December 3., 1968 REGIONAL NEDICAL PROGRAMS SERVICE New Comorehensive Activit-Y of Health Services & Mental Health Administration The official announcement of the formation of the REGIONAL MEDICAL PROG@ SERVIC"C -- which now includes the Division of Regional Nledical Prograins and the Division of Chronic Disease Progr@ -- within the ne l@y established Health Services and Mental Health Administration is reproduced in this issue as it appeared in the Federal Re ter on October 30, 1968. Additional information on this aspect of the reorganization within the Public Health Service, including the latest organization chart of the Health Services and Mental Health Administration and a listing of the administrative heads of its various components is also included. Contents Excerpt from Federal Register Page Health Services and Mental Health Administration ........... 2-12 Regional Medical Program Service .......................... 10 New Organization Chart of Health Services and Mental Health Administration .................................... 14 U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service 0 Health Services and Mental Health Administration a Bethesda, Maryland 20014 15,9@5@3@ NOTICES "I Pro- health services; (b) conducts and sup- tivities of the Administr ation; ports programs to control or prevent' in- vides consultative ser fectious and chronic diseases; (c) pro- and mental health sei vides health services and hospital and Government both at I outpatient medical care to designated and (4) directs the c( e beneficiaries; (d) develops and recom- Administration's inter d mends quality standards for health serv- other cooperative hea ices financed in whole or in part by pro- rect he'alth programs, h grams of the Department of Health, programs, to assure the Integra - Education, and Welfare; (e) supports velopment of all these programs into planning and construction of hospitals comprehensive health programs. and other health facilities; and (f) pro- Ofice of Information (2017). Under vides leadership and support for State the direction of the Assistant AdmirLis- and area comprehensive health planning trator for Information who serves as a and services and for regional cooperative member of the Administrator's immedi- arrangements among medical schools, ate staff, plans, directs, and coordinates research institutions, medical care facili- the information programs and health ties, and practitioners. education activities of the Health Serv- (3) Plans, directs, and coordinates the ices and Mental Health Administration: Office of the Secretary national effort to improve the mental (1) Advises on policy matters pertaining PUBLIC HEALTH SERVICE; HEALTH health of the people of the United States and related to information and com- through the development of knowledge, munications activities-external and in- SERVICES AND MENTAL HEALTH manpower, and servites to promote and ternal; (2) formulates policies and plans ADMINISTRATION sustain mental health, prevent mental for the guidance of information activities illness, and treat and rehabilitate men- throughout the Administration; (3) Statement of Organization, Functions, tally ill persons: (a) Conducts and suP- identifies-programs, areas, and popula- and Delegations of Authority ports research, development, technical tion groups requiring special efforts in This amendment to the Statement of assistance, training. and information ae- health education and provides guidance, Organization, Functions, and Delega- tivities to improve mental health serv- assistance, and support to such special tions of Authority of the Department of ices; (b) conducts or supports programs efforts; (4) establishes operational pro- Health, Education, and Welfare, reflects to control or prevent mental illnesses; cedures for the orderly and expeditious the implementation of the Reorg@za- (c) supports or provides mental health processing and dissemination of infor- tion Orders signed by Secretary Wilbur services and hospital and outpatient mational materials and performs a con- J. Cohen on March 13, 1968 (33 F.R. mental health care to designated bene- cept-review and evaluation function of 4894), April 1, 1968 (33 F.R. 5426), and ficiaries; (d) recommendsqualitystand- all such materials (films, radio and tele- July 1, 1968 (33 F.R. 9909), with respect ards for mental health services, financed vision materials; publications, magazine to the organization of the Health Serv- in whole or in part, by programs of the articles and news features, exhibits, etc.) ices and Mental Health Administration Department of Health, Education, and to ensure that information projects are as an operating agency of the Depart- Welfare; (e) supports planning and supportive of program and policy objec- ment, There is hereby established a ne construction of mental health hospitals tives; (5) establishes guidelines to sup- nt's Statement fow and centers and other mental health fa- port informational program planning, Part 5 of the Departme rcilities; and (f) provides leadership and evaluation, and budgeting; (6) deter- the Health Services and Mental Health Administration as set forth below. Those support for comprehensive mental health mines through the conduct or sponsor- provisions in Part 4 (Public Health Serv- planning and services. ship of population sampling studies or ice) of the Depaxtment's Statement (4) Plans, directs, and coordinates otherwise the needs for health inforrna- Organization, Functions, and Delegationo, the development of physical and mental tion and education and the effectiveness of Authority which are inconsistent withs health service programs to assure: (a) of public information and education pro- the provisions of @e new Part 5 are re That mental and physical personal grams in meeting those needs; and (7) voked herewith, health concerns are integrated; (b) that ]Rrovides centralized supporting informa- SEC. 5-A Mission, The Health Services priorities which govern Administration tion services at Administration and sub- Mental Health activities apply appropriately to mental ordinate levels with Particula@ emphasis and Administration and physical health planning and serv- on regional needs. (2000) provides leadership arid direction ice activities; and (c) that social consid- Office of the Assistant Administrator to programs and activities designed to erations and priorities are woven into for Management (2019). The Assistant improve physical and mental health both the physical and mental health op- Administrator for Management who services for all of the people of the United r,tions of the Administration. serves as a member of the Adminis- States and to achieve the development SEC. 5-B Organization. The. Health trator'simmediatestaff: (1) Participates of health care and maintenance systems Services and Mental Health Adm@stra- in executive policy formulation and adequately financed, comprehensive, in- tion is directed by the Administrator execution; (2) advises on management terrelated, and responsive to the needs of (I-Iealth Serices and Mental Health Implications of Administration plans individuals and families in all socioeco- Administration) who is responsible to and programs; (3) Provides Administra- nomic and ethnic groups. the Assistant Secretary (Health and tion-wide leadership in all phases of To these ends, the Health Services Scientific Aff airs). The Administration management; and (4) directs the ad- and Mental Health Administration: (1) consists of the following major corn- miriistrative management components in Collects, analyzes, and disseminates data ponents, with functions as indicated: the Office of the Administrator. on births, - deaths, disease incidence, Office of Management Policy (20192). health resources, and the state of the OFFICE OF THE ADMINISTRATOR (2000) (1) Conducts organization and manage- Nation's health. Provides leadership and direction to ment studies and surveys; (2) initiates (2) Plans, directs, and coordinates athe Programs and activities of the Health or reviews proposals for establishing or national effort to improve the physical Services and Mental Health Adminis- modifying organizational structure or health of the people of the United States tration. function, and management objectives, through the development of services to Immediate Office of the Administrator policies, standards, and regulations; (3) promote and sustain physical health, (2001). (1) Provides leadership for the negotiates s o 1 u t I a n s to interagency, prevent physical illnesses, and provide execution of Administration responsibu- interservice, and interoffice problems of care and treatment for physically ill persons: (a) Conducts and supports re ities related to the conduct and improve- organization, functions, Policy, Pro- s@rch, development, technical assist: ment of-physical and mental health cedures,orcoordination; (4) advisesand ,e, and informatio anr, n activities to im services ior the people of the United assists Administration staff and operat- prove the organization and delivery of States; (2) manages and directs the ac- dng offices and provides general staff FEDERAL REGISTER, VOL. 33, NO. 212-WEDNESDAY, OCTOBER 30, 1968 No. 21@ 2- 15954 NOTICES support for major study groups estab- technical assistance in these areas; (3) ning, coordination, and evaluation, in- lished by the Administrator; (5) partici- acquires equipment, Supplies, and serv- cluding the development of program al- pates in program and legislative plan- ices; (4) coordinates plans for utiliza- ternatives and policy positions; (2) over- ning to assure recognition of. manage- tion of Administration procurement and sees planning, reporting, and analytical rnent Problems and opportunities in- materiel resources under national emer- and evaluation functions in support of volved; (6) advises on issues of major gency conditions; (5) evaluates procure- policy formulation and program imple- concern to the Administrator in the areas ment and materiel management activities mentation; (3) advises the Administra- of general administration and program throughout the Administration; and (6) tor and his immediate staff on program, management; (7) manages the docu- maintains liaison with the Office of the policy, and operational implications mentation and issuance system of the Secretary, the General Services Admin- arising from activities of the Office; (4) Administration; (8) assures the avail- istration, and other agencies concerned collaborates with the Office of Financial ability and adequacy of Administration- with procurement and materiel manage- Management in the development and wide functional area systems of manage- ment activities. implementation of the 