OPDIVs,€and€€bargainingÏunits€have€functioningÏpartnershipsÌÐ I€ 6+ë!7X :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓFY€01:€€HHS,€all€OPDIVs,€andÏ85%€of€bargaining€units.€ÌFY€00:€HHS,€all€OPDIVs,€andÏ70%€of€bargaining€units.ÌFY€99:€HHS,€80%€od€OPDIVs,Ïand€50%€of€bargaining€unitsÌÓ 0Ó[Baselines€are€17%€and€10%]Ð ?€ ,!$e`  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓFY€01:€Goal€dropped€andÏreplaced€by€measure€2.3.ÌFY€00:€All€OPDIVs,€65%€ofÏbargaining€units.ÌÓ 0ÓFY€99:€€64%€of€OPDIVS€andÏ40%€of€Bargaining€Units€haveÏfunctioning€councils.Ð ?€ ,!$eh  „„?ÐÌ*€See€commentÏbelow.Ð c€ :N,½ k     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓMeasure€2.3ÌPro„active€labor€relationsÏprogram€demonstrates€positiveÏimpact€on€organizationalÏperformance.Ð I€ 6+Ý()$q :ÿÿÿÿÿÿd „„IÐFY€03:€Third€party€activityÏreduced€15€percent.€€E.O.€13203Ïimplemented€at€85€percent€ofÏbargaining€units.ÌFY€02:€€Third€party€activityÏremains€static.€€E.O.€13202Ïimplements€at€all€OPDIVs€and€50Ïpercent€of€bargaining€units.Ð ?€ ,!×*#&y  „„?ÐFY€03:ÌÌÌFY€02:ÌÌÐ ?€ ,!*O%  „„?ÐÌÐ c€ :N,&g!     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐMeasure€2.4ÌCase€processing€workflowÏanalyses€completed.ÌÐ I€ 6+.é)… :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓFY€00€Measure€discontinuedÌÑ  ÑÓ 0ÓÓdÓFY€99€100%€of€AgenciesÐ ?€ ,!C,'‡  „„?ÐÑ  ÑÓ 0ÓÓdÓFY€00:€Goal€completed€ÌÑ  ÑÓ 0ÓÓdÓFY€99:€100%Ð ?€ ,!C,'‰  „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓÌÌÌÐc€ :N,1/}*Ž     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐMeasure€2.5ÌReduce€average€processing€timeÏfor€EEO€complaints€Ð I€ 6+—ã :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÌFY€02:€€5%ÌFY€01:€€10%.ÌFY€00:€10%ÌFY€99:€10%€reductionÌ[Baseline€in€1997€=€€580€days]ÌÐ ?€ ,! Û   „„?ÐFY€02:ÌFY€01:€òòGoal€DroppedóóÔ#†XŒ©XõôzF ä#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´è”)#Ôñ ññññññ ñÔ‡ôzFõXXŒ©ÔÐ é  ÐFY€00:€Not€achievedÌFY€99:€Not€achievedÌÐ ?€ ,!ûG  „„?ÐÌÑ  ÑÓ 0Ó*€See€commentÏbelow.Ð ^€ :I,g³     ‚‚ƒƒ„„†ÿÿÿÿÿÿd†^ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓMeasure€2.6ÌAgencies€have€functioning€ADRÏprograms.Ð I€ 6+¿  :ÿÿÿÿÿÿd „„IÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓdÓFY€00:€100%.€€ÌÓ 0Ó[Baseline€in€1998€=€5]Ð ?€ ,!Å   „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓFY€01:€Goal€completed.ÌFY€00:€100%ÌÌÐ ?€ ,!é 5   „„?ÐÑ  ÑÓ 0ÓÓdÓÌÑ  ÑÓ 0ÓÓdÓÐ Y€ :D'û G     ‚‚ƒƒ„„†ÿÿÿÿÿÿd†YÐÌÌMeasure€2.7ÌInstances€of€complaint€resolutionÏò òattemptsó ó€by€ADR€€increases.Ð I€ 6+©õ % :ÿÿÿÿÿÿd „„IÐFY€02:€Measure€discontinuedÌFY€01:€225ÌFY€00:€150ÌFY€99:€40Ð ?€ ,!ß+ )  „„?ÐFY€02:€ÌFY€01:ÌFY€00:€184ÌFY€99:€26€instances€Ð ?€ ,!ß+ -  „„?ÐÌ*€See€commentÏbelow.Ð ^€ :I'µ 0    €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†^ÐÓ 0ÓÓdÓÌMeasure€2.8ÌÓ 0ÓÓdÓHispanic/Latino€representationÏimproves€by€2.0%€by€end€of€FYÏ2004.Ð I€ 6+ Y5 :ÿÿÿÿÿÿd „„IÐÌFY€04:€5.1%ÌFY€03:€4.6%ÌFY€02:€4.1%ÌFY€01:€3.6%Ì[Baseline€is€3.1%,€the€status€as€ofÏ9/30/00]Ð ?€ ,!]©<  „„?ÐFY€04:ÌFY€03:ÌFY€02:ÌFY€01:3.3%ÌÐ ?€ ,!™åA  „„?ÐÌ*€See€commentÏbelow.Ð c€ :N,uÁD     €€‚‚ƒƒ„„†ÿÿÿÿÿÿd†cÐûÿÿÿdûMeasure€2.9ÌOPDIVs€have€acceptableÏdiversity€management€€plans€perÏstaff€review.ÌüÿÿÿdüÐ I€ 6+í9I :ÿÿÿÿÿÿd „„IÐÌÌFY€99:€100%Ð ?€ ,!Y¥L  „„?ÐFY€01:€Goal€completedÌFY€00:€100%ÌFY€99:€33%Ð ?€ ,!Y¥O  „„?ÐÌÔ#†XŒ©XõôzF#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´èî3#Ôñ ññññññ ñÔ‡ôzFõXXŒ©ÔÐ<20_«Q      <ÐÓ 0ÓÌò òÔ#†XŒ©XõôzF‹%#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´èÈ4#Ôñ ññññññ ñNarrative€Comments:ó óÐ  ìR ÐÌThe€Office€of€Human€Resources's€(OHR)€overall€objective€is€to€support€HHS€program€missionÏaccomplishment€through€the€planned€€and€efficient€use€of€human€capital.€ÌÌÒ9°ÒIn€HHS,€virtually€all€personnel€authorities€have€been€delegated€to€the€agencies,€providing€them€withÏmaximum€flexibility.€€Accordingly,€the€Office€of€Human€Resources€functions€as€a€corporate„levelÏoffice€to€provide€leadership€and€expertise€in€policy€analysis,€program€development,€programÏassessment,€and€capacity€building.€€ÌÌSome€of€the€activities€of€OHR€are€not€readily€susceptible€to€measurement.€€These€include€decision„¼support€for€the€Assistant€Secretary€for€Administration€and€Management€and€the€Secretary;€liaisionÏwith€central€management€agencies;€participation€in€interagency€activities,€and€òòad€hocóó€technicalÐ à*,&^ Ðassistance.ÌÌIn€FY€2003,€OHR€will€apply€its€resources€against€a€combination€of€special€initiatives€and€on„goingÏefforts€covering€a€broad€spectrum€of€€human€resource€activitiesò ò.ó óÐ  .ì)b Їò òNOTES€ON€SPECIFIC€PERFORMANCE€GOALS€AND€RESULTS:Ð H Ðó óÌòòò òGOAL€1€„€Provide€strategic€leadership€for€managing€human€capitalóóó óÐ (à ÐMeasure€1.1€€à0  à€Regularly€scheduled€meetings,€every€quarter,€provide€an€important€feedbackÐ Ð Ðmechanism,€and€provides€guidance€as€to€which€direction€OPDIVs€want€us€to€expendÏresources.€€This€objective,€having€been€achieved,€was€not€continued€after€FY99.Ð  Ÿ$ Ÿ$ ÐÌMeasure€1.2à0  à€This€objective,€having€been€achieved,€was€not€continued€after€FY99.ÐØ  Ÿ$ Ÿ$ ÐÌMeasure€1.3€à0  àWe€had€planned€an€analysis€of€the€Employee€Assistance€Program,€but€resources€wereÐ ¸ p  Ðdiverted€to€a€higher€priority€€diversity€€initiative.Ð  Ÿ$ Ÿ$ ÐÌMeasures€1.4€à0  àMeasurement€of€this€FY01€goal€and€these€two€measures€were€suspended€after€allÐ ˆ@  Ðagencies€participated€in€a€comprehensive€benchmarking€study€(sponsored€by€NAPAñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´è&=#Ôñ ññññññ ñÐ  Ÿ$ Ÿ$ Ѐ€€€and€1.5à0  àand€the€Hackett€Group).€€When€the€Department's€results€were€compared€with€otherÐ h  ÐFederal€and€private€sector€entities,€it€was€apparent€that€priority€attention€in€this€area€wasÏnot€needed.Ð  Ÿ$ Ÿ$ ÐÌMeasures€1.6€à0  àMeasure€1.6€was€originally€intended€to€be€completed€with€contractor€support,€but€weÐ (à Ðdecided€to€pursue€this€initiative€with€in„house€resources.€€Accordingly,€in€measure€1.7ñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´è[?#Ôñ ññññññ ñÐ  Ÿ$ Ÿ$ Ѐ€€€and€1.7à0  àthe€workforce€planning€targets€were€stretched€out€through€FY02€and€the€measuresÐ À Ðchanged,€as€indicated€in€the€targets€for€FY01€and€FY02.€€€€In€August€1999€we€publishedÏa€handbook,€€òòBuilding€Successful€Organizations:€Workforce€Planning€in€HHSóó.Ðè  Ÿ$ Ÿ$ ÐÌMeasure€1.9à0  àThis€developmental€goal€is€added€to€capture€performance€in€response€to€OMB€BulletinРȀ Ð01„07.Ð  Ÿ$ Ÿ$ ÐÌÌòòò òGOAL€2€„€Improve€the€Quality€of€Worklife€of€HHS€EmployeesÐ ˆ@ Ðó óóóÌMeasure€2.1à0  àThis€was€a€statistically€significant€improvement.€OPDIV€and€Partnership€AnnualÐ h  ÐReports€on€the€Quality€of€Work€Life€Initiative€describe€significant€improvements€in€allÏfacets€of€the€Initiative€(e.g.,€communication,€family-friendly€work-practices,€workplaceÏlearning).€€Reports€are€substantiated€by€employee€survey€results€which€report€aÏstatistically€significant€improvement€from€1997€to€1998,€and€from€1998€to€1999€inÏemployee€perceptions€of€the€quality€of€work€life€and€organizational€effectiveness.€TenÏof€the€OPDIVs€also€posted€increases€in€their€scores,€six€of€them€significantly.€€OPDIVÏscores€ranged€from€a€low€of€91€to€a€high€of€103,€a€new€record.€€The€highest€score€alsoÏrepresented€the€greatest€improvement€(12€points)€we€have€ever€recorded,€which€movedÏthat€OPDIV€from€next€to€lowest€in€1998€to€highest€in€1999.€€The€response€rate€for€theÏsurvey€also€increased€to€43%,€3%€greater€than€1998.Ð  Ÿ$ Ÿ$ ÐÌMeasure€2.2€à0  àGoal€dropped.€€EO€13203€eliminated€requirement€for€Partnership€Councils.€€This€goalÐ ¨*`'* Ðis€being€replaced€with€Measure€2.3.Ð  Ÿ$ Ÿ$ ÐÌMeasure€2.5à0  àIn€FY€99,€we€designed€and€piloted€a€Lotus€Notes/Domino€€web„based€application,€theÐ x-0*- ÐEEO€Complaints€Tracking€System€(EEOCTS)€to€track€and€monitor€complaintsÏDepartmentwide€and€to€assist€in€achieving€reductions€in€processing€times.€€€EEOCTS€isÐ X/,/ Ðnot€yet€fully€operational€and€projected€reductions€have€not€€been€realized€due€to€theÏneed€to€resolve€specific€technological€issues€and€malfunctions€(i.e.,€migration€ofÏexisting€data€from€major€OPDIV€systems€such€as€CDC,€FDA,€IHS€and€NIH)€€whichÏwill€ensure€the€integrity€and€consistency€of€EEOCTS€data€and€reports.€€Other€neededÏfunctionality€includes€the€implementation€of€òòad€hocóó€reporting€software€capable€ofÐ À Ðperforming€multi„field€queries.€€€Efforts€are€underway€to€resolve€€these€issues€before€FYÏ02€and€achieve€a€unified€Departmental€system€through€coordination€with€the€Office€ofÏInformation€Resources€Management€(OIRM)€and€OPDIV€EEO€Offices.Ð  Ÿ$ Ÿ$ ÐÌà0 ½ àà0 ½Ÿ$½Ÿ$àGiven€the€lack€of€effective€monitoing€and€tracking,€the€goal€and€baseline€caseÏprocessing€time€have€not€proved€useful,€as€there€are€too€many€variables€affectingÏprocessing€time,€and€this€office€only€becomes€operationally€involved€at€the€stage€of€theÏFinal€Agency€Decision.€€The€key€factor€in€reducing€processing€time€is€the€staff€level€inÏthe€agency€offices.€However,€in€addition€to€case€processing€time,€we€have€beenÏwatching€the€pattern€of€some€related€statistics:Ð  Ÿ$ Ÿ$ ÐÌÓb€ P+(Axh%PbÓà8 ½ àà0 ½G"½G"àò òNumber€of€requests€for€counselling:€€ó óFY€97€=€853;€FY€98€=€622;€FY€99€=Ð H Ð564;€€FY00€=€561€(€an€overall€34%€decrease)Ð  G" G" Ðà ½ àà0  àò òNumber€of€new€cases€filed:ó ó€FY€99=368;€FY00=349€(5%€decrease)Ð(à Ÿ$ Ÿ$ Ðà ½ àà0  àò òNumber€of€open€cases:ó ó€FY€99=799;€FY€00=789€(1%€decrease)ÐÐ Ÿ$ Ÿ$ Ðà ½ àà  àÌà ½ àà  àWe€will€set€a€new€performance€goal€and€target€in€FY€02.ÌÌMeasure€2.7€à0  àAs€a€result€of€a€regulatory€change€which€mandated€availablity€of€ADR€both€at€€formalÐ Ø Ðand€informal€stages,€instances€of€resolution€by€ADR€ñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´è O#Ôñ ññññññ ñsignificantly€increased€in€2000.€€InÏFY€2001,€there€were€150€ADR€attempts.ñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´è@P#Ôñ ññññññ ñÐ  Ÿ$ Ÿ$ ÐÌMeasure€2.8à0  à€Below€are€affirmative€action€statistics€related€to€this€performance€goal.ИP Ÿ$ Ÿ$ ÐÒ°9S'ÒÌÔ*¥ƒ< =d¬d  tU  º cUº ~ cU~ (ct(9o;e(#e(#¥ÔÔ,{dd ÔÔ,+dd ÔÔ,dd ÔÔ,ždd ÔÔ+  ÔÐ  x0 ……Ðñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´èjR#Ôñ ññññññ ñÔ‡ôzFõXXŒ©ÔÓ  ÓMINORITIES€AND€WOMENÐ /%Ü”  € €„„/ÐÓ®DÓGROUPÐ ': ò „„'ÐCENSUS€CLFÌ1990Ð '!¼!" „„'ÐHHS€BASELINEÏREPRESENTATIONÌ(9/30/2000)Ð 'Î!†$" „„'ÐHHSÏREPRESENTATIONÌ(9/30/2001)Ð #Î!†'" #ÐAfrican€AmericanÐ  ,#ä( „„Ð10.4%Ð ',#ä)" „„'Ð17.4%Ð ,#ä*" Ð17.9%Ð  ,#ä+ ÐHispanic/LatinoÐ  Š$B!, „„Ð8.1%Ð 'Š$B!-" „„'Ð3.1%Ð Š$B!." Ѐ€3.3%Ð  Š$B!/ ÐAsian€Amer/Pacific€Islander€Ð  è% "0 „„Ð2.8%Ð 'è% "1" „„'Ð4.6%Ð è% "2" Ѐ€4.8%Ð  è% "3 ÐAmer€Indian/Alaska€Native€Ð  F'þ#4 „„Ð0.6%Ð 'F'þ#5" „„'Ð16.2%Ð F'þ#6" Ѐ16.3%€Ð  F'þ#7 ÐNon„minority€FemalesÐ  ¤(\%8 „„Ð35.3%Ð '¤(\%9" „„'Ð32.08%Ð ¤(\%:" Ѐ31.8%Ð  ¤(\%; ÐNon„minority€MalesÐ  *º&< „„Ð42.63%Ð '*º&=" „„'Ð26.5%Ð *º&>" Ѐ25.7%Ô#†XŒ©XõôzFD#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´èÑW#Ôñ ññññññ ñÐ *º&?  ÐÌPercentages€in€the€base„line€representation€reflect€the€HHS€full€and€part€time€permanentÏpopulation,€and€include€the€GS,€SES,€RS€(Senior€Biomedical€Research€Service),€CommissionedÏCorps€€and€Wage€populations.ÌÐ ¼.t+C Ð*€Base„line€is€measured€against€the€CLF€derived€from€the€1990€Census.€€When€the€EqualÏEmployment€Opportunity€Commission€makes€the€2000€Census€CLF€available,€the€newÏinformation€will€be€incorporated.ÌÌñ ññññññ ñÔ‡XŒ©XXXŒ©ÔÔ#†XŒ©XXXŒ©ÛY#Ôñ ññññññ ñÔ‡>XŒ©XXXŒ©Ôñ ññññññ ñÔ‡>&„©%X>XŒ©Ôñ ññññññ ñò òñ ññññññ ñÔ#†>XŒ©X%>&´è¼hâ»X>XŒ©ÔFacilities€ServicesÔ#†>XŒ©X»>¼hâÜL#Ôñ ññññ ñÔ‡&T%XXœ±Ôñ ññññ ñó óÐ À ÐÌÔ*˜ƒ?@ °dd{dd {+dd +dd ždd ž< =e(#e(#˜ÔÔ," kkÔÔ,ékkÔÔ,½kkÔÔ,ekkÔÔ+  ÔÐ A€ æ, ü´ € €‚‚ƒƒ„„†ÌÌÌdÿÿÿ†AÐÓdÓÌÓ  ÓÓdÓÓ 0Óò òPerformance€GoalsÐ U€ æ@+n &  æÌÌÌdÿÿÿ „„†ÌÌÌdÿÿÿ†UÐÓ 0ÓÓdÓÌÓ  ÓÓdÓÓ 0ÓFY€TargetsÐ U€ æ@+n &   æÌÌÌdÿÿÿ „„†ÌÌÌdÿÿÿ†UÐÓ 0ÓÓdÓÌÓ  ÓÓdÓActualÌÓ 0ÓPerformanceÐ U€ æ@+J    æÌÌÌdÿÿÿ „„†ÌÌÌdÿÿÿ†UÐÓ 0ÓÓdÓÌÓ  ÓÓdÓÓ 0ÓReference*Ð m€ æX6n &    æÌÌÌdÿÿÿ €€‚‚ƒƒ„„†ååådÿÿÿ †mÐÓ 0ÓÓdÓÌÓdÓó óGoal€1.Ð ¦ ^ ÐÌProtect€HHS€assets€by€identifyingÏand€properly€accounting€for€theÏDepartmentÔ#†&„©%%>&„©&„©%%&„©Ôs€real€propertyÐ Î  Ðholdings.ÌÌMeasure€1:€€Hold€OPDIVÏFoundation€Information€for€RealÏProperty€Management€(FIRM)Ïdatabase€users€group€meetings€toÏidentify€and€resolve€problems.€ÌÌMeasure€2:€€Percentage€ofÏacquisitions€and€disposals€Ïexecuted€in€accordance€withÏregulations.ÌÓ 0ÓÐ @€ -"Bú" æååådÿÿÿ  „„@ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌFY€03:€€€€€2ÌFY€02:€€€€€2ÌFY€01:€€€€€2€€€(New)€€€€€€€€Ï€€€€€€€€€€ÌÌÌFY€03:€100%ÌFY€02:€100%ÌFY€01:€100%€€€€€€€€€€€€€€€€€€ÏÌFY€00:€100%ÌFY€99:€€€90%ÌÓ 0ÓÐ 6€ #ú²7  „„6ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌÌÌFY€01:€2+ÌÌÌÌÌÌFY€01:€100%ÌFY€00:€100%ÌÓ 0ÓFY€99:€100%€€Ð 6€ #BúJ  „„6ÐÓ 0ÓÓdÓÌÓ  ÓÓdÓÌÌÓ 0ÓÐ c€ æN,^  N      €€‚‚ƒƒ„„†ååådÿÿÿ †cÐÓ 0ÓÓdÓÌÓdÓGoal€2.€€ÌÌReduce€energy€consumption€atÏHHS€facilities€as€mandated€by€theÏEnergy€Policy€Act€of€1992Ï(EPAct),€E.O.€12902,€andÌ€E.O.€13123.ÌÌMeasure:€Number€of€buildingsÏaudited€for€energy€usage€as€aÏpercentage€of€the€total€number€ofÏbuildings€in€the€HHS€inventory.€Ó 0ÓÐ @€ -"Ê&‚#[ æååådÿÿÿ  „„@ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌÌFY€03:€€€80%ÌFY€02:€€€70%ÌFY€01:€€€60%ÌFY€00:€€€50%ÌÓ 0ÓÐ 6€ #¦'^$i  „„6ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌÌ€ÌÌFY€01:€à0 ~ à€55%à0Ö~ ~ àÐî%¦"uÖ Ö  ÐFY€00:€€€50%ÌÓ 0ÓÐ 6€ #¦'^$w  „„6ÐÓ 0ÓÓdÓÌÓ  ÓÓdÓÓ 0ÓÐc€ æN,Vy      €€‚‚ƒƒ„„†ååådÿÿÿ †cÐÑ9HÑÓ 0ÓÓdÓÌÓdÓGoal€3.€Ô#†&„©%%>&„©aS#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èBi#Ôñ ññññññ ñÔ‡H&ð´%%&„©ÔÐ ãr ÐÔ#†&„©%%H&ð´9\#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èÛi#Ôñ ññññññ ñÔ‡>&„©%%&„©ÔProvide€a€safe€and€healthy€workÐ ¿N Ðenvironment€for€HHS€employeesÏand€visitors.ÌÌMeasure€1:€Percentage€of€€HHSÏorganizations€evaluated€whichÏexceeded€the€Federal€governmentÔ#†&„©%%>&„©ð\#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èk#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16N^#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è k#Ôñ ññññññ ñÔ‡>&„©%%&„©ÔsÐ ç v  Ðaverage€workers€compensationÏtotal€claims€rate€the€previous€year.ÌÌÌMeasure€2:€Number€of€securityÏaudits€conducted€of€HHS„owned,Ïleased€and€delegated€buildings€toÏmonitor€compliance€with€DOJÏminimum€level€requirements.ÌÌÌMeasure€3:€Number€of€securityÏawareness€notices€distributed€toÏHHH€Building€occupants.€ÌÌÌÌÓ 0ÓÐ @€ -"_î æååådÿÿÿ  „„@ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌFY€03:€€€50%ÌFY€02:€€€50%ÌFY€01:€€€50%ÌFY€00:€€€50%€(New)ÌÌÌÌFY€03:€€SuspendedÌFY€02:€€Suspended€€€ÌFY€01:€€Suspended€€ÌFY€00:€€€€€2ÌFY€99:€€€€€2ÌÌÌFY€03:€€€€€10ÌFY€02:€€€€€10ÌFY€01:€€€€€8ÌFY€00:€€€€€6€(New)ÌÌÌÓ 0ÓÐ 6€ #_î6  „„6ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌFY€01:€100%ÌFY€00:€€€50%ÌÌÌÌÌÌFY€01:€SuspendedÌFY€00:€€€€€2ÌFY€99:€€€€€3ÌÌÌÌÌFY€01:€€€19ÌFY€00:€€€15ÌÌÓ 0ÓÐ 6€ #ƒP  „„6ÐÓ 0ÓÓdÓÌÓ  ÓÓdÓÓ 0ÓÐ c€ æN,ãrR      €€‚‚ƒƒ„„†ååådÿÿÿ †cÐÓ 0ÓÓdÓÌÓdÓGoal€4.€ÌEnsure€requests€for€buildingÏservices€in€the€HHH€Building€areÏacknowledged€on€the€day€receivedÏand€corrective€action€taken€withinÏ72€hours.ÌÌMeasure:€Number€of€complaintsÏaddressed€within€72€hours€as€aÏpercentage€of€the€total€number€ofÏrequests€received.ÌÌÓ 0ÓÐ @€ -" 'š!` æååådÿÿÿ  „„@ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌFY€03:€100%ÌFY€02:€100%ÌFY€01:€100%ÌFY€00:€100%ÌFY€99:€€€95%ÌÌÓ 0ÓÐ 6€ #ç'v"o  „„6ÐÓ 0ÓÓdÓÌÓdÓÌÌÌÌÌÌÌÌÌFY€01:€100%ÌFY€00:€100%ÌFY€99:€100%ÌÓ 0ÓÐ 6€ # 'š!}  „„6ÐÓ 0ÓÓdÓÌÓ  ÓÓdÓÓ 0ÓÐ<20»J       <ÐÓ 0ÓÓ °°(#°°XÓà‘Ý"Ý"JÝ"àˆÌÓB.°°` ¸ hÀpÈ xÐ (#°°(#BÓThe€Facilities€Services€(FS)€provides€Department„wide€policy€development€and€oversight€for€realÏproperty€management,€space€management,€occupational€safety€and€health,€energy€conservation,€andÏenvironmental€and€historic€preservation€programs;€it€also€provides€facilities€management€services€to€allÏHHS€components€in€the€Washington,€DC,€Southwest€€complex.€€€The€FSÔ#†&„©%%>&„©ñ^#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èJv#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16¹i#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èÏv#Ôñ ññññññ ñÔ‡>&„©%%&„©Ôs€strategic€goals€are€to€ensureÐ A,Ð&ƒ Ðthat€HHS€real€property€assets€are€protected€and€utilized€effectively;€and€that€HHS€employees€and€visitorsÏhave€access€to€a€healthy€and€safe€work€environment.€€To€achieve€these€goals,€FS€utilizes€a€myriad€ofÏtechniques€such€as€monitoring€the€acquisition€and€disposal€of€property,€conducting€energy€and€safety€andÐ Õ.d)† Ðhealth€evaluations,€€monitoring€the€incidences€of€theft€and€violence,€and€resolving€facility„relatedÏcomplaints€and€problems€in€a€timely€manner.€ÌÌò òÔ  ÔòòPerformance€Report€Summaryó óóóÐ Í” ÐÌò òòòGoal€1.€€Protect€HHS€assets€by€identifying€and€properly€accounting€for€the€DepartmentÔ#†&„©%%>&„©\j#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è z#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16´m#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èŽz#Ôñ ññññññ ñÔ‡>&„©%%&„©Ôs€realÐ …L Ðproperty€holdings.ó óÐ a( ÐóóÌòòMeasure€1:óó€Hold€OPDIV€Foundation€Information€for€Real€Property€Management€(FIRM)€database€usersÐ  à Ðgroup€meetings€to€identify€and€resolve€problems.€€òòFY€2001€Targetóó:€2Ð õ ¼  ÐòòÌEstablishing€Performance€Targets:óó€€In€1997,€ASMB€determined€that€HHS€needed€a€Department„wideÐ ­ t  Ðautomated€system€to€manage€and€account€for€its€real€property€assets€in€a€uniform€manner€to€meet€theÏrequirements€of€the€Chief€Financial€Officers€Act.€€The€GSA€FIRM€system€was€acquired€andÏimplementation€began€in€FY€1998.€€The€FY€2000€performance€measure€and€target€was€to€increase€theÏnumber€of€OPDIVs€with€on„line€input€to€the€FIRM€database€to€ten.€€Now€that€we€have€met€the€FY€2000Ïtarget,€all€major€OPDIVs€with€real€property€holdings€have€on„line€access€to€FIRM.€€Therefore,€thisÏperformance€measure€is€being€revised€in€FY€2001€and€FY€2002€to€reflect€the€technical€support€that€FSÏwill€provide€to€OPDIVs€utilizing€the€FIRM€system.€€The€target€of€two€FIRM€users€group€meetings€wasÏestablished€in€consultation€with€OPDIV€representatives€on€the€work€group.€ÌÌòòòòóóPerformance€Report:€óóThe€FY€2001€target€of€conducting€two€users€group€meetings€was€exceeded€throughÐ E  Ðthe€conduct€of€one€formal€meeting€held€at€the€HHS€Headquarters€building€and€series€of€teleconferences.€ÏDuring€FY€2001€a€Secretarial€initiative€to€publish€a€comprehensive€report€on€the€real€property€holdings€ofÏHHS€resulted€in€an€acceleration€of€the€ongoing€effort€to€validate€the€existing€FIRM€database.€€In€order€toÏaccomplish€this,€a€series€of€teleconferences€to€codify€terminology€and€resolve€internal€user€issues€wereÏheld.€€It€was€felt€that,€following€this€intensive€effort,€an€additional€formal€meeting€would€be€burdensomeÏon€the€users€and€that€the€intent€of€the€conduct€of€two€formal€meeting€had€been€exceeded.òòÐ m4 ÐÌMeasure€2óó:€€Percentage€of€acquisitions€and€disposals€executed€in€accordance€with€regulations.€Ð %ì ÐòòFY€2001€Targetóó:€100€percent.Ð È ÐòòÌòòóóEstablishing€Performance€Targets:óó€€The€target€for€acquisitions€and€disposals€is€based€on€Federal€RealÐ ¹€  ÐProperty€Regulations€and€HHS€policy.€€òòÐ •\! ÐÌòòóóPerformance€Report:óó€€100€percent€of€the€real€property€acquisitions,€transfers€and€disposals€reviewedÐ M!# Ðduring€FY€2001€were€properly€executed.€òòÐ )"ð$ ÐÌò òGoal€2.€€Reduce€energy€consumption€at€HHS€facilities€as€mandated€by€the€Energy€Policy€Act€ofÐ á#¨ & Ð1992€(EPAct),€E.O.€12902,€and€E.O.€13123.ó óÐ ½$„!' ÐóóÌòòMeasureóó:€€Number€of€buildings€audited€for€energy€usage€as€a€percentage€of€the€total€number€of€buildingsÐ u&<#) Ðin€the€HHS€inventory.€€òòFY€2001€Targetóó:€60€percent.Ð Q'$* ÐÌÌòòEstablishing€Performance€Targets:€€óóIn€accordance€with€the€Energy€Policy€Act€of€1992€(EPAct)€and€E.O.ððsÐ å)¬&- Ð12902€and€13123,€FS€developed€a€Department„wide€energy€program€based€on€an€energy€complianceÏreview€of€all€HHS€OPDIVs.€€This€compliance€review€concentrated€on€the€energy€auditing€requirements€ofÏEPAct€and€E.O.€12902.€€The€findings€of€the€review€highlighted€specific€areas€of€need€in€the€OPDIVs.€€TheÏperformance€targets€are€based€on€the€OPDIVsÔ#†&„©%%>&„©Wn#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èCˆ#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16*|#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èȈ#Ôñ ññññññ ñÔ‡>&„©%%&„©Ô€Ten€Year€Energy€Audit€Plans.Ð U-*1 ÐÐ 1.ø*2 ÐòòPerformance€Report:€€óóE.O.€12902€directed€Federal€agencies€to€develop€and€implement€a€ten€year€plan€toÐ 9 Ðconduct€comprehensive€facility€energy€audits,€ensuring€that€ten€percent€of€the€agencyÔ#†&„©%%>&„©Í|#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è|Š#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16Ÿ~#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è‹#Ôñ ññññññ ñÔ‡>&„©%%&„©Ôs€facilities€areÐ Ü Ðaudited€each€year€(beginning€in€FY€1996).€€By€the€end€of€FY€2001,€HHS€had€completed€energy€audits€onÏ55€percent€of€our€facilities.€€By€the€end€of€FY€2000,€HHS€had€completed€energy€audits€on€50€percent€ofÏour€facilities€(8€percent€above€our€target).€ÌÌThe€purpose€of€an€audit€is€to€provide€detailed€information€to€identify€and€prioritize€energy€conservationÏprojects.€€The€audits€conducted€on€HHS€facilities€have€served€as€the€impetus€for€lighting€retrofits,€chillerÏupgrades,€water€conservation€projects,€as€well€as€entering€into€energy€savings€performance€contracts.€€€ÌÌò òòòGoal€3.€€Provide€a€safe€and€healthful€work€environment€for€HHS€employees€and€visitors.ó óÐ Ñ ˜  ÐÌMeasure€1óó:€€Percentage€of€HHS€organizations€evaluated€which€exceeded€the€Federal€governmentÔ#†&„©%%>&„©B#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è¹Ž#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16ƒ#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è>#Ôñ ññññññ ñÔ‡>&„©%%&„©ÔsÐ ‰ P  Ðaverage€total€workers€compensation€claims€rate€the€previous€year.ÌòòFY€2001€Targetóó:€€50€percentÐ A  ÐÌòòEstablishing€Performance€Targetsóó:€€In€concert€with€the€PresidentÔ#†&„©%%>&„©»ƒ#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è—#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&162…#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´è‘#Ôñ ññññññ ñÔ‡>&„©%%&„©Ôs€Federal€Worker€2000€Initiative,€thisÐ ùÀ  Ðperformance€measure€and€target€focuses€on€those€HHS€facilities€which€exceeded€the€FederalÏgovernmentÔ#†&„©%%>&„©Õ…#ÔÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16¶†#ÔÔ‡>&„©%%&„©Ôs€average€total€compensation€claims€rate€the€previous€fiscal€year.€€In€evaluating€theseÐ ±x Ðorganizations,€limited€resources€are€better€utilized€in€those€areas€which€have€the€greatest€problems€and€theÏmost€room€for€improvement.€€The€successful€accomplishment€of€this€goal€will€provide€HHS€employeesÏwith€a€safer,€healthier€work€environment,€control€compensation€costs,€and€improve€productivity.ÌÌòòPerformance€Reportóó:€Only€one€HHS€organization,€the€Indian€Health€Service€(IHS),€was€found€to€exceedÐ ýÄ Ðthe€Federal€governmentÔ#†&„©%%>&„©ù†#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èô”#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16ˉ#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èy•#Ôñ ññññññ ñÔ‡>&„©%%&„©Ôs€average€total€claims€rate€for€FY€2000.€€An€evaluation€of€the€IHS€OccupationalÐ Ù  ÐSafety€and€Health€Program€was€initiated€during€FY€2001€using€the€Federal€Worker€2000€Action€Plan€as€aÏguide.€€Because€of€the€sudden€retirement€of€the€Departmentððs€Occupational€Safety€and€Health€Officer€whoÏperformed€this€function,€and€the€inability€to€hire€a€replacement,€the€start€of€this€evaluation€was€delayed.€ÏThe€review€will€be€completed€in€early€2002.ÌÓ °ÓòòÐ %ì ÐÓ °ÓMeasure€2óó:€€€Number€of€security€audits€conducted€of€HHS„owned,€leased€and€delegated€buildings€toÐ È Ðmonitor€compliance€with€the€Department€of€Justice€(DOJ)€minimum€level€requirements.€€òòFY€2000€Targetóó:€Ð ݤ Ð2.€€This€goal€is€being€suspended€for€FY€2001€and€FY€2002€because€the€FTE€and€staff€person€performingÏthis€function€were€transferred€to€CDC.€€ÌÌòòEstablishing€Performance€Targets:€€óóThe€target€is€based€on€the€number€of€facilities,€potential€vulnerabilityÐ M!# Ðand€available€resources.ÌÌòòPerformance€Report:óó€€The€Department€places€a€high€priority€on€the€safety€and€security€of€its€employees.€Ð á#¨ & ÐIn€that€regard,€annual€on„site€audits€of€OPDIV€physical€security€procedures,€including€use€of€card€accessÏsystems,€are€conducted€on€a€random€basis€to€ensure€that€applicable€DOJ€minimum€level€securityÏprocedures€are€currently€implemented€in€HHS€owned€and€managed€facilities.€€During€FY€2000,€theÏperformance€measure€for€this€goal€was€met€through€the€conduct€of€comprehensive€on„site€security€auditsÏof€certain€HHS€facilities€and€a€comprehensive€review€of€all€OPDIV€building€access€procedures€based€onÏgovernment€wide€concerns€identified€by€the€General€Accounting€OfficeÔ#†&„©%%>&„©nŠ#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èáœ#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16ô‘#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èf#Ôñ ññññññ ñÔ‡>&„©%%&„©Ôs€report€to€Congress€on€breechesÐ  )Ð%, Ðof€security€at€Federal€agencies€and€airports.€€The€on„site€audits€were€conducted€at€the€DepartmentÔ#†&„©%%>&„©—’#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èž#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16Г#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èŸ#Ôñ ññññññ ñÔ‡>&„©%%&„©ÔsÐ å)¬&- ÐHeadquarters,€the€Hubert€H.€Humphrey€(HHH)€Building€(managed€by€the€Office€of€the€Secretary)€and€theÏNIH€Complex€in€Bethesda,€Maryland,€and€were€based€on€a€review€of€additional€security€enhancementsÏimplemented€at€these€locations.€€The€review€of€OPDIV€building€access€requirements€identified€securityÏprocedures€currently€in€place,€as€well€as€additional€actions€that€could€be€implemented,€without€budgetÏrestrictions,€if€heightened€security€was€required.€€In€addition,€as€part€of€PDD„63€activities,€we€conducted€aÏgeneral€analysis€of€current€security€procedures€for€the€CDC€Headquarters€installation€in€Atlanta,€Georgia,Ð  /Ô+3 Ðfocusing€heavily€on€procedures€to€deter€the€threat€of€bio„terrorism€activities€on€laboratory€facilities.€€InÏFY€1999,€this€goal€was€met€through€on„site€security€audits€in€the€HHH€Building€and€the€HeadquartersÏBuilding€for€the€Public€Health€Service,€the€Parklawn€Building€(managed€by€the€Program€Support€Center).€ÏIn€addition,€as€part€of€Y2K€Day€1€activities,€we€reviewed€security€procedures€for€the€CDC€HeadquartersÏinstallation€in€Atlanta,€Georgia.€€Although€the€HHH€and€CDC€facilities€were€reviewed€in€FY€1999,€theÏimportance€of€their€operations€and€security€enhancements€to€the€DepartmentÔ#†&„©%%>&„©s”#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èp¤#Ôñ ññññññ ñÔ‡A&16%%&„©Ô=Ô#†&„©%%A&16û™#Ôñ ññññññ ñÔ‡&„©%%&„©ÔÔ#†&´è%%&´èõ¤#Ôñ ññññ ñÔ‡>&T%%&TÔñ ññññ ñs€evaluation€process€madeÐ …L Ðtheir€reinspection€in€FY€2000€critical.€€Each€of€these€sites€met€or€exceeded€minimum€security€standardsÏestablished€by€the€DOJ€in€its€Vulnerability€Assessment€of€Federal€Facilities.Ì€ÌòòMeasure€3óó:€Issue€security€awareness€notices€to€HHH€Building€occupants.€€òòFY€2000€Target:óó€€10.Ð õ ¼  ÐÌòòEstablishing€Performance€Targets:€óóThe€performance€target€is€based€on€historical€knowledge€andÐ ­ t  Ðassessment€of€the€number€of€times€throughout€the€year€when€employees€would€benefit€from€securityÏawareness€notices.ÌÌòòPerformance€Report:óó€In€FY€2001,€FS€issued€19€informational€notices€to€HHH€Building€occupants.€€TopicsÐ ä  Ðincluded€the€prevention€of€office€theft,€shopping€smart,€tips€to€avoid€summer€weather€hazards,Ïinformation€concerning€special€building€admittance€and€security€procedures€during€a€presidential€visit€andÏduring€Inauguration€Day,€and€information€concerning€fire€alarm€procedures€and€evacuations.€ÌÌò òòòGoal€4.€€Ensure€requests€for€building€services€in€the€HHH€Building€are€acknowledged€on€the€dayÐ i0 Ðreceived€and€corrective€action€taken€within€72€hours.