29340 Federal Register / Vol. 87, No. 93 / Friday, May 13, 2022 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Organization, Functions, and 

Delegations of Authority, Part GFJ, 

Indian Health Service, Navajo Area 

Office 

Part GFJ, of the Statement of 

Organization, Functions, and 

Delegations of Authority of the 

Department of Health and Human 

Services (HHS), as amended at 52 FR 

47053–67, December 11, 1987, as 

amended at 60 FR 56606, November 9, 

1995, as amended at 61 FR 67048, 

December 19, 1996, as amended at 69 

FR 41825, July 12, 2004, as amended at 

70 FR 24087, May 6, 2005, 70 FR 60350, 

October 17, 2005, and most recently 

amended at Vol 79, No 68 FR 19626, 

April 9, 2014, is hereby amended to 

reflect a reorganization of the Navajo 

Area Indian Health Service (NAIHS). 

The purpose of this re-organization 

proposal is to update the current 

approved NAIHS organization to align 

the overall health care system that 

supports overall improved efficiency 

and ensure quality and safe health care 

services. Delete and/or update 

functional statements for the NAIHS in 

their entirety and replace with the 

following: 

Organizations and Functions 

Department of Health and Human 

Services 

Indian Health Service (G) 

Navajo Area Indian Health Service (GFJ) 

Office of the Area Director (GFJ1) 

(1) Plans, develops and directs the 

Area Program within the framework of 

Indian Health Service (IHS) policy in 

pursuit of the IHS mission; (2) delivers 

and ensures the delivery of high quality 

comprehensive health services; (3) 

coordinates the IHS activities and 

resources internally and externally with 

those of other governmental and 

nongovernmental programs; (4) 

promotes optimum utilization of health 

care services through management and 

delivery of services to American Indians 

and Alaska Natives; (5) Ensures the full 

application of the principles of Indian 

preference and a model Equal 

Employment Opportunity (EEO) 

program; (6) provides Indian Tribes and 

other Indian community groups with 

optional ways of participating in the 

Indian health programs including an 

opportunity to participate in developing 

the mission, values and goals for the 

NAIHS; (7) participates in cross-cutting 

issues and processes, including, but not 

limited to emergency preparedness/ 

security, budget formulation, selfdetermination issues, Tribal shares 

computations and resolution of audit 

findings as may be needed and 

appropriate. 

Diversity Management and Equal 

Employment Opportunity (DMEEO) 

Program (GFJ1A) 

(1) The DMEEO Program will ensure 

Equal Employment Opportunities for 

Federal employment for a Diverse, 

Equitable, and Inclusive work 

environment; (2) maintains a compliant 

model EEO Program, as required under 

both Title VII of Civil Rights Act of 

1964, as amended, 42 U.S.C. 2000e, and 

Section 501 of the Rehabilitation Act of 

1973, as amended, 29 U.S.C. 791; (3) 

ensures the full application of the 

principles of Indian preference; (4) 

maintains a compliant model EEO 

Program, as required under both Title 

VII of the Civil Rights Act of 1964; MD– 

110, and applicable employment laws; 

(5) advises the Area Director and 

leadership in the execution of EEO 

responsibilities; (6) provides program 

direction and leadership for the Area 

EEO program and procedures; (7) 

ensures prohibition of unlawful 

discrimination practices in Federal 

employment for employees and 

applicants; (8) provides the rights, 

responsibilities, and protections under 

the Federal anti-discrimination laws 

that prohibit discrimination in the 

workplace based on race, ethnicity, 

color, religion, sex, (including 

pregnancy, gender identity, and sexual 

orientation), national origin, age (40 

years of age or over), disability (physical 

or mental), genetic information (family 

medical history), or in retaliation for 

EEO or whistleblower activity. 

Office of Administration and 

Management (GFJ2) 

(1) Plans, directs, and coordinates 

NAIHS activities in the areas of policy, 

internal controls reviews, financial 

management, human resources 

management, third-party 

reimbursements, contracts management, 

procurement, and information 

technology, including personal 

property, records and transportation 

accountability/management; (2) 

administrative and management 

oversight of Gallup Regional Supply 

Center; (3) serves as the NAIHS 

principal advisor on all Area 

organization and management policy 

activities; (4) provides guidance and 

assistance to Service Units in the overall 

development, planning and 

implementation of administrative 

functions; (5) advises staff on 

procedures for the development, 

revision, or cancellation of Area-issued 

directives and delegations. 