5-year program ment appraisal; (9) conducts general Office of Buildings and Facilities and financial plan for the Administra- appraisals of the effectiveness of man- (20197). (1) Provides guidance and tech- tion's Program Planning and Budget- agement activities; (10) participates nical assistance in design, construction, ing System; (5) maintains liaison with with program officials in conduct of in- renovation, repair, improvement, and in other Federal and non-Federal health depth appraisals of the effectiveness of related real estate activities encompass- agencies; (6) provides staff planning, program operations and management; ing the acquisition, utilization, and dis- evaluation, and coordination service to and (11) conducts Administration-wide posal of real property and provision of the Administrator for International management improvement programs. communication facilities, parking, and Health activities and programs; and (7) Office of Systems M a n a g e m e n t other supporting services; (2) establishes assures program coordination and liai- (20193). Plans, develops, and coordinates, and evaluates buildings and facilities son -in these areas between the Admin- the Administration's management in- programs, objectives, policies, and pro- istrator and the Dperating program of formation system: (1) develops the spec- cedures: and (3) maintains liaison with the Administration. ifications for, and coordinates the im- the Office of the Secretary, the Public Offlce of Legislation (2035). Under the plementation of Administration-wide Buildings Administration, and other direction of the Assistant Administrator systems for recording and processing agencies concerned with buildings and for Legislation -who is a member of the data for program planning, direction, facilities Administrator's immediate staff: (1) As- and control; (2) provides technical serv- Offlce of Grants Manageinent (20198). sists in the development of Administra- ices to the Office of the Administrator in (1) Coordinates the review, development, tion objectives, policies and programs, data systems design; (3) maintains and issuance of policy and procedural with particular reference to their rela- liaison to insure that Administration materials for the Administration's grant tionship to statutory authorities and to management data needs are met and programs; (2) establishes procedures for Congressional trends, attitudes and pol- that adjustments are made to accon-Lmo- the receipt, review, and referral system icies; (2) assists the Administrator in the date new areas of interest and changes in for grant applications', (3) establishes coordination of operating efforts toward program emphases or goals; (4) reviews standards and guides for and evaluates meeting national goals and policies as new data systems and proposals for con- grants management operations through- reflected in the legislation related to the sistency with Administration program, out the Administration; (4) provides ad- activities of the various elements of the direction, and management needs; and vice and consultation on interpretation Administration. In meeting these re- (5) develops and coordinates Adminis- and application of Departmental and sponsibilities, the Office of Legislation tration-wide programs for determining Administration policies and procedures (a) provides for legislative analysis and the requirements for and utilization of affecting grants management; (5) co- development through reports on Pend- ADP equipment. ordinates Administration positions and ing bills, development of legislative Pro- Offlce of F i n a n c i a I Management actions with respect to grants audit re- gram, and technical assistance to Com- (20194). (1) Collaborates with the Office quirements and results; (6) analyzes, mittee staffs and members of Congress; of Program Planning and Evaluation in evaluates, and reports on A stration (b) furnishes legislative program sup- the development and implementation of grant activities; and (7) maintains port through preparation of testimony, the 5-year program and financial plan 3iaison with grantee institutions and or- backup material for hearings, assistance for the Adrninistration's Planning, Pro- ganizations and the Office of the Secre- on preparation of Congressional Com- graming and Budgeting System,' (2) tary and other components of the mittee reports; (c) provides Congres- develops policies and instructions for Department. sional services and liaison through prep- budget preparation and presentation; offlce of Personnel (20199). (1) Plans, aration of general or special 'program (3) prepares budget submissions; (4) directs, and coordinates personnel pro- information, (d) provides Congressional participates in budget hearings; (5) al- grams covering headquarters and field inquiry service, and follows up on sig- locates funds; (6) manages a system of employees; (2) develops policies, proce- nifteant Congressional correspondence; budgetary controls; (7) directs planning dures and standards for personnel pro- (e) serves as a legislative reference cen- and implementation of fiscal systems grams and operations; (3) provides per- ter; (f) provides or arranges for suzn- and procedures; (8) provides account- sonnel service for officials and employees maries of Congressional hearings and di- ing services; (9) prepares financial re- of the Administration; (4) provides gests of other Congressional develop- ports; (10) participates in development technical advice and assistance to op- ments or publications; and (g) maintains of policies and procedures concerning erating officials on all personnel matters; liaison with the Office of the Assistant financial aspects of grants and negotiated (5) conducts Admirdstration-wide pro- Secretary for Legislation and the Assist- reseaxch and development contracts; grams in areas such as personnel devel- ant Secretary for I-Iealth and Scientific (11) furnishes financial advice to oon- opment and utilization and safety and Affairs in matters concerned with legis- tracting officers; (12) evaluates financial occupational hazards control; (6) evalu- lative proposals or legislative policies. management systems and activities ates Administration personnel programs, Regional Organization (2OAl). The throughout the Administration; and (13) systems, and activities; and (7) main- Administration's Regional organization maintains liaison with the Office of the tains liaison with the Office of the See- provides a focal point for responding to Secretary and the Bureau of the Budget. Tetary, the Civil Service Commission, the needs of State and local govem- offlce of Procureinent and Materiel and other agencies concerned with per- mental officials, community agencies, Managemnt (20195). (1) Establishes sonnel management. and public or private institutions in- Administration objectives, policies, oftice of Program Planning and Eval- volved In the planning or provision of standards, and procedures for pro- uation (2031). Under the direction of the health services. As such, it (1) exerts curement and supply, contracting, speci- Assistant Administrator for Program leadership in planning and m@tain- fications, cataloging, personal property Planning and Evaluation who is a mem- ing effective health programs; (2) coor- control, forms, printing, storage, and ber of the AdmWUtrator's lnunediate dinates activities with those of other distribution; (2) Interprets regulatory staff: (1) Serves as the Administrator's Federal health-related program to Issuances and provides guidance and principal staff arm for program plan- achieve maximum effect on priority FEDERAL REGISTER, VOL. 33, NO. 212-WEDNESDAY, OCTOBER 30, 1968 -3- NOTICES (2) acts as the representative of the Cen- ministrator's office of Financial Man- problem areas and pop ation groups; ter Director an rves as focal point for agernent in their operation of a financial (3) provides consultativ establishing ar Cen- management system for the Center, assistance on the plannir ter's working other Including program policy interpretation of programs including t) with in budget formulation and execution, in prevent or control infect@ components of diseases, to provide coo other organiza the De- preparation of Program Planning and care services at the comr es, State Budgeting System data, and in the fi- to plan and train for e nancial aspects of grants administra- services during times o sasters; tion; and (7) serves as the focal point reviews and approves a for liaison with the Office of the formula and protect gri Administrator and the Office of the planning, for health serv: Secretary on financial, personnel, or- construction of health ganization, supply, and other manage- these functions have.b( m c collabora 0 ment matters. the Regional Offices; (5) promotes pro- munication mechan Program Planning and Evaluation grams to improve the quality and utili- relationships with other g@ Sta.9 (2131). (1) Assists and advises the Center Director in program planning zation of health care resources anct bodies, professional bodies, facilities; and (6) evaluates State and organizations to foster the implementa- and in the development, coordination, local health programs. tion and application of research findings and assessment of current and long- so as to improve health care services in range activities; (2) develops guidelines NATIONAL CENTER FOR HEALTH SERVICES actual operations; and (5) coordinates and standards for appraising program RESEARCI-I AND DEVELOPMENT (2100) with the Offices and Programs of the activities; (3) assesses and evaluates Conducts or, by means of grants and Center on related aspects of extramural program accomplishments and activities contracts, supports, promotes, and stimu- activities. in terms of approved goals and objec- lates a national progr of health serv- Office of Grants and Contracts Man- tives; (4) identifies the need and rec- ices research and dei -agement and Review (2115). (1) Ad- ommends necessary actions for new onstrations, including ministers a system of review for grants program activities including methods for the availability of he and contracts submitted to the Center development; (5) provides leadership in peopl6- (2) assisting fand provides management services for the development of Center goals and sions io improve thi approved grants; (2) interprets and im- objectives; and (6) directs and coordi- assessing the quality plements policies relating to grants and nates the implementation of Program (3) investigating the comparative cost contracts emanating from the Office of Planning and Budgeting System in col- of alternative methods of providing athe Secretary, Office of the Administra- laboration with the