ó óÐ E  ÐóóÌòòMeasureóó:€€Number€of€complaints€addressed€within€72€hours€as€a€percentage€of€the€total€number€ofÐ ýÄ Ðrequests€received.€€òòFY€2000€Targetóó:€100€percent.Ð Ù  ÐÌòòEstablishing€Performance€Targets:€€óóThe€performance€target€is€based€on€GSA€guidelines€that€buildingÐ ‘X Ðservices€complaints€be€addressed€within€72€hours€of€receipt.ÌÌòòPerformance€Report:óó€€€The€FY€2000€and€FY€1999€performance€targets€were€achieved.€€FS€currentÐ %ì Ðpractices€and€procedures€adhere€to€the€GSA€guidelines€that€building€services€complaints€be€responded€toÏwithin€72€hours€of€receipt.€€€To€verify€our€performance€in€this€area,€we€did€an€analysis€of€computerÏgenerated€data€from€the€FS€service€call€system.€€In€order€to€ensure€the€accuracy€of€this€data,€weÏperiodically€review€the€work€orders€issued€as€a€result€of€a€request€for€service.€ñ ññññ ñÔ#†&T%%>&T@œ#ÔÔ‡&T%%&TÔÔ#†Xœ±X%&TÙM#Ôñ ññññ ñÐ }  Ðñ ññññ ñÔ‡&T%XXœ±Ôñ ññññ ñÐ  m  Ðñ ññññ ñÔ#†Xœ±X%&TO¥#Ôñ ññññ ñÔ‡¼hâ»XXŒ©Ôñ ññññ ñÓ  Óñ ñññññÔ#†XŒ©X»¼hâL§#ÔññññññÔ‡ ýå!XXœ±ÔññññÌññññÌñññ ñOFFICE€OF€PUBLIC€HEALTH€AND€SCIENCEñ ñññÔ#†Xœ±X! ýåN¦#Ôñññññ ñÔ#†XŒ©X»¼hâL§#Ôñ ññññññ ñÔ‡&„©%XXŒ©ÔÔ#†XŒ©X%&´èÒ®#Ôñ ññññ ñÐ é„ ÐÓ¦ÓÌÓ  ÓFY€2003€PERFORMANCE€PLAN€ÌÓš§ÓÌThe€Office€of€Public€Health€and€Science€(OPHS)€provides€leadership€to€the€Nation€on€publicÏhealth€and€science€issues€that€are€important€to€the€American€people.€€OPHS€policy,€program€andÏoperational€components€make€it€unique€among€the€Staff€Divisions€in€the€Department€of€HealthÏand€Human€Services€(HHS).€€OPHS€is€led€by€the€Assistant€Secretary€for€Health€(ASH),€a€keyÏleadership€position€in€HHS€whose€chief€interests€are€promoting,€protecting,€and€improving€theÏNationððs€health.€€The€ASH€provides€senior€professional€leadership€on€population„based€publicÏhealth€and€clinical€preventive€services,€directs€thirteen€program€offices€housing€a€variety€ofÏessential€public€health€activities,€provides€senior€professional€leadership€across€HHS€on€WhiteÏHouse€and€special€Secretarial€initiatives€involving€public€health€and€science,€and€guides€andÏprovides€technical€assistance€to€the€ten€Regional€Health€Administrators.ÌÌOPHS€consists€of€the€Immediate€Office€of€the€ASH,€the€Office€of€the€Surgeon€General€(OSG),Ïthe€Office€of€HIV/AIDS€Policy€(OHAP),€the€Office€of€Population€Affairs€(OPA),€the€Office€ofÏDisease€Prevention€and€Health€Promotion€(ODPHP),€the€Presidentððs€Council€on€Physical€FitnessÏand€Sports€(PCPFS),€the€Office€of€Minority€Health€(OMH),€the€Office€on€Womenððs€HealthÏ(OWH),€the€Office€of€Emergency€Preparedness€(OEP),€the€Office€for€Human€ResearchÏProtections€(OHRP),€the€Office€of€Global€Health€Affairs€(OGHA),€the€Office€of€ResearchÏIntegrity€(ORI),€the€Office€of€Military€Liaison€and€Veterans€Affairs€(OMLVA),€and€the€NationalÏVaccine€Program€Office€(NVPO).€€These€offices€are€actively€engaged€in€a€broad€array€ofÏactivities€that€support€and€facilitate€the€work€of€many€of€the€Departmentððs€Operating€Divisions.ÌÌò òOPHS€Theme/Prioritiesó óÐ «F ÐÌOPHS€has€developed€a€theme,€priorities,€enabling€objectives,€and€common€strategies€based€uponÏthe€5„year€HHS€Strategic€Plan,€ASH€priorities,€and€special€annual€initiatives.€The€theme€ofÏOPHS€is€ò òHealthy€People€in€Healthy€Communities€through€Public€Health€and€Science.ó ó€€ByÐ k" Ðapplying€sound€science€to€public€health€policies€and€programs,€and€by€educating€people€andÏcommunities€about€prevention,€health,€and€the€health€care€system,€OPHS€will€stimulate€research,Ïpolicies,€and€interventions€that€will€improve€the€Nationððs€health.€€OPHS€will€focus€its€efforts€onÏthree€health€priorities:ÌÌò òà  à1.à0 ` àMove€toward€establishing€a€balanced€community€health€system€ó óÐ (¦#%` (#` (# ÐÌà  àà ` àa.€à0 ¸ àAssure€every€child€the€opportunity€for€a€healthy€start€in€life;Ðë)†%'¸ (#¸ (# Ðà  àà ` àb.à0 ¸ àPromote€healthy€lifestyles€and€behaviors;€ÐÛ*v&(¸ (#¸ (# Ðà0  àà ` àc.à0¸ (#(#àEnhance€mental€health€for€all;€andÐË+f')¸ (#¸ (# Ðà  àà ` àd.à0 ¸ àStrengthen€the€health€sciences€research€enterprise.л,V(*¸ (#¸ (# Ðò òÐ «-F)+ ÐÑ2ÇÑâ 2âÑÑÑ  ÑÑ eÑÑh°ÑÑTRXà3Ø' LetterXà3Ø' Letter3Ø' Letterÿ3Ø'TÑâ 2âÑ  Ñà  à2.à0 ` àMaintain€a€global€approach€to€public€healthó óÐ,` (#` (# ÐÑ2ÇÑâ 2âÑÑÑ  ÑÑ eÑÑh°ÑÑTRXà3Ø' LetterXà3Ø' Letter3Ø' Letterÿ3Ø'TÑâ 2âÑ  ÑÌÑ2ÇÑâ 2âÑ  ÑÑ  ÑÑ   ÑÑ h ÑÑ\R3Ø' Letter\Ñâ 2âÑ  Ñà0  àà ` àa.à0¸ (#(#àIncrease€awareness€of€and€attention€to€global€health€concerns€and€theirÐ ¾*’), Ðeffects€on€the€domestic€issues;€andÐ ¸ (#¸ (# Ðà0  àà ` àb.à0¸ (#(#àEnsure€a€safe€food€and€blood€supply€and€prepare€for€and€respond€toÐ ž,r+. Ðterrorism€threats.Ð ¸ (#¸ (# ÐÌò òà  à3.à0 ` àEliminate€racial/ethnic€disparities€in€healthó óÐn/B.1` (#` (# ÐÐ ^02/2 ÐÑ3¯PÑâ 3âÑk Ñâ 3âÑ  ÑÌÑ3¯PÑâ 3âÑk Ñâ 3âÑ  ÑOPHS€will€achieve€success€with€these€three€priorities€by€employing€the€following€cross„cuttingÏstrategies:ÌÌStrengthen€the€science€base€for€decision„making€by€fostering€research€integrity,€protection€ofÏhuman€research€participants,€demonstration€projects,€and€evaluations;ÌÌImprove€the€policies,€programs€and€practices€required€to€achieve€priority€objectives;ÌÌÓb€ P+(AxxPbÓÝ ‚P3£ ÝÝ  ÝÝ‚P3£Þ´ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝIncrease€the€number€of€effective€networks,€coalitions,€and€partnerships€addressing€priorityÐ Y  Ðobjectives;€and݃P3£Þ´ µÝŒÐ ½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ ¶ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝImprove€communications€with€various€audiences€to€increase€awareness€and€understandingÐ )ð Ðof€the€major€health€problems€confronting€Americans.݃P3£ ¶5¶ÝŒÐ ½(#½(# ÐŒÝ  ÝÌOPHS€values€collaboration€and€works€in€partnership€with€other€HHS€components,€as€well€as€aÏvariety€of€other€Federal€agencies€(including€the€Departments€of€Education,€Justice,€Labor,ÏAgriculture,€Defense,€State,€Transportation,€Commerce,€Energy,€Housing€and€UrbanÏDevelopment,€and€Veterans€Affairs;€the€Environmental€Protection€Agency;€the€FederalÏEmergency€Management€Agency;€and€the€US€Consumer€Product€€Safety€Commission),€tribal,ÏState€and€local€governments,€health€departments€and€agencies,€the€academic€community,€healthÏproviders,€national€professional€associations,€tribal,€national€and€international€health-relatedÏorganizations,€community„based€organizations,€minority€community„based€organizations,€faith„¼based€institutions,€the€media,€advocacy€groups,€the€business€community,€foundations,€the€public,ÏCongress,€and€others.€€Through€its€program€offices,€OPHS€has€established€close€ties€withÏstakeholders€who€are€critical€to€addressing€significant€public€health€and€science€issues€in€theÏNation€and€around€the€world.€ÌÌò òOPHS€Role€and€Contributionsó óÐ )"ð! ÐÌOPHSðð€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions.€€Investments€in€programs€and€activities€that€are€effectiveÏpay€off€heavily€in€the€improved€health€and€productivity€of€the€American€people€and€our€globalÏpartners.€€The€results€ð!ð€better€health€for€individuals€and€longer€life€spans€ð!ð€are€highly€valued€byÏthe€public.€€Of€the€strategies€utilized€by€HHS€and€OPHS,€most€include€a€combination€of€research,Ïprevention,€public€health€programs,€public€education€services,€and€regulation.€OPHS€contributesÏby:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ y,@), ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ˆ¾ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  Ýò òOPHS€promotes€the€collection€of€health€data€and€the€strengthening€of€dataÐ Y. +. Ðinfrastructuresó ó€to€monitor€the€health€of€all€Americans,€to€measure€the€effects€ofÐ I/,/ Ðinitiatives€and€interventions€aimed€at€improving€health,€and€ultimately€to€provide€a€soundÏbasis€for€decision„making.݃P3£ˆ¾³¾ÝŒÐ ½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  Ýò òÝ‚P3£tÀÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€fosters€service€demonstration€projects,€evaluations,€and€other€studies€ofÐ  Ð Ðinterventions€aimed€at€improving€health€and€the€health€care€systemó ó€to€strengthen€andÐ ùÀ Ðexpand€the€science€base€for€decision„making,€determine€model€approaches€and€bestÏpractices,€and€identify€and€overcome€barriers€to€health,€as€well€as€program€andÏintervention€effectiveness.݃P3£tÀ¢À݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  Ýò òÝ‚P3£¯ÂÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€protects€the€integrity€of€the€research€underlying€public€health€policy€andÐ © p  Ðclinical€treatmentsó ó€by€ensuring€that€all€institutions€that€conduct€research€supported€by€theÐ ™ `  ÐPublic€Health€Service€have€an€understanding€and€commitment€to€research€integrity€and€anÏadministrative€process€for€responding€to€allegations€of€scientific€misconduct,€byÏconducting€oversight€review€of€institutional€investigations€into€alleged€misconduct€inÏscience,€and€by€monitoring€institutional€efforts€to€promote€the€responsible€conduct€ofÏresearch.€OPHS€helps€to€instill€confidence€by€the€public€and€others€in€research€involvingÏhuman€subjects€by€working€to€ensure€the€protection€of€human€research€participants€inÏaccordance€with€U.S.€laws€and€regulationsš.݃P3£¯ÂÝÂ݌Р½(#½(# ÐŒÝ  ÝÌòòInfluencing€and€Improving€National€PolicyóóÐ  Ð ÐÌÝ ‚P3£ ÝÝ  Ýò òÝ‚P3£®ÆÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€influences€and€affects€policies,€programs,€and€practicesó ó€through€review,Ð é° Ðanalysis,€and€advice€on€existing€policy„related€efforts€as€well€as€development,Ïcoordination,€and€implementation€of€new€initiatives€and€activities.€€Recent€hallmarks€ofÏOPHSððs€activities€in€this€area€are€òòHealthy€People€2010€óóand€the€Leading€Health€Indicators,Ð ¹€ Ðthe€HHS€Initiative€to€Eliminate€Racial€and€Ethnic€Disparities€in€Health,€the€òòSurgeonÐ ©p ÐGeneralððs€Report€on€Mental€Health,€óóthe€òòSurgeon€Generalððs€Report€on€Oral€Health,óó€theÐ ™` ÐòòDietary€Guidelines€for€Americans€2000óó,€the€òòHHS€Blueprint€for€Action€on€Breastfeedingóó,Ð ‰P ÐòòThe€Surgeon€Generalððs€Call€to€Action€to€Promote€Sexual€Health€and€Responsible€SexualÐ y@ ÐBehavior,€The€Surgeon€Generalððs€Call€to€Action€to€Prevent€and€Decrease€Overweight€andÏObesity,€óóand€a€variety€of€reports€which€translate€state„of„the„art€science€into€documentsÐ Y  Ðthat€are€extensively€read€by€legislators,€the€media,€professionals€and€the€public.݃P3£®ÆÜÆ݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  Ýò òÝ‚P3£ÇËÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€facilitates€the€translation€of€health€data€and€research€findings€into€budgetaryÐ )"ð! Ðand€program€expressions.€€ó ó݃P3£ÇËõËÝŒÐ#à"½(#½(# ÐŒÝ  ÝÌòòPromoting€Effective€Partnership€ActivitiesóóÐ ù$À!$ ÐÌÝ ‚P3£ ÝÝ  Ýò òÝ‚P3£KÍÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€establishes€and€strengthens€effective€networks,€coalitions,€and€partnerships€toÐ Ù& #& Ðidentify€and€solve€public€health€concerns€and€to€stimulate€and€undertake€innovativeÏprojects€that€address€themó ó.€€OPHS€reaches€out€to€professional€groups,€advocacy€groups,Ð ¹(€%( Ðinternational€partners,€nongovernmental€organizations,€and€colleagues€in€Federal,€State,Ïtribal€and€local€governments,€engaging€in€collaborative€work€to€assist€in€the€identificationÏof€health€concerns€and€problems€and€development€of€creative€solutions.€ÝƒP3£KÍyÍ݌Р½(#½(# ÐŒÝ  ÝÌòòEngaging€in€Strategic€CommunicationóóÐ i-0*- Ðâ âÐ Y. +. ÐÝ ‚P3£ ÝÝ  Ýò òÝ‚P3£€ÐÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€increases€public€awareness€and€understanding€of€the€major€public€healthÐ 9 Ðâ âconcerns€and€health€systemsó ó€through€strategic€communications€and€a€wide€range€ofÐ )ð Ðinformational€and€educational€efforts€aimed€at€decision€makers,€health€professionals,€thoseÏserving€racial/ethnic€minority€communities,€and€the€general€public€to€spur€responsiveÏpolicy€and€programmatic€action.€€OPHS€prepares€reports,€background€papers,€legislativeÏproposals,€Congressional€testimony,€journal€articles,€speeches,€Internet€sites,€and€a€myriadÏof€other€documents€related€to€the€communication€of€science€and€its€impacts€on€publicÏhealth.€€Through€the€ASH€and€her€designees,€OPHS€communicates€directly€with€theÏAmerican€people€and€other€decision„€and€opinion„makers€through€speaking€engagements,Ïconferences,€and€publications,€thereby€serving€as€a€catalyst€for€sustained€attention€toÏhealth€and€promotion€of€the€health€of€the€Nation.݃P3£€Ð®Ð݌Р½(#½(# ÐŒÝ  ÝÌò òExternal€Factorsó óÐ y@  ÐÌOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÏpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€its€programs€and€activities€alone€cannotÏassure€success.€€The€problems€underlying€OPHSððs€priorities€are€complex€and€reach€beyond€theÏcontrol€and€responsibility€of€any€one€arena€or€effort.€€Achievement€is€dependent€on€various€healthÏprograms€and€providers,€all€levels€of€government,€and€the€efforts€of€the€private€sector€as€well€asÏindividual€contributions.€€While€external€factors€beyond€the€control€of€OPHS€may€affectÏoutcomes€(including€factors€such€as€legislative€and€court€decisions;€education€and€social€services;Ïavailability€of€resources;€and€shifts€in€the€economy€and€demographics),€OPHSððs€essential€role€inÏachieving€each€priority€is€to€provide€leadership,€assess€national€health€trends€and€problems,Ïstimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibility€to€health€problems,Ïneeds,€and€solutions.€€OPHS€continues€to€strive€to€better€measure€and€communicate€the€ways€inÏwhich€its€contributions€improve€the€health€of€the€US€population.ÌÌWhere€data€for€FY€2001€reporting€is€unavailable,€we€have€indicated€estimated€dates€for€receipt€ofÏfinal€data€where€possible.€In€assessing€achievement€of€goals,€it€is€appropriate€to€note€that€OPHSÏactivities€are€but€some€of€the€many€public€and€private€contributions€necessary€to€achieving€theÏgoals€and€priorities€set€out€in€this€plan.ÌÌò òTarget€Setting,€Data€Sources€and€Validation€for€Performance€Measurementó óÐ )"ð! ÐÌMost€performance€measures€in€this€plan€were€selected€from€among€the€nationally„recognized€Ïhealth€objectives€of€òòHealthy€Peopleóóð!ð€the€state„of„the„art€for€consensus€on€population„based€healthÐ ù$À!$ Ðstatus€outcomes.€€òòHealthy€Peopleóó€objectives€contain€decade„long€targets.€€OPHS€based€itsÐ é%°"% Ðperformance€measures€for€FYs€1999€and€2000€on€objectives€from€òòHealthy€People€2000óó€(launchedÐ Ù& #& Ðin€1990€with€health€targets€for€the€year€2000),€and€performance€measures€for€FY€2001,€€2002,€andÏ2003€on€òòHealthy€People€2010€óó(final€edition€released€November€2000€with€health€targets€for€theÐ ¹(€%( Ðyear€2010).ÌÌThe€targets€for€the€317€objectives€in€òòHealthy€People€2000óó€were€challenging.€€Although€60percentÐ ‰+P(+ Ðof€the€objectives€were€either€met€or€are€moving€in€the€right€direction,€there€are€areas€whereÏprogress€is€not€so€clear.€For€the€purposes€of€this€performance€report,€OPHS€has€selected€targetsÏconsistent€with€òòHealthy€People€2010óó,€the€nationððs€health€agenda€for€the€first€decade€of€the€twenty„Ð Y. +. Ðfirst€century.€€It€contains€two€goals,€467€objectives,€and€28€focus€areas.€€Each€year,€the€NationalÐ I/,/ ÐCenter€for€Health€Statistics€(NCHS)€at€the€Centers€for€Disease€Control€and€Prevention€publishesÏthe€most€recent€data€on€progress€towards€the€òòHealthy€Peopleóó€targets.€€The€data€produced€byÐ )ð ÐNCHS€are€compiled€from€State€and€local€public€agencies,€Federal€surveys€and€other€data€sources.€ÏThe€data€are€used€for€a€wide€variety€of€purposes€by€Federal,€State€and€local€officials;€researchers;Ïlegislators;€the€media;€the€public;€and€others.€€The€validity€of€these€data€has€been€subjected€toÏinternal€and€external€scrutiny.׃=×Ý ƒ#ÃÝòòÚ  Ú1Ú  ÚóóÝ  Ý×  ×€€[Note:€òòHealthy€People€2010€óówas€released€in€January€2000€as€aÐ é° Ðconference€edition.€€New€data€were€added€and€the€final€edition€was€released€in€November€2000.€ÏBaselines€drawn€from€òòHealthy€People€2010óó€were€updated€to€be€consistent€with€the€updatedÐ É  Ðdocument,€as€appropriate.]€ÌÌOPHS€proposes€to€use€the€most€recently€published€NCHS€data€as€its€primary€source€forÏperformance€measurement€whenever€possible.€€For€performance€measures€that€are€not€included€inÏòòHealthy€People,óó€and€therefore€not€monitored€by€NCHS,€other€data€sources€have€been€identified.Ð y@  ÐOPHSððs€use€of€NCHS€data€provides€many€benefits.€€For€example,€the€data€have€been€subjected€toÏintense€review€and€are€regarded€as€the€ð ðgold„standardðð€for€health€information.€€Without€NCHSÏdata,€OPHS€could€not€include€health€outcomes€ð!ð€of€the€utmost€importance€to€Congress€and€theÏAmerican€public€ð!ð€as€performance€measures.€€In€addition,€OPHS€will€not€need€to€investÏsignificant€resources€in€the€development€of€monitoring€systems€for€its€performance€measures.€ÏThese€factors€are€consistent€with€Congressððs€intent€for€GPRA.€€One€problematic€aspect€of€relyingÏon€NCHS€data€is€that€there€will€be€a€lag€in€reporting€on€the€performance€measures.€€For€theÏmeasures€based€on€mortality€or€death€rates,€the€lag€time€will€be€1€to€2€years;€for€measures€basedÏon€behaviors€and€morbidity,€the€lag€time€is€likely€to€be€2€to€3€years.€€On€balance,€OPHS€considersÏthe€strengths€of€the€data€to€outweigh€the€weaknesses.ÌÌFor€those€performance€measures€based€on€òòHealthy€People€2010€óóobjectives,€whenever€more€recentÐ ¹€ Ðand€more€complete€baseline€or€actual€performance€data€are€available€from€the€òòData€2010€óódatabaseÐ ©p Ð(Ô4‚IÝ §ÔÝ‚&ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://wonder.cdc.gov/data2010/obj.htm)Ô6ÜéÔÝ‚&ÍOðéƒÝóóÔÿÔÝ  ÝÔ7Ý yêÔ,€such€data€are€now€used€in€the€performance€plan€andÐ ™` Ðreport.€€If€more€recent€and€more€complete€baseline€or€actual€performance€data€are€not€availableÏfrom€Data€2010,€then€data€are€obtained€from€the€specific€data€source€for€the€objective€in€questionÏ(e.g.,€National€Vital€Statistics€System,€€HIV/AIDS€Surveillance€System).ÌÌò òÌMeasuring€OPHS€Progressó óÐ 9!  ÐÌThe€three€priorities€of€OPHS€are€presented€in€the€following€sections.€€Each€section€presents€a€listÏof€OPHS€offices€that€contribute€to€goal€achievement,€a€brief€description€of€significant€OPHSÏcontributions€and€context€for€performance,€a€performance€summary€of€past€fiscal€year€activities,€aÏlisting€of€performance€measures€with€baselines€and€targets€for€performance€and€the€latest€actualÏperformance€data€available,€and€links€of€OPHS€measures€with€the€HHS€strategic€plan.ÌÌò òOPHS€PRIORITY€1:€MOVE€TOWARD€ESTABLISHING€A€BALANCED€COMMUNITYÐ ¹(€%( ÐHEALTH€SYSTEMó óÐ ©)p&) Ðâ âÐ ™*`'* ÐThis€balanced€community€health€system€must€include€health€promotion,€disease€prevention,€earlyÏâ âdiagnosis,€and€universal€access€to€quality€care.€€It€must€be€grounded€at€the€community€level,Ïcalling€on€the€serious€involvement€of€civic€and€other€local€groups,€community€schools,€and€faith„¼based€organizations€to€work€in€concert€with€the€health€system€both€public€and€private.€€And,Ïfinally,€it€must€be€supported€by€a€strong€and€balanced€research€agenda.ÌÌò ò1(a)€€Assure€every€child€the€opportunity€for€a€healthy€start€in€lifeó óÐ Ù  ÐÌThe€type€of€start€a€child€experiences€plays€a€major€part€in€determining€that€childððs€future.€€AÏhealthy€start€involves€several€things€ð!ð€the€health€of€the€parents€and€whether€they€are€experiencingÏa€planned€pregnancy,€and€whether€either€or€both€of€them€are€teenagers.€€It€relates€to€the€health€ofÏthe€mother,€including€whether€she€has€access€to€quality€prenatal€care.€€And€it€involves€the€healthÏconcerns€of€the€baby€in€utero,€ranging€from€reducing€the€risk€of€having€HIV€transferred€fromÏmother€to€child€to€avoiding€exposure€to€tobacco,€alcohol,€and€crack€cocaine€in€utero.€€We€alsoÏmust€focus€on€issues€affecting€the€newborn,€including€breast€feeding€and€nutritional€habits€and€theÏsleeping€position€the€parents€select€for€the€baby.€€A€healthy€start€also€means€looking€at€a€childððsÏenvironment€and€making€sure€that€it€is€safe€and€nurturing,€offers€protection€from€infectiousÏdisease€through€access€to€immunizations,€and€is€free€from€toxins,€violence€and€abuse,€as€well€asÏunintentional€injury.€€We€know€that€children€develop€best€in€supportive€environments€where€thereÏare€loving,€caring€adults€who€will€take€the€time€to€read€to€them€and€stimulate€their€senses.ÌÌò òOPHS€Contributing€Officesó óÐ é° ÐÌThe€Office€of€Population€Affairs,€Office€of€Disease€Prevention€and€Health€Promotion,€Office€ofÏHIV/AIDS€Policy,€Office€of€the€Surgeon€General,€Office€of€Minority€Health,€Office€on€WomenððsÏHealth,€National€Vaccine€Program€Office,€and€Office€of€Research€Integrity.ÌÌò òOPHS€Role€and€Contributionsó óÐ ‰P ÐÌOPHSððs€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions.€€OPHS€ð!ð€together€with€HHS€agencies€and€other€partnersÏð!ð€invests€in€programs€and€activities€that€are€effective€in€providing€a€healthy€start€for€children.€ÏSome€examples€of€the€direct€contributions€of€OPHS€include:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ  $Ð # ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£íøÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€collaborates€with€various€HHS€agencies€in€several€research€efforts,€includingÐ é%°"% Ðfunding€support€for€the€collection€and€analysis€of€data€from€national€surveys€such€as€theÏNational€Survey€of€Family€Growth€(NSFG)€and€the€Adolescent€Health€Survey.݃P3£íøù݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£¤úÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€national€Title€X€Family€Planning€program€supports€research€to€improve€the€deliveryÐ ©)p&) Ðof€family€planning€services,€as€well€as€research€other€selected€topics€in€family€planningÏsuch€as€male€involvement.€ÝƒP3£¤úÏú݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£0üÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Presidentððs€Task€Force€on€Environmental€Health€Risks€and€Safety€Risks€to€Children,Ð i-0*- Ðmanaged€by€OPHS€(with€the€Environmental€Protection€Agency),€addresses€specificÏenvironmental„related€risks€to€childrenððs€health€and€safety€ð!ð€asthma,€unintentional€injuries,Ð I/,/ Ðcancer,€and€developmental€disorders.€€€This€initiative,€which€reaches€across€the€FederalÏgovernment,€recognizes€the€growing€body€of€scientific€information€demonstrating€thatÏAmericaððs€children€suffer€disproportionately€from€environmental€health€risks€and€safetyÏrisks.€€The€Secretary€co„chairs€the€Task€Force€with€the€Administrator€of€theÏEnvironmental€Protection€Agency.€€In€addition€to€HHS€agencies,€other€active€collaboratorsÏinclude€the€Department€of€Housing€and€Urban€Development,€Department€of€Justice,€USÏConsumer€Product€Safety€Commission,€and€the€EPA.݃P3£0ü[ü݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£EÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Adolescent€Family€Life€(AFL)€program€supports€demonstration€projects€to€developÐ ¹ € Ðmodels€aimed€at€(1)€promoting€abstinence€from€sexual€intercourse€as€a€means€ofÏpreventing€adolescent€pregnancy€and€sexually€transmitted€diseases,€including€HIV,€and€(2)Ïassisting€pregnant€and€parenting€adolescents,€their€children€and€their€families.€€TheÏprogram€also€funds€research€projects€examining€the€causes€and€consequences€ofÏadolescent€premarital€relations,€adolescent€pregnancy€and€adolescent€parenting.€€ÝƒP3£Ep݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£øÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS,€through€the€National€Vaccine€Program€Office€(NVPO)€facilitates€and€coordinatesÐ I ÐHHS€agency€activities€to€ensure€the€development€of€the€safest€and€most€effective€vaccinesÏpossible€for€the€children€of€the€United€States.݃P3£ø#݌Р½(#½(# ÐŒÝ  ÝÌòòInfluencing€and€Improving€National€PolicyóóÐ  Ð ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÜÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€staff€provide€policy€analysis€and€perspective€in€the€Department-wideÐ é° Ðimplementation€process€of€the€Title€XXI€State€Child€Health€Insurance€Program€(S„CHIP)Ïand€Child€Health€Initiative.€ÝƒP3£Ü݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ZÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝReports€from€the€Surgeon€General€provide€the€science€underpinning€for€actions€to€reduceÐ ©p Ðtobacco€use€and€address€other€health€issues€related€to€children.€The€report€òòReducingÐ ™` ÐTobacco:€A€Report€of€the€Surgeon€Generalóó,€was€released€in€August€2000;€the€reportÐ ‰P ÐòòWomen€and€Smoking:€A€Report€of€the€Surgeon€Generalóó€was€released€in€March€2001.€€TheÐ y@ Ðlatter€report€provides€an€update€of€the€1980€first€Surgeon€Generalððs€report€on€women€andÏtobacco,€including€issues€related€to€maternal€smoking.€€The€FY2000€report,€òòOral€HealthÐ Y  Ðin€America:€A€Report€of€theóó€òòSurgeon€General,€óóand€subsequent€Surgeon€GeneralððsÐ I  ÐConference€on€Children€and€Oral€Health€have€guided€actions€to€maintain€and€improve€oralÏhealth€for€all€Americans€and€remove€barriers€that€stand€between€adults€and€children€andÏoral€health€šservices.€The€òòHHS€Blueprint€for€Action€on€Breastfeedingóó€released€by€theÐ #à" ÐSurgeon€General€in€FY2000,€in€conjunction€with€the€Office€on€Womenððs€Health,Ïestablishes€a€comprehensive€policy€for€the€nation€to€improve€childrenððs€health€byÏpromoting€the€benefits€of€breastfeeding€through€the€family€and€community,€workplaces,Ïand€the€healthcare€system.݃P3£Z…݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£$ ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝNVPO,€through€its€National€Vaccine€Advisory€Committee,€helps€develops€immunizationÐ ¹(€%( Ðpolicy€aimed€at€ensuring€that€vaccine€research,€development,€and€delivery€contribute€in€theÏmost€effective€ways€to€the€reduction€of€vaccine€preventable€disease€in€the€United€States.݃P3£$ O ݌Р½(#½(# ÐŒÝ  ÝÌòòEngaging€in€Strategic€CommunicationóóÐ y,@), ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£,ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€national€Title€X€Family€Planning€program€supports€information€dissemination€andÐ Y. +. Ðcommunity„based€education€and€outreach€activities.݃P3£,WÝŒÐI/,/½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£{ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€AFL€program€develops€model€strategies€for€promoting€abstinence€from€sexualÐ )ð Ðintercourse€as€a€means€of€preventing€adolescent€pregnancy€and€sexually€transmittedÏdisease.€€The€Title€X€(Family€Planning)€program€also€stresses€abstinence€in€both€educationÏand€counseling€sessions€with€adolescents.€€All€adolescents€requesting€services€areÏcounseled€about€the€benefits€of€abstinence€in€relation€to€prevention€of€both€pregnancy€andÏSTDs.€ÝƒP3£{¦ÝŒÐ ½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£íÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝNVPO,€through€its€HHS€Interagency€Vaccine€Communications€Group,€develops€effectiveÐ ¹ € Ðcommunication€messages€regarding€the€benefits€and€risks€of€vaccines€to€ensure€anÏinformed€public.݃P3£í݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£bÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€OPHS€Office€on€Womenððs€Health€National€Centers€of€Excellence€in€Womenððs€HealthÐ y@  Ðhave€developed€programs€targeting€adolescent€girls€on€reducing€risk„taking€behaviors€andÏgeneral€physical,€mental€and€social€health€through€bilingual€teen€web€sites€and€volunteerÏmentor€programs.€€Hispanics,€Native€Americans,€and€pregnant€teens€are€among€the€groupsÏreached€through€these€efforts.݃P3£b݌Р½(#½(# ÐŒÝ  ÝÌòòPromoting€Effective€Partnership€ActivitiesóóÐ à ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£êÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€national€Title€X€Family€Planning€program€provides€family€planning€and€relatedÐ ùÀ Ðgynecological€health€care€services€to€nearly€4.5€million€individuals€each€year€to€assistÏthem€in€planning€the€timing€and€spacing€of€their€children.€€The€program€also€supportsÏtraining€for€family€planning€clinic€personnel.݃P3£ê݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÚÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€has€initiated€several€efforts€to€increase€male€involvement€in€family€planning€andÐ ©p Ðreproductive€health.