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Department of Health and Human Services
Budget, Performance and Financial Snapshot Fiscal Year 2008
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Who We Are
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Mission:
The Department of Health and Human Service's mission is to enhance the health and well-being of Americans by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services. The Department's Strategic Plan is available at: http://aspe.hhs.gov/hhsplan/2007/.
Organization:
The Department's mission is carried out by eleven operating divisions. Fifteen staff divisions within the Office of the Secretary provide leadership, direction, and policy and management guidance to the Department. The Department's Organizational Chart is available at http://www.hhs.gov/about/orgchart/.
Personnel:
The Department employs over 64,000 individuals who carry out the Department's mission. More than half of the Department's workforce (52%) are employed in scientific, medical, or public health positions.
Budgetary Resources:
The budgetary resources for FY 2008 totaled $700 billion, or given the U.S. population of approximately 302 million people, an average of $2,315 per person.
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Budget Snapshot
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Total Spending FY 2005-2009
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Mandatory
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$510,103
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$541,532
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$597,907
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$624,539
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$687,539
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Discretionary
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$68,188
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$73,051
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$69,160
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$70,559
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$73,448
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Total
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$578,291
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$614,583
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$667,067
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$695,098
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$760,987
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$ in millions
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Top 5 Programs By Budget
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Medicare
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Medicaid
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National Institutes of Health (All Programs)
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Temporary Assistance for Needy Families (TANF)
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State Children's Health Insurance Program (SCHIP)
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2008
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$387,400
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$201,426
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$29,162
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$17,532
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$6,900
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2009
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$425,200
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$223,755
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$29,307
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$18,632
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$5,946
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$ in millions
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Performance Snapshot
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Accomplishments:
The Department is striving to expand health care access to low-income, underserved, and medically vulnerable populations; since 2001 an additional 5.8 million patients have been treated at HHS-funded Health Centers. HHS is also encouraging the adoption of Electronic Health Records (EHR) with efforts such as a CMS demonstration project aimed at encouraging 1,200 small to medium-sized physician practices to adopt EHRs. HHS has also made significant progress in developing cell-based influenza vaccines.
Challenges:
The scale, scope, and complexity of the Department's activities results in a number of management challenges, including: oversight of Medicare Part D and Medicare Advantage; integrity of Medicare payments; appropriateness of Medicaid and SCHIP payments; quality of care; public health and medical emergency preparedness; oversight of food, drug, and medical device safety; grants management; integrity of information technology systems and the implementation of health information technology; and ethics program oversight and enforcement. More detailed information on these challenges is available at: http://www.oig.hhs.gov/publications/challenges.asp.
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Clean Opinion on Financial Statements
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Yes
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Timely Financial Reporting
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Yes
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Material Weaknesses
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2
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Improper Payment Rate
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6.9%
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Total Assets
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$529,300
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Total Liabilities
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$86,600
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Net Cost of Operations
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$709,100
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$ in millions
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Footnote:In the "Budget Snapshot" bar charts, ?discretionary? amounts are budget authority, and ?mandatory? amounts are outlays. Amounts for FYs 2005-2008 are actuals; amounts for FY 2009 are annualized FY 2009 Continuing Resolution funding levels for discretionary budget authority (after a transfer to the Social Security Administration's Limitation on Administrative Expenses account) and baseline estimates for mandatory outlays. Amounts for NIH are budget authority, and amounts for Medicare, Medicaid, TANF, and SCHIP are outlays. TANF amounts do not include outlays from the contingency fund (which were $348 million in FY 2008, and $1.219 billion in FY 2009). NIH amount for FY 2008 reflects a transfer of $295 million to the Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria. The improper payment rate represents a Department-wide average.
Summary of Department of Health and Human Services Ratings for Fiscal Year 2008
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FY 2008 Performance
Results per Strategic Goal
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Met/Exceeded
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Not met but improved over prior years
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Not met target
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Data not yet available
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Budget per Strategic Goal
($ in millions)
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Strategic Goal:
Health Care
Improve the safety, quality, affordability, and accessibility of health care, including behavioral health care and long-term care.
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2008 Actual = $619,303
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Performance Measure(s)*
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2006 Results
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2007 Results
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2008 Target
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2008 Results
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2009 Target
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Increase the number of States that have the ability to assess improvements in access and quality of health care through implementation of the Medicaid Quality Improvement Program.
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N/A
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0
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8
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8
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9
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Reduce the percentage of improper payments made under the Medicare fee-for-service (FFS) programs.
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4.4%
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3.9%
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3.8%
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3.6%
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3.5%
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Implement the Medicare Prescription Drug Benefit ? Increase the percentage of Medicare beneficiaries with prescription drug coverage from Part D or other sources.
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N/A
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90%
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N/A
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90%
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91%
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Strategic Goal:
Public Health Promotion and Protection, Disease Prevention, and Emergency Preparedness
Prevent and control disease, injury, illness, and disability across the lifespan, and protect the public from occupational, environmental, and terrorist threats.
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2008 Actual = $8,013
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Performance Measure(s)*
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2006 Results
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2007 Results
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2008 Target
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2008 Results
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2009 Target
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Reduce complications of diabetes by increasing the proportion of American Indian/Alaska Native patients with diagnosed diabetes that have achieved blood pressure control (<130/80).
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38%
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38%
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38%
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35%
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38%
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Reduce fatal work-related injuries among youth ages 15 to 17.
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3.2/100,000 FTE
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2.0/100,000 FTE
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2.5/100,000 FTE
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2.0/100,000 FTE
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3.0/100,000 FTE
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Strategic Goal:
Human Services
Promote the economic and social well-being of individuals, families, and communities.
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2008 Actual = $44,612
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Performance Measure(s)*
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2006 Results
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2007 Results
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2008 Target
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2008 Results
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2009 Target
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Increase the adoption rate for children involved in the Child Welfare System.
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9.91%
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10.00%
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10.00%
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Oct. 2009
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10.10%
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Strategic Goal:
Scientific Research and Development
Advance scientific and biomedical research and development related to health and human services.
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2008 Actual = $27,243
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Performance Measure(s)*
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2006 Results
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2007 Results
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2008 Target
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2008 Results
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2009 Target
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Through the National Research Service Award Program, increase the probability that scientists continue participation in NIH-funded research within the following 10 years (Postdoctoral Fellows).
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13%
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13%
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12%
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13%
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12%
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Reduce the financial cost (or burden) of upper gastrointestinal (GI) hospital admissions by implementing known research findings, as measured by per capita charges for GI bleeding.
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$93.36
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$91.81
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$91.71
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$87.10
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$90.75
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* This measure was selected from a number of performance measures aimed at the specific strategic goal