Office of Administra- financing health ser.ces; (4) expe tor, and Office of the Center Director; tive Management. menting with new ari (3) provides assistance to the Programs I-lealth Economics Analysis Program site locations and pla of the Center and to organizations and (2141). (1) Supports, conducts, and fos- ods of construction; institutions concerning the interpreta- ters research on (a) the financial struc- ciency through new tion and application of grants manage- ture of medical care, (b) the effects of health personnel and ment and grants and contracts review health services on the economy as a types of health worl policies and procedures.; and (4) main- whole, (c) alternatives for capital financ- sional technical, and auxiliary lev( tains and provides fiscal and other types ing, (d) cost-benefit and cost-effective-le (6) 9,P'plying and refining computer t@ of information on the status of grants ness of various ways of providing health nology in screening, au and contracts. services, and (e) the economics of health records, and selected ot O,%ce Of Information (2117). (1) As- manpower; (2) supports research train- medical care process; sists and advises the Director in inter- ing in health economics, including application of new oi preting the program of the Center to anaivses of alternative methods of dis- niques for the prev( the general public and to appropriate tribution and use of health manpower to treatment and control of diseases aprofessional and scientific groups, and provide health care services; (3) collects disabilities; (8) designing and dem( reports to the Director on actual and and disseminates information on and re- strating experimental health service s (2) plans sults of health economics research; and tems in urban and rural areas; Pro- (4) establishes and maintains coopera- making multidisciplin ry analyses of ntrol tive working relationships with other organization and func rdina- organizations in the Administration and ponents of the healt (4) the Department concerned with coo- (10) increasing acad or c is- nomics of health services. training health servic rovides Health Care Technology Program velopment personnel; ibution (2145). (1) Supports, conducts,'and fos- ing and operating a I ta system. ters research, development, experiments system relevant to r -Office of Administrative Management or demonstrations on (a) the instrumen- ment planning, polio: I g, and (2119). (1) Plans, directs, and coordi- tation and automation of health services, management. nates administrative management activi- and (b) the application of electronic and Office of the Director (21 01). (1) Plans, ties of the Center, including providing computer technology to disease detec- directs, administers, coordinates, and central services and assigning Manage- tion systems, diagnosis, patient-monitor- evaluates the . progr and management ment officers to Programs and Officers; Ing and therapy, medical record ban- operations of the C4 and (2) assists the Office of the Director in dling, and tecnniciues in laboratory stimulates a nation alth the development of Center goals and medicine; (2) supports research training services research @ ac- objectives; (3) provides backup support in health care technology; (3) collects tivities; (3) coordinates the r's for Center Staffs and Offices such as ad- and disseminates information on and the activities with other Administration or- ministrative services for grants and con- results of research in health care tech- ganizational elements. other Federal or- tracts activities and administrative liai- nology; and (4) works cooperatively with ganizations within and without the De- son with the Office of the Administrator hospitals and other organizations in the partment, State and local bodies, and on contra and imple- Administration and the Department en- professional and scientific organizations; ments ma gaged in research in health care and (4) performs legislative planning systems ai technology. and review. Center afl Health jCare Institutions Program and tiveness of - Center organ (21 1). (1) Supports, conducts, and Liaison Staff (2109). (1) Assists advises the Director of the Center on operations from a manage fos experi- major policies affecting Center programs point: (6) provides i)rograr guidance me@ the de- and relations with other organizations; and information to the Staff f the Ad- sigi s stration FEDERAL REGISTER, VOL. 33, NO. 212-WEDNESDAY, OCTOBER 30, 1968 -4- of health ca-re @@. Lb) @ts Of @ rmats of @rch m health @' es budget f tion @ execution and new pa in imperial @wer ; and (4) estab- in ation of program PI 9 @ care services, (c) cmtrtbu@ to @es and cooperative work- support data-, and (5) pro- adequacy, effecUveness, and efWenCY of ing @o@ -vnth d or- vides @ces in management institutions, and (d) methods of deter- ganizati@ in the Administration, in the @y@, pexso@ @ement, pro- mining @g in communities, @2) Pm- Bureau of @th over of the Na- I development, and administrative motes studies @ tests of new m@ds tional Institutes of Health, and elsewhere services for the Center. of etion for improving health care in the Depgrtment and the Nati@ Office of Program Planning @ Eval- capabilities of institutional facilities; (3) Health Care Data System Program uatian (2?31). (1) Provides a Center supports Valid res@ training; (4) (2171). (1) Supports, conducts, and fos- focus for program p g and coordi- collects and disseminates information an ters research to improve and develop nation for evaluating the adequacy and and the results of research on health care methodology for collection, @y@, and completeness of new and existing pro- institutions; and (5) -works cooperatively use of health care data, including meth- gra rn @ in meeting the Canter's total mis- with other organizations in the Admin- ods for determining tion of avail- sion; (2) a@s program wcoanplish- ir,tmtion and the Department concerned able health care per@eL facilities and menls in relation to approved plans; (3) with research in health care institutions. @ces, and analysis of the outcome of provides @n with Service program S@Z Analysis and Eva@ion Pro- utilization; :(2) les health planning officials; (4) coordinates the gram (2155). (1) Supports, conducts, and data for use of program components application of results of Program fosters r@rch on (a) and and supplements this as needed; (3) as- research conducted throughout the psychological factors influencing individ- sists other progr@ and other govern- Center; and (5) collaborates with @. and groups in their health habits mental and nongovernmental bodies, !kv counterpart offices in development and and use of available services, (b) Social providing data and by developing meth- implementation of the Department's and psychological factors which affect ods for assessing the effectiveness of and PPB system. the operation of health institutions and need for modification of programs and OTnce of Statistical Methods (2233). @vices, (e) the effects of social and policies relating to health care @ces; (1) Provides expert consultation an legal factors on the av@lity. quality, (4) provides related research training; mathema@, probability, statistical the- and organization of services, and (d) the and (5) establishes and maintains coop- @, and methodology, and demographic evahmtion of health services and Pro- erative working relationships with Fed- theory and methodology to the Center, .grams; (2) c@ts with other programs eral and State and Other public and the programs of the Administration and of the Administration @ the Depart- private organizations concerned with Department, and the health community; ment on bnproved methods of evaluating development of data systems for health (2) Conducts mathematical statistical re- health Service programs; (3) supports services. Search; (3) conducts,activities in @e rdated'research train@, (4) -collects NATIONAL CENTER FOR HEALTH development of sampling survey tech- and disseminates information and re- niques, the methodology of analysis of suits of social science research and eval- STATISTICS (2200) data from complex surveys and demo- y -uation, and (5) works oooperativel Collects, compiles, @ publis,@S gen- grap.= methodology, including modifi- with other organizations in the Admin- @ purpose vital and health statistics cation of statistical models to facilitate istmtion and the Department concerned and develops a program in health, dem- computer solution; and (4) exercises a with social analysis and evaluation ographic and related Statistics to serve surveillance function to assure the sta- Health Care Organization and Delivery present and future needs of all segments tistical adequacy of new and ongoing *Program (2161). (1) Supports, conducts, of health and related professions. programs. and fosters research on (a) health Office of the Center Director (2201). Office of International Statistical Pro- PI g and community organization, (1) Plans, directs, and coordinates the gra7w (2235). (1) Plans and conducts the including the interaction between the total prog@am of the National Center for Center's foreign research, consultation community and its medical care system, Health Statistics; (2) stimulates re- and training programs and represents (b) improved techniques for identifying search and developmental activities; (3) the Center in international statistical ac- health needs, (e) the medical care pro- provides national and international lead- tivities including those concerned with cess, including organizational, admin- ership in health statistics; (4) conducts population problems; (2) stimulates the istrative, eccvnomic, and other elements a variety of Professional activities to pro- conception and development of research that influence the process and its out- vide assistance to States, to foster inter- projects in foreign countries under the come, and (d) methods for assessing the national relationships, and to improve Special International Research Program; effectiveness and quality of medical @; the broad field of health statistics; and (3) provides technical advice on the de- (2) develops and demonstrates new or (5) provides central management and in- velopment of health statistics and reg- iin@roved methods of providing needed formation services for the Center. lstration programs; and (4) develops and personal health services and improved Offlce of Information (2217). (1) Con- conducts academic and practical courses methods and health service systems ap- ducts information activities to present in statistics, demography and registra- plicable to special types of urban and the Center's programs and product to tion for foreign visitors. rural