€€Each€HHS€region€has€been€given€the€opportunity€to€fundÏdemonstration€projects€designed€to€employ€adolescent€males€in€clinic€settings€and€provideÏthem€with€family€planning€and€reproductive€health€education.€ÝƒP3£Ú݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÖÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€National€Centers€of€Excellence€in€Womenððs€Health,€sponsored€by€the€OPHS€OfficeÐ Y  Ðon€Womenððs€Health,€partner€with€a€variety€of€€groups€within€their€own€academicÏinstitutions€and€with€outside€agencies€and€organizations€to€reach€and€serve€minority€andÏeconomically€disadvantaged€pregnant€teens€and€other€middle€and€high€school€students€onÏnutrition,€exercise,€decision„making€and€negotiation€skills,€sexuality,€drug€and€smokingÏprevention,€sexually€transmitted€diseases€and€pregnancy€prevention.€€Bilingual€servicesÏare€provided€in€Spanish,€Vietnamese,€and€Somali,€and€other€languages.€€Local€publicÏhealth€departments€and€WIC€programs,€departments€of€education,€state€medical€assistanceÏprograms,€and€pharmaceutical€companies€are€examples€of€partners.€ò ò݃P3£ÖÝŒÐÙ& #&½(#½(# ÐŒÝ  Ýà ½ àÌFY€2001€Performance€SummaryÌÌó óOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÐ ™*`'* Ðpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€ÏAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.Ð I/,/ ЇIn€FY€2001,€OPHS€continued€to€move€toward€assuring€every€child€the€opportunity€for€a€healthyÏstart€in€life,€through€building€a€stronger€science€base,€influencing€national€policy,€promotingÏeffective€partnerships,€and€engaging€in€strategic€communications.ÌÌThe€birth€rate€for€teenagers€continued€its€steady€decline€since€the€early€1990s€ð!ð€between€1991€andÏ2000€(the€latest€year€for€which€data€are€available)€there€was€a€29€percent€drop€in€the€birth€rate€forÏteenagers€15„17.€€The€percent€of€women€who€began€prenatal€care€in€the€first€trimester€ofÏpregnancy€was€83.2€percent€for€2000,€the€same€as€the€level€reported€for€1999.€€The€proportion€ofÏwomen€with€timely€prenatal€care€had€improved€steadily€between€1989€and€1999,€rising€fromÏ75.5percent.€€This€measure€has€shown€steady€progress€during€the€1990s,€with€the€most€notableÏincrease€being€among€black€and€Hispanic€women,€with€an€increase€of€approximately€25€percentÏover€the€last€decade.€ÌÌAmong€the€factors€accounting€for€the€overall€falling€birth€rate€among€teenagers€are€decreasedÏsexual€activity,€increases€in€condom€use,€and€the€adoption€of€injectable€and€implantÏcontraceptives.€€Within€the€larger€public€health€framework,€OPHSððs€Office€of€Population€AffairsÏand€the€programs€it€administers€(the€AFL€program€and€the€Family€Planning€Program)€play€aÏcentral€role€in€assuring€a€healthy€start€for€every€child€by€preventing€unintended€and€adolescentÏpregnancies,€providing€abstinence€education€for€adolescents,€and€providing€related€preventiveÏhealth€care€and€counseling.€ÌÌIn€an€effort€to€promote€effective€partnerships€to€reduce€adolescent€pregnancy,€the€AFL€preventionÏprojects€continue€to€focus€on€abstinence€as€the€most€effective€method€of€preventing€adolescentÏpregnancy€and€sexually€transmitted€infections.€€In€2001,€the€program€supported€73€preventionÏprojects€focusing€on€encouraging€adolescents€to€remain€abstinent€and€served€an€estimated€91,000Ïadolescents.€€The€program€also€supports€care€projects€which€work€with€pregnant€and€parentingÏadolescents€to€assure€healthy€outcomes€for€themselves€and€their€children.€€In€2001,€the€programÏfunded€37€care€projects€providing€almost€22,000€pregnant€and€parenting€adolescents,€theirÏfamilies€and€infants€with€access€to€health€(including€prenatal€care)€and€social€services.ÌÌIn€2001,€the€family€planning€program,€the€primary€provider€of€subsidized€family€planningÏservices€for€low„income€individuals,€provided€funding€for€service€delivery€grants€to€91€public€andÏprivate€organizations€supporting€a€nationwide€network€of€more€than€4,500€family€planningÏclinics.€€Title€X€provide€reproductive€health€services€to€approximately€4.4€million€persons€eachÏyear,€enabling€women€to€avoid€unintended€pregnancies.€€Pregnancy€testing€is€a€common€andÏfrequent€reason€for€women€coming€to€visit€a€clinic,€and€family€planning€is€often€an€access€pointÏfor€women€entering€early€prenatal€care.€€The€program€also€plays€an€important€role€in€adolescentÏpregnancy€prevention.€€Approximately€30€percent€of€those€receiving€services€are€under€20€yearsÏof€age.€€In€addition€to€clinical€services,€outreach€and€education€(including€counseling€to€encourageÏcontinued€postponement€of€sexual€activity€for€adolescent€clients€who€are€not€yet€sexually€active)Ïare€important€components€of€family€planning€services€for€adolescents.ÌÌThe€reduction€of€new€perinatally€acquired€HIV€infections€has€also€been€a€high€priority€for€theÏDepartment€since€the€definition€of€effective€treatment€options€that€reduce€the€risk€of€transmissionÏfrom€mother€to€child.€€€OPHS€has€coordinated€a€Department-wide€effort€across€the€research,Ïprevention€and€treatment€arenas€to€maximize€opportunities€to€reduce€the€incidence€of€newÏperinatal€HIV€infections.€€HRSA,€CDC€and€SAMHSA€all€have€extensive€program€efforts€in€placeÏto€reach€and€offer€pregnant€women€with€HIV€infection€effective€treatment€for€their€own€illnessÐ I/,/ Ðand€to€reduce€the€risk€of€perinatal€transmission.€€The€U.S.€has€seen€dramatic€reductions€inÏperinatal€HIV€transmission€rates€in€the€past€decade;€these€initiatives€have€been€successful€inÏdropping€the€number€of€new€perinatal€AIDS€cases€diagnosed€each€year,€with€102€cases€diagnosedÏin€FY€2000€compared€to€a€target€level€of€203€cases,€well€exceeding€the€target€set.€€SurveillanceÏdata€reported€through€December€2000€show€sharply€declining€trends€in€perinatal€AIDS€cases,Ïshowing€a€reduction€of€69€cases€from€the€FY€1999€level€of€171€cases€(to€102€cases€in€FY€2000),Ïor€a€40€percent€reduction;€this€decline€was€strongly€associated€with€increasing€zidovudine€(ZDV)Ïuse€in€pregnant€women€who€were€aware€of€their€HIV€status,€at€delivery,€and€in€treatment€of€theÏinfant€after€birth.€€More€recently,€improved€treatment€also€likely€delayed€onset€of€AIDS€for€HIV„¼infected€children.€€These€declines€also€reflect€the€success€of€widespread€implementation€of€PHSÏrecommendations€for€routine€counseling€and€voluntary€HIV€testing€of€pregnant€women.€€WithÏefforts€to€maximally€reduce€perinatal€HIV€transmission€and€increase€treatment€of€those€infected,Ïdeclines€are€likely€to€continue€but€may€be€affected€by€treatment€failures€and€missed€opportunitiesÏto€prevent€transmission.ÌÌIn€2001,€the€Adolescent€Family€Life€program€took€several€steps€to€promote€effective€partnershipsÏbetween€the€grantee,€their€staff€and€the€clients€they€serve.€€€The€program€initiated€a€trainingÏprogram€for€its€prevention€grantees€and€the€front„line€staff€who€work€with€adolescents.€€TheÏtraining€focused€on€providing€front„line€staff€members€with€an€opportunity€to€improve€their€skillsÏin€€communicating€and€working€with€youth.€€In€2002,€the€program€will€continue€to€conductÏanother€series€of€training€workshops€for€staff€in€prevention€and€care€projects.ÌÌThe€OPHS€Office€of€Population€Affairs€also€contributes€to€building€a€stronger€science€baseÏthrough€funding€support€for€national€surveys€such€as€the€National€Survey€of€Family€Growth,€aÏperiodic€survey€of€a€national€sample€of€women€15-44€years€of€age€which€collects€data€on€factorsÏaffecting€pregnancy€and€women's€health€in€the€United€States.€€The€survey€collects€data€on€a€wideÏrange€of€topics€including:€pregnancy€and€birth,€marriage,€divorce,€cohabitation,€sexualÏintercourse,€contraception,€infertility,€use€of€family€planning€and€other€medical€services,€healthÏconditions€and€behavior.€€OPA€is€providing€an€estimated€$4€million€over€the€period€FY€1998€ð!ðÏ2002€to€support€the€development,€testing€and€implementation€of€the€next€survey€cycle,€which€willÏinclude€a€sample€of€men€for€the€first€time.€€In€2001,€the€OPA€worked€with€the€National€Center€forÏHealth€Statistics€and€other€funding€partners€to€ensure€that€there€will€be€reliable€national€dataÏfocusing€on€marriage€and€cohabitation,€sexual€behavior€and€reproductive€health,€including€risksÏrelated€to€the€transmission€of€HIV€or€STDs.€ÌÌFinally,€in€the€area€of€influencing€national€policy,€OPHSððs€Office€on€Womenððs€Health€led€theÏdevelopment€and€publication€of€the€HHS€Blueprint€for€Action€on€Breastfeeding€released€by€theÏSurgeon€General.€€The€Blueprint€establishes€a€comprehensive€policy€for€the€nation€to€improveÏchildrenððs€health€by€promoting€the€benefits€of€breastfeeding€through€the€family€and€community,Ïworkplaces,€and€the€healthcare€system.€€Over€70,000€copies€of€the€Blueprint€have€beenÏdistributed.€€In€addition,€collaborations€have€been€formed€with€the€American€Association€ofÏHealth€Plans,€American€College€of€Obstetricians€and€Gynecologists,€and€the€African€AmericanÏBreastfeeding€Association.€€A€National€Breastfeeding€Media€Campaign€and€community€outreachÏwill€be€launched€in€FY€2002.ÌÌIn€addition,€Surgeon€General€reports€released€in€2001€addressed€the€health€needs€of€children€andÏâ âadolescents,€including€the€òòReport€of€the€Surgeon€Generalððs€Conference€on€Childrenððs€MentalÐ Y. +. ÐHealth:€A€National€Action€Plan,€Youth€Violence:€A€Report€of€the€Surgeon€General,€óóandòò€TheÐ 9 ÐSurgeon€Generalððs€Call€to€Action€to€Prevent€and€Decrease€Overweight€and€Obesity.óóÐ )ð Ðâ âÌò òPerformance€Measuresó óÔ‡ôzFõXXŒ©ÔÐ  Ð ÐÌÔ*žƒ?Ad°d" kk" ékké½kk½ekke?@e(#e(#žÔÔ,hdT ÔÔ,ÖdT ÔÔ,ÖdT ÔÔ+  ÔÐ -€  Ê €€ƒ-ƒ„„-ÐÌò òPerformance€Measuresó óÐ 2€ #ñ¸  „„2Ðò òÌTargets€ó óÐ ?€ ,!ñ¸ "  „„?Ðò òActualÐ 'î  ÐPerformanceó óÐ O€ @,ñ¸ " d-    €P€ƒ-ƒ„„OÐ1.1€New€measure€for€2001:€Birth€rate€per€1,000€femalesÏaged€15„17ÌÌòòData€source:€National€Vital€Statistics€System,€CDC,€NCHSóó.€Ð 2€ #ª q   „„2ÐFY03:€23.1%ÌFY02:€24.6%ÌFY01:€26.1%ÌFY00:€27.6%ÌÐ -€ t ;   -ÐFY02:ÌFY01:€05/03ÌFY00:€27.5%ÌFY99:€28.7%׃C×Ý ƒ#ÃÝòòÚ  Ú2Ú  ÚóóÝ  Ý×  ×Ð ª q  ÐFY98:€30.4%ÌFY97:€32.1%Ð A€ 2#>  d- P   ƒ-ƒ„„AÐ1.2€Proportion€of€òòall€pregnant€womenóó€who€begin€prenatalÐ ™`  Ðcare€in€the€first€trimester€of€pregnancyÌ16.6aÌÌòòData€source:€National€Vital€Statistics€System,€CDC,€NCHSÐ Áˆ ÐóóÐ 2€ #‹R   „„2ÐFY03:€84.9%ÌFY02:€84.5%ÌFY01:€84.1%׃E€×Ý ƒ#ÃÝòòÚ  Ú3Ú  ÚóóÝ  Ý×  ×Ð -ô # ÐFY00:€90%ÌFY99:€87%ÌÐ -€ ‹R&  -ÐFY02:ÌFY01:€05/03ÌFY00:€83.2%ÌFY99:€83.2%ØØ׃GÌ×Ý ƒ#ÃÝòòÚ  Ú2Ú  ÚóóÝ  Ý×  ×Ð ÷¾* ÐFY98:€82.8%ÌFY97:€82.5%Ð A€ 2‹R, d-   €P€ƒ-ƒ„„AÐ1.3€Decrease€the€number€of€perinatally€acquired€AIDSÏcasesÌ13.17ÌÌòòData€based€on€1999€HIV/AIDS€Surveillance€Report.€Ð Õ1 ÐVolume€12(2)óó.Ð 2€ #ØŸ2  „„2ÐFY03:€139ÌFY02:€141ÌFY01:€151ÌFY00:€203ÌFY99:€214ÌÌÐ -€ ¢i9  -ÐFY02:ÌFY01:€10/02ÌFY00:€102€ÌFY99:€171ÌFY98:€235ÌFY97:€310ÌFY96:€509Ð F€ 7#¢i@ d- P   €P€ƒ-ƒ„„FÐ1.4€Proportion€of€mothers€who€smoke€during€pregnancyÌ16.17ÌÌòòData€sourceóó:òò€National€Vital€Statistics€System,€CDC,€NCHSÐ ["D ÐóóÐ 2€ #%ìE  „„2ÐFY03:€€7%ÌFY02:€€8%ÌFY01:€€9%ÌFY00:€10%ÌFY99:€12%ÌÌÐ -€ ¹€L  -ÐFY02:ÌFY01:€05/03ÌFY00:€05/02ØØÌFY99:€12.6%׃J„×Ý ƒ#ÃÝòòÚ  Ú2Ú  ÚóóÝ  Ý×  ×Ð ["P ÐFY98:€12.9%ÌFY97:€13.2%Ð :€ )#ï¶R d- P   ƒ=ƒ:ÐÔ#†XŒ©XõôzF‘?#ÔÔ‡ôzFõXXŒ©Ô1.5€Proportion€of€mothers€who€breastfeed€their€babies€at€6Ð !ÛS ÐmonthsÔ#†XŒ©XõôzF¾J#ÔÔ‡¼hâ»XXŒ©ÔÔ#†¼hâ»»¼hâ£#ÔÔ‡¼hâ»»¼hâÔÐ Þ!¥T ÐÌòòÔ#†XŒ©X»¼hâUK#ÔÔ‡ôzFõXXŒ©ÔData€Source:€Ross€LaboratoriesóóÔ#†XŒ©XõôzFòK#ÔÔ‡¼hâ»XXŒ©ÔÐ +€ À#‡ V  +ÐÔ#†XŒ©X»¼hâUL#ÔÔ‡ôzFõXXŒ©ÔÔ#†ôzFõõôzF—K#ÔFY03:€38%Ð !ÛW ÐFY02:€36%ÌFY01:€34%ÌÔ‡ôzFõõôzFÔÐ -€ r#9 Z  -ÐÔ#†ôzFõõôzF6M#ÔFY02:Ð !Û[ ÐFY01:€10/02ÌFY00:€31%ÌFY99:€29%Ô#†XŒ©XõôzFÂL#ÔÔ‡¼hâ»XXŒ©Ôâ âÐ C€ 2r#9 ^ d=   €P€ƒ=ƒ„„CÐÔ#†XŒ©X»¼hâN#ÔÔ‡ôzFõXXŒ©Ô1.6€Increase€the€number€of€children€enrolled€in€regularÐ Âd ÐMedicaid€or€SCHIP€(State€Childrenððs€Health€InsuranceÏâ âProgram)ÌÌòòData€Source:€CMS€administrative€files.óóÐ 4€ #êŒ  „„4ÐFY03:€+1Ïmillion€overÏ2002ÌFY02:€+€1Ïmillion€overÏ2001ÌFY01:€+€1Ïmillion€overÏ2000ÌFY00:€+€1Ïmillion€overÏ1999ÌFY99:€DevelopÏgoal;€setÏbaseline€andÏtargetsÐ -€ ˜:   -ÐFY02:ÌFY01:€+3.441ÏmillionÏchildrenÌFY00:€+1.679ÏmillionÏchildren€ÌFY99:ÏBaselines€andÏtargets€set;Ï21.98€millionÏ(interim)ÌFY98:€21.18ÏmillionÏ(interim)ÌFY97:€21Ïmillion€inÏMedicaid,€noneÏin€SCHIP.Ô#†XŒ©XõôzFN#ÔÐ3)'ö˜( d= P    3ÐÌò òRelated€HHS€Strategic€Goalsó óÐ í) ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÃQÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝReduce€the€major€threats€to€health€and€productivity€of€all€Americans݃P3£ÃQîQÝŒÐÍo+½(#½(# ÐŒÝ  ÝÝ ‚P3£ ÝÝ  ÝÝ‚P3£»RÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝImprove€the€economic€and€social€well„being€of€individuals,€families€and€communities€inÐ ½_, Ðthe€United€States݃P3£»RæR݌Р½(#½(# ÐŒÝ  ÝÝ ‚P3£ ÝÝ  ÝÝ‚P3£ãSÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝImprove€access€to€health€services€and€ensure€the€integrity€of€the€Nationððs€healthÐ ?. Ðentitlement€and€safety€net€programs݃P3£ãST݌Р½(#½(# ÐŒÝ  ÝÝ ‚P3£ ÝÝ  ÝÝ‚P3£UÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝImprove€the€quality€of€health€care€and€human€services݃P3£UFUÝŒÐ}0½(#½(# ÐŒÝ  ÝÌÌò ò1(b)ó ó€€à0 ½ àò òPromote€healthy€lifestyles€and€behaviorsó óÐMï3½(#½(# ÐÌPromoting€healthy€lifestyles€means€paying€greater€attention€to€òòphysical€activity.€€óóWe€have€foundÐ -!Ï5 Ðthat€if€we€can€get€people€who€are€sedentary€up€and€moving€for€30€minutes€a€day€five€days€a€week,Ïwe€could€greatly€enhance€the€health€of€the€nation.€€It€also€means€allotting€greater€attention€toÏòònutritionóó€by€encouraging€people€to€follow€the€òòDietary€Guidelines€for€Americansóó,€including€eatingÐ ý#Ÿ8 Ðat€least€five€servings€of€fruits€and€vegetables€each€day.€€It€means€encouraging€people€to€òòavoidÐ í$9 Ðtoxinsóó,€like€tobacco,€excessive€alcohol€and€illicit€substances.€And€it€means€educating€people€soÐ Ý% : Ðthat€they€commit€to€òòresponsible€sexual€behavior.€óóÐ Í&o!; ÐÌBy€reducing€tobacco€use,€we€will€improve€health€outcomes€in€the€areas€of€cancer,€cardiovascularÏdisease,€lung€disease,€and€low€birth€weight€and€other€problems€of€infancy.€€Diet€and€activityÏbehaviors€are€associated€with€chronic€health€problems€such€as€heart€disease,€hypertension,Ïdiabetes,€osteoporosis,€obesity,€and€certain€types€of€cancers.€€Abuse€of€alcohol€and€illicit€drugsÏresults€in€motor€vehicle€fatalities,€violence,€and€other€deleterious€health,€social€and€economicÏconsequences.€€Unsafe€sexual€practices€are€associated€with€sexually€transmitted€diseases,Ïincluding€HIV/AIDS,€and€hepatitis,€as€well€as€unintended€pregnancies.€€Oral€health€is€also€anÏimportant€component€of€healthy€lifestyles.€Ð =/ß)D Їò òOPHS€Contributing€Officesó óÐ 9 ÐÌOffice€of€the€Surgeon€General,€Office€of€Disease€Prevention€and€Health€Promotion,€PresidentððsÏCouncil€on€Physical€Fitness€and€Sports,€Office€of€HIV/AIDS€Policy,€Office€of€Minority€Health,ÏOffice€on€Womenððs€Health,€Office€of€Population€Affairs,€Office€of€Global€Health€Affairs,€andÏOffice€of€Research€Integrity.ÌÌò òOPHS€Role€and€Contributionsó óÐ É  ÐÌOPHSððs€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions.€To€reduce€the€number€of€premature€deaths,€OPHS€ð!ðÏtogether€with€HHS€agencies€and€other€partners€ð!ð€invests€in€programs€and€activities€that€areÏeffective€in€reducing€or€eliminating€behavioral€threats,€resulting€in€improved€health€andÏproductivity€of€the€American€people.€€Some€examples€of€the€direct€contributions€of€the€Office€ofÏPublic€Health€and€Science€include:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ )ð ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ˆ`ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€works€with€the€National€Center€for€Health€Statistics€(at€the€Centers€for€DiseaseÐ  Ð ÐControl€and€Prevention)€to€collect€and€analyze€national€data€on€health€status€and€healthÏbehaviors.݃P3£ˆ`³`݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£bÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThrough€staff€liaisons,€the€OPHS€is€involved€in€supporting€the€development€of€a€guide€toÐ É Ðcommunity€preventive€services.€€Under€the€auspices€of€the€US€Public€Health€Service,€aÏTask€Force€on€Community€Preventive€Services,€a€15„member€non„Federal€panel,€isÏdeveloping€a€òòGuide€to€Community€Preventive€Services.óó€€The€guide€will€summarize€what€isÐ ™` Ðknown€about€the€effectiveness€of€population„based€interventions€for€prevention€andÏcontrol,€providing€recommendations€on€these€interventions€and€the€methods€of€theirÏdelivery,€as€well€as€identifying€gaps€in€the€evidence€to€develop€a€prevention€researchÏagenda.݃P3£b-b݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£6eÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝIn€the€area€of€womenððs€health,€OPHS€works€with€the€National€Womenððs€Law€Center,€theÐ 9!  ÐUniversity€of€Pennsylvania€Center€for€Excellence€in€Womenððs€Health,€and€The€LewinÏGroup€to€produce€national€and€State„by„State€annual€ð ðreport€cardsðð€on€womenððs€health,Ïtitled€òòMaking€the€Grade€on€Womenððs€Healthóó.݃P3£6eae݌Р$Ð #½(#½(# ÐŒÝ  ÝÌòòInfluencing€and€Improving€National€PolicyóóÐ é%°"% ÐÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£…gÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝA€hallmark€of€OPHSððs€activities€in€this€area€is€management€of€òòHealthy€Peopleóó,€whichÐ É'$' Ðincludes€tracking€and€publicly€reporting€on€meeting€the€national€health€goals€andÏobjectives€for€the€year€2000,€and€now,€for€2010.€About€100€objectives€(30%)€in€òòHealthyÐ ©)p&) ÐPeople€2010óó€focus€on€health€behaviors€and€promote€healthy€lifestyles.€€For€the€first€time,Ð ™*`'* ÐHealthy€People€includes€the€Leading€Health€Indicators€(LHIs).€€The€LHIs€represent€tenÏpriority€areas€for€the€nation's€public€health€over€the€next€decade.€OPHS€is€committed€toÏthe€development€of€national€action€plans€that€address€each€of€these€ten€LHIs€and€to€reportÏto€the€American€public€on€the€status€of€our€efforts€to€make€progress€in€these€areas.€šTheÏdevelopment€of€health€goals€for€the€year€2010€involved€an€extensive€national€process,Ð I/,/ Ðinvolving€Federal,€tribal,€State,€local€and€non„governmental€organizations,€to€examine€theÏstructure€and€content€of€health€improvement€activities,€and€to€determine€national€healthÏobjectives€for€the€Year€2010.€€This€initiative€drives€health€policy€making€in€many€states,Ïcommunities,€and€businesses.݃P3£…g°g݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£ ÝÝ  ÝÝ‚P3£ÎlÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€manages€preparation€of€the€òòDietary€Guidelines€for€Americans,óó€jointly€publishedÐ é° Ðwith€USDA€every€five€years€since€1980.€€The€5òòthóó€edition€was€released€in€May€2000€at€theÐ Ù  ÐNational€Nutrition€Summit.€€This€statutorily€required€publication€is€the€policy€basis€for€allÏFederal€nutrition€education€activities.€€Similarly,€OPHS€leads€efforts€to€support€theÏInstitute€of€Medicine's€multi„year€scientific€evaluation€and€development€of€DietaryÏReference€Intakes€ð!ð€the€consumer's€gold€standard€for€recommended€intakes€of€nutrientsÏand€a€basis€for€nutrition€label€values€and€food€assistance€program€standards.€ÝƒP3£Îlùl݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£! ÝÝ  ÝÝ‚P3£ pÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝIn€the€area€of€physical€activity/fitness,€OPHS€participates€in€national€policy„making€bodiesÐ i0  Ðsuch€as€the€National€Coalition€for€Promoting€Physical€Activity,€Joint€Commission€onÏSports€Medicine€and€Science,€and€the€National€Task€Force€on€the€Prevention€andÏTreatment€of€Obesity€to€promote€science„based€policy€decisions.€€Additionally,€theÏPresidentððs€Council€on€Physical€Fitness€and€Sports€is€collaborating€with€federal€and€non„¼federal€groups€on€the€development€of€an€implementation€plan€and€strategies€to€promoteÏphysical€activity/fitness€and€sports€participation€among€young€people€following€the€releaseÏof€the€DHHS€report€ð ðPromoting€Better€Health€for€Young€People€through€Physical€ActivityÏand€Sportsðð€and€the€recent€òòSurgeon€Generalððs€Call€to€Action€to€Prevent€and€DecreaseÐ é° ÐOverweight€and€Obesityóó.݃P3£ p5pÝŒÐÙ ½(#½(# ÐŒÝ  ÝÌòòEngaging€in€Strategic€CommunicationóóÐ ¹€ ÐÌÝ ‚P3£" ÝÝ  ÝÝ‚P3£YtÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝSome€well„known€communication€activities€involve€the€Presidentððs€Council€on€PhysicalÐ ™` ÐFitness€and€Sports,€which€is€responsible€for€Flexing€the€Nationððs€Muscle:€Presidents,ÏPhysical€Fitness,€and€Sports€in€the€American€Century€ð!ð€A€Traveling€Exhibition.݃P3£Yt„t݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£# ÝÝ  ÝÝ‚P3£vÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€disseminates€a€wide€range€of€information€about€health€behaviors.€€For€example,€aÐ Y  Ðquarterly€Research€Digest€that€synthesizes€knowledge€about€fitness€and€exercise€topics€isÏdistributed€by€the€Presidentððs€Council€on€Physical€Fitness€and€Sports.€€ThroughÏhealthfinderð)ð€and€the€National€Womenððs€Health€Information€Center€ð!ð€the€FederalÏgovernment„wide€Internet€gateways€to€health€information€ð!ð€and€the€Office€of€MinorityÏHealth€Resource€Center,€OPHS€provides€nation„wide€access€to€information€and€referralÏservices€for€both€health€professionals€and€consumers.€€The€Office€of€Minority€HealthÏResource€Center€has€recently€enhanced€its€abilities€to€provide€a€wide€range€of€informationÏand€technical€assistance€on€HIV/AIDS.€€The€Office€of€HIV/AIDS€Policy€coordinatesÏspecific€activities€that€target€communities€of€color€including€The€Leadership€Campaign€onÏAIDS€(TLCA).€€TLCA€works€with€local€and€national€leaders€in€communities€of€color,Ïgovernment€officials,€and€community„based€organizations€from€the€business,€media,€faith,Ïcivic€and€social€service€sectors€to€create€opportunities€to€reduce€stigma€and€discriminationÏrelated€to€HIV/AIDS.݃P3£vGv݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£$ ÝÝ  ÝÝ‚P3£\{ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€National€Women's€Health€Information€Center€(NWHIC)€and€healthfinderðð€web€sitesÐ i-0*- Ðand€toll„free€numbers€provide€improved€access€to€reliable€and€up„to„date€healthÏinformation.€Both€sites€feature€targeted€information€tailored€for€specific€populations€suchÐ I/,/ Ðas€kids,€professionals,€pregnant€women,€and€women€with€disabilities.€€These€sub„sectionsÏpresent€a€carefully€selected€and€organized€set€of€resources€supporting€these€populationÏgroups.€€As€examples,€the€new€smoking€cessation€section€on€NWHIC€„€ð ðA€Breath€of€FreshÏAir!ðð€„€empowers€women€to€gain€independence€from€smoking€by€using€carefully€selectedÏresources€and€the€section€serves€to€promote€the€Surgeon€Generalððs€Report€on€Women€andÏSmoking.€€As€another€example,€the€newly€developed€healthfinderKIDS€section€presents€aÏcarefully€selected€and€organized€set€of€resources€for€children€aged€8€to€12.€€As€part€of€theÏlaunch,€the€Regional€Womenððs€Health€Coordinators€attracted€media€coverage€by€majorÏHispanic€TV€stations€and€provided€community„based€organizations€and€clinics€withÏposters€and€pocket€planners€in€both€English€and€Spanish.€€€ÝƒP3£\{‡{݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£% ÝÝ  ÝÝ‚P3£ƒ€ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€contributes€to€the€quality€and€effectiveness€of€the€health€information€available€toÐ ‰ P  Ðconsumers€and€professionals€and€works€to€achieve€increased€access€to€technologicalÏadvances€in€health€for€the€underserved.€These€include€the€Science€Panel€on€InteractiveÏCommunication€and€Health,€activities€related€to€the€quality€of€health€Web€sites,€andÏactivities€to€measure€and€promote€health€literacy.€ÝƒP3£ƒ€®€ÝŒÐ ½(#½(# ÐŒÝ  ÝÌÝ ‚P3£& ÝÝ  ÝÝ‚P3£Ï‚ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€òòBodyWise€Eating€Disorders€Educational€Campaignóó€sponsored€by€the€Office€onÐ )ð ÐWomenððs€Health€is€a€program€to€increase€awareness€and€knowledge€of€eating€disorders,Ïincluding€their€signs€and€symptoms,€steps€to€take€when€concerned€about€students,€andÏways€to€promote€healthy€eating€and€reduce€preoccupation€with€body€weight€and€size.€TheÏprogram€targets€middle€school€educators€and€health€care€providers.€ÝƒP3£Ï‚ú‚݌Р½(#½(# ÐŒÝ  ÝÌòòPromoting€Effective€Partnership€ActivitiesóóÐ É ÐÌÝ ‚P3£' ÝÝ  ÝÝ‚P3£q…ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Healthy€People€Consortium,€led€by€OPHS,€links€all€HHS€agencies;€private,€voluntaryÐ ©p Ðand€community€organizations;€and€State€public€health,€mental€health,€substance€abuse,€andÏenvironmental€agencies.€€OPHS€communicates€with€the€Consortium€through€regularÏmailings€and€annual€meetings.€€The€members€participated€in€the€development€of€healthÏgoals€for€the€nation€every€decade€and€are€engaged€in€the€follow„up€activities€that€lead€toÏachievement€of€the€goals.€€To€increase€Healthy€Peopleððs€usefulness€in€improving€health,ÏOPHS€is€undertaking€a€variety€of€outreach€activities,€including€formalizing€newÏpartnerships€with€external€organizations,€reaching€out€to€new€nontraditional€partners,Ïworking€toward€development€of€an€annual€report€on€the€health€of€the€nation€using€theÏLeading€Health€Indicators,€collaborating€on€a€national€action€plan€on€overweight€andÏobesity,€and€developing€a€communication€strategy€for€the€Leading€Health€Indicators.݃P3£q…œ…݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£( ÝÝ  ÝÝ‚P3£á‰ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOver€the€last€decade,€the€Title€X€national€family€planning€program€has€been€working€inÐ é%°"% Ðcollaboration€with€the€CDC€to€implement€effective€prevention€strategies€designed€toÏreduce€the€prevalence€of€chlamydia€and€its€debilitating€complications.€€CDC€estimates€thatÏevery€dollar€spent€on€early€detection€can€save€an€estimated€$12€in€complication„associatedÏcosts.€€The€chlamydia€prevention€partnership,€begun€in€1987€as€a€demonstration€project€inÏPHS€Region€X,€has€now€been€expanded€to€all€ten€PHS€regions.€€The€success€of€thisÏapproach€has€been€demonstrated€by€the€fact€that€chlamydia€prevalence€rates€decreased€byÏas€much€as€69€percent€in€Region€X,€where€the€program€has€been€in€place€for€more€than€tenÏyears.݃P3£á‰ ŠÝŒÐ ½(#½(# Ðâ âŒÝ  ÝÐ Y. +. ÐÝ ‚P3£) ÝÝ  ÝÝ‚P3£ƒÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€prevent€the€abuse€of€tobacco,€alcohol€and€other€drugs€by€youth,€OPHS€promotesÐ 9 Ðâ âpartnerships€with€parents€and€other€caregivers,€teachers,€coaches,€clergy,€healthÏprofessionals,€and€business€and€community€leaders.€€Through€the€Smoke„Free€KidsÏpartnership€with€US€Soccer,€OPHS€coordinates€the€dissemination€of€a€national€programÏpromoting€participation€of€adolescents€in€soccer€as€a€way€to€reduce€risk€of€tobacco€use.€€€ÏOPHS€assists€in€the€development€of€community€coalitions€and€programs€to€prevent€drugÏabuse€and€underage€alcohol€and€tobacco€use,€supports€and€disseminates€scientific€researchÏand€data€on€the€consequences€of€legalizing€drugs,€and€promotes€other€similar€activities.݃P3£ƒ®ÝŒÐ ½(#½(# ÐŒÝ  ÝÌÝ ‚P3£* ÝÝ  ÝÝ‚P3£ùÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Task€Force€on€Environmental€Health€Risks€and€Safety€Risks€to€Children€comprisesÐ © p  Ðnine€Cabinet„level€officials€and€seven€White€House€Office€Directors.€€The€Task€Force,Ïchaired€by€the€Secretary€of€HHS€and€the€Administrator€of€EPA,€is€an€enormouslyÏsuccessful€inter-agency€collaboration€that€is€charged€to€explore€environmental€factors,Ïboth€risk€and€protective,€that€influence€growth€and€developmental€processes.€OPHSÏprovides€staff€support€to€the€Secretary€of€HHS€in€his€role€as€co„chair€of€the€Task€Force.݃P3£ù$‘݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£+ ÝÝ  ÝÝ‚P3£¶“ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝIn€partnership€with€SAMHSA/CSAP€and€ASPA,€OPHS€jointly€leads€the€HHS€òòGirl€Power!Ð 9 Ðóócampaign€targeted€at€9„14€year„old€girls€and€the€adults€who€care€about€them,€includingÐ )ð Ðparents,€extended€family€members,€teachers,€coaches,€youth€workers,€and€mentors.€€TheÏcampaign€creates€PSAs,€programs,€and€activities€to€assist€girls€in€realizing€their€fullÏpotential.€€A€Girl€Power!€Community€Education€Kit€has€been€designed€to€help€those€whoÏwork€with€girls€to€create€programs€with€messages€that€girls€have€the€right€to€be€the€bestÏthat€they€can€be€ð!ð€confident,€fulfilled,€and€true€to€themselves.€€Girl€Power!€uses€interactiveÏeducational€materials€to€help€girls€develop€the€skills€they€need€to€resist€unhealthyÏinfluences€and€to€make€positive€decisions€in€their€lives.€€The€Steering€Committee€isÏchaired€by€the€Office€on€Womenððs€Health;€other€HHS€agencies€currently€involved€are€theÏOffice€of€the€Secretary,€ACF,€CDC,€FDA,€HRSA,€NIH€and€SAMHSA.݃P3£¶“á“݌Р½(#½(# ÐŒÝ  Ýò òó óÌò òFY€2001€Performance€Summaryó óÐ y@ ÐÌOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÏpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€ÏAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.€€ÌÌIn€FY€2001,€OPHS€continued€to€promote€healthy€lifestyles€and€behaviors€through€building€aÏstronger€science€base,€influencing€national€policy,€promoting€effective€partnerships,€and€engagingÏin€strategic€communications.ÌÌThrough€the€Office€of€Population€Affairs,€OPHS€contributes€to€departmental€efforts€to€reduce€theÏincidence€of€sexually€transmitted€diseases,€specifically€those€addressed€in€measures€1.10,€1.11€andÏ1.12.€€Related€to€performance€measure€1.10,€in€2000€(the€latest€year€for€which€data€is€available),Ïthe€median€chlamydia€test€positivity€among€15„24€year€old€women€who€were€screened€duringÏvisits€to€selected€family€planning€clinics€in€all€states€and€the€outlying€areas€was€5.9percent.€€AfterÏadjusting€trends€in€chlamydia€positivity€to€account€for€changes€in€laboratory€test€methods€andÏassociated€increases€in€test€sensitivity,€chlamydia€test€positivity€decreased€in€four€of€ten€PHSÐ I/,/ Ðregions€from€1999€to€2000€and€increased€in€six€regions.€€Although€chlamydia€positivity€hadÏdeclined€in€the€past€year€in€some€regions,€most€likely€due€to€the€effectiveness€of€screening€andÏtreating€women,€continued€expansion€of€screening€programs€to€populations€with€higher€diseaseÏprevalence€may€have€contributed€to€the€increases€in€positivity€seen€in€other€regions.€€With€regardÏto€the€incidence€of€gonorrhea€(performance€measure€òòóó1.11),€following€a€72percent€decline€in€theÐ ùÀ Ðreported€rate€of€gonorrhea€from€1975€to€1997,€in€2000€the€gonorrhea€rate€remained€fairly€steadyÏas€compared€to€the€1999€rate,€which€had€reflected€an€increase€for€the€second€year€in€a€row.€ÏAlthough€increased€screening€(usually€associated€with€simultaneous€testing€for€chlamydiaÏinfection),€use€of€more€sensitive€diagnostic€tests,€and€improved€reporting€may€account€for€aÏportion€of€the€recent€increase,€true€increases€in€disease€in€some€populations€and€geographic€areasÏalso€appear€to€have€occurred.€€Finally,€in€reference€to€performance€measure€1.12,€between€1999Ïand€2000,€the€national€rate€of€congenital€syphilis€decreased€by€7.6€percent€from€14.5€to€13.4€casesÏper€100,000€live€births.€€The€continuing€reduction€in€congenital€syphilis€rates,€evident€since€theÏearly€1990s,€reflects€the€substantial€reduction€in€the€rate€of€primary€and€secondary€syphilis€amongÏwomen€over€the€same€period.ÌÌOne€example€of€OPHSððs€use€of€partnerships€to€promote€healthy€lifestyles€and€behaviors€is€theÏTitle€X€Family€Planning€programððs€continued€collaboration€with€the€CDC€to€implement€effectiveÏprevention€strategies€designed€to€reduce€the€prevalence€of€chlamydia€and€its€debilitatingÏcomplications.€€The€effectiveness€of€large„scale€screening€programs€in€reducing€chlamydiaÏprevalence€has€been€well€documented€in€areas€where€this€intervention€has€been€in€place€forÏseveral€years.€€€CDC€estimates€that€every€dollar€spent€on€early€detection€can€save€an€estimatedÏ$12€in€complications„associated€costs.€€The€chlamydia€prevention€partnership,€begun€in€1987€as€aÏdemonstration€project€in€PHS€Region€X,€has€now€been€expanded€to€all€ten€PHS€regions.€€TheÏsuccess€of€this€approach€had€been€demonstrated€by€the€fact€that€the€chlamydia€prevalence€rateÏdecreased€by€as€much€as€69€percent€in€Region€X,€where€the€program€has€been€in€place€for€moreÏthan€ten€years.€ÌÌFamily€planning€clinics€provide€a€broad€spectrum€of€preventive€health€services€in€an€effort€toÏpromote€healthy€lifestyles€and€behaviors.€€Title€X€clinics€provide€services€to€a€population€thatÏmatches€the€demographics€of€the€population€of€women€most€at€risk€for€sexually€transmittedÏdiseases€(STDs)€and€HIV€infection€ð!ð€€primarily€young€(60€percent€under€the€age€of€25),€low„¼income€(65€percent€under€100€percent€of€the€federal€poverty€level),€and€minority€(40€percent).€ÏMost€clients€are€sexually€active€and€in€conjunction€with€contraceptive€services,€Title€X„supportedÏclinics€have€helped€numerous€women€detect€and€obtain€early€treatment€for€a€range€of€medicalÏconditions,€including€sexually€transmitted€infections€and€HIV,€as€well€as€breast€and€cervicalÏcancer.€€In€2000€(the€latest€year€for€which€data€are€available),€Title€X€clinics€provided€2.9€millionÏpap€tests€and€2.8€million€breast€examinations€to€family€planning€clients€ð!ð€seven€pap€tests€and€overÏsix€breast€exams€for€every€ten€female€family€planning€users.€€€The€program€also€provided€almostÏ366,000€HIV€tests€to€clients€ð!ð€€about€one€HIV€test€for€every€twelve€users.€€ÌÌOPHSððs€Presidentððs€Council€on€Physical€Fitness€and€Sports€(PCPFS)€is€involved€in€activitiesÏdirectly€related€to€achieving€performance€measure€1.8,€which€addresses€increasing€physicalÏactivity€among€adults€aged€18„74.€€In€conjunction€with€the€Healthy€People€2010€objectives,ÏPCPFS€continues€to€work€with€schools€and€outside€organizational€components€to€promote€regularÏphysical€activities/fitness€and€non„competitive€sports€as€positive,€healthy€behavioral€patterns.€€€ToÏimprove€health€behaviors€related€to€physical€activity€and€fitness,€PCPFS€coordinates€activitiesÏthrough€its€long„standing€signature€programs,€the€President's€Challenge€Physical€Activity€andÐ I/,/ ÐFitness€Awards€Program€(for€school€and€community„based€achievement)€and€the€PresidentialÏSports€Award€(for€ages€six€to€adult).€€During€FY€2001,€materials€were€distributed€to€more€thanÏ190,000€schools€and€organizations;€more€than€five€million€young€people€participated€in€theÏPresident's€Challenge€in€FY€2000.€€Following€the€recommendations€of€a€President's€ChallengeÏspecial€workgroup,€comprised€of€PCPFS€members,€fitness€professionals€(representing€suchÏgroups€as€the€American€Alliance€for€Health,€Physical€Education,€Recreation,€and€Dance€and€theÏAmerican€College€of€Sports€Medicine),€the€American€Academy€of€Pediatrics,€and€individualsÏfrom€academia€noted€for€their€expertise€in€exercise€science€and€kinesiology,€the€PCPFS€launchedÏin€the€fall€of€2001€the€Presidential€Active€Lifestyles€Awards€Program€to€further€enhance€theÏadoption€and€maintenance€of€regular€physical€activity.€€This€workgroup€was€instrumental€inÏinitiating€an€enhanced€physical€activity€component€which€will€empower€and€engage€individuals€toÏchange€behavior€as€well€as€address€societal€goals€and€objectives€outlined€in€Healthy€People€2010.€ÏThis€concept€will€be€expanded€to€all€adults€in€the€Fall€of€2002.€€During€FY2001,€more€thanÏ400,000€brochures€regarding€the€Presidential€Sports€Award€program€were€mailed€to€the€generalÏpublic€and€sports€organizations€and€groups.€€In€response€to€goals€established€by€the€HHS€InitiativeÏto€Eliminate€Racial€and€Ethnic€Disparities€in€Health,€PCPFS€translated€materials€on€these€twoÏprograms€into€Spanish€and€collaborated€with€the€OMH€clearinghouse€for€appropriateÏdissemination€to€Hispanic€leaders,€schools,€and€others.€€Efforts€to€build€and€strengthen€coalitionsÏand€partnerships€with€minority€organizations€to€enhance€outreach€to€minority€communities€andÏyouth€will€be€addressed€with€the€incoming€administration's€Council€members.ÌÌPCPFS€promotes€physical€activity/fitness€and€sports€through€numerous€partnerships€andÏcollaborative€projects€with€Federal€agencies€and€offices,€as€well€as€non„Federal€organizations.€ÏPCPFS€publishes€a€quarterly€periodical,€òòthe€PCPFS€Research€Digestóó,€a€synthesis€of€the€latestÐ É Ðscientific€information€presented€in€lay€format,€which€is€intended€for€use€primarily€by€fitness,Ïphysical€education,€and€allied€health€professionals.€€Otherwise,€the€PCPFS€web€site€andÏpublications€are€designed€primarily€for€use€by€the€general€public.€€Using€these€two€modes€ofÏcommunication,€PCPFS€received€more€than€50,000€inquiries€during€FY€2001€and€also€respondedÏto€a€high€volume€of€requests€received€by€telephone€and€mail.€€The€PCPFS€staff€functions€in€anÏadvisory€capacity€to€provide€technical€advice€and€assistance€to€individuals€seeking€funding,Ïreferrals€to€appropriate€organizations,€and€other€resource€material€about€physical€activity/fitnessÏand€sports.€€PCPFS€has€a€well„deserved€national€reputation€as€a€credible€voice€calling€forÏincreased€physical€activity/fitness€and€sports€by€Americans€of€all€ages€and€is€in€a€unique€positionÏto€address€cross„cutting€issues,€policies,€and€programs€at€Federal,€state,€and€local€levels.ÌÌAlso,€the€fifth€edition€of€the€Dietary€Guidelines€for€Americans€issued€in€May€2000€greatlyÏexpanded€emphasis€on€the€vital€importance€of€physical€activity€to€health.€€The€guidelines€adviseÏadults€to€accumulate€at€least€30€minutes€of€moderate€physical€activity€each€day€and€recommendÏ60€minutes€for€children.€€These€guidelines€are€promoted€by€all€Federal€nutrition€educationÏactivities€and€are€coordinated€with€HHS€by€the€Office€of€Disease€Prevention€and€HealthÏPromotion€(ODPHP),€in€collaboration€with€USDA.€€In€addition,€to€alert€the€American€public€toÏthe€critical€nature€of€the€epidemic€of€overweight€and€obesity,€one€of€the€ten€Leading€HealthÏIndicators€of€Healthy€People€2010,€and€to€mobilize€national€collaborative€efforts€to€address€it,€òòTheÐ ™*`'* ÐSurgeon€Generalððs€Call€to€Action€to€Prevent€and€Decrease€Overweight€and€Obesityóó€was€releasedÐ ‰+P(+ Ðon€December€13,€2001€in€Washington,€D.C.ÌÌFurther,€OPHS€(ODPHP)€led€the€creation€of€the€Leading€Health€Indicators€(LHIs)€whichÏcontribute€to€meeting€performance€measures€1.7,€1.8,€and€1.9,€relating€to€tobacco€use,€physicalÐ I/,/ Ðactivity,€and€drug/alcohol€abuse,€respectively.€€These€LHIs€are€a€special€subset€of€measures€basedÏon€objectives€in€òòHealthy€People€2010.óó€€Promotion€of€the€LHIs€indirectly€contributes€to€meetingÐ )ð Ðthese€performance€measures€by€promoting€awareness€and€driving€action€nationally€about€ways€weÏcan€improve€and€assess€the€nationððs€health.€€ODPHP€is€currently€preparing€the€first€annual€reportÏon€the€status€of€the€Leading€Health€Indicators,€expected€for€release€in€2002.€€The€report€willÏprovide€the€latest€data€used€to€monitor€the€LHIs€on€a€national€and€state€level.€During€FY€2001,ÏODPHP€complete€development€of€a€communications€plan€for€the€LHIs.€A€contract€to€beginÏimplementation€of€the€plan€will€be€awarded€in€February€2002.ÌÌThrough€ODPHP,€OPHS€is€also€engaged€in€overarching€efforts€that€more€generally€promote€theÏhealth€of€the€nation.€€Two€of€these€efforts€are€òòHealthy€People€2010óó€and€healthfinderðð.€€òòHealthyÐ ™ `  ÐPeople€2010óó€is€a€compilation€of€the€Nationððs€health€objectives€for€the€first€decade€of€the€21stÐ ‰ P  Ðcentury.€€Released€by€the€Department€on€January€25,€2000,€it€reflects€the€thinking€of€a€broadÏcross„section€of€the€nationððs€public€health€scientists€and€planners.€Central€to€òòHealthy€People€2010óóÐ i0  Ðare€its€two€overarching€goals:€(1)€increase€quality€and€years€of€healthy€life,€and€(2)€eliminateÏhealth€disparities.€€To€monitor€the€Nationððs€progress€in€attaining€these€goals,€òòHealthy€People€2010óóÐ I Ðidentifies€467€specific€objectives€covering€a€comprehensive€array€of€health€issues.€€Each€objectiveÏhas€a€target€for€specific€improvements€to€be€achieved€by€2010.€€The€objectives€are€organized€intoÏ28€focus€areas€and€were€developed€by€work€groups€of€experts€with€broad€public€input.€ÌÌTo€stimulate€local,€community„level€activity€that€supports€the€national€health€goals€of€HealthyÏPeople€2010,€ODPHP€launched€the€Healthy€People€2010€Community€Implementation€Program€inÏFY€2001.€ODPHP€developed€a€Request€for€Proposals€(RFP)€for€the€new€pilot€program€and€issuedÏit€in€July€2001;€over€85€applications€were€received€for€two€cooperative€agreements.€FY€2001Ïawards€totaling€$1.1€million€were€made€to€two€intermediary€organizations€to€conduct€pilotÏprojects€to€study€the€efficacy€of€microfinance€to€support€Healthy€People€2010€implementationÏactivities€by€community-based€organizations.€€The€intermediaries€will€administer€microgrants€(ofÏup€to€$2010€each)€to€local€community-based€organizations€in€their€areas€to€focus€on€healthÏpromotion€and€disease€prevention€activities€that€link€to€Healthy€People€2010€objectives€and/orÏLeading€Health€Indicators.ÌÌhealthfinderðð€is€the€first€Federal€health€information€portal€to€provide€easy€public€access€toÏresources€from€Federal,€State,€and€local€agencies,€voluntary€and€professional€organizations€andÏother€reliable€non„commercial€sources.€healthfinderðð€was€the€first€to€organize€content€by€topicsÏand€audiences€rather€than€by€agencies€or€organizations.€€healthfinderðð€now€links€to€over€4,500Ïcarefully€reviewed€resources€from€almost€1,900€selected€organizations.€Its€easy„to„use€searchesÏdirect€users€efficiently€to€specific€resources€across€the€country.€€Statistical€measures€of€increasedÏaccess€confirm€the€siteððs€success:€the€number€of€visits€to€the€site€has€increased€from€1.6€million€inÏits€first€full€year€of€operation€(April€1997„March€1998)€to€3.8€million€in€2001,€or€a€138€percentÏincrease.€€healthfinder.gov€has€increased€the€total€number€of€resources€and€organizations€reviewedÏand€linked€from€1,600€to€6,400,€or€a€300€percent€increase.€In€addition,€more€citizens€are€accessingÏa€wider€range€of€quality€information€every€month.€€In€2001,€healthfinderðð€was€redesigned€and€aÏnew€Spanish„language€version€of€the€site€was€released,€along€with€one€especially€for€children€8€toÏ12.€€In€2002,€new€sections€targeting€additional€under„served€populations€are€planned.€€As€for€itsÏgoal€of€improving€access€to€Federal€health€information€specifically,€healthfinder.gov€now€directsÏusers€to€other€Federal€health€web€sites€an€average€of€200,000€times€each€month.Ìâ âÐ Y. +. ÐIn€addition€to€healthfinderðð,€many€other€OPHS€activities€target€strategic€communications€toÏâ âhighlight€the€importance€of€health€lifestyles€and€behaviors.€€For€example,€OWH€has€launchedÏð ðPick€Your€Path€To€Health,ðð€a€community„based€health€education€campaign€targeting€women€ofÏcolor.€€More€than€100,000€booklets€containing€action€tips€were€distributed€nationwide€throughÏover€20€local€and€national€conferences,€regional€offices,€the€National€Centers€of€Excellence,Ïcommunity€groups,€media€outlets,€and€national€partners€in€the€communities.€€Partnerships€haveÏbeen€developed€with€more€than€fifty€private€sector€groups€that€actively€promote€the€campaign,€itsÏthemes€and€weekly€action€steps€to€a€healthier€lifestyle.€€Weekly€news€articles€on€how€to€improveÏhealthy€lifestyles€are€placed€with€a€news€syndicate€reaching€more€than€200€community€papers,Ïincluding€26€news€articles€reaching€African€American€community€newspapers€and€two€newsÏarticles€in€Spanish„language€newspapers€reaching€Latinas.à % àÐ ™ `  ÐÌIn€September€2001,€OPHS€initiated€a€new€partnership€with€the€ABC€Radio€Networks€and€ABCÏRadioððs€Urban€Advantage€Network€to€inform€minority€communities€on€ways€to€achieve€betterÏhealth€and€close€the€health€gaps€between€them€and€the€rest€of€the€U.S.€population.€€ThisÏpartnership€aims€to€inform€and€educate€African€Americans€about€the€health€gap€and€empowerÏindividuals€to€adopt€healthier€lifestyles€through€a€health€information€and€education€campaignÏentitled€ð ðClosing€the€Health€Gap:€Reducing€Health€Disparities€Affecting€African€Americans.ðð€€InÏFY€2002,€in€collaboration€with€OASPA,€this€new€partnership€is€being€expanded€and€strengthened.ÌÌIn€December€2001,€OWH€released€the€second€ð ðreport€cardðð€on€womenððs€health,€òòMaking€theÐ ùÀ ÐGrade€on€Womenððs€Healthóó,€which€included€a€special€chapter€on€women€and€cardiovascularÐ é° Ðhealth.€€The€ð ðreport€cardðð€is€designed€to€provide€policy€makers,€heath€care€planners€and€providers,Ïeducators,€researchers,€advocates€and€the€public€with€a€comprehensive€assessment€of€womenððsÏhealth€and€to€establish€a€framework€to€measure€progress.€€€€€€ÌÌAlso,€the€HHS€GirlPower!€Campaign€targeted€at€9„14€year„old€girls€and€the€adults€who€care€aboutÏthem€creates€PSAs,€programs,€and€activities€to€assist€girls€in€realizing€their€full€potential.€€AÏGirlPower!€Community€Education€Kit€has€been€designed€to€help€those€who€work€with€girls€toÏcreate€programs€with€messages€that€girls€have€the€right€to€be€the€best€that€they€can€be€ð!ð€confident,Ïfulfilled,€and€true€to€themselves.€€GirlPower!€uses€interactive€educational€materials€to€help€girlsÏdevelop€the€skills€they€need€to€resist€unhealthy€influences€and€to€make€positive€decisions€in€theirÏlives.€€Topics€covered€include€eating€disorders,€illicit€drug€and€tobacco€use,€chronic€illness€andÏdisability,€and€science€careers.€€In€FY€2000,€there€were€60€National€Endorsers€and€9,000€localÏprograms€using€Girl€Power!€materials,€and€approximately€2€million€hits€per€month€on€the€webÏsite.€ÌÌFinally,€the€BodyWise€evaluation€was€conducted€in€FY€2001€to€assess€whether€school€nursesÏreport€a€shift€in€school€practices€and€exhibit€changes€in€behaviors,€attitudes,€and€knowledge€afterÏexposure€to€BodyWise,€an€OWH€program€to€increase€awareness€and€knowledge€of€eatingÏdisorders.€€Not€only€did€results€indicate€positive€trends€in€each€of€theses€areas,€nurses€alsoÏexhibited€increased€awareness€about€how€eating€disorders€and€related€issues€are€handled€in€theirÏschools.ÌÌò òPerformance€Measuresó óÔ‡ôzFõXXŒ©ÔÐ y,@), Ðâ âÐ i-0*- ÐÔ*‹ƒJKddhdT hÖdT ÖÖdT Ö?Ae(#e(#‹ÔÔ,hdT ÔÔ,°dT ÔÔ,°dT ÔÔ+  ÔÐ -€  9 €€ƒ.ƒ„„-ÐÌâ âPerformance€MeasureÐ ;€ ,!g.  „„;ÐÌTargetsÐ ?€ ,!g."  „„?ÐActualÏPerformanceÐ O€ @,g." d.    €P€ƒ.ƒ„„OÐ1.7€Past€month€use€of€cigarettes€by€youth€in€grades€9„12Ì27.2bÌÌòòData€Source:€Youth€Risk€Behavior€Survey,€CDC.€€DataÐ !è  Ðcollection€biennial.€HP2010€target€is€16%.óóÐ 2€ #ë²   „„2ÐFY03:€32.0%ÌFY02:€33.9%ÌFY01:€35.9%ÌFY00:€36.3%ÌFY99:€36.4%ÌÐ -€ µ |  -ÐFY02:ÌFY01:€08/02ÌFY00:€DNCÌFY99:€35%ÌFY98:€DNCÌFY97:€36.4%Ð F€ 7#µ | d. P   €P€ƒ.ƒ„„FÐ1.8€Percent€of€people€aged€18„74€who€engage€in€at€leastÏmoderate€physical€activity€for€at€least€30€minutes€per€day,Ïfive€or€more€times€a€weekÌ22.2ÌÌòòData€Source:€National€Health€Interview€Survey,€CDC.€Ð Ê  ÐHP2010€target€is€30%.óóÐ 2€ #Í”   „„2ÐFY03:€19.5%ÌFY02:€18%€ÌFY01:€26%ØØ׃L×Ý ƒ#ÃÝòòÚ  Ú4Ú  ÚóóÝ  Ý×  ×Ð ¥ l ! ÐFY00:€30%ÌFY99:€29%ÌÐ -€ Ê $  -ÐFY02:ÌFY01:€12/03ÌFY00:€12/02ÌFY99:€30%ÌFY98:€29%ÌÌÐ =€ .#Í” + d. P   €P€ƒ.ƒ=Ð1.9€Proportion€of€youth€not€using€alcohol€or€any€illicitÏdrugs€during€the€past€30€daysÌ26.10aÌÌòòData€source:€National€Household€Survey€on€Drug€AbuseÐ Q0 Ð(NHSDA),€SAMHSA.€HP€2010€target€is€89%óó.Ð 2€ #â1  „„2ÐFY03:€89.5%ÌFY02:€88.6%ÌFY01:€88%ÌÐ -€ ‡N5  -ÐFY02:ÌFY01:€12/02ÌFY00:€80%ÌFY99:€90.9%ÌFY98:€90.1%ÌFY97:€77%ÌFY96:€78%ÌFY95:€75%ÌFY94:€76%ÌÐ F€ 7#C ? d. P   €P€ƒ.ƒ„„FÐ1.10€Proportion€of€young€persons€(15„24€years€old)€withòòÐ Ÿf@ ÐChlamydia€trachomatisóó€infections€attending€familyÐ i0A Ðplanning€clinicsÌ25„1aÌÌòòData€Source:€STD€Surveillance€System,€CDC.€€€The€HPÐ ‘XE Ð2010€€target€(for€all€young€persons)€is€3%.óóÐ 2€ #["F  „„2ÐFY03:€<5.0%ÌFY02:€<5.0%ÌFY01:€<6.0%ÌFY00:€<6.0%ÌFY99:€<6.0%ÌÌÐ -€ ["M  -ÐFY02:ÌFY01:€06/02ÌFY00:€5.9%ÌFY99:€5.6%ÌFY98:€6.1%òòóóÐ ÇŽR ÐFY97:€5.0%€ÌÐ F€ 7#["T d. P   €P€ƒ.ƒ„„FÐ1.11€Incidence€of€gonorrhea€in€women€aged€15„44€Ì(Per€100,000)ÌÌòòData€Source:€STD€Surveillance€System,€CDC.óóÐ "ÜX ÐÌÐ 2€ #©#p Z  „„2ÐFY03:€<250ÌFY02:€<250ÌFY01:€<250ÌFY00:€<250ÌFY99:€<250ÌÐ -€ ©#p `  -ÐFY02:ÌFY01:€06/02ÌFY00:€284ÌFY99:€286ÌFY98:€292ÌFY97:€261ÌFY96:€259ÌFY95:€299â âÐ H€ 7#=%"h d. P   €P€ƒ>ƒ„„HÐ1.12€Incidence€of€congenital€syphilis€per€100,000€liveÏbirthsÌ25.9ÌÌòòData€Source:€STD€Surveillance€System,€CDC.€€€HP2010Ð ëŒ Ðtarget€is€1.00.óóÐ µ V Ðâ âÌExpressed€per€100,000€live€birthsÐ 4€ #I ê  „„4ÐFY03:€<12ÌFY02:€<12ÌFY01:€<18ÌFY00:€<19ÌFY99:€<20€ÌÌÐ -€    -ÐFY02:ÌFY01:€06/02ÌFY00:€13.4ÌFY99:€14.3ÌFY98:€20.6ÌFY97:€27.5Ð3)'µ V d> P    3ÐÔ#†XŒ©XõôzFPÝ#Ôò òRelated€HHS€Strategic€Goalsó óÐ Q ò ÐÌÝ ‚P3£, ÝÝ  ÝÝ‚P3£WìÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝReduce€the€major€threats€to€health€and€productivity€of€all€Americans݃P3£Wì‚ìÝŒÐ1Ò½(#½(# ÐŒÝ  Ýò òà ½ àÌ1(c)à0 ½ àEnhance€mental€health€for€alló óв ½(#½(# ÐÌOPHS€will€work€to€enhance€mental€health€and€mental€illness€services€for€all€Americans.€€OPHSÏefforts€will€be€focused€on€reducing€the€stigma€of€mental€illness,€finding€effective€mental€healthÏpromotion€and€mental€illness€prevention€strategies,€detecting€mental€health€problems€early€andÏassuring€that€mental€health/mental€illness€services€are€utilized€for€cure€and€care.€€Mental€healthÏproblems€often€relate€to€other€serious€health€problems,€including€substance€abuse,€suicide€andÏviolence.€€The€first€ever€òòSurgeon€Generalððs€Report€on€Mental€Healthóó€has€brought€the€latestÐ ¡B  Ðscience€on€mental€health/mental€illness€into€the€domain€of€all€Americans.€€OPHS€must€follow€thatÏrelease€with€outreach,€education,€and€collaboration€with€mental€health€advocates€to€move€mentalÏhealth€squarely€into€the€mainstream€of€health€care€for€all.€€ÌÌò òOPHS€Contributing€Officesó óÐ Qò% ÐÌImmediate€Office€of€the€ASH,€Office€of€Disease€Prevention€and€Health€Promotion,€Office€ofÏEmergency€Preparedness,€Office€of€Minority€Health,€Office€of€the€Surgeon€General,€Office€onÏWomenððs€Health,€Presidentððs€Council€on€Physical€Fitness€and€Sports,€Office€for€Human€ResearchÏProtections€and€Office€of€Military€Liaison€and€Veterans€Affairs.ÌÌò òOPHS€Role€and€Contributionsó óÐ á!‚, ÐÌOPHSððs€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions.€€OPHS€ð!ð€together€with€HHS€agencies€and€other€partnersÏð!ð€invests€in€programs€to€improve€the€mental€health€of€Americans.€€Some€of€the€directÏcontributions€of€OPHS€include:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ a)$4 ÐÌÝ ‚P3£- ÝÝ  ÝÝ‚P3£°ôÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€National€Centers€of€Excellence€in€Womenððs€Health€sponsored€by€the€Office€onÐ A+â%6 ÐWomenððs€Health€are€conducting€research€addressing€aspects€of€gender€that€are€linked€viaÏvarious€mechanisms€to€post„traumatic€stress€and€associated€syndromes,€the€effects€ofÏhormone€replacement€therapy€in€response€to€stress,€and€depression€management.€à … à݃P3£°ôÛôÝŒÐ.²(9½(#½(# ÐŒÝ  ÝÐ /¢): ÐÝ ‚P3£. ÝÝ  ÝÝ‚P3£êöÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOHRP,€in€cooperation€with€the€National€Human€Research€Protections€Advisory݃P3£êö÷ÝŒÐ9½(#½(# ÐŒÝ  Ýà ½ àCommittee€(NHRPAC),€is€addressing€the€need€to€assure€that€individuals€who€areÌà ½ àdecisionally„impaired€due€to€mental€illness€and€who€participate€as€human€researchÌà ½ àsubjects€are€adequately€and€€appropriately€protectedÌòòÌInfluencing€and€Improving€National€PolicyóóÐ é° ÐÌÝ ‚P3£/ ÝÝ  ÝÝ‚P3£'ùÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Office€of€the€Surgeon€General€coordinated€the€development€of€a€comprehensiveÐ É  Ðreport,€òòMental€Health:€A€Report€of€theóó€òòSurgeon€Generalóó,€in€FY€2000.€€€Like€SurgeonÐ ¹ € ÐGeneral€reports€on€tobacco€use€and€physical€activity,€the€mental€health€report€includesÏcutting€edge€information€about€the€status€of€mental€health€and€mental€illness€and€newÏscience€and€research€on€etiology,€treatment€and€services€within€the€United€States.€€EffortsÏto€influence€the€provision€of€mental€health€services€have€continued€with€the€January€2001Ïrelease€of€the€òòReport€of€the€Surgeon€Generalððs€Conference€on€Childrenððs€Mental€Health:Ð i0  ÐA€National€Action€Agenda€óóand€other€related€reports€released€since€then,€including€theÐ Y  ÐòòReport€of€a€Surgeon€Generalððs€Working€Meeting€on€the€Integration€of€Mental€HealthÐ I ÐServices€and€Primary€Health€Care€óóand€òòMental€Health:€Culture,€Race,€and€Ethnicity€„€AÐ 9 ÐSupplement€to€Mental€Health:€A€Report€of€the€Surgeon€Generalóó.€€These€reports€serve€as€aÐ )ð Ðbasis€for€shaping€future€mental€health€policy€and€program€initiatives€for€State€and€FederalÏgovernments,€as€well€as€providing€the€public€with€valuable€information€about€mentalÏhealth€issues€affecting€the€Nation.݃P3£'ùRù݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£0 ÝÝ  ÝÝ‚P3£ÿÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Office€of€the€Surgeon€General€coordinates€the€national€strategy€to€combat€suicideÐ Ù  Ðthrough€The€Secretary's€Steering€Committee€for€the€National€Suicide€Prevention€Strategy,Ïled€by€the€Surgeon€General.€ÝƒP3£ÿ9ÿ݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£1 ÝÝ  ÝÝ‚P3£šÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Office€of€Emergency€Preparedness€(OEP)€is€responsible€for€coordinating€theÐ ™` Ðprovision€of€mental€health€services€in€the€immediate€response€phase€of€natural€disastersÏand€domestic€terrorism.€€Working€with€the€Federal€Emergency€Management€Agency€andÏSAMHSA,€OEP€provides€teams€of€mental€health€professionals€to€respond€to€large„scaleÏdeclared€disasters.݃P3£šÅ݌Р½(#½(# ÐŒÝ  ÝÌòòPromoting€Effective€Partnership€ActivitiesóóÐ 9!  ÐÌÝ ‚P3£2 ÝÝ  ÝÝ‚P3£ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€is€involved€with€a€variety€of€both€governmental€and€community€partners€to€addressÐ #à" Ðthe€Mental€Health€For€All€Initiative.€€Within€HHS,€OPHS€has€close€working€relationshipsÏwith€SAMHSA,€NIH,€CDC,€HRSA,€IHS,€and€ASPE€on€a€variety€of€ongoing€and€evolvingÏprojects€on€mental€health.€ÝƒP3£-݌Р½(#½(# ÐŒÝ  Ýà ½ àà  àÌÝ ‚P3£3 ÝÝ  ÝÝ‚P3£õÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€1994€Violence€Against€Women€Act€(VAWA)€established€the€National€AdvisoryÐ É'$' ÐCouncil€on€Violence€Against€Women.€€The€Council€is€co-chaired€by€the€Secretary€of€HHSÏand€the€Attorney€General,€and€consists€of€more€than€40€key€leaders€from€across€theÏcountry€in€the€business,€sports,€media,€entertainment,€religious,€labor,€law,€and€medicalÏfields,€as€well€as€domestic€violence€and€sexual€assault€survivors€and€advocates.€OWHÏprovides€staff€support€to€the€Secretary€of€HHS€for€his€role€as€co„chair€of€the€Council.€InÏOctober€2000,€the€Council€released€an€Agenda€for€the€Nation€on€Violence€Against€WomenÏwhich€outlines€their€recommendations€for€future€Federal,€State€and€local€efforts,€andÏprovides€a€toolkit€for€use€by€people€at€all€levels€of€exposure€to€the€issue.€€The€Agenda€isÐ I/,/ Ðdesigned€to€build€on€the€early€successes€of€VAWA€and€inform€subsequent€policy€andÏpractice.€The€Council€currently€has€a€new€charter€and€is€completing€the€process€for€newÏmembers.݃P3£õ ݌Р½(#½(# ÐŒÝ  ÝÌòòEngaging€in€Strategic€CommunicationóóÐ ùÀ ÐÌÝ ‚P3£4 ÝÝ  ÝÝ‚P3£Ã ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€has€a€unique€opportunity€to€focus€the€Nation€on€the€message€that€mental€health€isÐ Ù  Ðfundamental€to€health€and€is€everybodyððs€business.€€In€1999,€2000€and€2001,€a€series€ofÏevents€(including€the€White€House€Conference€on€Mental€Health€and€the€SurgeonÏGeneralððs€Workshop€on€Underage€Drinking)€and€reports€(including€òòMental€Health:€AÐ © p  ÐReport€of€the€Surgeon€Generalóó,€the€òòSurgeon€Generalððs€Call€to€Action€to€Prevent€Suicideóó,Ð ™ `  Ðthe€òòSurgeon€Generalððs€Report€on€Youth€Violenceóó,€and€òòMental€Health:€Culture,€Race,€andÐ ‰ P  ÐEthnicity€„€A€Supplement€to€Mental€Health:€A€Report€of€the€Surgeon€Generalóó)€built€OPHSÐ y@  Ðcredibility€with€the€Nation.€€OPHS€must€continue€to€have€direct€communication€links€withÏthe€American€public€on€the€topic€of€mental€health.€€As€science€is€progressing€in€discoveryÏof€the€causes€of€mental€illness€and€its€effective€treatment,€OPHS€works€to€get€out€thisÏmessage€of€hope€by€working€collaboratively€to€shape€a€scientifically€sound€and€effectiveÏnational€media€campaign€to€destigmatize€mental€illness.