communities; (3) supports related appropriate user groups; (2) conducts office of State Services (2237). (1) research training; (4) collects and dis- scientific and tecbni@ romMUrliCatiOnS Plans programs to foster State, local, and seminates information and results of programs-, (3) develops exhibits, notices, other professional relationships; (2) con- research in organization and delivery of information brochures, and other related ducts a program of direct, technical health care; and (5) works cooperatively material; and (4) conducts publication assistance to States and local areas cov- with organizations in the Administration activities involving design, editing, and ering all aspects of vital and health sta- and thd Department concerned with im- layout of special and recurring statisti- tistics activities; (3) develops a training proving methods of organizing and de- cal volumes and reports. activity including courses in vital and livering health care. Offlce of Administrative Management health statistics theory and practice to Health Manpower Utili@ation Pro- (2219). (1) Plans and directs the Center's serve State and local needs; (4) provides gram (2165). (1) Supports, conducts, and administrative management activities; secretariat services to the Public Health fosters health services manpower utwm- (2) initiates and conducts management Conference on Records and Statistics; tion research or demonstrations to de- programs embracing integrated systems and (5) encourages improvement of the velop (a) new ways of increasing the of planning and analysis; (3) develops vital and health statistics function in productivity of physicians, nurses, and and coordinates the Center's legislative State health programs. other health care personnel, (b) new activities; (4) provides financial guid- Offlce of Health Statistics Analysis careers In health services manpower, and ance and information to staff of the Ad- (2241). (1) Plans and conducts a statis- (e) new ways of educating, training, and ministration's Office of Financial Man- tical program providing analyses In depth utilizing health Services manpower: (2) agement in the operation of a financial of health data; (2) stimulates the de- supports related research training; 11) management system for the Center, in- velopment of specific statistical programs collects and disseminates information cluding Program Policy interpretation In or concepts throughout the Center to FEDERAL REGISTER, VOL. 33, NO. 212-WEDNESUAY, OCTOBER 30, 1968 -S- NOTICES 11957 expand data available for analytical NATIONAL COMMUNICABLE DisEASE direction, and assessment of manage- studies; (3) analyzesandinterpretsdata CENTER (2300) ment activities throughout the Center and assures consideration of manage- reflecting the impact on the Nation's (1) Plans, conducts, coordinates, and ment implications in program decisions; health of existing health conditions, Pro- supports a national program for the pre- (2) conducts Center-level management fframs and activities; (4) assesses the vention and control of conununicable and services such as administrative services, adequacy for trend analysis of methodo- other preventable diseases through (a) financial management, personnel man- logical approaches to data collection; and surveillance activities, (b) research and agement, engineering services, computer (5) develops and publishes studies and development programs, (c) epidemiologic systems, management analysis, legisla- reports, studies, (d) consultation and training, tive reference, library, and other dele- Division of Vital Statistics (2245). 1) (e) public information and education, gated authorities as may be assigned; Conducts a statistical program serv ng (f) technical assistance, and (g) com- (3) provides technical leadership and demographic and public health nee Is; munity demonstrations; (2) directs for- guidance to,management services at field (2) promotes utilization of data throi gh eign quarantine activities and enforces stations and evaluates technical per- expansion of the U.S. vital registrar on foreign quarantine regulations; (3) pro- forrnance; (4) maintains liaison with system and through conduct of sam- vides consultation and amistance in Up- HSMHA officials on management mat- pling surveys to provide demographic grading the performance of clinical lab- ters including ADP systems, management and health information; (3) conducts oratories and evaluates and licenses information systems, and cornmunica- methodological research on analyzing, clinical laboratories engaged in interstate tion networks; (5) provides financial evaluating and presenting vital data and commerce; and (4) provides consultation data and systems development support publishes results; (4) evaluates the re- to other nations in the control of pre- to the Program Planning and Budgeting sponsiveness of the statistical Product to ventable diseases and administers inter- system; and (6) participates in the de- user needs; and (5) develops and applies national activities for the eradication or i,elopment of the Center's goals and actuarial methods and formulae for con- control of malaria, smallpox, and objectives. struction of life tables and publishes measles. Office of Program Planning and Eval- results. offZce of the Director (2301). (1) Di- uation (2331). In cooperation with the Division of Health Examination Sta- rects the activities of the National Com- Center's Executive Offleer, programs, and tistics (2249). (1) Conducts a statistical municable Disease Center; (2) advises staff services: (1) Plans and develops program based on systematic Nationwide the Administrator, Health Services and short and long range goals and objectives health examinations of individuals and Mer@tal Health Administration, on policy for the Center; (2) analyzes and evalu- publishes the results; (2) conducts re- matters concerning the Center activities; ates the Center's programs activities; search on survey methodology, data qual- (3) provides liaison, through the Center's (3) collaborates in the-development and ity and reliability; and (3) evaluates the Washington office, with other govern- implementation of the PPB system; (4) responsiveness of the statistical product mental agencies and outside groups; (4) maintains liaison with counterpart or- to user needs. provides or obtains technical assistance ganizations as appropriate; and (5) de- Division of Health interview Statistics for State and local health departments velops systematic approaches to report- (2255), (1) Conducts a statistical Pro- and private and official agencies, as . Ing on the operations of the Center. gram based on systematic Nationwide needed; (5) provides professional and Ecological Investigations Program health interview surveys and publishes technical direction to regional personnel , on disease control matters; and (6) par- 2341). (1) Plans, coordinates, and con- the results; (2) advises and technically @ . field station activities which in- assists others on interview data and in- ticipates in the development of the Cen- Quc@ terview methodolgy; (3) conducts re- ter's goals and objectives. . clude investigations of: (a) Viral men- search on data quality and reliability and office of International Services (2311). ingitis and encephalitis; (b) hepatitis the statistical techniques used; and (4) (1) Plans, organizes and administers pro- and gastroenteritis; (c) respiratory in- evaluates the responsiveness of the sta- grams of specialized training for foreign fections caused by viruses, bacteria, and tistical product to user needs. representatives and for domestic repre: fungi; (d) plague and other zconoses; Division of Health Resources Statistics sentatives to foreign countries. (2 ) pro (e) schistosomiasis and other tropical - vides for the reception and orientation of diseases; and (f) the epidemiology of (2259). (1) Conducts a national statis oneogenic viruses; and (2) develops tical program, using sampling surveys of foreign visitors to the Center; (3) de- easures for prevention and control of records, and primary and secondary signs, develops, and implements seminar m sources, to develop data on health re- services and resources reference on our- the communicable diseases under sources including facilities and man- rent international health affairs for Cen- Investigation. power, on short-term hospital visits, and ter staff; (4) renders advisory services on EpidemiologY Program (2345). (1) on the entire institutionalized popuia- Public Law 480 projects; and (5) estab- maintain surveillance over communicable tion, and publishes reports; (2) con- lishes and maintains liaison with other and certain preventable diseases of na- ducts research on collection methodol- organizations concerned with interna- tionol importance and develops pro- ogies and publishes methodological re- tional health. grams of international surveillance in ports; (3) makes studies to improve data Office of information (2317). Plans, collaboration with the Foreign Quaran- quality and reliability; (4) provides tech- organizes, and administers the Center's tine Program, the Department of De- nical assistance on the content and utui- public information program, publications fense, the Department of State, and the zation of health records data; and (5) management, and all concomitant ac- World Health OrgariLization; (2) investi- evaluates the responsiveness of the sta- tivities such as tours and receptionist gates special communicable disease prob- tistical product to user needs. services, publications clearance, and dis- lems and r@mmends control measures; Division of Data Processing (2261). (1) tribution of information and educational (3) evaluates experimental vaccines and Provides data processing services to all materials. immunizing agents and procedures; (4) the Center's programs; (2) develops gen- Office of Research Grants (2318). (1) provides epidemic aid and epidemiologi- eral computer programs and provides Develops and administers the Center's cal services and consultation to States, technical expertise in systems analysis research grants programs, including Federal agencies, foreign countries, and and programming; (3) trains data proc- stimulation of research in neglected or other recipients; (5) recruits and trains essing, professional and executive per- underemphasized fields; (2) provides fi- public health epidemiologists; (6) col- sonnel; (4) conducts research and orig- nancial support to nonprofit research Or- lects and analyzes morbidity and mor- inates methods for processing, handling, ganizotions; and (3) maintains active tahty statistical data and publishes re- transmitting, sorting, and retrieving liaison with Administration and