€Using€this€vehicle,€the€SurgeonÏGeneral€will€positively€affect€the€visibility€of€mental€health€and€illness€and€itsÏincorporation€into€the€mainstream€of€research,€services,€and€parity€of€benefits€in€bothÏprivate€and€public€plans.šÝƒP3£Ã î ݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£5 ÝÝ  ÝÝ‚P3£ÍÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Office€on€Womenððs€Health€created€two€specialty€sections€on€its€4woman.gov€web€siteÐ Ù  Ðthat€address€mental€health€issues:€ð ðViolence€Against€Womenðð€and€ð ðWomen€withÏDisabilities.ðð€€These€sections€offer€women€and€their€loved€ones€an€easy€way€to€navigateÏthe€often€complicated€and€limited€options€for€escape€from€the€terrible€threat€of€violence€inÏtheir€everyday€lives€or€challenges€faced€by€women€with€disabilities€in€obtainingÏpreventive€care.€€The€Violence€Section€offers€information€and€resources€to€womenÏconcerning€domestic€violence,€intimate€partner€violence,€sexual€assault,€and€elder€abuse.€ItÏalso€provides€a€useful€state„by„state€breakdown€of€resources€and€where€to€turn€for€help.ÏThe€Disabilities€section€offers€summaries€about€critical€health€issues€for€a€variety€ofÏdisabilities,€including€physical,€neurological,€hearing,€speech€and€visual€impairment.€€TheÏweb€site€section€will€also€provide€information€on€mental,€learning€and€developmentalÏdisabilities.€ÝƒP3£Íø݌Р½(#½(# ÐŒÝ  Ýà ½ àÌò òFY€2001€Performance€Summaryó óÐ  $Ð # ÐÌOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÏpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€ÏAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.€€ÌÌIn€FY€2001,€OPHS€continued€to€move€toward€enhancing€mental€health€for€all,€through€building€aÏstronger€science€base,€influencing€national€policy,€promoting€effective€partnerships,€and€engagingÏin€strategic€communications.ÌÐ I/,/ ÐAs€science€is€progressing€in€discovery€of€the€causes€of€mental€illness€and€its€effective€treatment,ÏOPHS€works€to€get€out€a€message€of€hope€by€working€collaboratively€to€shape€a€scientificallyÏsound€and€effective€national€campaign€to€destigmatize€mental€illness.€€In€1999,€2000€and€2001,€aÏseries€of€OPHS„led€events€including€the€White€House€Conference€on€Mental€Health€and€theÏSurgeon€Generalððs€Workshop€on€Underage€Drinking,€and€reports,€such€as€òòMental€Health:€AÐ ùÀ ÐReport€of€the€Surgeon€Generalóó,€the€òòSurgeon€Generalððs€Call€to€Action€to€Prevent€Suicideóó,€and€theÐ é° ÐòòSurgeon€Generalððs€Report€on€Youth€Violence,óó€focused€national€attention€on€enhancing€mentalÐ Ù  Ðhealth€for€all€Americans.€€In€2001,€the€Office€of€the€Surgeon€General€coordinated€theÏdevelopment€and€release€of€two€additional,€comprehensive€reports,€òòReport€of€the€SurgeonÐ ¹ € ÐGeneralððs€Conference€on€Childrenððs€Mental€Health:€A€National€Action€Agenda€óóandòò€MentalÐ © p  ÐHealth:€Culture,€Race,€and€Ethnicity€„€A€Supplement€to€Mental€Health:€A€Report€of€the€SurgeonÏGeneral.óó€€These€mental€health€reports€include€cutting€edge€information€about€the€status€of€mentalÐ ‰ P  Ðhealth€and€mental€illness€and€new€science€and€research€on€etiology,€treatment€and€services€withinÏthe€United€States.€€As€mental€health€and€mental€illness€become€more€mainstream€and€lessÏstigmatized,€health€insurance€coverage€is€likely€to€become€more€universally€available€with€lessÏrestrictive€benefits.€€The€reports€serve€as€a€basis€for€shaping€future€mental€health€policy€andÏprogram€initiatives€for€State€and€Federal€governments,€as€well€as€providing€the€public€withÏvaluable€information€about€mental€health€issues€impacting€the€Nation.€ÌÌSeveral€strategies€highlighted€in€the€January€2001€report€òòYouth€Violence:€A€Report€of€the€SurgeonÐ  Ð ÐGeneralóó€were€promoted€through€a€series€of€community€listening€sessions€held€in€November€andÐ ùÀ ÐDecember€2001.€€The€purpose€of€these€sessions€was€to€obtain€the€direct€input€andÏrecommendations€of€organizations,€communities,€and€individuals€addressing€the€problem€of€youthÏviolence€throughout€the€country,€including€those€with€differing€viewpoints.€€In€addition,€theÏsessions€increased€awareness€of€the€models€documented€in€the€Report€that€have€been€shown€to€beÏeffective€in€reducing€youth€violence.€A€summary€of€the€input€received€from€these€sessions,€whichÏwere€held€in€Philadelphia,€Atlanta,€Chicago€and€Denver,€is€currently€being€prepared€and€isÏexpected€to€be€released€in€2002.ÌÌAdditionally,€the€Secretary's€Steering€Committee€for€the€National€Suicide€Prevention€Strategy,€ledÏby€the€Surgeon€General,€released€a€comprehensive€strategy€document€in€May€2001.€€TheÏdocument,€entitled€òòGoals€and€Objectives€for€Actionóó,€contains€eleven€broad€goals€withÐ I  Ðapproximately€70€measurable€objectives.€€The€product€of€broad€public„private€collaboration,€theseÏgoals€and€objectives€will€seek€to€involve€public€and€private€stakeholders€within€the€healthcare,Ïpublic€health,€education,€justice,€faith„based,€business,€labor,€and€social€service€sectors,€amongÏothers.€ÌÌOPHS€is€monitoring€the€implementation€of€the€recommendations€of€these€Surgeon€GeneralððsÏreports€across€the€Department€through€the€activity€of€the€HHS€Mental€Health€CoordinatingÏCommittee.€€In€November€2001,€OPHS€convened€a€groundbreaking€meeting€of€diverseÏparticipants€to€begin€to€develop€core€principles€and€a€direction€for€a€national€action€strategy€forÏthe€integration€of€mental€health€services€and€primary€health€care.€€Highlights€of€the€meeting€andÏrecommendations€of€the€participants€were€published€in€December€2001€in€the€òòReport€of€a€SurgeonÐ ™*`'* ÐGeneralððs€Working€Meeting€on€the€Integration€of€Mental€Health€Services€and€Primary€HealthÏCareóó.Ð y,@), ÐÌAdditionally,€OWH€partnered€with€the€American€Psychological€Association€to€convene€a€SummitÏon€Women€and€Depression€in€October€2000€„€another€example€of€OPHS€partnership€activity.€Ð I/,/ ÐThis€summit€confirmed€that€translating€the€research€into€practice,€community€interventions,€andÏpolicy€continues€to€be€difficult.€€It€serves€as€a€prelude€to€the€upcoming€meeting€ð ðPsychosocial€andÏBehavioral€Factors€in€Women's€Health:€Enhancing€Outcomes€in€Women's€Healthðð€in€FebruaryÏ2002.€€As€many€as€1,000€participants€are€expected€at€this€interdisciplinary€conference.ÌÌFinally,€OEP€developed€a€model€metropolitan€mental€health€response€plan€for€inclusion€in€localÏdisaster€preparedness€systems€through€an€FY€2000€agreement€with€the€Uniformed€ServicesÏUniversity€of€the€Health€Sciences€(USUHS)/Department€of€Defense€(DoD).€€The€goal€of€theÏagreement€was€to€develop€educational€materials€for€public€officials€on€the€behavioral€and€mentalÏhealth€issues€most€relevant€to€preparing€for€and€responding€to€terrorist€acts€using€WMD.ò òÐ © p  Ðó óÌÌò òPerformance€Measuresó óÐ y@  ÐÔ‡ôzFõXXŒ©Ôà ½ à¹Ô*‹ƒMNddhdT h°dT °°dT °JKe(#e(#‹ÔÔ,hdT ÔÔ,°dT ÔÔ,°dT ÔÔ+  ÔÐ -€  3ú  €€ƒ.ƒ„„-ÐÔ#†XŒ©XõôzFy+#ÔÔ‡ôzFõXXŒ©ÔÌPerformance€MeasureÐ ;€ ,!a(  „„;ÐÌTargetsÐ ?€ ,!a("  „„?ÐActualÏPerformanceÐ O€ @,a(" d.    €P€ƒ.ƒ„„OÐ1.13€The€proportion€of€people€18€and€over€reportingÏdepression€in€the€past€12€months€who€are€receivingÏtreatmentÌ18.9aÌÌòòData€source:€National€Comorbidity€Survey€(NCS),Ð ¯v ÐSAMHSA,€CMHS;€NIH,€NIMH.€€The€€HP2010€target€isÏ50%.óóÐ 2€ #C   „„2ÐFY03:€36%ÌFY02:€34%ÌFY01:€32%ÌÌÐ -€ å¬!  -ÐFY02:ÌFY01:€DNCÌFY00:€12/02ÌFY99:€DNCÌFY98:€DNCÌFY97:€23%Ð F€ 7#¯v' d. P   €P€ƒ.ƒ„„FÐ1.14€Proportion€of€injurious€suicide€attempts€among€youthÏgrades€9„12Ì18.2ÌÌòòData€source:€Youth€Risk€Behavior€Survey,€CDC.€€HP2010Ð ÇŽ, Ðtarget€is€1.0.ÌóóÐ 2€ #[".  „„2ÐFY03:€1.2ÌFY02:€1.4ÌFY01:€1.6ÌFY00:€1.8ÌFY99:€2.0ÌÐ -€ ‘X4  -ÐFY02:ÌFY01:€08/02ÌFY00:€DNCÌFY99:€2.6%ÌFY98:€DNCÌFY97:€2.6%ÌFY95:€2.8%€Ð F€ 7#["; d. P   €P€ƒ.ƒ„„FÐ1.15€Annual€rate€of€suicideÌ18.1ÌÌòòData€sourceóó:òò€National€Vital€Statistics€System,€CDC,€NCHS.Ð "Ü? ÐThe€target€for€2010€is€6.0€per€100,000€population.óóÐ ß"¦@ ÐNote:€target€changed€to€11.3€due€to€reference€changeÐ 2€ #©#p A  „„2ÐFY03:€9.0ÌFY02:€9.5ÌFY01:€10ÌFY00:€10.5ÌÌÐ -€ ©#p G  -ÐFY02:ÌFY01:€09/03ÌFY00:€09/02ÌFY99:€10.7ÌFY98:€10.8ÌFY96:€11.7€Ð F€ 7#©#p M d. P   €P€ƒ.ƒ„„FÐ1.16€Violent€victimization€inflicted€by€current€or€formerÏintimate€partners.Ì15.34ÌÌòòData€source:€National€Crime€Victimization€Survey,€DoJ,Ð -(ô$R ÐBureau€of€Justice€Statistics.€€Healthy€People€target€is€3.3Ïper€100,000€persons€greater€or€equal€to€12€years€of€age.óóÐ 2€ #Á)ˆ&T  „„2ÐFY03:€4.2ÌFY02:€4.3ÌFY01:€4.4ÌFY00:€7€(perÏ1,000€women)ÌÌÐ -€ Á)ˆ&[  -ÐFY02:ÌFY01:€DNCÌFY00:€2.9ÌFY99:€3.5ÌFY98:€4.4ÌFY94:€4.5€ÌÐ H€ 7#Á)ˆ&b d. P   €P€ƒ>ƒ„„HÐ1.17€Develop€a€model€metropolitan€mental€health€responseÏplan€for€a€Weapons€of€Mass€Destruction€(WMD)€terroristÏincident,€for€inclusion€in€local€disaster€preparednessÏsystems€ÌÌòòData€source€is€OPHS€administrative€files.óóÐ 4€ #/Ö+h  „„4ÐFY00:€1ÌÌÌÌÐ -€ E. +m  -ÐFY00:€1€(GoalÏmet)ÌFY99:€0ÌFY98:€0ÌÌÐ3)'/Ö+s d> P    3ÐÔ#†XŒ©XõôzFÛ,#Ôò òà ½ àÌRelated€HHS€Strategic€Goalsó óÐ )ð ÐÌÝ ‚P3£6 ÝÝ  ÝÝ‚P3£í7ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€reduce€the€major€threats€to€health€and€productivity€of€all€Americans݃P3£í78݌Рн(#½(# ÐŒÝ  ÝÝ ‚P3£7 ÝÝ  ÝÝ‚P3£è8ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€improve€the€quality€of€health€care,€public€health,€and€human€services݃P3£è89ÝŒÐùÀ½(#½(# ÐŒÝ  ÝÝ ‚P3£8 ÝÝ  ÝÝ‚P3£ä9ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€improve€the€public€health€system݃P3£ä9:ÝŒÐé°½(#½(# ÐŒÝ  ÝÝ ‚P3£9 ÝÝ  ÝÝ‚P3£»:ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€strengthen€the€Nationððs€entitlement€and€health€safety€net€programs.ò ò݃P3£»:æ:ÝŒÐÙ ½(#½(# ÐŒÝ  ÝÌ1(d)à0 ½ àStrengthen€the€health€sciences€research€enterpriseó óй €½(#½(# ÐÌA€strong€health€sciences€research€enterprise€is€required€because€it€expands€the€knowledge€baseÏthat€underlies€clinical€treatments,€public€health€policy€and€further€research.€€OPHS€contributes€toÏthe€strengthening€of€the€health€sciences€research€enterprise€by€promoting€the€responsible€conductÏof€research,€the€effective€handling€of€scientific€misconduct,€and€the€expansion€of€the€knowledgeÏbase€related€to€the€responsible€conduct€of€research€and€research€misconduct,€all€while€protectingÏresearch€subjects.€€In€making€and€publicizing€125€findings€of€scientific€misconduct€since€itsÏestablishment€in€1992,€the€Office€of€Research€Integrity€(ORI)€actions€serve€as€a€deterrent€toÏmisconduct€and€educate€the€scientific€community€regarding€the€importance€of€research€integrity.€€ÏIn€initiating€725€investigations€since€1990,€the€Office€for€Human€Research€Protections€(OHRP)Ïactions€serve€to€provide€oversight€against€non„compliance€with€research€subject€protections€andÏeducate€the€scientific€community€regarding€the€importance€of€protecting€research€subjects.ÌÌò òOPHS€Contributing€OfficesÐ Ù  ÐÌó óOffice€of€Research€Integrity€and€Office€for€Human€Research€Protections.Ð ¹€ ÐÌò òOPHS€Role€and€ContributionsÐ ™` Ðó óÌOPHSððs€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions,€and,€as€necessary€and€appropriate,€take€essentialÏregulatory€actions.€€To€strengthen€the€health€sciences€research€enterprise,€OPHS€makes€directÏcontributions€that€include:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ #à" ÐÌOPHS€is€building€a€stronger€science€base€by€ensuring€that€all€applicant€and€awardee€institutions€Ïhave€an€administrative€process€available€for€handling€allegations€of€scientific€misconduct€in€PHSÏsupported€research€and€are€taking€steps€to€promote€a€research€environment€that€emphasizesÏintegrity.€€ORI€has€requested€institutional€policies€for€responding€to€scientific€misconductÏallegations€from€1,720€institutions€for€review€to€date€and€supports€studies€that€address€problemsÏinherent€in€responding€to€such€allegations.€€In€addition,€the€ORI€Research€Grant€Program€onÏResearch€Integrity€awarded€seven€grants€in€collaboration€with€the€National€Institute€forÏNeurological€Disorders€and€Stroke€and€the€National€Institute€of€Nursing€Research€to€expand€theÏknowledge€base€related€to€research€integrity,€the€responsible€conduct€of€research,€and€researchÏmisconduct.€€ORI€is€also€developing€an€education€program€to€promote€the€responsible€conduct€ofÏresearch€by€all€persons€supported€by€PHS€research€or€research€training€funds.òòóóÐ Y. +. ÐÐ I/,/ ÐòòInfluencing€and€Improving€National€PolicyóóÐ 9 ÐÌOPHS€is€contributing€to€the€development€of€an€effective€national€policy€on€scientific€misconductÏand€research€integrity.€€ORI€organized€a€workshop€on€implementing€€the€Federal€Policy€onÏResearch€Misconduct€that€was€attended€by€representatives€of€27€Federal€agencies.€€ORI€hasÏfunded€studies€of€whistleblowers,€respondents,€guidelines€adopted€by€medical€schools€for€theÏconduct€of€research,€research€integrity€measures€utilized€in€biomedical€research€laboratories,€andÏthe€incidence€of€research€misconduct€in€biomedical€research.€€In€addition,€ORI€is€supporting€theÏdevelopment€of€a€report€by€the€Institute€of€Medicine€on€assessing€integrity€in€researchÏenvironments.ÌÌOPHS€is€also€contributing€to€the€development€of€an€effective€national€policy€on€research€subjectsÏprotections.€€OPHS€has€established€a€National€Human€Research€Protection€Advisory€CommitteeÏ(NHRPAC)€which€provides€guidance€on€conducting€responsible€research€while€protectingÏresearch€subjects.€€OHRP€also€provides€a€leadership€role€for€all€agencies€signed€up€to€implementÏthe€Common€Rule.ÌÌòòPromoting€Effective€Partnership€ActivitiesóóÐ )ð ÐÌOPHS€is€promoting€effective€partnership€activities€with€funding€agencies€throughout€theÏgovernment,€scientific€societies,€institutional€associations,€research€institutions,€and€foreignÏgovernments.€€ORI€has€organized€a€Federal€Research€Misconduct€Officials€Network€that€includesÏrepresentatives€from€27€agencies.€€In€addition,€all€five€conferences€or€workshops€held€in€FY2001Ïwere€in€collaboration€with€research€institutions,€scientific€societies,€or€professional€organizations.€ÏORI€also€helped€to€organize€an€international€conference€on€conflict€of€interest€in€clinical€and€basicÏresearch€that€will€be€held€in€Poland€in€April€2002€that€includes€representatives€from€the€WorldÏMedical€Association,€the€Council€of€Europe,€the€European€Forum€for€Good€Clinical€Practice,€theÏEuropean€Science€Foundation€and€19€countries.€€In€addition,€ORI€is€planning€a€conference€onÏinternational€collaboration€in€health€research€involving€human€participants€in€the€Americas€inÏPuerto€Rico€in€February€2003.€€Finally,€ORI€is€developing€a€liaison€with€about€25€scientificÏsocieties€and€institutional€associations.€€OHRP€leads€the€Human€Subjects€Research€SubcommitteeÏof€the€Committee€on€Science€of€the€National€Science€and€Technology€Council,€in€promotingÏeffective€inter„agency€partnerships.ÌÌòòEngaging€in€Strategic€Communicationóó€€Ð #à" ÐÌOPHS€engages€in€strategic€communication€with€about€4,100€institutions€that€apply€for€or€receiveÏfunding€from€the€Public€Health€Service€to€develop€effective€administrative€processes€for€Ïresponding€to€allegations€of€scientific€misconduct€and€protecting€research€subjects€and€to€promoteÏa€research€environment€that€encourages€the€responsible€conduct€of€research.€€ORI€publishes€aÏhighly€regarded€quarterly€newsletter€and€specialized€publications,€frequently€holds€conferencesÏand€workshops,€maintains€an€informative€website,€meets€with€misconduct€officials€in€otherÏagencies,€and€promotes€interaction€with€scientific€societies€and€institutional€associations.€€OHRPÏconducts€regular€educational€workshops€and€interactive€town„hall€meetings€in€collaboration€withÏresearch€institutions,€scientific€societies,€or€professional€organizations,€and€individual€technicalÏsupport€on„site€visits€across€the€country€and€the€world,€to€provide€guidance€and€education€in€theÏâ âethics€of€and€requirements€for€protecting€research€subjects.€€OHRP€maintains€an€informativeÐ Y. +. Ðwebsite,€meets€with€officials€in€other€agencies,€and€promotes€interaction€with€scientific€societiesÏand€institutional€associations.Ìâ âÌò òFY€2001€Performance€Summaryó óÐ  Ð ÐÌOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÏpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€ÏAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.€€ÌÌIn€FY€2001,€OPHS€continued€to€strengthen€the€health€sciences€research€enterprise,€throughÏbuilding€a€stronger€science€base,€influencing€national€policy,€promoting€effective€partnerships,Ïand€engaging€in€strategic€communications.ÌÌORI€took€several€steps€in€FY€2001€to€build€a€stronger€science€base€by€(1)€awarding€seven€researchÏgrants€to€conduct€studies€related€to€research€integrity,€the€responsible€conduct€of€research€orÏresearch€misconduct;€(2)€initiating€an€educational€program€in€the€responsible€conduct€of€researchÏ(RCR)€for€all€individuals€supported€by€PHS€research€or€research€training€funds;€Ì(3)€closing€18€misconduct€cases;€(4)€approving€102€institutional€research€misconduct€policies,€(5)Ïholding€five€conferences/workshops€and€(6)€concluding€a€study€of€research€guidelines€adopted€byÏU.S.€medical€schools€and€a€needs€assessment€for€the€ORI€educational€program.ÌÌThe€research€on€research€integrity€awards€were€made€to€universities,€hospitals,€and€a€researchÏfoundation.€€Grant€applications€received€in€the€second€round€increased€25€percent€to€30.€€TheÏRCR€educational€program€is€seeking€to€provide€basic€instruction€in€subjects€that€appear€toÏgenerate€misconduct€allegations,€conflict,€and€interpersonal€problems€in€research€organizations.€ÏContinuing€support€was€given€to€The€Online€Resource€for€Instruction€in€the€Responsible€ConductÏof€Research.€€This€site€provides€individuals€and€institutions€with€the€tools€and€resources€to€refineÏexisting€programs€or€develop€new€programs€to€foster€the€responsible€conduct€of€research.€€TheÏwebsite€is€located€at€[Ô4‚KÝ ' ÔÝ‚&ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://rcr.ucsd.eduóó].òòÔ6F^ÔÝ‚&ÍOZ^ƒÝóóÔÿÔÝ  ÝÔ7Ý Iˆ^Ô€€ORI€also€expanded€the€RCR€Education€section€on€itsÐ I  Ðwebsite.€€A€draft€of€the€RCR€self„instruction€booklet€was€received€from€the€contractor.€€ÌÌIn€FY€2001,€ORI€exceeded€the€target€rate€set€for€completing€ORI€oversight€of€scientificÏmisconduct€cases€within€eight€months€of€receiving€final€decision€from€institution,€which€wasÏ70percent.€Of€18€cases€closed€by€ORI€during€FY€2001,€78€percent€were€closed€within€eightÏmonths€of€receiving€the€institutional€documentation€and€final€decision.€€The€average€ORIÏprocessing€time€for€the€18€cases€was€seven€months.€€Nine€of€the€18€closed€cases€resulted€inÏmisconduct€findings€and€the€imposition€of€administrative€actions.€ÌÌIn€addition,€ORI€has€now€reviewed€the€policy€of€41.6€percent€of€the€institutions€that€have€anÏassurance€on€file,€which€slightly€exceeds€the€FY€2001€goal€of€40€percent.€ÌÌOHRP€program€activity€also€contributes€to€strengthening€the€health€sciences€research€enterprise.ÏIn€FY2001€OHRPððs€Division€of€Compliance€Oversight€(DCO)€conducted€four€(4)€complianceÏoversight€site€visits€(St.€Jude€Childrenððs€Research€Hospital,€Johns€Hopkins€University€School€ofÏMedicine,€the€Johns€Hopkins€Bayview€Medical€Center€and€Suburban€Hospital€in€Maryland).€Ð I/,/ ÐAdditionally,€DCO€opened€37€new€compliance€oversight€cases€and€closed€96€cases€in€FY2001.€€ÏThe€number€of€open€cases€has€been€reduced€from€its€peak€of€182€in€July€2000€to€108€as€ofÏDecember€31,€2001.€€Approximately€60€additional€cases€have€undergone€extensive€evaluation€andÏare€approaching€closure.€€ÌÌA€new€program€of€not„for„cause€compliance€oversight€surveillance€evaluations€is€a€highlight€ofÏefforts€to€increase€accountability€of€the€human€subjects€protection€system,€working€in€concertÏwith€education,€support€and€quality€improvement€efforts.€€Additionally,€ò òó óOHRP€has€developed€aÐ É  Ðsimplified€Institutional€Assurance€system€in€conjunction€with€the€IRB€Registration€System.€€ThisÏsystem€will€greatly€reduce€the€administrative€burden€on€the€individual€institutions€and€OHRP,Ïresulting€in€faster€assurance€approvals,€and€enable€the€institutions€to€focus€more€attention€onÏquality€improvement.€€ÌÌBoth€ORI€and€OHRP€are€also€taking€action€to€influence€and€improve€national€policy.€€ORIÏcontracted€with€the€Institute€of€Medicine€(IOM)€in€September€2000€to€prepare€a€report€onÏassessing€integrity€in€research€environments.€€The€PHS€regulation€(42€C.F.R.€Part€50,€Subpart€A)Ïstates€that€ð ðinstitutions€shall€foster€a€research€environment€that€discourages€misconduct€in€allÏresearch€and€that€deals€forthrightly€with€possible€misconduct€associated€with€research€for€whichÏPHS€funds€have€been€provided€or€requested.ðð€€The€IOM€report,€which€will€be€published€inÏSeptember€2002,€addresses€the€conceptual€issues€related€to€the€development€of€a€longitudinalÏdatabase€that€could€track€institutional€efforts€to€foster€integrity€in€research€environments.€€AÏconference€will€be€held€in€October€2002€to€present€the€report€to€the€research€community.€€AnÏanalysis€of€research€guidelines€adopted€by€U.S.€medical€schools€was€completed;€a€resourceÏdocument€on€developing€effective€research€guidelines€is€being€developed€and€a€conference€onÏresearch€guidelines€will€be€held€in€September€2002€in€Philadelphia.€€In€addition,€ORI€contractedÏfor€a€study€of€integrity€measures€utilized€in€biomedical€research€laboratories.ÌÌOn€February€1,€2001,€about€80€representatives€from€27€agencies€attended€the€workshop€on€theÏFederal€Research€Misconduct€Policy,€developed€by€the€Office€of€Science€and€Technology€Policy;Ïthe€policy€was€published€in€the€òòFederal€Registeróó€on€December€6,€2000.€€ORI€also€developed€andÐ i0 Ðmaintains€the€Federal€Research€Misconduct€Officials€Network€to€generate€discussion€andÏcooperation€among€Federal€agencies€concerned€with€research€misconduct€and€the€responsibleÏconduct€of€research.ÌÌUnder€the€leadership€of€OHRP,€efforts€will€continue€in€the€Department€to€initiate€a€process€toÏdevelop€standards€for€IRB€Accreditation.€€The€Institute€of€Medicine€produced€a€report€in€AprilÏ2001€outlining€standards€for€Institutional€Review€Boards€to€achieve€accreditation.€€DuringÏFY2001,€OHRP€developed€a€unified€IRB€Registration€System.€€The€new€system,€initiated€at€theÏbeginning€of€December€2001,€provides€for€the€voluntary€registration€of€IRBs.€This€system€can€beÏutilized€by€OHRP,€FDA,€and€other€Federal€Departments€and€Agencies€to€facilitateÏcommunications€with€these€IRBs.€ÌÌOHRP€also€developed€a€simplified€Assurance€system€for€institutions€conducting€federallyÏsupported€or€conducted€human€subject€research.€€The€new€Assurance,€called€a€FederalwideÏAssurance,€can€significantly€reduce€the€administrative€burden€on€individual€institutions,€OHRP,Ïas€well€as€other€Federal€Departments€and€Agencies.€€Reduction€in€burden€is€gained€by:€1)€theÏincreased€simplicity€of€the€form€and€process,€2)€increased€approval€period€of€the€Assurance€forÏmost€institutions€(from€a€project€by€project€approval€to€an€approval€period€of€three€years),€and€Ð I/,/ Ð3)€acceptance€of€an€OHRP€approved€Federalwide€assurance€by€other€Federal€Departments€andÏAgencies€of€the€Common€Rule,€thus€removing€the€need€for€duplicate€effort€on€behalf€of€otherÏDepartments€and€Agencies.€€If€an€IRB€will€be€the€designated€IRB€of€record€for€a€givenÏinstitutionððs€Federal€wide€Assurance,€then€it€will€register€through€its€Assurance,€in€OHRPððs€IRBÏRegistration€System,€providing€much€of€the€same€information€it€had€to€under€other€AssuranceÏmechanisms.€€This€required€step€actually€decreases€the€burden€for€IRBs€as€they€will€have€toÏprovide€much€less€interaction€with€OHRP,€whenever€the€IRB€will€commit€to€review€humanÏsubject€research€for€an€institution€under€a€new€Assurance.ÌÌOHRP€has€developed€a€Quality€Improvement€(QI)€Program€for€institutionððs€human€subjectsÏprotection€programs€and€for€independent€IRBs.€€The€QI€Program€will€include€quality€assurance,Ïquality€improvement,€and€continuous€quality€improvement€processes.€€The€primary€objective€ofÏthe€QI€Program€is€to€increase€the€performance,€quality,€and€efficiency€of€an€institutionððs€orÏindependent€IRBððs€human€subjects€protection€program.€€Secondarily,€the€QI€Program€will€help€anÏinstitution€or€independent€IRB€ensure€that€its€human€subjects€protection€program€is€in€complianceÏwith€the€federal€regulations€for€the€protection€of€human€subjects€in€research.€€To€facilitate€the€QIÏProgram,€OHRP€has€developed€a€Self„Assessment€Tool€for€institutions€and€independent€IRBs.ÏPilot€testing€of€the€QI€Program€began€in€August€2001.€€OHRP€launched€the€QI€Program€in€theÏWinter€of€2001.€€Once€pilot€testing€of€the€Self„Assessment€Tool€is€completed,€OHRP€will€submitÏthe€tool€to€OMB€for€review€and€approval.€€After€OMB€approval€of€the€Self„Assessment€Tool€isÏobtained,€the€tool€will€be€included€as€an€instrument€to€enhance€the€quality€assurance/qualityÏimprovement€process.€ÌÌAdditionally,€the€National€Human€Research€Protections€Advisory€Committee€held€its€firstÏmeeting€in€December€2000.€€This€newly€established€committee,€coordinated€by€OHRP,€willÏprovide€expert€advice€and€recommendations€to€senior€departmental€officials€on€a€broad€range€ofÏissues€and€topics€pertaining€to€or€associated€with€the€protection€of€human€research€subjects.ÌÌORI€and€OHRP€are€also€working€with€partners€to€improve€communications€aimed€atÏstrengthening€the€health€sciences€research€enterprise.€€In€FY€2001,€ORI€held€five€conferences/Ïworkshops€on€research€integrity€and€research€misconduct,€in€collaboration€with€professionalÏassociations,€scientific€societies,€and€Federal€research€agencies.€ÌÌOHRP€is€enhancing€its€education€efforts€in€order€to€ensure€that€investigators€and€IRB€membersÏare€well€informed€about€the€regulatory€requirements.€€As€part€of€this€effort,€OHRP€has€increasedÏthe€number€of€workshops,€town€meetings,€and€presentations€conducted€by€the€staff€of€theÏEducation€Division.€€In€FY€2001,€OHRP€conducted€over€90€presentations€(ten€of€which€wereÏinternational),€five€National€Workshops,€and€three€Town€Meetings.€€One€of€the€Town€MeetingsÏconducted€in€FY2001€was€a€video€conference.€€OHRP€plans€to€expand€its€use€of€informationÏtechnology€to€conduct€video€conferences€to€reach€a€wider€audience€in€FY2002.€€In€FY€2001,ÏOHRP€spearheaded€an€interagency€effort€to€prepare€a€Federal„wide€IRB€Guidebook.€This€projectÏis€expected€to€be€completed€by€the€end€of€FY€2002.€€In€FY€2002,€OHRP€will€also€be€developingÏan€interactive€guidance€resource/repository€to€provide€easier€access€to€OHRP€guidance.€€Finally,ÏOHRP€is€also€planning€a€public€education€campaign€to€better€inform€lay€persons€about€theÏresearch€process,€informed€consent,€IRBs€and€the€like.€€This€will€ultimately€strengthen€the€consentÏprocess€and€afford€greater€recognition€of€OHRP's€public€service€role€and€the€importance€of€theÏprivate€accreditation€process.€ÌÐ I/,/ ÐInternationally,€OHRP€activities€in€FY€2002€will€be€influenced€by€the€recommendations€in€theÏrecent€Inspector€General€report€on€ð ðThe€Globalization€of€Clinical€Trials€„€A€Growing€Challenge€inÏProtecting€Human€Subjects.ðð€Areas€of€emphasis,€already€initiated€in€FY€2001,€will€be€capacityÏbuilding,€harmonization,€partnership€building,€and€policy€analysis,€all€based€on€a€strongÏfoundation€of€strategic€communications,€training€and€education.ÌÌORI€took€steps€to€facilitate€communication€with€institutional€officials,€journal€editors,€andÏresearchers€during€FY€2001.€€ORI€received€the€final€report€on€ð ðORI€Education€Program:€A€NeedsÏAssessment,ðð€which€provides€information€on€what€institutional€officials€would€like€ORI€toÏinclude€in€its€education€program€aimed€at€the€responsible€conduct€of€research€and€the€handling€ofÏresearch€misconduct€allegations.€€ORI€also€held€exhibits€or€poster€sessions€at€seven€meetings€ofÏscientific€societies€and€professional€associations€in€FY€2001€to€increase€contact€and€generate€aÏdialogue€with€members€of€the€research€and€academic€communities.€€In€addition,€ORI€beganÏplanning€a€workshop€for€journal€editors€in€collaboration€with€the€Council€of€Science€Editors.ÌÌò òÌÌÌÌÌÌÌPerformance€Measuresó óÐ Ù  ÐÔ‡ôzFõXXŒ©ÔÌÔ*‹ƒLMddhdT h°dT °°dT °MNe(#e(#‹ÔÔ,hdT ÔÔ,°dT ÔÔ,°dT ÔÔ+  ÔÐ -€  “Z €€ƒ,ƒ„„-ÐÌPerformance€MeasureÐ ;€ ,!Áˆ  „„;ÐÌTargetsÐ ?€ ,!Áˆ"  „„?ÐActualÏPerformanceÐ O€ @,Áˆ" d,    €P€ƒ,ƒ„„OÐ1.18€Number€of€collaborative€activities€(workshops,Ïpublications€and€other€resource€materials€produced)€thatÏassist€institutions€to€(1)€promote€integrity€in€the€healthÏscience€research€enterprise,€and€(2)€develop€administrativeÏprocesses€that€effectively€respond€to€allegations€ofÏscientific€misconductÌÌòòData€Source:€OPHS€administrative€filesóóÐ 2€ #¡!h&  „„2ÐFY03:€4Ïworkshops,€1ÏresourceÌFY02:€4Ïworkshops€andÏ2€resourcesÌFY01:€4Ïworkshops€andÏ2€resourcesÌFY00:€4Ïworkshops€andÏ2€resourcesÐ -€ É$!2  -ÐFY02:ÌFY01:€5Ïworkshops,€2ÏresourcesÌFY00:€5Ïworkshops€andÏ1€resourceÌFY99:€6Ïworkshops€andÏ1€resource€Ð F€ 7#5#ü< d, P   €P€ƒ,ƒ„„FÐ1.19€Percent€of€institutional€policies€for€responding€toÏallegations€of€scientific€misconduct€that€have€beenÏreviewed€for€compliance€with€the€Federal€regulation€42ÏCFR€Part€50,€Subpart€AÌÌòòData€source:€OPHS€administrative€filesóóÐ 2€ #*Ü&B  „„2ÐFY03:€45%ÌFY02:€45%ÌFY01:€40%ÌFY00:€40%Ð -€ (H%F  -ÐFY02:ÌFY01:€41%ÌFY00:€37%ÌFY99:€35%â âÐ @€ 1#(H%J d, P   €P€ƒ<ƒ‹‹@Ð1.20€Rate€of€completing€ORI€oversight€of€scientificÏmisconduct€cases€within€eight€months€of€receiving€finalÏdecision€from€institutionÌÌòòData€source:€OPHS€administrative€filesóóÐ ,€ éŒ  ‹‹,ÐFY03:€80%ÌFY02:€80%ÌFY01:€75%ÌFY00:€70%ÌÐ 0€ éŒ   ‹‹0ÐFY02:Ô#†XŒ©XõôzFŽ†#ÔÔ‡ôzFõXXŒ©ÔÐ Ád  ÐFY01:€78%ÌFY00:€81%Ï(completed€inÏ8€months)Ìâ âFY99:€79%Ï(completed€inÏ1€year)€Ð :€ )#G ê d< P   ƒ<ƒ:Ð1.21€Implement€an€RCR€education€program€for€all€personsÏreceiving€PHS€research€or€research€training€supportÌÌÌÌòòData€source:€OPHS€administrative€filesóóÐ +€ £F   +ÐFY03:ÏDevelopÏinstructionalÏresourcesÏprogramÌFY02:ÏDevelop€aÏself„instructionÏmanual€€ÌFY01:€Publishò òÐ Ën" Ðó ópolicy;€hold€€2Ð •8# ÐworkshopsÐ -€ _$  -ÐFY02:ÌFY01:ÏPublishedÏpolicy,€held€2ÏworkshopsÌà ¶ à¼à ¶ àÐ 5€ $m + d<   ƒ<ƒ5Ð1.22€Create€program€on€research€on€research€integrityÌÌÌÌÌÌÌÌòòData€source:€OPHS€administrative€filesóóÐ +€ ¼4  +ÐFY03:€MakeÏup€to€8€newÏawards;Ïcontinue€up€toÏ5€awardsÌFY02:€MakeÏup€to€5€newÏawards;Ïcontinue€up€to€Ï5€awardsÌFY01:ÏAnnounceÏprogram;Ïmake€up€to€5ÏawardsÐ -€ Õ!xC  -ÐFY02:ÌFY01:€Made€7Ïnew€awardsÌFY00:ÏProgramÏannouncedÐ >€ -»^I d<   ƒ<ƒ„„>Ð1.23€Number€of€compliance€oversight€site„visits€to€evaluateÏallegations€of€non„compliance€with€the€Federal€regulationsÏat€45€CFR€Part€46ÌÌ€òòData€Source:€OPHS€administrative€filesóóÐ =€ ,!g& !N  „„=ÐFY03:€8ÌFY02:€8ÌFY01:€6Ð ?€ ,!Ó$vQ  „„?ÐFY02:Ô#†XŒ©XõôzFÝŽ#ÔÔ‡ôzFõXXŒ©Ô€Ð ?#âR ÐFY01:Ô#†XŒ©XõôzFþ”#ÔÔ‡ôzFõXXŒ©Ô€4Ð  $¬S ÐFY00:€4Ð L€ ;'Ó$vT d<   €…€ƒ<ƒ„„LÐ1.24€Number€of€OHRP€Compliance€oversight€casesÏcompletedÌÌÌòò€Data€source:€OPHS€administrative€filesóóÐ =€ ,!ù*œ%Y  „„=ÐFY03:€75ÌFY02:€75ÌFY01:€75€Ð ?€ ,!e)$\  „„?ÐFY02:Ô#†XŒ©XõôzF[•#ÔÔ‡ôzFõXXŒ©ÔÐ Ñ't"] ÐFY01:Ô#†XŒ©XõôzF —#ÔÔ‡ôzFõXXŒ©Ô€96Ð ›(>#^ ÐFY00:€60Ô#†XŒ©XõôzFg—#ÔÔ‡ôzFõXXŒ©ÔÐ Q€ @,e)$_ d< …   €€ƒ<ƒ„„QÐ1.25€Guidance€from€NHRPAC€on€number€of€significantÏissuesÐ  /Ã)a ЇòòData€source:€OPHS€administrative€filesóóÐ =€ ,!Ád  „„=ÐFY03:€4ÌFY02:€5€€Ð  /Ã) ÐFY01:ÌEstablishÏNHRPACÐ ?€ ,!Uø  „„?ÐFY02:Ô#†XŒ©XõôzFÉ—#ÔÔ‡ôzFõXXŒ©ÔÐ V.ù( ÐFY01:Ô#†XŒ©XõôzF”™#ÔÔ‡¼hâ»XXŒ©ÔÐ  /Ã) ÐÔ#†XŒ©X»¼hâð™#ÔÔ‡ôzFõXXŒ©ÔNHRPACÐ Ád ÐestablishedÔ#†XŒ©XõôzFGš#ÔÐ<20‹. d<     <Ðò òÌRelated€HHS€Strategic€Goalsó óÐ K î ÐÌÝ ‚P3£: ÝÝ  ÝÝ‚P3£#›ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€improve€the€public€health€system݃P3£#›N›ÝŒÐ+ ν(#½(# ÐŒÝ  ÝÝ ‚P3£; ÝÝ  ÝÝ‚P3£ú›ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€strengthen€the€Nationððs€health€sciences€enterprise€and€enhance€its€productivityà … à݃P3£ú›%œÝŒÐ ¾½(#½(# ÐŒÝ  ÝÌÐ  û ž Ðò òOPHS€PRIORITY€2:€MAINTAIN€A€GLOBAL€APPROACH€TO€PUBLIC€HEALTHó óÐ 9 ÐÌRealities€in€todayððs€world€call€for€a€global€approach€to€public€health€and€innovative€globalÏpartnerships.€€Countries€around€the€world€share€many€of€the€same€public€health€problems€that€weÏface€in€the€United€States,€including€HIV/AIDS,€tobacco€use,€diseases€of€aging€populations,Ïinjuries,€and€problems€of€mental€health,€to€name€just€a€few.€€We€must€translate€recognition€of€ourÏshared€problems€into€action€for€shared€solutions.€€Our€world€is€interconnected;€we€must€work€withÏpartner€institutions€and€nations€to€improve€world€health€overall.€€Because€of€astonishing€advancesÏin€technology,€transportation,€international€trade,€and€the€passing€of€two€million€people€crossingÏinternational€borders€each€day,€Americans€can€no€longer€think€that€we€are€isolated€and€protectedÏfrom€health€problems€around€the€world.€€The€health€of€America€is€now€global.ÌÌTwo€areas€of€global€health€concern€for€OPHS€action€are:€to€increase€awareness€of€and€attention€toÏglobal€health€concerns€and€their€effects€on€the€domestic€issues,€and€to€ensure€a€safe€food€andÏblood€supply€and€monitor€threats€of€terrorism.ÌÌò ò2(a)à ½ àIncrease€awareness€of€and€attention€to€global€health€concerns€and€their€effects€on€theÐ 9 Ðdomestic€issuesÌó óÌò òOPHS€Contributing€Officesó óÐ  Ð ÐÌOffice€of€Global€Health€Affairs,€Immediate€Office€of€the€Assistant€Secretary€of€Health,€Office€ofÏthe€Surgeon€General,€Office€of€Disease€Prevention€and€Health€Promotion,€Office€of€MinorityÏHealth,€Office€of€HIV/AIDS€Policy,€Office€on€Womenððs€Health,€Office€of€Research€Integrity,ÏOffice€of€Emergency€Preparedness,€National€Vaccine€Program€Office,€and€the€Office€for€HumanÏResearch€Protectionsà m àÐ ©p ÐÌò òOPHS€Contributionsó ó€Ð ‰P ÐÌTaking€a€global€approach€to€health€requires€both€strategic€leadership€and€many€governmental€andÏnon„governmental€partners€in€the€United€States€and€throughout€the€world€working€together.€ÏOPHS€provides€critical€leadership€and,€as€appropriate,€serves€as€the€focal€point€for€coordination€ofÏefforts€by€HHS€agencies,€other€federal€agencies,€and€other€partners€to€optimize€efficiency€andÏeffectiveness€in€improving€health€globally.ÌÌOPHS€has€taken€the€lead€in€developing€a€Departmental€Global€Health€website,€òòglobalhealth.govóó,Ð  $Ð # Ðbased€on€the€tenets€of€€ð ðmaintaining€a€global€approach€to€public€health,ðð€ð ða€healthy€world€and€aÏhealthy€Americaðð€and€ð ðincreasing€awareness€of€and€attention€to€global€health€concerns€and€theirÏeffects€on€domestic€issues.ðð€€Complementary€to€fulfilling€the€primary€domestic€mandate€of€HHS,Ïit€is€clear€that€HHSððs€globally„oriented€work€has€positive€impact€in€different€types€of€ways:Ïdirectly€on€the€health€of€populations€in€other€countries;€through€leveraging€of€technical€expertiseÏin€the€programming€and€funding€of€partner€agencies;€through€training€and€capacity€building;Ïthrough€guidelines€and€public€health€approaches€that€can€be€adapted€or€adopted€by€otherÏcountries;€and€directly€on€health€and€health€programming€in€the€United€States€by€virtue€ofÏrecognizing€and€applying€information€or€experiences€from€other€countries€to€address€similarÏissues€in€this€country.€€Furthermore,€the€Institute€of€Medicine€has€noted€that€ð ðThe€direct€interestsÏof€the€United€States€are€best€served€when€America€acts€decisively€to€promote€health€around€theÏworldðð€(òòAmericaððs€Vital€Interest€in€Global€Healthóó,€1997).€€OPHS€plays€a€leadership€role€inÐ I/,/ Ðarticulating€the€importance€of€a€global€approach€to€health€in€the€United€States€and€both€aÏleadership€and€coordination€role€in€contributions€to€U.S.€Government€positions€and€delegations€toÏofficial€international€fora.ÌÌSome€examples€of€OPHS€contributions€in€strategic€areas€of€global€concern€include:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ Ù  ÐÌOPHS€coordinates€HHS€policy€on€selected€international€research€to€improve€the€science€base.€ÏFor€example,€current€activities€in€Russia€involve€mental€health€research,€as€part€of€the€US„RussiaÏJoint€Commission€on€Economic€and€Technological€Cooperation€(U.S.„Russia€Health€Committee)Ïand€the€Biotechnology€Engagement€Program€that€supports€collaboration€between€US€and€RussianÏscientists€in€infectious€disease„related€research.ÌÌThe€Environmental€Health€Policy€Committee,€a€senior-level€committee€providing€departmentalÏleadership€and€coordination€to€resolve€science-based€policy€questions€about€environmental€andÏoccupational€health,€helps€to€coordinate€the€national€response€to€environmental€threats.€€TheÏInternational€Environmental€Health€Working€Group€is€a€group€of€specialists€focusing€on€globalÏenvironmental€health€and€relating€back€to€the€parent€Policy€Committee.ÌÌòòInfluencing€and€Improving€National€PolicyÐ ùÀ ÐóóÌThrough€the€Secretary€of€HHS,€the€Assistant€Secretary€for€Health,€and€the€Surgeon€General,€HHSÏand€OPHS€promote€achievement€of€US€global€health€policy€goals€through€membership€and€activeÏpartnership€with€multilateral€organizations,€most€notably€the€World€Health€Organization,€the€PanÏAmerican€Health€Organization,€and€UNICEF.€€Recently,€OPHS€has€become€more€activelyÏinvolved€with€other€groups€developing€new€health€agendas,€such€as€the€Organization€forÏEconomic€Cooperation€and€Development€(OECD),€the€Group€of€8€(G8),€the€Global€Fund€to€FightÏAIDS,€Tuberculosis€and€Malaria,€the€Asia€Pacific€Economic€Cooperation€(APEC)€and€others.€ÏOPHS€coordinates€input€from€HHS€and€other€agencies€in€the€development€of€US€GovernmentÏpolicy€statements€for€these€multilateral€fora.€€OPHS€also€provides€and€facilitates€technicalÏcooperation€between€HHS€and€these€agencies,€as€well€as€the€World€Bank€and€other€agencies€ofÏthe€United€Nations€system.€€Within€the€US€Government€system,€OPHS€helps€coordinate€HHSÏtechnical€assistance€to€the€efforts€of€the€US€Agency€for€International€Development€(USAID),€theÏDepartment€of€State€and€others.€€Examples€include€assignment€of€HHS€personnel€to€USAID€toÏhelp€address€national€policy€related€to€HIV/AIDS,€malaria,€reproductive€health,€and€other€healthÏpriorities€in€developing€countries€and€the€active€technical€involvement€of€OPHS€and€other€HHSÏstaff€in€specific€initiatives€led€by€the€State€Department.€€In€addition,€the€NVPO€is€responsible€forÏcoordinating€the€development€of€the€United€States€Action€Plan€for€Laboratory€Containment€ofÏWild€Polioviruses,€a€component€of€the€WHO€Global€Action€Plan€„€critical€to€ensuring€that,€afterÏpolio€eradication€is€achieved,€chance€reintroduction€of€poliovirus€into€the€community€will€beÏminimized.ÌÌOne€of€the€most€important€areas€in€which€OPHS€has€influenced€national€policies€is€throughÏassisting€other€countries€in€developing€concrete,€measurable,€science„based€national€healthÏobjectives,€modeled€after€the€US€òòHealthy€People€2010óó€process.€€òòHealthy€Genteóó,€reflecting€US€andÐ i-0*- ÐMexican€health€objectives,€is€one€of€the€innovative€ways€of€influencing€border€health€prioritiesÏthrough€policy€and€collaborative€implementation.€€Additionally,€in€September€2000,€HealthyÐ I/,/ ÐEgyptians€was€launched€by€the€Egyptian€Ministry€of€Health€in€collaboration€with€OPHSððss€ASH,ÏODPHP,€and€OGHA.€OPHS€also€coordinates€the€HHS€blood€safety€program,€with€the€ASH€as€theÏBlood€Safety€Director.€€This€involves€policy€formation€around€donor€issues€and€coordination€toÏavert€product€shortages€with€domestic€and€international€partners.ÌòòÌPromoting€Effective€Partnership€ActivitiesÌÌóóOPHS€works€with€global€health€stakeholders€in€the€US€Government€and€throughout€the€world.€Ð É  ÐOPHS€is€the€US€Government€member€of€the€WHO€Executive€Board€and€leads€the€US€healthÏinterests€within€UNICEF€Executive€Board.€€OPHS€coordinates€the€participation€of€the€USÏDelegation€to€the€annual€World€Health€Assembly,€including€staffing€the€HHS€Secretary.€€OPHSÏcoordinates€all€US€Government€agreements€with€WHO€and€the€assignment€of€US€GovernmentÏpersonnel€to€WHO€and€other€United€Nations€agencies€(e.g.,€UNICEF,€World€Bank)€to€address€aÏwide€range€of€issues.€€OPHS€also€collaborates€on€technical€and€health€policy€issues€with€UNAIDSÏand€UNHCR.€€€Additionally,€OPHS€has€placed€technical€specialists€with€US€embassies/missionsÏin€Geneva,€India,€Vietnam,€and€(soon)€South€Africa€as€resident€health€attachs.€€Finally,€OPHSÏcoordinates€several€US€bilateral€projects€with€other€governments€(for€example,€Russia,€Mexico,ÏSouth€Africa).€ÌÌGlobal€womenððs€issues€are€addressed€through€various€bi„national€working€groups€andÏrepresentation€at€international€meetings,€for€example€the€Working€Group€on€Womenððs€Health€ofÏthe€US„Mexico€Binational€Commission.€€An€example€of€international€collaboration€on€womenððsÏhealth€issues€is€the€activity€of€the€National€Centers€of€Excellence€in€Womenððs€Health,€sponsoredÏby€the€Office€on€Womenððs€Health,€which€has€been€fostering€new€womenððs€healthcare€models€inÏthe€former€Soviet€Union€since€1992.€€This€has€resulted€in€the€establishment€of€a€network€ofÏpioneering€womenððs€wellness€centers€in€the€Ukraine,€Belarus€and€Uzbekistan€in€partnership€withÏthe€American€International€Health€Alliance€(AIHA),€based€in€Washington,€D.C.,€and€funded€byÏthe€US€Agency€for€International€Development.€€ÌÌOPHS€has€been€designated€the€lead€of€the€US€delegation€to€the€WHO„sponsored€negotiations€onÏthe€Framework€Convention€on€Tobacco€Control€(FCTC).€€As€such,€OPHS€coordinates€withÏrepresentatives€from€the€Departments€of€State,€Treasury,€Agriculture,€Justice,€and€Commerce,Ïwith€input€from€the€US€Trade€Representative,€the€Environmental€Protection€Agency,€and€theÏFederal€Trade€Commission.€€òòThe€Healthy€People€2010óó€tobacco€goals€help€shape€the€US€positionsÐ )"ð! Ðfor€the€FCTC€negotiations.€ÌÌOPHS€has€played€a€critical€lead€role€in€preparations€for€two€United€Nations€General€AssemblyÏSpecial€Sessions,€one€for€HIV/AIDS€in€June€2001€and€the€other€on€Children,€originally€scheduledÏfor€September€2001€but€postponed€until€May€2002.€OPHS€led€and€largely€wrote€the€U.S.ÏGovernmentððs€ten„year€progress€report€since€the€1990€World€Summit€for€Children,€entitledÏòòAmericaððs€Children:€Our€Challenge,€Our€Future.óó€€OPHS€has€also€participated€actively€in€theÐ ¹(€%( Ðofficial€preparatory€committee€meetings€leading€up€to€the€2002€UN€Special€Session.ÌÌThe€Surgeon€General€holds€a€preeminent€position€of€leadership€with€respect€to€global€healthÏpolicies€insofar€as€he€is€charged€with€providing€leadership€to€the€health€of€the€American€people.€ÏTherefore,€he€is€able€to€expand€and€make€more€effective€partnerships€across€all€the€stakeholdersÏconcerned€with€health€within€the€US€and€abroad.ÌÐ I/,/ ÐòòEngaging€in€Strategic€CommunicationóóÐ 9 ÐÌOPHS€is€the€HHS€coordinating€office€for€creating€and€disseminating€information€about€the€vitalÏimportance€of€US€involvement€in€the€many€areas€of€global€health.€€The€new€HHS€website,Ïòòglobalhealth.gov,€óóis€a€global€health€portal€launched€during€FY€2001€that€provides€information€onÐ ùÀ Ðinternational€activities€of€OPHS€and€agencies€HHS„wide;€reports€and€publications;€speeches€andÏpresentations;€calendar€of€international€health€events;€ð ðhot€topicsðð;€information€on€countries€andÏinternational€travel;€world€health€statistics;€and€more.€€The€website€has€been€favorably€reviewedÏin€formal€and€informal€communications€in€the€United€States€and€abroad.€ÌÌò òFY€2001€Performance€SummaryÐ ™ `  ÐÌó óOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÐ y@  Ðpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€ÏAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.€€ÌÌIn€FY€2001,€OPHS€continued€to€increase€awareness€of€and€attention€to€global€health€concerns,Ïthrough€building€a€stronger€science€base,€influencing€national€policy,€promoting€effectiveÏpartnerships,€and€engaging€in€strategic€communications.ÌÌAs€described€in€further€detail€above,€in€FY€2001€OPHS€launched€the€Departmentððs€new€globalÏhealth€website,€òòglobalhealth.gov,óó€to€provide€useful€and€timely€information€to€a€wide€range€ofÐ ¹€ Ðaudiences€both€inside€and€beyond€the€United€States.ÌÌThe€US„Mexico€Border€Health€Commission€(USMBHC)€was€established€in€July€2000€through€aÏMemorandum€of€Agreement€between€the€Department€of€Health€and€Human€Services€and€theÏMexican€Ministry€of€Health.€€OPHS€coordinates€the€HHS€side€of€the€collaboration.€TheÏestablishment€of€the€Commission€was€directed€under€Public€Law€103„400€which€authorized€theÏPresident€to€enter€into€negotiations€with€Mexico€to€establish€the€US„Mexico€Border€HealthÏCommission.€€The€primary€goals€of€the€Commission€are€to€1)€institutionalize€a€domestic€focus€onÏborder€health€which€can€transcend€political€changes€and,€2)€create€an€effective€venue€forÏbinational€discussions€to€address€public€health€issues€and€problems€which€affect€the€US„MexicoÏborder€populations.€€To€address€priority€health€issues€in€a€joint,€binational€€effort,€the€USMBHCÏhas€established€the€Healthy€Border€2010€Program,€an€agenda€of€goals€and€objectives€that€areÏmutually€accepted€by€the€federal€governments€of€the€US€and€Mexico,€and€by€the€four€US€borderÏstates€and€the€six€Mexican€border€states.€€This€program€addresses€more€than€12€focus€areas,€withÏmore€than€20€measurable€health€objectives€for€health€improvement.€€The€USMBHC€works€toÏprovide€the€tools€and€venues€for€collaboration€between€public€health€professionals€along€andÏacross€the€border,€both€via€internet„based€communication,€and€via€significant€working€meetings€toÏaddress€priority€issues€such€as€tuberculosis€and€other€health€issues.ÌÌAnother€example€of€global€collaboration€is€the€work€OGHA€is€conducting€with€Egypt€to€improveÏhealth.€€For€more€than€three€decades,€HHS€and€the€Egyptian€Ministry€of€Health€and€PopulationÏ(MOHP)€have€worked€together€ð!ð€including€ten€years€of€collaboration€with€the€US€Agency€forÏInternational€Development€(USAID)€ð!ð€to€improve€the€health€of€the€Egyptian€people.€€The€purposeÐ I/,/ Ðof€this€current€collaboration€between€HHS€and€MOHP€is€to€develop€a€national€health€agenda,Ïfocusing€on€disease€prevention€and€health€promotion€priorities€and€achievement€of€measurableÏtargets.€€The€Healthy€Egyptian€2010€initiative€is€adapted€from€the€US€experience€with€HealthyÏPeople€2000.€€Healthy€Egyptians€2010€is€focused€on€four€public€health€areas:€€Maternal€and€ChildÏHealth;€Injury€Control;€Environmental€Health€and€Tobacco€Control.€€Healthy€Egyptians€2010€wasÏofficially€launched€in€September€2000€in€Cairo.€OGHA€has€placed€a€DHHS€resident€advisor€withÏMOHP€to€further€the€development€of€Healthy€Egyptians€2010.ÌÌThe€HE€2010€Collaboration€will€continue€for€an€additional€2„5€years€under€USAID€support.€€TheÏnext€phase€of€the€collaboration€will€focus€on€expanding€the€Ministry€of€Health€and€PopulationððsÏcapability€in€delivering€HE€2010€messages€at€the€Governorate€and€District€levels.€€In€addition,€aÏDHHS€Resident€Advisor€will€continue€to€work€with€the€Ministry€of€Health,€USAID,€Embassy€andÏU.S.€Community€to€support€the€overall€U.S.€Health€efforts€in€Egypt.€€A€mid„term€review€ofÏHE2010€targets€will€be€done€in€FY€2004„05.ÌÌThe€Secretary€of€HHS€leads€the€US€delegations€to€the€World€Health€Assemblies,€the€annual€WHOÏgathering€of€health€ministers,€and€through€this€leadership€role,€the€Department€has€worked€hard€toÏbe€viewed€by€WHO€and€countries€alike€as€a€fellow€"Member€State"€rather€than€as€a€"donorÏcountry."€€Preparation€for€the€WHA€is€a€dynamic€process€that€includes€close€coordination€withÏHHS,€DOS,€and€USAID€experts€and€other€stakeholders€throughout€the€year€in€the€development€ofÏUS€policy€positions€and€programmatic€strategies.€€For€the€54th€World€Health€Assembly€in€MayÏ2001,€agenda€items€included€infant€and€child€nutrition,€health€systems€performance€assessment,Ïnursing€and€midwifery,€polio€eradication/vaccine€development€and€a€new€global€mental€healthÏinitiative.€ÌÌAnother€example€of€global€partnership€includes€the€HHS€Biotechnology€Engagement€ProgramÏ(BTEP),€which€began€in€1999€as€a€result€of€requests€by€the€Secretaries€of€State€and€Defense€forÏHHS€to€ð ðengageðð€former€Soviet€bioweapon€scientists€in€cooperative€research.€€HHS€agreed,Ïproviding€that€component€agencies€(CDC,€FDA,€and€NIH)€were€compensated€for€theirÏparticipation€as€collaborating€scientists,€hosts,€and€technical€advisors.€€Because€of€the€nationalÏsecurity€importance€attached€to€this€non„proliferation€activity,€OGHA€has€been€provided€with€aÏfunding€stream€that€runs€some€$25€million€over€three€years.€€The€vast€majority€of€this€funding€(70Ïpercent)€is€intended€for€Russian€and€NIS€scientists€and€former€weapons€institutions.€€NewÏresearch€projects€were€submitted,€reviewed,€approved€and€initiated€during€FY€2001.ÌÌMany€OPHS€offices€are€involved€in€efforts€to€increase€attention€to€global€health€concerns.€€TheÏOffice€on€Womenððs€Health€disseminated€the€technical€manual€òòCaring€for€Women€withÐ ù$À!$ ÐCircumcisionóó€to€all€medical,€osteopathic,€nursing,€and€public€health€schools€in€the€US.€Ð é%°"% ÐAdditionally,€this€manual€was€distributed€to€interested€international€organizations,€as€well€asÏState,€territorial,€and€regional€womenððs€health€coordinators.€€In€FY€2001,€over€1000€copies€of€theÏmanual€were€distributed.€€OWH€also,€in€collaboration€with€the€HHS€Working€Group€on€FemaleÏGenital€Cutting,€continues€its€efforts€to€educate€and€inform€health€professionals€and€the€publicÏabout€female€genital€cutting(FGC).€€In€FY€2001,€OWH€provided€FGC€resources€through€theÏNational€Womenððs€Health€Information€Center.€ÌÌOWH€is€also€working€on€the€expansion€of€the€Womenððs€Health€Workgroup€of€the€US„MexicoÏBinational€Commission€to€include€issues€relative€to€the€full€range€of€a€womanððs€life,€of€which€theÏreproductive€phase€is€a€cycle.€€This€expansion€is€essential€in€accomplishing€the€task€of€providingÐ I/,/ Ðmore€than€minimum€health€care€for€women€in€the€U.S.€and€Mexico€and€the€states€that€border€bothÏcountries.€€In€addition,€in€2001€the€OWH€selected€the€Mariposa€Health€Care€Clinic€in€Nogales,ÏArizona€as€a€Womenððs€Health€Community€Center€of€Excellence.€€ÌÌIn€addition,€OHAP€also€plays€a€critical€role€in€translating€research€findings€and€developments€intoÏpublic€health€practice€because€of€its€expertise€in€clinical€and€public€health€issues.€€OHAP€servesÏon€the€Panel€on€Clinical€Practices€for€the€Treatment€of€HIV€Infection,€led€by€NIH€and€comprisedÏof€expert€clinicians€and€clinical€researchers€in€HIV€both€within€government€and€those€active€inÏpublic/private€provider€settings.€€The€Panel€regularly€updates€sets€of€treatment€guidelines,€whichÏprovide€up€to€date€information€for€providers€and€consumers,€and€are€widely€accepted€as€standardsÏof€care€by€providers€and€payors€alike.€€Colleagues€within€international€health€organizations€andÏhealth€ministries€have€also€consulted€with€OHAP€around€HIV€care€and€treatment€issues€on€aÏregular€basis.ÌÌò òDiscussion€of€Performance€Measures€Ð Y  ÐÌó óThere€are€at€least€three€areas€where€OPHS,€through€coordination€with€other€agencies,Ð 9 Ðdepartments,€and€governments,€has€an€impact€on€global€health€and€its€relevance€to€Americans:Ïpolio€eradication,€tuberculosis,€and€tobacco€use.ÌÌòòPolio€eradicationóó:€€The€ASH€has€consistently€advocated€with€the€WHO€Director„General€toÐ ùÀ Ðmaintain€polio€eradication€as€a€WHO€priority;€with€other€donor€countries€(e.g.€France,€Germany)Ïto€mobilize€additional€resources€to€complete€the€global€eradication€campaign;€and€with€affectedÏcountries€to€encourage€their€continued€efforts€toward€eradication.€€In€addition,€OPHS€hasÏcoordinated€input€from€different€US€departments€and€HHS€agencies€toward€a€united€voice€forÏglobal€polio€eradication.ÌÌòòTuberculosisóó:€€The€reemergence€of€TB€in€the€United€States€is€related€to€both€the€increase€ofÐ ‰P Ðimmigrants€and€travelers€to€and€from€areas€of€high€infection€and€to€the€slow€disintegration€of€anÏestablished€tracking€and€treatment€system€throughout€the€country.€€In€close€collaboration€withÏCDC€and€in€regular€consultation€with€the€Immigration€and€Naturalization€Service€(INS),€the€USÏDepartment€of€State,€and€several€international€agencies,€OPHS€is€working€toward€closer€trackingÏof€TB€cases€in€the€United€States€and€improved€systems€of€detection€and€treatment€for€all€thoseÏinfected€here.ÌÌòòTobacco€Useóó:€€While€tobacco€use€among€some€sectors€of€the€US€population€is€decreasing,€it€isÐ  $Ð # Ðincreasing€in€others,€such€as€among€youths€and€Hispanics.€€Women€now€account€for€39€percent€ofÏall€smoking„related€deaths€each€year€in€the€United€States,€a€proportion€that€has€more€than€doubledÏsince€1965,€according€toòò€Women€and€Smoking:€A€Report€of€the€Surgeon€Generalóó€released€MarchÐ Ù& #& Ð2001.€€Similarly,€tobacco€use€is€rising€rapidly€in€many€developing€countries.€€OPHS€serves€aÏcoordinating€role€in€HHS€international€efforts€to€reduce€the€sale,€promotion,€and€use€of€tobaccoÏaround€the€world€through€active€participation€in€FCTC€process.ÌÌò òPerformance€Measuresó óÐ ‰+P(+ ÐÌÔ*‹ƒSTd dhdT h°dT °°dT °LMe(#e(#‹ÔÔ,hYYÔÔ,sYYÔÔ,íYYÔÔ+  ÔÐ 5€ " i-0*- €€‚‚ƒƒ„„5ÐÔ‡ôzFõXXŒ©Ôò òPerformance€Measuresó óÐ 6€ #q-8*.  „„6Ðò òTargetsó óÐ 6€ #q-8*/  „„6Ðò òActualÐ q-8*0 ÐPerformanceó óÐ N€ ;#;.+1     €€‚‚ƒƒ„„NÐ2.1€New€cases€of€polio€(world)òòÐ /Ü+2 ЇÌData€source:€WHO€Commission€for€the€Certification€ofÏPolio€Eradication€(complete€eradication€expected€in€2005)óóÐ 6€ #Õœ  „„6ÐFY03:€0Ð /Ü+ ÐFY02:€0ÌFY01:€0ÌFY00:€0ÌÌÐ 6€ #i0  „„6ÐFY02:Ð /Ü+ ÐFY01:€498ÌFY00:€2,971ÌFY99:€7,141ÌFY98:€6,349ÌFY97:€5,185ÌFY96:€4,076Ð N€ ;#3ú     €€‚‚ƒƒ„„NÐ2.2€Tuberculosis€case€rate€per€100,000€(USA)ÌòòÌData€source:€Infectious€disease€surveillance€system,€CDC.€ÏHealthy€People€2010€target€is€1.0€new€cases€per€100,000Ïpopulation€(ie€ð ðeliminationðð)óóÐ 6€ #5 ü   „„6ÐFY03:ÌFY02:€2.8ÌFY01:€3.2ÌFY00:€3.5ÌFY99:€4.5Ð 6€ #5 ü  „„6ÐFY02:ÌFY01:ÌFY00:€04/01ÌFY99:€6.4ÌFY98:€6.8ÌFY97:€7.4ÌFY96:€8.0Ð3)'É       3ÐÔ#†XŒ©XõôzFò#Ôà ½ àà  àÌò òRelated€HHS€Strategic€Goalsó óÐ ‹R  ÐÌÝ ‚P3£< ÝÝ  ÝÝ‚P3£ì÷ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€reduce€the€major€threats€to€health€and€productivity€of€all€Americans݃P3£ì÷øÝŒÐk2 ½(#½(# ÐŒÝ  ÝÝ ‚P3£= ÝÝ  ÝÝ‚P3£çøÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€strengthen€the€Nationððs€health€sciences€research€enterprise€and€enhance€its€productivity݃P3£çøùÝŒÐ["½(#½(# ÐŒÝ  ÝÝ ‚P3£> ÝÝ  ÝÝ‚P3£ùùÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€improve€the€public€health€system݃P3£ùù$úÝŒÐK½(#½(# ÐŒÝ  ÝÌÐ  +ò Ðò ò2(b)à ½ àEnsure€a€safe€food€and€blood€supply,€and€prepare€for€and€respond€to€terrorismÐ 9 Ðthreatsó óÐ )ð ÐÌò òOPHS€Contributing€Officesó óÐ  Ð ÐÌOffice€of€Emergency€Preparedness,€Office€of€HIV/AIDS€Policy,€Office€of€the€Surgeon€General,ÏOffice€of€Military€Liaison€and€Veterans€Affairs,€Office€for€Human€Research€Protections€andÏNational€Vaccine€Program€Office.ÌÌò òOPHS€Role€and€Contributionsó ó€Ð © p  ЀÌOne€of€OPHSððs€primary€missions€is€to€help€lead€the€medical€response€and€recovery€efforts€to€theÏhealth€effects€of€any€disaster,€be€it€a€natural€occurrence€or€an€act€of€terrorism.€€The€health€effectsÏof€biological€terrorism€are€especially€problematic,€since€we€may€not€know€where€or€when€theÏassault€took€place,€and€may€only€see€its€effects€over€time.€€The€national€response€to€bioterrorism€isÏled€by€the€ASH,€through€surveillance€activities€of€FDA,€CDC,€ATSDR€and€State€and€local€healthÏagencies,€with€the€assistance€of€all€the€HHS€agencies.€€In€addition,€the€ASH€is€on€the€front€line€ofÏresponse€through€the€National€Disaster€Medical€System,€the€preparedness€of€our€special€responseÏteams,€and€through€our€work€with€local€jurisdictions€and€their€medical€response€systems.€€OPHSÏalso€plays€a€role€in€preparing€for€potential€threats€of€terrorism€through€national€planning€efforts.ÌÌOPHS€provides€critical€leadership€around€policy€and€activities€to€ensure€a€safe€and€adequate€bloodÏsupply.€€The€Secretary€placed€responsibility€for€the€HHS€blood€safety€program€within€OPHS,€withÏthe€ASH€serving€as€the€Blood€Safety€Director.€€OPHS€serves€as€a€focal€point€for€coordinating€theÏsurveillance,€research€and€regulatory€activities€of€the€Department,€so€that€any€emerging€threat€isÏimmediately€recognized€and€addressed€to€protect€the€publicððs€health.