Depart- ports of findings; (7) enforces interstate ment organizational components con- quarantine regulations; and (8) serves statistical data; (5) provides technical cemed with grants. as the WHO Regional Reference Labora- assistance to States, other elements of Staff Services-Administrative Man- tory for Rabies in the Americas. the Administration and the Department; agement (2319). Under the direction of Foreign Quarantine Program (23,51). and (6) conducts a statistical processing the Executive Officer: (1) Assists and (1) Plans, directs, and conducts the quality control progranL advises in the development, coordination,, national program to protect the United FEDERAL REGISTER, VOL 33, NO. 212-WEDNESDAY, OC'ROBER 30, 1968 -6- 15958 NOTICES i) plans, State and Community Services Divi- office of the Director (2401). ( States against the introduction Of Corn- sion (2381). (1) Plans, directs, and coor- directs, and administers the programs of municable diseases from foreign coun- he pre- the Institute; (2) develops and provides tries; (2) provides epidemiological data dinates a national program for t on worldwide communicable disease vention, control or eventual eradication policy guidance and staff direction to In- prevalence; and (3) implements the of serious diseases, such as tuberculosis, stitute programs in such areas as pro- provisions of the International Sanitary respiratory diseases, syphilis, gonorrhea gram coordination and review, mental Regulations. and other veneral diseases, for which health research, administrative manage- Malaria Eradication Program (2355). specific preventive measures are avail- ment, intramural training, and patient Administers the Public Health Service able; (2) administers intramural and ex- care; (3) serves as the focal point for the international program of malaria eradi- tramural programs for the control or national mental health effort; and (4) cation jointly planned and developed eventual eradication of preventable provides professional and technical di- with U.S. Agency for International De- diseases; and (3) conducts community rection to the regional personnel on velopment missions and the national demonstration programs in cooperation mental health matters. ministries of health of cooperating with State and local health departments Office of Communications (2417). (1) countries and which encompasses as ap- and other agencies to serve as models in Serves as focal point for all Institute propriate such activities as vector con- teaching communicable disease control public information and scientific com- trol, field investigations and testing of and prevention. munications activities including opera- methods and procedures, evaluation'of NATIONKL LXSTITUTE 0,F MENTAL HEALTH tion of the National Clearinghouse for country programs, and training and (2400) Mental Health Information; (2) advises epidemiological appraisals. the Director and the Divisions on pro- Smallpox Eradication Program (2361). Plans, directs and coordinates the na- gram developments related to public in- (1) Provides overall consultation, direc- tional effort t6 improve the mental formation and scientific communications tion, coordination, and management for health of the people of the United States in the field of mental health; (3) pro- the United States participation in the through the development of knowledge, -vides central services for information ac- worldwide program @for eradication of manpower, and services to promote and tivities, including editing, clearance, and smallpox; (2) when feasible, conducts sustain mental health, prevent mental layout design services for Institute pub- other simultaneous immunization pro- illness, and treat and rehabilitate men- lications and photography; and (4) op-: grams; and (3) maintains surveillance tally ill persons: (1) Administers direct erates the Institute library. of smallpox and smallpox vaccine reac- and support programs of mental health Office of Administrative Management tion in the United States. research, training and services, develop- (2419). (1) Provides advice, coordina- Training Program (2365). (1) Con- ment of mental health -standards, con- tion, and services in financial manage- ducts a program of continuing education sultative and technical services to re- ment,management policy, personnel for the practicing health professions on gions, States, and communities, con- management, grants and contracts man- methods and techniques of disease pre- struction and staffing of community agement, general services, and data pro- vention and control; (2) promotes the mental health centers and construction, cessing activities, (2) advises the Direc- establishment, maintenance, and im- modernization, and renovation of other tor and the Divisions on developments provement of State and other health mental health facilities, scientific COM- and their implications in these areas; and training programs: (3) provides com- munications for professional individu- (3) designs, issues, and implements ad- muriieable disease control training and als and groups and information and ed- ministrative operating procedures for consultation in natural disasters and ucation for the public; (2) serves as the the conduct of Institute affairs. epidemics; (4) devises, develops, and principal focus for behavioral science ac- Office of Program Planning and Eval- demonstrates advanced training meth- tivities and for social and cultural prob- uation (2431). (1) Develops and issues odologies through the above activities-, lems related to mental health and for guidelines and standards for program and (5) coordinates the Center's training concerns and activities ranging from the planning and evaluation; (2) develops activities. causes, diagnosis, treatment, and preven- or coordinates the development of plans Laboratory Division (2375). (1) Ad- tion of mental disorders to the biological and evaluates program accomplish- ministers a comprehensive national labo- and psychosocial factors that determine ments; (3) coordinates development of ratory improvement program; (2) directs human behavior and development; (3) the program aspects of the Program and conducts the administration of the exerts focused efforts in such areas as al- Planning and Budgeting System; (4) licensure and evaluation of clinical labo- coholism, narcotic and other drug abuse, identifies and analyzes national mental ratories engaged in interstate commerce development and evaluation of psychgac- health needs and their socioeconomic under the authority and provisions of the tive dru@s, suicide prevention, cultural implications; (5) develops standards for Clinical Laboratories Improvement Act deprivation, crime and delinquency, serv- mental health diagnosis, treatment, care, of 1967; (3) conducts research for im- ices for the mentally ill offenders, and the and rehabilitation; and (6) provides proving and standardizing laboratory behavior of groups including mass vio- legislative reference services, assi@ in methodology; (4) evaluates techniques, lence; (4) gives specific emphasis to (a) the development of legislation, and ad- materials, and reagents used in public an attack on the overall mental health vises on legislative matters in mental health laboratories; (5) provides ref- manpower problem by experimental health. erence and typing center services related training, both direct and supported, and office o'f Program Liaison (2433). (1) to Clinical laboratory procedures for na- continuing education, (b) an expansion Coordinates Institute relationships and tional and international organizations-, of research efforts in clinical and ap- activities with Department components, (6) produces and distributes microbiolog- plied areas, and (c) an expansion and other Federal agencies, international ical reference and working reagents not improvement of mental health services groups, and with regional, State, and commercially available or of unreliable through utilization of programs such as local mental health agencies and citizen sup ly: (7) provides consultation, train- medicare, Appalachian development, and groups; (2) acts as liaison between the Ing services in labora pertinent aspects of aid to education; and r@gional staffs and Institute program tor: laboratory manage- (5) . consults with appropriate individu- areas" (3) performs grant application mei er recipients; (8) als and agencies in the development of review and referral for the Institute; distributes experimental vaccines and mental health programs in other and (4) coordinates similar activities in special immune globulins to prevent and the Divisions and keeps Divisions in- control laboratory infections; and (9) countries. formed on significant developments. directs, coordinaUs, and manages i)io- intramural research activities located on Division of Extramural Research Pro- logical@ chemical, and engineering re- National Institutes of Health premises grams (2441). (1) Plans and administers search and development on methods, are operatedIin accordance with the gen- programs of support for research on the materials, and equipment for the pre- -uses, prevention, diagnosis, and treat- vention, control, and eradication of eral policies and practices applicable to ment of mental diseases including be- vector_bo@e diseases at the Technical the intramural research programs of the havioral, clinical, biological, and applied Development Laboratories, Savannah,NIH components under a mutual agree- psychopharmacological research; (2) Ga. ment between the two organizations. develops and utilizes various types of -FEDERAL REGISTER, VOL 33, NO. 212-WEDNESDAY, OCTOBER 30, 1968 7- NOTICES '59,9 grant and contract mechanisms to sup- abuse through grants, contracts, and port to Special institute research pro- port this research; (3) conducts and conferences, and (d) @@tration of grams in areas s h as crime and delin- supports epidemiological research; and the Institute's responsibilities for the re- quency, alcoholis ich are (4) coordinates institute programs in habilitation of narcotic addicts under the located in the fi spit,'Ll. schizophrenia, and in mental health Narcotic Addict Rehabilitation Act; and Saint Elizabeti sion of and social problems. (2) as pertinent to clinical research ef- Clinical and ervices Division of Manpower and Training forts, provides patient care for narcotic (24713). (1) Pr I c-re, Programs (2445). (1) Plans and admin- addicts. and rehabilit ices for patient,;; isters programs of support for training Mental Health intramural Research (2) operates f3 Ilpi-elieiisive com- of mental health personnel for research Program (2461). (1) Plans and adminis- munity ment center; and (3) and service on a nationwide basis, in- ters a comprehensive long-term intra- operates a security treatment facility. cluding training in the mental health mural research program of clinical and Sey77tour D. Vestei-t?iark Division Of core disciplines, specialized training for behavioral, biological, and special re- Intramural Training (24715). Adminis- professionals and subpiofessionals in search dealing with causes, diagnosis, ters the Institute programs of ilitrELmural allied fields, and experimental training treatment, and prevention of mental dis- training including a mental health for current and newly emerging pro- orders and the biological and psycho- career development program for officers grams and activities; (2) develops and social factors that determine human be- Of the commissioned Corps, psychiatric utilizes various types of grant and con- havior and development; (2) provides residency programs, illirsiii,,, training, tr@t mechanisms to support these a focus for national attention in the area and other training for both Federal and training programs; and (3) collects and of mental health research; (3) provides non-Federal personnel ill various mental evaluates data on national mental technical support to the three intra- health disciplines and related areas. Winfred OvcrllOlscr Division of Clini- health manpower. mural divisions through development earch Division of Mental Health Service and maintenance of electronic and me- car Research (24717). Conducts res Programs (2449). (1) Plans and admin- chanical instrumentation and equip- in the clinical sciences as related to men- isters p@grams for the support of na- ment; and (4) assures that Institute in- tal illness in such areas as clinical neu- 'llity assessment, sociology, tionwide mental health services includ- tramural research -activities located on rology, person, ing (a) general improvement of State National Institutes of Health premises and clinical behavior. and local mental health programs, (b) @ operated in accordance with the gen- HEALTH FACILITIES PLANNING AND construction and staffing of comprehen- eral policies and practices applicable to CONSTRUCTION SERVICE ('-1500) sive community mental health centers, the intramural research programs of the (1) Administers a @ralit and consul- (c) improvement of the quality of care NIH components under a mutual agree- tation program for the planning, con- and competence of staff in State mental ment between the two organizations. struction, modernization. equipping, and hospitals and institutions, (d) construc- Division of Clinical and Behavioral Re- utilization of health facilities; (2) par- tion, modernization, and renovation of search (24613). Plans and conducts a ticipates in the administration of related mental hospital, general hospital, and coordinated program of clinical and be- programs by providing administrative, .university-based psychiatric facilities; havioral research dealing with the architectural, and engineering services (2) coordinates Institute activities and causes, diagnosis, treatment, and preven- for the planning, construction, and mod- consults with other Federal agencies tion of mental disease. ernization of community mental health A& and the States on mental aspects of Division of Biological and Biochemical centers, facilities for the mentally re-IW medical care provided under Social Se- Research (24615). Plans and conducts a tarded, university afliliated facilities for curity legislation; (3) provides advice coordinated program of biological and the mentally retarded, educational fa- and consultation to regional, State and biochemical research dealing with the cilities for the health professions, nurse community agencies in the development basic biological processes that determine training, allied health educational facil- and utilization of mental health serv- both adaptive and maladaptive behavior. ities, including health facility projects ices; (4) coordinates Institute pro- Division of Special Mental Health Re- assisted under-the Appalachian Redevel- grams of regional, metropolitan, and search (24617). (1) Plans and conducts a opment Act and Sheltered workshops rural mental health problems; (5) op- program of intramural research on under the Vocational Rehabilitation erates a model comprehensive com- special mental health problems such as Act; and (3) f orinulates, administers and munity mental health center; and (6) psychopharmacology, neuropharinacol- evaluates activities which supplement develops and coordinates Institute pro- ogy, memory, human behavior, and the the grant the devel- grams in regard to the delivery of men- biochemistry of learning; and (2) per- opment of tal health services through occupational forms clinical evaluation and followup Ofice c (2501). (1) mental health programs and related serv- activities in connection with research Plans, dirE d evaluates ice programs. patients. activities g of the Serv- Division of Special Mental Health National Center for Mental Health tee; and (2) provides management, edu- Programs (2451). (1) Plans and admin- Services, Training, and Research (2471). cation, legislative and regulatory plan- isters programs directed toward the so- (1) Administers Saint Elizabeths Hos- ning, information and other' central lution of specialized mental health prob- pital as a model demonstration of the services for the Service. lems such as alcoholism, family and wnversion of a large mental hospital into Office of Program Planning and Anal- child mental health, crime and delin- an active, modern, community-based ysis (2531). (1) Provides program Plan- quency, mental health and social change, mental health program including: (a) ning and development assistance, sta- and suicide prevention, including the Operation, in collaboration with the Dis- tistical and data evaluation services and research, training, service, and other as- trict of Columbia Health Department, Of budget statistical support to the Serv- pects of such programs; (2) develops a community mental health center for ice; (2) conducts surveys and studies to and utilizes various types of grants and residents of designated areas of the Dis- collect and analyze data on patient care contract mechanisms to carry out these programs; and (3) coordinates and in- trict of Columbia; (b) operation of a facility needs and resources; and (3) tegrates these programs with other per- training and education program to pro- develops measures of need for patient tinent components of the Institute. vide multidisciplinary clinical training care facilities and devises and tests for- and other types of training for profes- mulae for use in the administration of Division of Narcotic Addiction and Ional and other Personnel engaged or in- the Service's grant pro.-ram, and serves Drug Abuse (2455). (1) Plans and ad- terested in mental health activities; and as a resource for information on the ministers the Institute's programs in the (e) planning, development, and conduct extent of existing, planned or needed field of narcotic addiction @ drug abuse of clinical research for the purpose of patient care health facilities. through such activities as (a) operation obtaining a better understanding of office of Architecture and Engineer- of clinical research centers, (b) conduct the causes of mental disorders, and of the jrg (2541). (1) Provides leadership In of research in narcotics and drug abuse, factors bearing upon their development, (c) support of r@rch, training, service, treatment, and prevention; and (2) pro- the architectural and engineering as- and demonstration In narcotics and drug vides administrative and loegi@ sup- pects of the health facility construction0 .FEDERAL REGISTER, VOL. 33, NO. 212-WE6NESDAY, OCTOBER 30, 1968 -8 15960 - NOTICES grant program and the several construc- Commuwiry HEALTH SERVICE (2600) istration, and the Social and Rehabili- tion programs assisted by this SerVice; tation Service and other Federal agen- (2) provides consultation and assistance Stimulates, conducts, supports, and to representatives of foreign govern- evaluates programs designed to increase cies to coordinate regional office activi- merits, to Federal, State, and local gov- the effectiveness and efficiency of allo- ties, and (3) recommends regional and field staffing assignments. c-rnment officials, to private orgELniza- eating and utilizing health resources for Division of Analysis and Evaluation tions and to the public concerned with quality preventive and curative health (2631). (1) In cooperation with the Na- health facilities regarding planning, de- services, obtainable and acceptable to the tional Center for Health Statistics, and signing and constructing such facilities, American people. To this end, the Service making use of available primary apd conducts studies on the design and con- Promotes, develops, and supports: (1) secondary data, develops and continu- struction requirements of health facili- Comprehensive health planning de- ally updates a picture of the national ties; (3) develops regulations, standards, signed to match resources to the needs health status to determine health needs, guides and planning materials; and (4) and wants of people in accordance with available resources, and gap areas; (2) maintains liaison with equipment and continually assessed priorities; (2) devises and operates a system for analy- material manufacturers, and profes- standards and evaluative activities as sis of State plans and health service de. sional organizations associated with the means of increasing the Nation's capac- velopment projects and for determining design and operation of health facilities. ity for delivering quality health services; impact of grant programs on health Office of Equipment Consultation (3) activities designed to increase the status of populations; (3) develops and (2545). (1) Administers a program for scope and adequacy of balanced re- applies methodological approaches to the determining equipment resources needed sources for the provision of comprehen- creation of community profiles and com- and disseminating specialized technical sive personal health services; and (4) munity health indices; (4) assists in pro- data through educational and training programs of comprehensive health care viding community health data and in programs for hospitals, participates in focused on the needs of individuals and developing methodology and design for families wherever they live. data systems at National, State, and local the formulation of policy relating to ade- Office of the Director (2601). (1) Pro- levels; (5) provides leadership in devel- quate and proper equipment for such fa- vides leadership and general direction opment and operation of the Service's