ÌÌOPHSððs€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions.€ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ I  ÐÌÝ ‚P3£? ÝÝ  ÝÝ‚P3£8ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€works€with€a€number€of€national€organizations€to€develop€proficiency€standards€forÐ )"ð! Ðmedical€schools€and€accreditation€standards.݃P3£8c݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£@ ÝÝ  ÝÝ‚P3£}ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€has€engaged€with€nursing€groups€to€develop€educational€objectives,€contentÐ ù$À!$ Ðcurriculum€standards€and€competency€assessments,€to€support€national€curricula€for€theÏtraining€and€continuing€education€of€nurses,€paramedics€and€physicians€for€the€emergencyÏcare€and€definitive€treatment€of€casualties€resulting€from€WMD€incidents.݃P3£}¨ÝŒÐ ½(#½(# ÐŒÝ  ÝÌòòInfluencing€and€Improving€National€PolicyóóÐ ©)p&) ÐÌÝ ‚P3£A ÝÝ  ÝÝ‚P3£ÌÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€assists€the€National€Security€Council€and€other€agencies€in€developing€policyÐ ‰+P(+ Ðrelating€to€the€health€and€medical€response€to€a€terrorist€event.݃P3£Ì÷݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£B ÝÝ  ÝÝ‚P3£!ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€provides€leadership€in€blood€safety€through€management€of€the€SecretaryððsÐ Y. +. ÐAdvisory€Committee€on€Blood€Safety€and€Availability€and€the€Public€Health€ServiceÐ I/,/ ÐBlood€Safety€Committee,€ensuring€that€senior€Department€officials€are€made€aware€in€aÏtimely€manner€of€events€that€impact€on€the€safety€and€availability€of€the€U.S.€blood€supplyÏand€assuring€that€current€scientific€evidence€and€all€relevant€interests€are€included€in€theÏformation€of€policies€that€affect€the€blood€supply.݃P3£!L݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£C ÝÝ  ÝÝ‚P3£Ü ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝThe€Office€for€Human€Research€Protections€addresses€any€human€research€participant݃P3£Ü  ÝŒÐé°½(#½(# ÐŒÝ  Ýà ½ àprotection€issues€which€may€arise€in€connection€with€national€emergencies,€includingÌà ½ àresearch€issues€which€may€arise€in€connection€with€these€situations.ÌÌòòEngaging€in€Strategic€CommunicationóóÐ © p  ÐÌÝ ‚P3£D ÝÝ  ÝÝ‚P3£Ô ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOEP€provides€critical€information€through€its€web€site€(www.oep-ndms.Dhhs.gov).€€ThisÐ ‰ P  Ðweb€site€provides€information€on€the€OEP€mission€and€functions,€strategic€planningÏactivities€for€counter-terrorism€and€natural€disasters,€information€on€metropolitan€medicalÏresponse€systems,€current€information€and€situation€reports€during€disasters,€informationÏon€the€National€Disaster€Medical€System€annual€conference,€and€links€to€otherÏdisaster-related€sites.݃P3£Ô ÿ ݌Р½(#½(# ÐŒÝ  ÝÌòòPromoting€Effective€Partnership€ActivitiesóóÐ à ÐÌÝ ‚P3£E ÝÝ  ÝÝ‚P3£ŸÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€continues€to€foster€partnerships€across€the€public€and€private€sectors.€€ThroughÐ ùÀ ÐNDMS,€OEP€maintains€partnerships€with€the€Departments€of€Defense€and€VeteransÏAffairs,€the€Federal€Emergency€Management€Agency,€and€over€7,000€individuals€whoÏmake€up€the€Disaster€Medical€Assistance€Teams€(DMATs)€and€the€specialty€teams.€€OEPÏalso€works€closely€with€the€Departments€of€Justice,€Defense,€State,€and€Energy;€theÏEnvironmental€Protection€Agency;€the€National€Security€Council€and€others€to€ensure€thatÏwe€are€prepared€to€deal€with€the€effects€of€natural€disasters€and€terrorist€events.݃P3£ŸÊ݌Р½(#½(# ÐŒÝ  ÝÌÝ ‚P3£F ÝÝ  ÝÝ‚P3£©ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€works€with€States€and€local€jurisdictions€to€develop€capacity€with€medical€responseÐ y@ Ðsystem€development€contracts,€and€to€ensure€a€coordinated€medical€response€to€terrorism.€ÏIn€addition,€OPHS€works€with€state€health€departments€to€support€development€of€state„¼specific€influenza€pandemic€preparedness€plans.݃P3£©Ô݌Р½(#½(# ÐŒÝ  ÝÌò òFY€2001€Performance€SummaryÐ )"ð! ÐÌó óOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÐ  $Ð # Ðpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€ÏAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.€€ÌÌIn€FY€2001,€OPHS€continued€to€ensure€a€safe€food€and€blood€supply€and€monitor€terrorismÏthreats,€through€building€a€stronger€science€base,€influencing€national€policy,€promoting€effectiveÏpartnerships,€and€engaging€in€strategic€communications.ÌÌIn€the€area€of€blood€safety,€FY€2001€marked€the€completion€of€the€hepatitis€C€lookback,€aÏprogram€initiated€by€the€Department€to€assure€that€as€many€individuals€as€possible€who€may€haveÐ I/,/ Ðbeen€inadvertently€exposed€to€the€hepatitis€C€virus€by€blood€transfusion€were€informed€of€theirÏpotential€exposure€and€of€the€recommended€actions€they€should€take€in€response€to€receiving€thisÏinformation.€€This€activity€was€performed€by€the€private€sector,€namely€blood€establishments€thatÏcollected€blood€and€transfusion€services€that€distributed€it,€and€supervised€by€OPHS.€€FDAÏGuidance€suggested€and€subsequent€Regulation€required€that€blood€establishments€andÏtransfusion€services€establish€Standard€Operating€Procedures€to€implement€the€hepatitis€CÏlookback.€Subsequent€to€October€1,€2001,€FDA€has€included€examination€of€compliance€with€thisÏStandard€Operating€Procedure€in€its€regular€inspections€of€blood€establishments€and€transfusionÏservices.€€As€of€this€writing,€no€deviations€from€this€Standard€Operating€Procedure€have€beenÏreported€by€FDA.ÌÌFY€2001€also€marked€the€apparent€completion€of€the€almost€decade„long€revision€and€updating€ofÏblood€donor€deferral€policies€to€reduce€the€risk€of€transmitting€the€various€transmissibleÏspongiform€encephalopathies€(TSEs)€(including€classical€Creutzfeldt„Jakob€disease,€or€CJD,€andÏvariant€CJD,€the€human€form€of€bovine€spongiform€encephalopathy,€BSE,€or€Mad€Cow€disease)Ïby€blood€transfusion.€€This€and€the€hepatitis€lookback€were€the€two€outstanding€policy€issues€thatÏthe€Department€charged€OPHS€with€supervising€in€1995,€when€the€Secretary€designated€theÏAssistant€Secretary€for€Health€to€be€the€Blood€Safety€Director€for€the€Department€and€created€theÏPublic€Health€Service€Blood€Safety€Committee€and€the€Department€of€Health€and€HumanÏServices€Advisory€Committee€on€Blood€Safety€and€Availability.€€An€additional€accomplishmentÏof€OPHS€related€to€this€issue€was€supervision€of€the€development€of€the€Departmentððs€BSE/TSEÏAction€Plan,€which€was€requested€by€the€Secretary€in€February€2001€and€approved€by€him€in€JuneÏ2001.€ÌÌFY€2001€was€also€the€year€that€OPHS€implemented€the€component€of€the€DHHS/FDA€BloodÏAction€Plan€that€called€for€the€Department€to€monitor€the€United€States€blood€supply.€€OPHSÏmonitoring€of€the€supply€of€blood€products,€and€the€capacity€of€the€supply€to€meet€demand,Ïbecame€operational€on€August€15,€2001;€monitoring€the€supply€of€plasma€derivatives,€and€theÏcapacity€of€the€supply€to€meet€demand,€is€expected€to€become€operational€on€or€about€August€15,Ï2002.ÌÌOPHS€also€helped€coordinate€the€governmentððs€response€to€the€demands€placed€on€the€UnitedÏStates€blood€supply€by€the€events€of€September€11,€2001.€€OPHS€activities€in€this€area€includeÏpreparation€for€a€meeting€of€the€DHHS€Advisory€Committee€on€Blood€Safety€and€Availability€onÏJanuary€31€and€February€1,€2002€to€discuss€what€lessons€can€be€learned€from€the€events€ofÏSeptember€11,€2001€that€could€improve€the€safety€and€availability€of€the€United€States€bloodÏsupply.ÌÌOPHS€continued€to€address€potential€widespread€public€health€threats,€including€the€threat€of€anÏinfluenza€pandemic.€ÌÌNVPO€coordinated€pandemic€influenza€planning€to€improve€ongoing€efforts€for€the€preventionÏand€control€of€influenza€in€the€United€States.€€Included€in€these€efforts€is€the€development€of€theÏPandemic€Influenza€Action€Plan.€€The€goal€of€this€plan€is€to€limit€the€total€burden€of€diseaseÏcaused€by€an€influenza€pandemic,€including€social€disruption€and€economic€loss.€€Toà€(#(#K(#àˆÐ y,@), Ðachieve€this€goal,€three€objectives€are€identified:€strengthen€global€and€domestic€surveillanceÏâ âcapabilities€to€increase€the€likelihood€of€early€detection€of€an€influenza€pandemic€and€effectiveÐ Y. +. Ðtracking€of€its€spread,€strengthen€national€readiness€to€respond€to€an€influenza€pandemic,€andÏstrengthen€the€infrastructure€on€which€the€plan€depends.Ìâ âÌIn€addition€to€the€threat€of€an€influenza€pandemic,€OPHS€continued€to€prepare€for€other€potentialÏpublic€health€disasters.€€The€primary€mission€of€the€Office€of€Emergency€Preparedness€(OEP)€isÏto€assist€in€the€management€and€coordination€of€the€Federal€health,€medical€and€health„relatedÏsocial€service€response€and€recovery€to€major€emergencies,€federally€declared€disasters€andÏterrorist€acts.€€As€such,€OEP€directs€a€major€national€initiative,€the€Metropolitan€MedicalÏResponse€System€(MMRS)€development€program,€which€provides€a€mechanism€to€forge€a€localÏintegrated€response€which€links€multiple€local,€state€and€Federal€agencies€as€well€as€private€healthÏcare€institutions€that€will€serve€as€the€initial€responders€to€any€weapon€of€mass€destructionÏ(WMD)€event.€€Metropolitan€Medical€Response€Systems€(MMRS)€that€address€the€healthÏconsequences€of€the€release€of€a€weapon€of€mass€destruction€(WMD)€were€initiated€in€25Ïadditional€areas€in€2001,€bringing€the€total€to€97.€€During€FY€2001,€25€contract€modificationsÏwere€made€to€add€funding€for€bioterrorism€capabilities€to€the€systems€begun€during€FY€2000.€€ÌÌò òPerformance€Measuresà Å àó óÐ 9 ÐÌÔ*‹ƒUWFddhYYhsYYsíYYíSTe(#e(#‹ÔÔ,¦T ÔÔ,½dT ÔÔ,ždT ÔÔ+  ÔÐ -€  à €€ƒ-ƒ„„-ÐÔ‡ôzFõXXŒ©ÔÌ€Performance€MeasuresÐ ;€ ,!G  „„;ÐÌTargetsÐ ?€ ,!G"  „„?ÐActual€PerformanceÐ O€ @,}D" d-    €P€ƒ-ƒ„„OЀ2.3€Number€of€Metropolitan€Medical€Response€€ÏSystems€(MMRS)ÌÌòò€Data€Source:€OPHS€administrative€filesóóÐ 2€ #Ç  „„2ÐFY03:€122ÌFY02:€122ÌFY01:€97ÌFY00:€72ÌFY99:€35Ð -€ Ê‘   -ÐFY02:ÌFY01:€97׃N×Ý ƒ#ÃÝòòÚ  Ú5Ú  ÚóóÝ  Ý×  ×Ð l3" ÐFY00:€72ÌFY99:€47ÌFY98:€27ØØÐ F€ 7#Ê‘% d- P   €P€ƒ-ƒ„„FЀ2.4€Number€of€Metropolitan€Medical€Response€€ÏSystems€(MMRS)€with€bioterrorism€capabilitiesÌÌòò€Data€Source:€OPHS€administrative€filesóóÐ 2€ #ƒJ)  „„2ÐFY03:€122ÌFY02:€97ÌFY01:€72ÌFY00:€47ÌÐ -€ M.  -ÐFY02:ÌFY01:€72ÌFY00:€47ÌFY99:€27€ÌFY98:€0Ð F€ 7#M3 d- P   €P€ƒ-ƒ„„FЀ2.5€Proportion€of€the€estimated€300,000€living€€Ïrecipients€of€blood€and€blood€products€who€have€been€Ï€notified€of€their€potential€hepatitis€C€exposureÌÌ€òòData€source:€FDAóó.€òòFDA€blood€safety€inspections€thatÐ Ð"—8 Ðinclude€Hepatitis€C€lookback€began€in€October€2001.óóÐ 2€ #š#a 9  „„2ÐFY01:€100%ÌFY00:€100%ÌÌÌÐ -€ Ð"—>  -ÐFY01:€100%€(Goal€metÏSeptember€2001)ÌFY00:€~30%ÌFY99:€0%ÌÐ F€ 7#Ð"—C d- P   €P€ƒ-ƒ„„FЀ2.6€The€amount€of€adequate€reserve€quantities€of€€Ïimmunoglobulin€product€for€domestic€use,€as€€Ïdetermined€by€the€monthly€report€of€the€Plasma€€ÏProducts€Therapeutics€Association,€which€monitors€€Ïstatistics€on€US€distribution€and€size€of€the€€Ïemergency€supply€of€plasma€derivative€productsÌÌ€òòData€source:€FDAóóÐ 2€ #{*B'K  „„2ÐFY03:€76kgÌFY02:€76kgÌFY01:€76kgÌFY00:€76kgÌÐ -€ (ä$P  -ÐFY02:ÌFY01:€76kgÌFY00:€76kgÌÌâ âÐ H€ 7#(ä$U d- P   €P€ƒ=ƒ„„HЀ2.7€Qualitative€narrative€describing€the€effectiveness€€Ïof€the€rapid€communication€procedure€for€notification€€Ïâ âof€the€Blood€Safety€Director€and€members€of€the€€ÏBlood€Safety€Committee€for€important€developments€€Ïrelated€to€blood€safety€from€OPDIVsÐ 4€ #êŒ  „„4ÐFY03:€1ÌFY02:€1ÌFY01:€1ÌFY00:€1ÌÌÐ -€ ´ V   -ÐFY02:ÌFY01:€1ÌFY00:€1ÌFY99:€1ÌFY98:€0Ð3)'êŒ d= P    3ÐÔ#†XŒ©XõôzF"-#Ôà ½ àÌò òRelated€HHS€Strategic€Goaló óÐ « M ÐÌÝ ‚P3£G ÝÝ  ÝÝ‚P3£.8ÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝTo€improve€the€public€health€system݃P3£.8Y8݌Ћ -½(#½(# ÐŒÝ  ÝÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌÌò òOPHS€PRIORITY€3:€ELIMINATE€RACIAL€AND€ETHNIC€DISPARITIES€IN€HEALTHÐ ;!Ý( ÐSTATUS€AND€HEALTH€CARE€ACCESS€AND€QUALITYó óÐ +"Í) ÐÌThe€goal€of€eliminating€racial€disparities€in€health€by€2010€was€set€with€the€òòHealthy€PeopleóóÐ  $­+ Ðinitiative,€which€sets€the€nationððs€health€agenda€every€10€years.€€For€all€the€medical€breakthroughsÏwe€have€seen€in€the€past€century,€we€still€see€significant€disparities€in€the€medical€conditions€ofÏracial€groups€in€this€country.€€What€we€have€done€through€this€initiative€is€to€make€a€commitmentÏð!ð€for€the€first€time€in€the€history€of€our€government€ð!ð€to€eliminate,€not€just€reduce,€some€of€theÏhealth€disparities€between€majority€and€minority€populations.€€We€have€selected€six€areas€to€bringÏour€efforts€into€focus:€€infant€mortality,€child€and€adult€immunizations,€HIV/AIDS,€cardiovascularÏdisease,€cancer€screening€and€management,€and€diabetes.€€ÌÌò òEliminating€disparities€is€not€a€zero„sum€game.ó ó€€We€are€not€taking€anything€from€anyone€whenÐ {,'4 Ðwe€ensure€focus€on€the€health€needs€of€those€most€at„risk.€€We€are€operating€on€the€premise€uponÏwhich€the€Public€Health€Service€was€founded€200€years€ago:€€The€entire€nation€benefits€when€weÏprotect€the€health€of€those€most€vulnerable.€Ð K/í)7 Їò òOPHS€Contributing€Officesó óÐ 9 ÐÌOffice€of€Minority€Health,€Office€of€the€Surgeon€General,€Office€of€Disease€Prevention€andÏHealth€Promotion,€Presidentððs€Council€on€Physical€Fitness€and€Sports,€National€Vaccine€ProgramÏOffice,€Office€of€HIV/AIDS€Policy,€Office€on€Womenððs€Health,€Office€of€Population€Affairs,ÏOffice€of€Military€Liaison€and€Veterans€Affairs,€Office€for€Human€Research€Protections,€andÏOffice€of€Research€Integrity.ÌÌò òOPHS€Role€and€Contributionsó óÐ ¹ € ÐÌOPHSððs€essential€role€in€achieving€each€priority€is€to€provide€leadership,€assess€national€healthÏtrends€and€problems,€stimulate€serious€debate,€engender€creative€ideas,€and€give€critical€visibilityÏto€health€problems,€needs,€and€solutions.€€Although€the€Office€of€Minority€Health€(OMH)€servesÏas€the€focal€point€within€HHS€for€addressing€racial€and€ethnic€health€disparities,€all€OPHS€offices,Ïunder€the€leadership€of€the€ASH€and€in€league€with€numerous€other€stakeholders€and€partners,Ïcontribute€to€the€achievement€of€the€six€national€goals€under€this€strategic€priority,€through€theÏfollowing€kinds€of€functions€and€activities:ÌÌòòBuilding€a€Stronger€Science€BaseóóÐ à ÐÌÝ ‚P3£H ÝÝ  Ýò òÝ‚P3£øBÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€promotes€the€collection€of€health€data€by€race€and€ethnicity,€and€fostersÐ ùÀ Ðservice€demonstration€projects€and€evaluations€aimed€at€improving€the€health€ofÏracial€and€ethnic€minoritiesó ó.€€For€example,€OPHS€co„chairs€the€HHS€Data€CouncilððsÐ Ù  ÐWorking€Group€on€Racial€and€Ethnic€Data€and€provides€expert€advice€on€theÏimplementation€of€the€OMB€Standards€for€Maintaining,€Collecting,€and€PresentingÏFederal€Data€on€Race€and€Ethnicity.€€In€order€to€clarify€needed€steps€to€develop€a€systemÏfor€monitoring€progress€towards€the€elimination€of€racial€and€ethnic€health€disparities,ÏOMH€is€undertaking€an€evaluation€of€efforts€to€assess€State€laws,€regulations,€andÏpractices€affecting€the€collection€and€reporting€of€racial€and€ethnic€data€by€health€insurersÏand€managed€care€plans.€ÝƒP3£øB&C݌Р½(#½(# ÐŒÝ  ÝÌà0 ½ àOPHS€also€administers€a€Bilingual/Bicultural€Service€Demonstration€Grants€Program€toÏimprove€access€to€health€care€by€reducing€cultural€and€linguistic€barriers,€a€MinorityÏCommunity€Health€Coalition€Demonstration€Grants€Program€to€address€reductions€ofÏracial€and€ethnic€disparities€in€health€targeted€under€this€priority€area,€and€a€TechnicalÏAssistance€and€Capacity€Development€Demonstration€Program€for€HIV/AIDS„RelatedÏStrategies€in€Highly€Impacted€Minority€Communities€to€foster€the€development€ofÏeffective€and€durable€service€delivery€capacity€for€HIV€prevention€and€treatment€amongÏorganizations€closely€linked€with€the€minority€populations€highly€impacted€by€HIV/AIDS.€ÏIn€addition,€OPHS€is€supporting€a€study€by€the€Institute€of€Medicine€that€will€clarify€ourÏunderstanding€of€the€underlying€causes€of€racial€and€ethnic€health€disparities,€€provideÏapproaches€that€would€be€effective€in€countering€the€impact€of€bias€in€medicine€and€healthÏservices,€and€identify€policy€changes,€program€initiatives,€and€resource€requirementsÏnecessary€for€timely€implementation.€€Ð ½(#½(# ÐÌà0 ½ àThe€Office€of€HIV/AIDS€Policy€developed€and€implemented€the€Crisis€Response€TeamÏInitiative,€joining€qualitative€and€quantitative€data€collection€methods€in€a€newÏmethodology€known€as€RARE€(Rapid€Assessment,€Response€and€Evaluation)€which€hasÐ I/,/ Ðbeen€successfully€piloted€in€12€cities.€€The€RARE€methods€complement€traditional€needsÏassessment€procedures€providing€an€enriched€understanding€of€the€context€of€risk€andÏvariables€impacting€prevention€efforts,€and€acceptance€and€retention€in€care€among€hard€toÏreach€populations€at€high€risk€for€HIV/AIDS.€€A€training€manual€and€guidance€documentsÏhave€been€published,€and€trainings€on€RARE€have€been€held€for€other€State€and€localÏhealth€departments€requesting€this€information.€Ð ½(#½(# ÐÌà0 ½ àFurthermore,€OPHS€establishes€National€Centers€of€Excellence€in€Womenððs€Health€andÏNational€Community€Centers€of€Excellence€in€Womenððs€Health,€including€centers€focusedÏspecifically€on€minority€womenððs€health.€€OPHS€provides€leadership€for€the€developmentÏof€a€departmental€plan€identifying€infrastructure,€research€needs,€and€data€commitmentÏstrategies€for€addressing€health€disparities€related€to€sexual€orientation.€€OPHS€establishedÏthe€Minority€Womenððs€Health€Panel€of€Experts€(MWHPE)€in€response€to€the€1997Ïconference€Bridging€the€Gap:€€Enhancing€Partnerships€to€Improve€Minority€WomenððsÏHealth.€€A€comprehensive€research€document€entitledòò,€Improving€Minority€WomenððsÐ Y  ÐHealth€Research:€€Minority€Women,€Gaps,€Issues,€and€Assessment€of€Ongoing€Research,ÏConcerns€and€Recommendations€óówill€soon€be€available€on€the€Office€on€Womenððs€HealthÐ 9 Ðwebsite€and€highlights€current€literature€on€research€and€data€interpolation€in€regards€toÏmultiple€populations€of€women€of€color€across€the€lifespan,€in€terms€of€primary€preventionÏand€intervention€strategies,€involvement€in€clinical€trials,€data€collections€andÏinterpretation,€and€political€implications.Ð ½(#½(# ÐòòÌInfluencing€and€Improving€National€PolicyóóÐ Ù  ÐÌÝ ‚P3£I ÝÝ  Ýò òÝ‚P3£jSÝÔ2AÔððÔ3  Ôà0 ½ àÝ  ÝOPHS€promotes€and€develops€policy€to€address€the€health€of€racial/ethnic€minoritiesÐ ¹€ Ðand€to€eliminate€health€disparities€between€racial/ethnic€groupsó ó.€€A€major€example€ofÐ ©p Ðimprovements€in€existing€policy€involves€the€change€in€òòHealthy€People€2010óó€goals€for€theÐ ™` ÐNation€from€òòreducingóó€to€òòeliminatingóó€disparities€in€health.€€This€goal€has€beenÐ ‰P Ðoperationalized€by€having€the€same€targets€for€all€racial€and€ethnic€groups€in€the€healthÏgoals€for€the€Nation€in€the€current€decade,€identifying€all€racial€and€ethnic€groups€(usingÏOMB€Directive€15€standards€at€a€minimum)€so€that€the€nature€and€extent€of€disparitiesÏbetween€racial/ethnic€groups€are€readily€apparent.݃P3£jS˜S݌Р½(#½(# ÐŒÝ  Ýà0 ½ àÐ ½(#½(# Ðà0 ½ àImportant€examples€of€relatively€new€initiatives€and€activities€targeting€racial/ethnicÏhealth€disparities,€either€led€or€co„led€by€OPHS€offices€and/or€the€ASH€and/or€the€SG,Ïinclude:€staffing€and€leadership€of€the€Departmental€Minority€Initiatives€CoordinatingÏCommittee,€and€respective€minority€health€initiatives€(i.e.,€the€HBCU€initiative,€theÏHispanic€Agenda€for€Action,€the€Tribal€Colleges€and€Universities€initiative,€and€the€AAPIÏAction€Agenda);€coordination€and€staffing€support€to€the€Departmentððs€Public€HealthÏCouncil€which€serves€as€the€steering€group€for€the€HHS€Initiative€to€Eliminate€Racial€andÏEthnic€Disparities€in€Health;€staffing€of€the€Advisory€Committee€on€Minority€Health,Ïestablished€in€FY€2001€to€advise€the€Secretary€and€the€Department€on€issues€related€toÏminority€health€and€health€disparities;€creation€of€a€Minority€Womenððs€Health€Initiative€toÏaddress€the€diversity€in€health€needs€and€inconsistencies€in€health€care€delivery€for€womenÏacross€the€country;€development€of€national€standards€for€the€provision€of€culturally€andÏlinguistically€appropriate€services€in€health€care;€and€coordination€of€the€DepartmentððsÏâ âresponse€to€the€Congressional€Black€Caucus€regarding€the€development€of€effectiveÐ Y. +. Ðstrategies€to€reduce€and€prevent€the€heavy€toll€of€the€HIV/AIDS€epidemic€on€communitiesÏof€color.€Ð ½(#½(# Ðâ âÌà0 ½ àOPHS€has€led€policy€development€and€coordination€for€the€Minority€AIDS€Initiative€bothÏinternally€across€the€Departmentððs€Operating€Divisions,€and€externally€with€theÏCongressional€Black€Caucus€and€Congressional€Hispanic€Caucus,€through€the€SteeringÏCommittee€on€Implementation€and€Evaluation.€€Central€to€this€effort€has€been€gaining€anÏunderstanding€of€barriers€to€access€to€prevention€and€care€for€minority€populations,€andÏidentifying€new€strategies€to€maximize€the€effectiveness€of€existing€federal€fundingÏstreams€to€reach€and€serve€these€populations.€In€addition,€OPHS€supports€pilot€projectsÏaddressing€two€persistent,€ongoing€gaps€in€services€for€women€of€color€impacted€by€andÏliving€with€HIV/AIDS:€the€Incarcerated€Women€with€HIV/AIDS/STDs€Program€focusesÏon€the€development€and€implementation€of€pre„release€and€discharge€planning€processesÏthat€effectively€link€newly€released€women€with€appropriate€HIV€health€care€and€supportÏservices;€and€the€Model€Mentorship€Program€for€Technical€Assistance€to€WomenððsÏOrganizations€Delivering€HIV/AIDS€Services€to€Women€pairs€well„established€minorityÏhealth€organizations€with€young€womenððs€organizations€and€community„basedÏorganizations€serving€women€affected€by€and€infected€with€HIV/AIDS€to€help€increaseÏtheir€organizational€capacity€and€sustainability€in€rural€and€urban€communities.Ð ½(#½(# ÐòòÌPromoting€Effective€Partnership€ActivitiesóóÐ ùÀ ÐÌÝ ‚P3£J ÝÝ  ÝÝ‚P3£fbÝÔ2AÔððÔ3  Ôà0 ½ àÝ  Ýò òTo€identify€and€solve€health€problems€and€concerns€affecting€racial€and€ethnicÐ Ù  Ðminorities,€and€to€stimulate€and€undertake€innovative€projects€that€address€racialÏand€ethnic€health€disparitiesó ó,€OPHS€executes€cooperative€agreements€and€other€formalÐ ¹€ Ðarrangements€with€States,€national€minority€organizations,€and€others€to€meet€commonÏinterests€(i.e.,€to€strengthen€State€minority€health€infrastructures,€to€reduce€the€incidence€ofÏviolence€and€abusive€behavior€in€low„income,€at„risk€communities€through€theÏmobilization€of€community€partners,€to€ensure€AI/AN€needs€are€appropriately€addressed€inÏthe€National€Diabetes€Education€and€Prevention€Plan,€to€develop€a€strategy€for€linkingÏrural€and€isolated€API€communities€to€culturally€and€linguistically€appropriate€health€careÏservices,€and€to€implement€the€National€Action€Plan€on€Breast€Cancer).݃P3£fb‘b݌Р½(#½(# ÐŒÝ  Ýà ½ àÌà0 ½ àThe€Leadership€Campaign€on€AIDS€(TLCA),€in€OHAP,€targets€HIV/AIDS€in€racial€andÏethnic€minority€communities€by€working€with€local€and€national€leaders€in€communities€ofÏcolor,€government€officials,€and€business,€civic,€media,€education,€professional,€advocacyÏand€other€community„based€organizations€to€reduce€stigma€and€discrimination€related€toÏHIV/AIDS.€€Particular€focus€has€been€placed€on€increasing€the€capacity€of€minorityÏcommunity„based€organizations€to€develop€effective€and€innovative€partnerships€at€theÏlocal€level€to€enhance€HIV/AIDS€services€and€education€efforts.Ð ½(#½(# ÐÌà0 ½ àIn€addition,€OPHS€is€currently€planning€the€first€of€three€ð ðNational€Leadership€SummitsððÏfor€eliminating€racial€and€ethnic€disparities€in€health€to€take€place€over€the€current€decade.€ÏThe€purpose€of€these€summits€is€to€serve€as€vehicles€for€highlighting,€promoting,€andÏapplying€the€knowledge,€experience,€and€expertise€of€hundreds€of€community„basedÏorganizations€and€partners€across€the€Nation€towards€more€strategic,€concerted,€andÏeffective€actions€aimed€at€eliminating€racial€and€ethnic€disparities€in€health.Ð ½(#½(# ÐÐ I/,/ Ðà0 ½ àAlso,€in€response€to€the€State€Minority€Health€Infrastructure€Study,€OMH€will€conduct€aÏNational€American€Indian/Alaska€Native€Health€Forum€in€late€FY€2002.€€The€purpose€ofÏthis€Forum€is€to€identify€strategies€through€which€state,€tribal,€and€Federal€governmentsÏcan€complement€and€supplement€their€respective€health€systems€to€improve€the€health€ofÏNative€Americans,€including€those€who€are€not€Federally€recognized,€and€to€identifyÏstrategies€for€the€development€of€a€coordinated€plan€for€elimination€of€health€disparitiesÏimpacting€American€Indian/Alaska€Native€communities.€Ð ½(#½(# ÐòòÌEngaging€in€Strategic€CommunicationóóÐ ¹ € ÐÌÝ ‚P3£K ÝÝ  ÝÝ‚P3£æmÝÔ2AÔððÔ3  Ôà0 ½ àÝ  Ýò òTo€increase€awareness€and€understanding€of€the€major€health€problems€and€needs€ofÐ ™ `  Ðracial€and€ethnic€minorities€and€the€nature€and€extent€of€health€disparities€betweenÏracial/ethnic€groups€in€the€US,ó ó€OPHS€supports€resource€centers€(e.g.,€the€OMHÐ y@  ÐResource€Center€and€the€National€Womenððs€Health€Information€Center)€andÏclearinghouses€(e.g.,€ODPHPððs€National€Health€Information€Clearinghouse)€that€respondÏto€public€inquiries€and€disseminate€information€and€educational€materials€on€a€range€ofÏdisease€prevention€and€health€promotion,€womenððs€health,€and€minority€health€issues.€ÏWidely€available€access€is€assured€by€using€toll„free€telephone€lines,€electronic€and€regularÏmail,€web„sites€(such€as€healthfinder€and€the€National€Womenððs€Health€InformationÏCenter),€publications€(including€newsletters€and€Surgeon€Generalððs€reports),€exhibits,Ïspeaking€engagements,€and€media€appearances€as€venues€for€communicating€with€theÏpublic€and€other€OPHS€partners.€Focused€communications€campaigns€to€address€socialÏbarriers€such€as€stigma€and€fear€around€HIV/AIDS€in€minority€communities€have€beenÏimplemented€as€a€critical€step€towards€eliminating€disparities.€€For€example,€OPHS€hasÏdeveloped€a€Cardiovascular€Education€Campaign€in€collaboration€with€the€AmericanÏHeart€Association€called€FOR€YOUR€HEART,€a€tailored€heart€disease€preventionÏprogram€which€can€be€found€on€the€NWHIC€website.€€Different€stories€have€been€writtenÏfor€African„American€and€Hispanic€women,€and€stories€are€currently€being€written€forÏNative€American€and€Asian€Pacific€Islander€women,€based€on€their€risk€factor€levels€andÏstages€of€change.€€Part€of€this€program€is€being€promoted€nationwide€in€collaboration€withÏthe€National€Black€Nurses€Association.݃P3£æmn݌Р½(#½(# ÐŒÝ  ÝÌà0 ½ àIn€FY€2002,€OMH€will€develop€a€Minority€Male€Health€Project€to€focus€on€support€forÏlocal,€community€efforts€to€combat€chronic€diseases€affecting€minority€men.€€ThisÏprogram€will€collect,€compile,€and€disseminate€information€on€best€practices€forÏinfluencing€minority€male€health€behavior€and€ways€to€improve€minority€male€access€toÏhealth€care.€Ð ½(#½(# Ðò òÌDiscussion€of€Performance€Measuresó ó€Ð Ù& #& ÐÌThe€performance€measures€used€by€OPHS€under€this€priority€area€areòòóó€selected€from€the€set€ofÐ ¹(€%( Ðobjectives€in€òòHealthy€People€óó2000€(for€FY€1999€and€FY€2000€plans)€and€in€òòHealthy€People€2010Ð ©)p&) Ðóó(for€FY€2001€and€FY€2002),€including€relevant€targets,€data€sources,€and€baselines.€€The€specificÐ ™*`'* Ðmeasures€selected€from€either€version€of€òòHealthy€Peopleóó€are€those€most€directly€related€to€the€sixÐ ‰+P(+ Ðhealth€priority€issue€areas€identified€under€the€HHS€Initiative€to€Eliminate€Racial€and€EthnicÏDisparities€in€Health;€i.e.,€infant€mortality,€cancer€screening€and€management€(in€particular,Ïmammograms€and€pap€tests),€coronary€heart€disease€and€stroke€mortality,€diabetic€complicationsÏ(in€particular,€lower€extremity€amputations€and€end€stage€renal€disease),€HIV/AIDS,€andÐ I/,/ Ðchildhood€and€adult€immunizations.