cilities; (2) develops and conducts a pro- for Service operations; (2) establishes Program Planning and Budgeting Sys- gram for obtaining and presenting data program objectives and policies; (3) co- tem including preparation of annual and on comparable items. of equipment, for ordinates and evaluates development and 5-year plans, establishment of program reviewing and analyzing equipment item progress of the Service's activities; (4) goals, evaluation of progress, and de- comparability, and for distributing such provides technical guidance and coordi- velopment of program alternatives; and information to health facilities through- nation to Service activities in the Re- (6) provides grants management serv- out the country, and members of the gional Offices; and (6) provides a liaison ices for the Division including receipt, public concerned with the hospital and with other agencies including the Social clerical review, and routing of applica- health'facility equipment area; Pro: umer (3)@nd Security Administration, the Cons tions, issuance of notices of award, and motes the'development of high s Protection and Environmental Health application and interpretation of grants ards; and (4) provides technical alrec- Service, the Social and Reha@ilitatio@ policy. tion, leadership, consultation, and guid- Service, Department of Housing ancL Division of Comprehensive Health ance to regional staff. Urban Development, Appalachian Re- Planning (2641). (1) Provides leadership office of Consultation on Hospital gional Commission, and the Office of Eco- in the development and operation of pro- Functions (2551). (1) Serves as the focal nomic opportunity. . grams to provide grants to State and point within the Service for developing, office of Information (2617). (1) De- local agencies for the conduct and im- organizing, and continually evaluating velops and conducts an overall Service provement of comprehensive State and the functional requirements of health information program; (2) coordinates, area health planning; (2) develops care facilities; (2) provides leadership evaluates, and provides leadership in the policy Issuances and program guidelines in the development of standards and development and effective operation of for the conduct of comprehensive health other guide materials; (3) promotes the Division information programs; (3) pro- planning under section 314 of the Public application of new concepts, standards, vides staff advice on information mat- Health Service Act; (3) establishes and and practices; and (4) provides related ters; (4) participatesintheplanningand maintains a system of pertinent com- Consultation to regional office staffs, development of Service-'level policies munication and information exchange State agencies, project sponsors and with special responsibility for their in- with other Federal agencies and Na- other representatives of the hospital terpretation to the public. tional organizations concerned with community. Office of Administrative Management planning or having related health in- office of State Plans (2555). (1) Di- (2619). (1) Plans, directs, and evaluates terests; (4) stimulates and participates rects the Service's formula grant pro- the administrative management activi- in the development of projects and ad- gram for the planning, construction and ties of the Service; (2) develops and im- ministers grant program for studies, modernization of hosl>itals, diagnostic plements management policies, proce- training, and demonstrations looking and treatment centers, long-term care dures, and systems; (3) provides program toward the improvement of comprehen- facilities, rehabilitation facilities, and guidance and information to the staff sive health planning techniques; (5) participates in the administration of re- of the Admiriistration's Office of Finan- recommends funding of project grants lated programs by providing administra- cial Management in the operation of a for area-wide planning and for train- tive and consultation assistance for the financial management of grants; and ing; (6) provides technical assistance to planning, modernization and construc- Service, including program policy inter- regional offices and participates at their tion of community mental health centers, pretation in budget formulation and request in providing consultation and In- facilities for the mentally retarded, uni- execution, in preparation of Program formation on comprehensive health versity affiliated facilities for the men- Planning and Budgeting data, and in the planning to States and communities; tally retarded, educational facilities for financial management of grants; and (7) conducts or arranges for staff train- the health professions, nurse tra@@g, (4) serves as the focal point for liaison Ing in planning for regional office per- allied health professions educational i@- with -officials of the Office of the Admin- sonnel with responsibility for consulting cilities, including health facility projects istrator and Office of the Secretary on and advising States and communities; assisted through the Appalachian Rede- financial, personnel, organization, sup- and (8) conducts analyses and com- ,;,alup@ent Act and sheltered workshops ply, contracts, and other management parisons of the progress of State and und,;:y the Vocational Rehabilitation matters. area-wide Planning programs with par- Act@,@ (2) conducts Consultation, study Oftice of Field @Services (2621). (1) ticular attention to their implications for Federal policy. and evaluation programs Ohich support Coordinates the implementation of Serv- Division of Hedlth Standards (2645). and supplement the grant programs; and ice programs in the regional offices and (1) Develops, evaluates, and recom- 0 (11 dev@lps regulations, policies, proce- Ileld; 12) malntairs li,,@on, with re- e.ds minimum standards for health 't other guide materials. gional staffs, the Social Security Admin- care provided under ntles XVIII and dures, anc FEDERAL REGISTER, VOL. 33, NO. 212-WEDNESDAY, OCTOBER 30, 1968 -9- NOTICES epidemiologic studies; (4) technical as- XIX and other Federal reimbursement REGIONAL MEDICAL PROGRAMS SERVICE programs; (2) develops, evaluates, and (2700) sistance to Goverrunent and other Or- Ranizations; (5) consultation on interna- recommends guidelines and procedural ;Ians, conducts, coordinates, and sUP- iional programs; and (6) public informa- manuals for use by State agencies in ports national programs for the preven- tion and- education activities, including it their licensure, Inspection, and certifica- tion and control of major killing and National Clearinghouse for Smoking an tion programs; (3) develops model legis- crippling diseases and chronic illnesses, Health. lation covering standards, licensure, and and for the improvement in delivery of inspection of health facilities; (4) iden- health care services: (1) Through the evised standards . @NVIil4 I!EIL@H 8E@VI'CE (2800 tifies need for new and r provision of information on comprehen- so as to continually up-grade quality of sive care for long-term illnesses; (2) The Indian Health Service:; (1) De- health care; (5) identifies need for and through professional and technical as- velops and directs a program of Corn- develops standards for State health serv- sistance and advice to regional groups, prehensive health services for eligible ice programs supported by section 314 States, and local communities; (3)American Indians and Alaska Natives; grants; (6) provides technical consulta- through studies and demonstrations to (2) provides hospital and medical care tion to other Federal programs, to re- improve methods of prevention, treat- services and preventive health services gional office personnel, and to State and ment and rehabilitation for chronic dis- such as public health nursing, health local health officials in the development eases; and (4) through grants to support education, environmental health, mater- and interpretation of health standards; the development of programs for inte- nal and child health, school health and (7) identifies need for and stimulates grated service and comprehensive care oral health; (3) conducts tuberculosis projects for evaluating quality of care of those suffering from such illnesses and and other conununicable disease con- and for innovative approaches to stand- chronic diseases by encouraging coopera- trol activities; (4) encourages and assists ard-setting; and (8) maintains and tive arrangements leading to regionaliza- in the development of individual and analyzes State agency Medicare agree- tion of facilities, services and resources, community water and waste disposal ments, Plans and operations, and par- OMce of the Director (2701). (1) Pro- systems; (5) provides training for health ticipates- in review of State agency Medi- vides direction and leadership for the personnel; (6) conducts systems eva.lua- care certification documents. p ograms and components of the Re- tion and development for the manage- Division of Health Resources (2651).y (2) gional Medical Programs Service; ment and delivery of comprehensive (1) Encourages, assists, and supports aP plans and formulates mission objectives health services to American Indians and propriate agencies to develop needed and policies; (3) coordinates the pro- Alaska Natives. resources and increase their capacity to grams and Components of the Service provide quality, effective Services; (2) utilizing research results and informa- office of the Director (2801). (1) develops, supports, and evaluates meth- tion developed by the Division of Chronic Plans, develops, and directs the Indian ods for organizing and financing of Disease Programs, the National Insti- health program; (2) coordinates-Service group practice arrangements as a com- tutes of Health, the National Center for activities with other governmental and munity health resource; (3) conducts Health Services Research and Develop- nongovernmental agencies, and tribal programs designed to assist States in the ment, and elsewhere; (4) develops and governing bodies; (3) evaluates Program effective application of standard-setting coordinates policy and operational rela- needs, accomplishments and personnel programs, licensure laws and regula- tionships with public and private organi- development; (4) coordinates technical tions; (4) assists providers of health zations which support and carry out training for beneficiaries to qualify them services to adopt professionally accepted health programs related to the objectives for service in the Indian health program. practices and conform with requirements of the program; (5) establishes and Office of Tribal Affairs (2811). (1) of standard-setting programs, including maintains liaison with appropriate lead- Promotes and encourages participation licensure, certification under progr authorized by the Social Security ams ers in the medical community, State and of the beneficiaries and Interested Or- Act, and accreditation programs; (5) pr local officials and members of Congress; ganizations in Indian health programs; vides leadership in the development 00-f and (6) provides management and ad- (2)identifies tribalrsreeleaffteioctnssopnrohbelelmths programs to increase professional and ministrative services. with potential adve elops solutions; (3) Division of Regional Medical Programs programs, and dev technical skills, -and effective use of per- h .(2747). Supports, t rough grants and maintains liaison with tribal couiicils, sonnel in health facilities and agencie ssional as- State officials, and interested groups; (4) and (6) stimulates improved admini.!, contracts, technical and profe tration and operation of health facilities sistance, the planning, development, and maintains an information gathering sys- and agencies. operation of regional programs to re- tem yielding non-statistical data on Division of Health Care Services duce the illness, disability and premature tribal affairs and analyzes and inter- (2655). (1) Promotes the utilization of deaths resulting from heart disease, can- prets such information to facilitate improved methods of health services cer, stroke and related diseases. These policy formulation and decision making; organization, delivery, and financing at programs link medical schools, medical ('-b) coordinates Congressional cor- the community level in both urban and research centers, hospitals and other respondence for the Service. . rural settings; (2) stimWa@ interest in health organizations and institutions @ Management Appraisal OBice (2815). and knowledge of their health services through regional cooperative arrange- (1) Promotes the principles and Practice on the part of members of the commu- ments in order to carry out research, of good management; (2) makes recom- nity; (3) Promotes studies of existing training (including continuing educa- mendations for establishing new. or patterns of health services organization tion), demonstrations of patient care revised management policies; (3) reviews in specific communities to identify gaps and other activities to achieve more organizational proposals; (4) develops in services to people; (4) encourages the widespread and effective use of the latest recommendations for improved proce- design of systems of health serv advances in the diagnosis and treatment :dures; (5) conducts surveys and ap- ice ! . delivery to meet the communities' ex- of these diseases, encouraging and pro-'praisals of organizational units and pectations and wishes; (5) Promotes the moting the establishment of more effec- activities; .(6) advises professional per- concept of coordinated local programing tive systems for the delivery of health sonnel on management matters; (7) in order to assure maximum effective- care services and, thus, generally improv- maintains liaison with the Bureau of ing the health of the population, a@ well Indian Affairs; (8) promotes and co- ness from available resources; (6) rec- as the health manpower and facilities ordinates stafflng studies. ommerids funding for project grants available to the nation. Information Office (2817). (1) De- for development and extension of health Division of Chronic Disease Programs velops informational Programs;,(2) dis- services; and (7) supports the delivery (2751). Plans, conducts, and coordinates seminates information on the health of health services to groups with special programs for the prevention and control needs of Indians and Alaska Natives and needs, such as the rural and urban poor, of chronic diseases through (1) surveil- on available services; (3) maintains liaison with voluntary health agencies, the residents of sparsely populated lance activities; (2) field trials, feasibil- mass and special media writers interested areas, and the migrant worker. ity studies, and demonstrations; (3) -in Indian health and national press, FEDERAL REGISTER, VOL. 33, NO. 212-WEDNESDAY, OCTO@-,-R 30, 1969 -10- 15962 NOTICES *radio and television news outlets; (4) ficiaries; (2) provides advice and con- general, professional and technical these matters. articles and presentations; and (4) co- provides guidance to Area Offices on in- sultation in ) .ordinates and maintains liaison within formation matters. office of Environmental Health (2845 (1) Plans, de es, and ap- and outside the Department to further Oflice of Administration (2819). (1) activities the information and public relations ob- Plans, develops and coordinates admin- praises envii al health jectives of the Service. istrative activities of the Seri-ice, includ- which inclu lities con- office of Administrative Management ing administrative services, personnel services and management, and financial manage- struction'for beneficiaries; 2) partici- (2919). Provides leadership, guidance, ment activities; (2) participates in ad- pates in professional staff recruitment, and coordination to the Sei-vice's man- ministrative staff recruitment, assign d development, agement activities including (1) the con- -assignment an of the Service's meiit, and development. Field Organization. The Indian Health duct and coordination I-lealth Programs Suste-ms Center Service mission is accomplished in the management plans and programs; (2) (2820). A center for development and field through Indian (or Alaska Native) the development, coordination, evalua- demonstration of management systems Health Area Offices and Subarea Offices, tion of administrative programs, policies for administration, planning, allocation Hospitals, Medical Centers, Health Cen- and standards; (3) participation in ad- of and benefit assessment of program for ters, Health Stations, and other facilities. ministrative staff recruitment training and assignment; and (4) providing of indivic'@ti@.1 and community health serw- FEDERAL HEALTH PROGRAMS SF@:RVICE consultative services to and the mainte- ices; development and operation of op- (2900) nance of liaison with other agencies and timal delivery systems for comprehensive health services for the American Indian Carries out programs to provide: (1) organizations. h (2921). (1) provides comprehensive direct health care for Office of Researc in the Tucson, Ariz., area; and for con- es and se- leadership, guidance, and coordination to sleit,,ttion and technical assistance to all designated Federal beneficiari operating and management levels of lected community groups; (2) occupa- the research activities of the Service; (2) the tional health care and safety services for coordinates the planning and program- Indian Health Service in the evaluation, requirement analysis, design and impie- Federal employees; (3) national plan- ing of intramural research; (3) develops mentation of health management and ning, advance preparation, and logistic and administers research . program services delivery systems. support for emergency health services; policies and standards; (4) coordinates .(4) training for health services person- collaborative research activities with Office of Program Planning and Evai-nel; and (5) the conduct of intramural ot uation (2831). As a staff resource for the her agencies and organizations, includ- Service Director, coordinates program clinical and health services research, ing research projects under the Special Office of the Director (2901). (1) International Research Program (Public planning and evaluation activities for Plans, develops, coordinates, and admin- Law 480); (5) provides consultant serv- the Service, including: (1) Development isters the programs of the Service and ices to other agencies and organizations; of program planning criteria, and evalu- (2) provides advice to the Administrator and (6) maintains liaison with other ation methodology; (2) assists in devel- on policy matters concerning such pro- Government and non-Government re- opment of program goals and reporting grams. search organizations. of progress; (3) assistance in develop- Office of Policy Coordination (2911). Office of Program Planning and ment of program and policy alternatives , uidance, and Evaluation (2931). Provides staff sup- ion (1) Provides consultation, g for management decision; (4) provis coordination In policy development for port to the Service Director through of planning, reporting and analytical the Service; and (2) develops and assists development and operation of the pro- is- functions for both Service and Admin' in the formulation or evaluation of legis- gram planning and evaluation function tration use in support of Policy formula- lation, regulations, Policies, and proce- for the Service, which includes: (1) Pro- tion and program implementation; (5) dures. gram planning, coordination, and evalua- provision of advice on operational impli- office of Health Manpower Develop- tion; (2) development of program goals cations arising from activities of the ment (2912). (1) Provides leadership, and reporting of progress; (3) develop- Office of the Director; (6) collaboration guidance, and coordination to overall ment of program and policy alternatives with appropriate fiscal and budget offices for management decision; (4) exercise of Service professional and technical health in development and implementation manpower development activities; (2) of planning, reporting and analytical the 5-year program and financial plan; conducts and provides consultative serv- functions for both Service and Admin- (7) maintenance of liaison with other ices in the planning and programming istration use in support of policy for- elements of the Administration and for professional and technical Service mulation and program implementation; other Federal and non-Federal agencies; training and career development activi- (5) provision of advice on program, (8) development of improved metho@010- ties; (3) coordinates affiliation agree- policy, and operational implications gies for program planning and eva@@a- ments for training; (4) cooperates with arising from activities of the Office of tion, and monitoring their installation other offices in personnel recruitment, the Director; (6) collaboration with ap- and use; (9) identification of needs for utilization, and evaluation; and (5) propriate fiscal and budget offices in legislative action; and (10) partic' maintains liaison with other agencies development and implementation of the tion in recruitment, assignment, and ae- and accrediting organizations. 5-year program and financial plan; (7) velopment of program