€€As€the€òòHealthy€People€2010óó€documents€replaced€those€forÐ 9 ÐòòHealthy€People€2000óó€at€the€end€of€the€last€decade,€and€as€they€have€evolved€over€the€past€severalÐ )ð Ðyears,€the€measures,€targets,€data€sources,€and€baselines€in€the€OPHS€performance€plans€have€hadÏto€be€continually€revised€or€updated€to€be€consistent€with€their€counterpart€objectives€in€òòHealthyÐ  Ð ÐPeople€2010óó.€€The€òòConference€Editionóó€of€òòHealthy€People€2010óó€(released€in€January€2000),€whichÐ ùÀ Ðwas€used€as€the€basis€for€the€draft€version€of€the€FY€2002€OPHS€plan,€has€since€been€replaced€byÏthe€òòFinal€Editionóó€(released€in€mid„November€2000€at€the€annual€meeting€of€the€American€PublicÐ Ù  ÐHealth€Association€in€Boston,€Massachusetts),€and,€again,€there€have€been€a€number€of€changesÏmade€to€the€measures,€targets,€data€sources,€and€baselines€between€editions.€€All€of€these€changesÏare€reflected€in€this€particular€plan.ÌÌAs€in€last€yearððs€plan,€baseline€data€and€appropriate€targets€are€not€yet€available€for€all€measuresÏor€all€required€racial€and€ethnic€groups€in€each€measure.€€ð ðNo€dataðð€indicators€denote€where€dataÏare€not€available€either€because€the€data€are€not€currently€collected€(DNC),€collected€data€have€notÏyet€been€analyzed€(DNA),€or€the€data€are€statistically€unreliable€(DSU)€because€the€populationÏnumbers€are€too€small€to€be€valid.€€If€no€baseline€data€are€currently€available€for€the€particularÏobjective€or€racial€and€ethnic€group,€then€baselines€and€targets€cannot€be€set€and€a€ð ðnot€setððÏindicator€is€presented.€€ÌÌFinal€òòHealthy€People€2010óó€targets€are€generally€set€at€a€ð ðbetter€than€the€bestðð€level,€allowing€roomÐ  Ð Ðfor€improvement€for€all€racial€and€ethnic€groups.€€For€those€measures,€(e.g.,€the€coronary€heartÏdisease€and€stroke€mortality€objectives)€in€which€targets€have€been€set€at€a€level€of€improvementÏover€the€national€average€for€the€total€population,€baselines€for€one€or€more€racial€and€ethnicÏgroup€may€be€at€or€better€than€the€target.€€In€these€cases,€the€target€levels€are€expected€to€remainÏthe€same€or€improve€over€time.ÌÌInterim€targets€for€the€end€of€fiscal€years€2001,€2002€and€2003€reflect€the€average€annualÏreduction€in€disparities€needed€over€the€decade€for€all€racial€and€ethnic€groups€to€reach€parity€withÏone€another€by€2010.€€Whether€the€targets€have€been€set€at€a€level€of€improvement€over€theÏnational€average€for€the€total€population€or€a€ð ðbetter€than€the€bestðð€level,€any€racial€or€ethnicÏgroup€whose€current€status€for€a€particular€measure€is€òòat€or€better€than€the€2010€targetóó€is€expectedÐ Y  Ðto€retain€or€improve€upon€its€current€level€of€health;€thus,€interim€targets€for€such€a€group€orÏgroups€are€set€at€that€current€level.€€For€ease€of€target€setting,€if€2000€data€are€not€yet€available,Ïdata€for€the€most€recent€year€for€which€actual€data€are€available€(in€most€cases,€1999)€are€used€asÏthe€baseline€point€for€the€beginning€of€the€decade€(2000).ÌÌLastly,€although€the€òòHealthy€People€2010óó€initiative€allows€racial€and€ethnic€group€data€to€beÐ ù$À!$ Ðdisaggregated€in€order€to€ð ðunmaskðð€further€disparities€in€subgroups,€only€racial€and€ethnicÏcategories€identified€in€the€Federal€standards€for€collecting€racial€and€ethnic€data€established€byÏthe€Office€of€Management€and€Budget€are€presented€in€these€measures,€whether€they€are€absentÏfrom,€or€other€subgroups€are€identified€in,€the€òòHealthy€People€2010óó€objectives.Ð ¹(€%( Ðà ½ àÌò òFY€2001€Performance€Summaryó óÐ ™*`'* ÐÌOPHS€is€committed€to€assuring€sustained€progress€and€improved€health€outcomes€within€eachÏpriority€through€coordinated€public€and€private€efforts.€€The€effectiveness€of€OPHSððs€activities€areÏessential€to€the€achievement€of€this€ambitious€goal,€but€the€problems€underlying€OPHSððs€prioritiesÏare€complex€and€reach€beyond€the€control€and€responsibility€of€any€one€arena€or€effort.€Ð I/,/ ÐAchievement€is€dependent€on€various€health€programs€and€providers,€all€levels€of€government,Ïand€the€efforts€of€the€private€sector€as€well€as€individual€contributions.€€ÌÌIn€FY€2001,€OPHS€continued€to€eliminate€racial€and€ethnic€disparities€in€health€status€and€healthÏcare€access€and€quality,€through€building€a€stronger€science€base,€influencing€national€policy,Ïpromoting€effective€partnerships,€and€engaging€in€strategic€communications.ÌÌPivotal€accomplishments€of€the€past€few€years€include€coordination€of€a€Department„wideÏinitiative€to€reduce€the€racial€disparities€and€burden€of€HIV/AIDS€among€minority€populations.ÏOHAP€continues€to€provides€leadership€to€the€Congressional€Black€Caucus€(CBC),€MinorityÏAIDS€Initiative€(MAI)€which€has€as€its€goal€a€significant€reduction€of€the€incidence€of€HIV€andÏAIDS€diagnoses€within€racial€and€ethnic€minority€communities.€€The€MAI€has€encouraged€newÏprogram€and€project€partnerships€among€HHS€agencies€and€offices,€and€other€federal€governmentÏdepartments.€€In€particular,€OHAP€has€helped€define€new€responses€to€both€infrastructure€andÏsocial€context€issues€underlying€the€health€disparities€in€HIV/AIDS.€€These€approaches€have€beenÏpicked€up€as€models€for€addressing€other€health€disparities€in€vulnerable€populations.€€In€2000€andÏ2001,€OHAP€piloted€the€Rapid€Assessment€Response€and€Evaluation€(RARE)€demonstrationÏprojects€in€12€cities.€€In€addition,€workshops€and€presentations€were€presented€at€more€than€15Ïnational€and€regional€conferences,€conventions€and€forums.€€In€2002,€Chief€Elected€OfficialsÏ(ECO)€and€health€departments€directors€from€14€jurisdictions€have€requested€RAREÏdemonstration€projects.€€Small€scale€RARE€demonstration€projects€are€being€planned€for€tenÏcommunity„based€organizations€which€requested€this€technical€assistance.€€A€ComprehensiveÏReport€on€Phase€I€of€the€RARE€project€is€in€development€and€should€be€ready€for€release€byÏSpring€2002.€€Several€Field€team€coordinators€from€RARE€Phase€I€are€collaborating€on€anÏanthology€of€their€experience€implementing€RARE€demonstration€projects.€€In€addition,€there€hasÏbeen€interest€in€the€HHS€RARE€project€by€the€Canadian€government;€a€request€has€come€toÏOHAP€from€Health€Canada€to€have€several€government€employees€participate€in€RARE€training.ÌÌOver€the€past€two€years,€OHAPððs€TLCA€has€conducted€activities€resulting€in€200,000€directÏcitizen€contacts.€€The€Campaign€staff€have€coordinated€and€facilitated€Leadership€forums,Ïpartnerships€with€churches,€service€organizations,€agencies€that€operate€AIDS€programs,€andÏmedia€and€community€outreach€programs,€and€drafted€opinion€editorials,€articles,€and€PublicÏService€Announcements€(audio€and€TV).€€TLCA€also€provided€direct€technical€assistance€throughÏdesigning€and€implementing€a€program€to€train€minority€individuals€to€review€HHS€grantÏapplications€and€requests€for€proposals.€€These€events€took€place€between€August€1999€andÏSeptember€2001.€€An€example€of€expanded€partnership€and€dialogue€is€TLCA€activity€with€theÏNational€Council€on€Black€Aged.€€Despite€the€growing€number€of€elderly€African€AmericansÏliving€with€HIV/AIDS,€the€Council€has€no€HIV/AIDS€education€program.€€Through€partnershipÏwith€TLCA,€the€Council€hosted€a€two€day€national€symposium€on€HIV/AIDS€and€the€elderly€inÏJune€2001.€€In€a€similar€vein,€tribal€leaders€in€the€Native€American€community€were€reluctant€toÏaddress€the€issue€of€HIV/AIDS,€but€TLCAððs€work€helped€them€to€find€a€way€to€talk€about€theÏepidemic€in€a€culturally€appropriate€manner.€€TLCAððs€work€with€this€group€was€discussed€in€theÏNew€York€Times€(November€28,€2001)€and€on€the€front€page€of€Indian€Country€(November€2001)Ïand€several€other€Native€American€newspapers.€€TLCA€has€also€expanded€the€capability€of€ourÏpublic€partners€by€sponsoring€six€Plain€Language€trainings€during€FYs€2000€and€2001€to€over€100ÏFederal€employees€who€are€responsible€for€writing€program€announcements.€By€demystifying€theÏFederal€grants€application€process,€TLCA€helps€to€ensure€that€Federal€dollars€go€where€they€areÏneeded€most,€rather€than€only€to€those€who€can€decode€requests€for€proposals.€Ð I/,/ ЇOWH€funds€four€National€Centers€of€Leadership€in€Academic€Medicine€(COL),€including€one€atÏMeharry€Medical€College,€that€serve€as€demonstration€projects.€€These€Centers€have€the€followingÏgoals:€(1)€to€foster€gender€equity€in€medicine,€and€(2)€to€promote€the€leadership€advancement€ofÏjunior€faculty,€who€tend€to€be€disproportionately€women€and€minorities,€into€senior€facultyÏpositions.€€Over€100€professional€publications/manuscripts,€and€presentations€have€beenÏdeveloped€by€the€four€Centers.€€By€the€end€of€their€3òòrdóó€year,€each€Center€has€institutionalized€theirÐ é° Ðprogram€by€placing€the€administration€of€their€programs€in€the€Office€of€the€Dean€and€byÏproviding€financial€contributions€to€continue€these€programs.€€In€2002,€the€Center€directors€willÏserve€as€advisors€on€career€development€and€mentoring€for€the€National€Centers€of€Excellence€inÏWomenððs€Health€and€other€academic€centers.€€This€should€foster€the€duplication€of€the€COLÏmodel€into€other€academic€centers.€€Initial€evaluation€of€the€Centers€has€revealed€that€they€haveÏcontributed€to€the€retention€and€recruitment€of€faculty€into€their€institutions€and€have€contributedÏto€career€satisfaction€amongst€their€faculty.€€€€€€€€€€ÌÌThe€National€Women's€Health€Information€Center€(NWHIC)€created€a€specialty€section€on€itsÏ4woman.gov€web€site€specifically€geared€to€help€women€learn€more€about€the€leading€healthÏconcerns€of€minority€women.€€It€puts€a€wealth€of€useful€information€together€in€one€place€forÏminority€women,€caretakers,€health€professionals,€and€researchers.€€This€section€does€not€dealÏonly€with€illness€and€disease;€it€takes€a€proactive€approach€to€health€by€featuring€a€"Nutrition€andÏWellness"€section€dealing€with€issues€such€as€exercise€and€nutrition.€The€NWHIC€MinorityÏWomenððs€Health€section€received€35,000€visitors€in€2001.€€NWHIC€also€has€a€specialty€sectionÏfor€Spanish€speakers,€which€received€30,000€visitors€in€2001;€this€section€links€to€over€300Ïpublications€written€in€Spanish.€€NWHIC€has€also€translated€its€specialty€section€for€expectantÏmothers€into€Spanish€and€provided€links€to€relevant€Spanish€resources.€€In€addition,€the€NWHICÏ1„800€number€receives€approximately€30€calls€per€month€from€Spanish€speakers.€€Two€Spanish„¼speaking€Information€and€Referral€staff€are€available€to€take€and€answer€these€calls.€€ÌÌOPHS€continued€a€number€of€activities€to€ò òpromote€the€collection€of€health€data€and€theÐ ‰P Ðstrengthening€of€data€infrastructuresó ó,€in€order€to€enable€the€identification€and€monitoring€ofÐ y@ Ðhealth€status€among€US€racial€and€ethnic€minorities,€the€nature€and€extent€of€health€disparitiesÏaffecting€them,€and€the€effects€of€initiatives€and€interventions€targeting€their€health€problems.€ForÏexample,€OMH€co„chairs€the€HHS€Data€Councilððs€Working€Group€on€Racial€and€Ethnic€Data,€theÏinternal€advisory€group€to€the€Secretary€on€minority€health€data€and€statistics.€€In€FY€1999,€OMH,Ïthrough€this€working€group,€updated€and€expanded€the€òòHHS€Directory€of€Minority€Health€andÐ )"ð! ÐHuman€Services€Data€Resources€óó(Inventory)€of€182€major€data€collection€systems€sponsored€byÐ #à" ÐHHS.€€The€Inventory€provides€a€snapshot€of€the€HHS€data€collection€systems€which€make€theirÏdata€available€to€the€public.€The€Inventory€is€produced€for€policymakers,€administrators,Ïresearchers,€and€the€public€as€a€reference€document€on€data€resources€within€HHS€and€is€availableÏon€OASPEððs€website€(Ô4‚Y0¾ÔÝ‚&ÍOÝÔÿÔòòÝ  ÝÔ5  Ôhttp://www.aspe.os.dhhs.gov/datacncl/datadirectoryÔ6z¨ÔÝ‚&ÍOŽ¨€whiÝóóÔÿÔÝ  ÝÔ7te켨Ô).Ð Ù& #& ÐÌIn€FY€2000,€OMH€conducted€a€preliminary€review€of€state€laws€and€regulations€which€prohibitÏthe€collection€of€racial€and€ethnic€data€by€health€insurers€and€HMOs€in€the€private€market.€€TheÏfindings€were€presented€by€OMH€staff€at€two€key€meetings€convened€by€the€AmericanÏAssociation€of€Health€Plans€and€the€HMO€Research€Network.€€Based€on€this€preliminary€work,ÏOMH€awarded€a€major€contract€from€FY€2000€1%€funds€to€the€National€Health€Law€Program€toÏconduct€a€comprehensive€review€of€state€laws,€regulations,€and€rules€to€determine€the€extent€toÏwhich€health€insurers€and€managed€care€organizations€(MCOs)€are€permitted€to€collect€and€reportÏracial€and€ethnic€information.€€The€projectððs€recommendations€would€continue€the€momentum€ofÐ I/,/ Ðthe€HHS€Initiative€to€Eliminate€Racial€and€Ethnic€Disparities€in€Health,€as€well€as€one€of€theÏoverarching€goals€of€€òòHealthy€People€2010óó,€the€Nationððs€health€promotion€and€disease€preventionÐ )ð Ðobjectives€for€the€next€decade.€In€FY€2001,€Phase€I€of€this€projectð!ðinvolving€the€review€of€StateÏlaws,€regulations,€and€other€written€policies€regarding€the€collection€of€racial€and€ethnic€data€inÏhealth€careð!ðwas€completed.€€Subsequent€phases,€including€site€visits€to€selected€States€for€furtherÏexamination€of€relevant€policies€and€practices,€will€be€completed€by€the€end€of€FY€2002€or€earlyÏFY€2003.€ÌThe€Office€of€Minority€Health€is€co„funding€a€comprehensive€study€of€HHS€data€collectionÏsystems€and€practices€relating€to€race€and€ethnicity€data.€€The€study€is€mandated€by€Title€III€of€theÏð ðMinority€Health€and€Disparities€Research€Education€Act,ðð€which€directs€the€Secretary€to€contractÏwith€the€National€Academy€of€Sciences€to€conduct€a€study€and€develop€a€report.€€The€study€willÏbe€completed€in€FY€2002.€€OMH€will€be€central€to€the€dissemination€of€findings€and€identifyingÏopportunities€for€the€implementation€of€recommendations.€€Also,€in€FY€2002,€the€Office€ofÏMinority€Health€will€complete€a€study€to€develop€and€test€a€uniform€information/data€set€(UDS)Ïfor€evaluating€and€assessing€the€impacts€of€OMH„funded€activities.€€In€addition,€a€journal€articleÏon€the€UDS€project€will€be€published€in€FY€2002.ÌÌOPHS€continued€in€FY€2001€to€ò òfoster€service€demonstration€projects,€evaluations,€and€otherÐ )ð Ðstudies€of€interventionsó ó€aimed€at€improving€health€and€the€health€care€system€to€strengthen€andÐ à Ðexpand€the€science€base€for€decision„making,€determine€model€approaches€and€best€practices,€andÏidentify€and€overcome€barriers€to€health,€as€well€as€program€and€intervention€effectiveness.ÌÌDuring€FY€2002,€the€Institute€of€Medicine€will€release€its€findings€of€an€OMH„funded€studyÏentitled€òòUnderstanding€and€Eliminating€Racial€and€Ethnic€Disparities€in€Health€Careóó.€€This€studyÐ É Ðis€mandated€by€FY€2000€appropriations€report€language€and€is€expected€to€clarify€ourÏunderstanding€of€the€underlying€causes€of€health€disparities;€identify€approaches€that€would€beÏeffective€in€countering€the€impact€of€bias€in€medicine€and€health€care;€and€identify€policyÏchanges,€program€initiatives,€and€resource€requirements€necessary€for€timely€implementation.ÌÌOMH€has€continued€to€support€its€principal€demonstration€grant€programs.€€The€Office€funded€11Ïcontinuations€and€9€new€projects€under€the€òòBilingual/Bicultural€Service€Demonstration€ProgramóóÐ Y  Ðto€improve€the€ability€of€health€care€providers€and€other€health€care€professionals€to€deliverÏlinguistically€and€culturally€competent€health€services€to€limited„English„proficient€minorityÏpopulations.€€It€also€funded€6€continuations€under€the€òòMinority€Community€Health€CoalitionÐ )"ð! ÐDemonstration€Program€óówhich€supports€projects€that€address€socio„cultural€barriers€andÐ #à" Ðdemonstrate€effective€coordination€of€integrated€community„based€screening,€outreach,€and€otherÏenabling€services.€€A€competitive€cycle€for€this€program,€renamed€the€òòCommunity€Programs€toÐ ù$À!$ ÐImprove€Minority€Health€Grant€Programóó,€was€conducted€in€FY€2001€with€17€new€awards€madeÐ é%°"% Ðwhich€will€receive€funding€through€FY€2003.€à Í àà % àÐ Ù& #& ÐÌIn€FY€2001,€OMH€established€the€òòHealth€Disparities€Grants€in€Minority€Health€Programóó€toÐ ¹(€%( Ðsupport€local€pilot€and€small„scale€projects€which€address€a€wide€range€of€health€problems€andÏissues€related€to€health€disparities€in€local€minority€communities.€€Thirty€awards€were€made.€€InÏFY€2002,€OMH€will€expand€this€program€to€support€local€pilot€and€small„scale€projects€whichÏaddress€a€wide€range€of€health€problems€and€issues€related€to€health€disparities€in€local€minorityÏcommunities.€€It€is€expected€that€the€number€of€organizations€supported€will€be€increased€from€theÏ30€awards€made€in€FY€2001€to€approximately€40.ÌÐ I/,/ ÐOMH€has€also€continued€the€programs€funded€by€the€Minority€HIV/AIDS€Initiative.€€Under€the€ÏòòTechnical€Assistance/Capacity€Development€Demonstration€Program€(TA/CD)€for€HIV/AIDS„Ð )ð ÐRelated€Services€in€Highly€Impacted€Minority€Communities€óómore€than€150€minority€community„Ð à Ðbased€organizations€received€services€in€FY€2001€through€six€projects,€including€needsÏassessments,€mentoring,€workshops€on€proposal€writing,€and€staff€development.€€Under€the€òòStateÐ ùÀ Ðand€Territorial€Minority€HIV/AIDS€Demonstration€Programóó,€15€minority€health€offices/entities€inÐ é° Ð13€states,€the€District€of€Columbia,€and€the€Virgin€Islands€are€coordinating€statewide€efforts€toÏrespond€to€the€HIV/AIDS€crisis€in€minority€communities.€€Ten€projects€under€the€€òòMinorityÐ É  ÐCommunity€Health€Coalition€Demonstration€Program€HIV/AIDSóó€are€providing€education€andÐ ¹ € Ðoutreach€on€HIV/AIDS.€€These€coalitions€involve€minority€CBOs,€in€partnership€with€ASOs€andÏnon„traditional€organizations,€fostering€community€dialogue€and€providing€linguistically€andÏculturally€appropriate€HIV/AIDS€information.€€More€than€60€organizations€are€involved€in€theseÏpartnerships.€€OMH€also€anticipates€conducting€competitive€cycles€in€FY€2002€for€the€òòTechnicalÐ y@  ÐAssistance/Capacity€Development€Demonstration€Program€(TA/CD)€for€HIV/AIDS„RelatedÏServices€in€Highly€Impacted€Minority€Communitiesóó,€and€the€òòMinority€Community€HealthÐ Y  ÐCoalition€Demonstration€Program€HIV/AIDSóó.Ð I ÐÌOPHS€continues€to€support€ò òspecial€projectsó ó€addressing€health€disparities.€€In€August€2000,€OMHÐ )ð Ðawarded€a€17„month€contract€to€the€Institute€of€Medicine€for€a€study€entitled€òòUnderstanding€andÐ à ÐEliminating€Racial€and€Ethnic€Disparities€in€Health€Careóó.€€This€study€was€mandated€by€theÐ  Ð ÐCongress€in€report€language€in€the€FY€2000€appropriations.€€The€contract€is€for€$825,140.€€TheÏpurpose€of€the€study€is€to€ð ðassess€the€extent€of€differences€in€the€kinds€and€quality€of€health€careÏreceived€by€US€racial€and€ethnic€minorities€and€non„minorities,€explore€factors€that€mayÏcontribute€to€differences,€and€recommend€policies€and€practices€that€eliminate€inequities.ðð€TheÏresults€of€this€study€are€expected€to€be€released€in€February€2002.ÌÌOPHS€continues€to€ò òaffect€policies,€programs€and€practicesó ó€to€address€health€disparities.€€OMHÐ ™` Ðestablished€an€effective€mechanism€for€coordinating€the€various€departmental€minority€initiativesÏthrough€the€Departmental€Minority€Initiatives€Coordinating€Committee€(DMICC)€which€theÏDASMH€chairs.€€The€DMICC€serves€as€the€coordinating€body€for€the€HBCU€Initiative,€theÏHispanic€Agenda€for€Action,€the€Tribal€Colleges€and€Universities€Initiative,€and€the€AAPIÏInitiative.€ÌÌIn€FY€2001,€the€Advisory€Committee€on€Minority€Health€was€established€to€advise€the€SecretaryÏand€the€Department€on€issues€related€to€minority€health€and€health€disparities.€€The€advisoryÏcommittee€is€chaired€by€the€Honorable€Louis€Stokes€and€met€twice€in€FY€2001.ÌÌOMH€has€led€the€Department€in€the€development€of€a€snapshot€of€Departmental€programs,€anÏinventory€of€Departmental€efforts€targeted€to€AAPIs,€and€FY€2001€agency€plans€for€implementingÏExecutive€Order€13125,€Increasing€Participation€of€Asian€Americans€and€Pacific€Islanders€inÏFederal€Programs.€€In€addition,€in€FY€2001,€with€the€use€of€1%€evaluation€funds,€OPHSÏcompleted€a€project€to€develop€recommended€national€standards€for€culturally€and€linguisticallyÏappropriate€services€(CLAS)€in€health€care.€€These€standards€were€published€in€the€FederalÏRegister€on€December€22,€2000€after€a€120„day€public€comment€period€which€included€threeÏregional€meetings€on€the€standards.€€The€CLAS€standards€now€provide€health€care€stakeholdersÏwith€a€conceptual€framework€for€providing€CLAS€in€health€care€to€diverse€populations.€€To€buildÏupon€the€CLAS€standards,€OMH€initiated€two€new€evaluation€projects€at€the€end€of€FY€2001€toÏpilot€test€the€standards€and€develop€cultural€competency€curriculum€models€for€training€healthÐ I/,/ Ðcare€professionals€in€the€implementation€of€these€standards.€€These€projects€will€be€completed€inÏFY€2003€with€the€results€to€be€disseminated€to€a€wide€range€of€health€providers,€health€careÏorganizations,€and€consumers.ÌÌOPHS€has€also€moved€to€increase€awareness€and€understanding€of€the€major€health€problems€andÏneeds€of€racial€and€ethnic€minorities€and€the€nature€and€extent€of€health€disparities€betweenÏracial/ethnic€groups€in€the€US€through€a€wide€range€ofò ò€informational€and€educational€effortsó óÐ Ù  Ðaimed€at€decision„makers,€health€professionals,€those€serving€racial/ethnic€minority€communities,Ïand€the€general€public.€ÌÌOMH€has€also€continued€to€produce€high€quality€and€highly€sought€after€publications€that€appealÏto€consumers,€universities,€state€offices€of€minority€health,€health€educators,€researchers,€andÏadministrators.€€During€the€past€two€years,€OMH€produced€more€than€a€dozen€issues€of€òòClosingÐ y@  Ðthe€Gapóó,€a€newsletter€available€both€electronically€through€the€Office€of€Minority€HealthÐ i0  ÐResource€Center€(OMH„RC)€web€site€and€in€print.€Popular€issues€included€òòCultural€CompetencyóóÐ Y  Ðand€òòOral€Healthóó.€In€addition,€as€part€of€the€Congressional€Black€Caucus€(CBC)€Initiative,€OMHÐ I Ðlaunched€òòHIV€Impactóó,€a€quarterly€publication€of€òòClosing€the€Gapóó,€which€addresses€HIV/AIDS„Ð 9 Ðrelated€topics€as€they€affect€minority€populations.€These€publications€have€more€than€30,000Ïsubscribers.€€OMH€has€also€reprinted€1999€and€2000€editions€of€òòThe€Pocket€Guide€to€MinorityÐ à ÐHealth€Resourcesóó.€This€guide€is€the€single€most€requested€publication€originated€by€OMH.€TheÐ  Ð Ðpopular€òòBreast€Cancer€Resource€Guide€for€Minority€Womenóó€was€also€reprinted€by€OMH.€Now€inÐ ùÀ Ðits€second€edition,€the€publication€contains€a€wealth€of€resources€for€minority€women€with€breastÏcancer,€their€families,€and€health€professionals€who€treat€breast€cancer.€€ÌÌSince€its€inception€in€1987,€the€Office€of€Minority€Health€Resource€Center€(OMH„RC)€in€OPHSÏhas€become€one€of€the€nationððs€largest€sources€of€minority€health€information.€€The€OMH„RCÏcollects,€distributes,€and€facilitates€the€exchange€of€information€on€a€variety€of€health€topics.€€InÏFY€2000€and€2001,€OMH€continued€to€produce€high„quality€and€highly„sought„after€publicationsÏappealing€to€consumers,€health€educators,€researchers,€health€providers,€administrators,€and€stateÏand€local€government€officials.€€The€monthly€newsletter,€òòClosing€the€Gapóó€and€the€quarterly€òòHIVÐ i0 ÐImpactóó€have€more€than€30,000€subscribers.€€€In€FY€2000€and€2001,€there€were€21,000€inquiriesÐ Y  Ðfrom€health€professionals,€consumers,€and€government€agencies.€€Most€inquiries€were€in€EnglishÏ(16,500).€€There€were€600€inquiries€in€Spanish.€€More€than€113,941€documents€were€distributedÏby€OMH„RC€in€FY€2000€and€2001.€€More€than€7,500€individuals€asked€to€be€added€to€the€mailingÏlist.€€In€addition,€in€response€to€results€of€an€evaluation€of€the€OMH„RC,€OMH€completelyÏredesigned€and€expanded€its€website€to€improve€information€delivery€to€professional€andÏcommunity€audiences€working€in€minority€health.€€As€a€result,€hits€on€the€website€grew€from€1Ïmillion€in€FY€2000€to€a€projected€2.2€million€in€FY€2001,€and€web€visits€grew€from€nearlyÏ200,000€to€more€than€330,000€in€this€period.€€€Furthermore,€in€February€2000,€OMH€launched€aÏwebsite€dedicated€to€the€Departmentððs€Minority€HIV/AIDS€Initiative.€€This€web€site€providesÏinformation€on€current€news,€funding,€technical€assistance,€prevention€and€living€with€HIV/AIDS,Ïand€includes€links€to€reports,€archives,€and€both€federal€and€non„federal€sites.€€A€special€page€onÏthe€20th€anniversary€of€the€first€reported€cases€of€AIDS€was€created€in€May€2001€and€provided€aÏtool€kit€for€local€organizations€to€plan€and€implement€commemorative€efforts.€This€special€pageÏreceived€more€than€10,000€hits€in€its€first€two€months€of€operation.ÌÌIn€FY€2000,€under€the€Minority€HIV/AIDS€Initiative,€the€OMH„RC€expanded€technical€assistanceÏto€minority€community„based€organizations€(CBOs)€and€AIDS€service€organizations€(ASOs).€€AÐ I/,/ Ðnational€technical€assistance€campaign€was€conducted€in€6€cities,€focusing€on€organizationÏdevelopment€and€sustainability€of€CBOs€and€ASOs.€€Nearly€400€persons€representing€168Ïorganizations€participated€in€skills„building€workshops.€€Direct€technical€assistance€site€visits€toÏan€additional€35€organizations,€and€telephone€and€mail€consultations€with€another€40Ïorganizations,€were€provided€in€FY€2001.ÌÌIn€September€2001,€OPHS€in€collaboration€with€OASPA,€initiated€a€new€partnership€with€theÏABC€Radio€Networks€and€ABC€Radioððs€Urban€Advantage€Network€to€òòóóinform€minorityÐ É  Ðcommunities€on€ways€to€achieve€better€health€and€close€the€health€gaps€between€them€and€the€restÏof€the€U.S.€population.€€This€partnership€aims€to€inform€and€educate€African€Americans€about€theÏhealth€gap€and€empower€individuals€to€adopt€healthier€lifestyles€through€a€health€information€andÏeducation€campaign€entitled€ð ðClosing€the€Health€Gap:€€€Reducing€Health€Disparities€AffectingÏAfrican€Americans.ððà0 m àÐy@ m (#m (# ÐÌOMH€has€continued€to€ò òestablish€and€strengthen€networks,€coalitions,€and€partnershipsó ó€toÐ Y  Ðidentify€and€solve€health€problems€and€concerns€affecting€racial€and€ethnic€minorities.€Under€theÏState€Partnership€Initiative,€designed€to€assist€State€minority€health€entities€to€develop€or€expandÏtheir€existing€infrastructure€and€capacity€to€address€health€disparities,€€the€OMH€awardedÏcontracts€to€12€State€minority€health€entities€in€FY€2000.€€In€addition,€in€FY€2001,€OMH€began€toÏimplement€a€number€of€recommendations€of€its€study€on€the€State€minority€health€infrastructureÏand€capacity€to€address€health€disparities€(completed€in€early€FY€2000),€including€awards€to€fourÏState€minority€health€entities€and€funds€to€the€ten€PHS€Regional€offices.ÌÌOn€December€3„5,€2001,€the€OWH€Regional€Womenððs€Health€Coordinators€and€the€State€andÏTerritorial€Womenððs€Health€Coordinators€attended€a€joint€summit€conference€entitled€WomenððsÏHealth€„€Cycles€of€Life,€in€Washington,€DC.€€The€agenda€reflected€the€most€up„to„date€topics€ofÏinterest€based€on€the€Surgeon€Generalððs€leading€health€indicators€and€guidelines€from€òòEliminatingÐ ™` ÐHealth€Disparitiesóó.€Ð ‰P ÐÌOMH€has€continued€to€support€and€manage€umbrella€cooperative€agreements€and€standardÏcooperative€agreements.€€The€umbrella€cooperative€agreements€establish€broad€programmaticÏframeworks€for€multiple€projects.€€They€afford€the€opportunity€for€HHS€and€other€federalÏagencies€to€collaborate€and€jointly€fund€individual€projects.€€Projects€include€18€funded€under€theÏMinority€HIV/AIDS€Initiative.€€These€projects€target€minority€populations€that€are€most€at€risk€orÏhardly€reached,€e.g.,€inmates,€homeless,€women€at€risk,€youth€or€those€in€rural€areas.€€In€FY€2001,ÏOMH€supported€27€umbrella€cooperative€agreements€and€two€standard€cooperative€agreements.€€ÌÌAs€directed€by€FY€2001€appropriations€language,€OMH€provided€funding€to€11€organizations€toÏconduct€activities€€initiated€by€each€organization.€€For€example,€the€Donald€R.€Watkins€MemorialÏFoundation€in€Houston,€Texas,€will€enhance€care€for€African€American€and€low€incomeÏindividuals€with€HIV/AIDS€by€coordinating€services€and€expanding€outreach€efforts.€€The€FresnoÏCommunity€Hospital€and€Medical€Center€of€California€will€support€diabetes€care€and€outreach€forÏHispanic€Americans€and€low„income€individuals.€ÌÌÌò òPerformance€Measuresó óÐ i-0*- Ðâ âÐ Y. +. 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