Division of Financial Management 

(GFJ2A) 

(1) Provides direction for the 

organization, coordination, and 

execution of all budget and financial 

operations of the Area; (2) monitors 

fund control operations of Service Units 

and program offices; (3) develops and 

implements budget, fiscal, and 

accounting procedures; (4) conducts 

reviews and analyses to ensure 

compliance with Area policy; (5) 

interprets policies, guidelines, manual 

issuances, Office of Management and 

Budget (OMB) circulars, directives and 

other instructions issued by IHS, HHS, 

OMB, and Congress as it relates to the 

formulation of Area and Service Unit 

budgets and budget execution; (6) 

develops and makes recommendations 

of Area budget execution by Service 

Units; (7) establishes and maintains 

memorandum accounts of obligations 

for allowances through use of 

commitment registers; (8) monitors and 

ensures proper obligation of prior year 

funds and; (9) provides technical 

support for Tribal relations pertinent to 

budget activities such as annual budget 

formulation, Tribal Health Programs 

Annual Funding Agreements and their 

budget modifications. 

Branch of Accounting (GFJ2A1) 

(1) Provides advice and guidance to 

Area and Service Unit staff in the areas 

of Accounts Payable, Cash Management, 

Federal/Inter-agency Transactions, and 

Travel; (2) advises Area and Service 

Unit staff on the interpretation of 

accounting data and reports received 

from IHS Headquarters (HQ); (3) assures 

that accounting transactions are entered 

properly and prepares periodic or 

special purpose reports and financial 

statements for Area Divisions and 

Service Units; (4) provides 

interpretation and ensures compliance 

with operating policies, procedures, 

guidelines via Federal Travel 

Regulations, Federal Property 

Management Regulations, Joint Travel 

Regulations, HHS Travel Manual, Indian 

Health Manual-Travel Management; (5) 

participates in reconciliations of all 

funding sources (Federal, Tribal, and 

Urban) on a regular basis; (6) completes 

Debt Management. 

Branch of Third Party (GF2A3) 

(1) Provides interpretation and 

ensures compliance with the IHS Indian 

Health Manual Part 5, Chapter 1 (ThirdParty Revenue Accounts Management 

and Internal Controls), On-line 

Reporting Tool Manual, Debt 


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Management, Recovery of Funds Under 

Federal Medical Care Recovery Act 

(FMCRA) Policy, NAO Business Office 

Report Internal Policy, and other 

pertinent policies; (2) plans and 

coordinates and provides oversight of 

third party revenue accounts 

management of NAIHS facilities, 

including standardized reports and 

reporting; (3) provides technical 

assistance and guidance to Service Unit 

third-party staff in areas of patient 

registration, patient benefits 

coordination, billing, denial 

management, accounts receivable, 

internal audits, and pertinent 

requirements; (4) establishes liaison and 

coordinates Medicare/Medicaid 

activities with State agencies, including 

policy interpretation; (5) ensures 

accurate and current information and 

trends, including analysis of trends, are 

consistently available to the NAIHS 

executives and Service Unit Chief 

Executive Officers. 

Branch of Budget (GFJ2A2) 

(1) Ensures accurate and current 

information are available at all times for 

the NAIHS Executive Staff, Division 

Directors, and Service Unit management 

teams; (2) ensures that funds are allotted 

properly and accounted for in line with 

acceptable Federal accounting practices; 

(3) analyzes obligation trends and 

prepares periodic reports and; (4) 

assures that reconciliations of all 

funding sources (Federal, Tribal, and 

Urban) are accomplished on a regular 

basis. 

Gallup Regional Supply Service Center 

(GFJ2B) 

(1) Responsible for the overall 

management of expendable medical 

supplies such as provides bulk supply 

support directly to federal and Public 

Law 93–638 Service Units/healthcare 

facilities located in Arizona and New 

Mexico through management and 

operation of laboratory, dental, medical, 

subsistence, and general medical supply 

items; (2) plans, develops, and manages 

supply budgets; (3) provides technical 

and staff assistance to Service Units in 

matters related to the acquisition, 

utilization, disposition, and 

accountability of supplies; (4) serves as 

the Regional emergency management 

response team for logistical 

coordination of medical supplies; (5) 

provides technical expertise and 

recommendations for automated 

logistical software requirements for just 

in time delivery product management. 

Division of Acquisition Management 

and Contracts (GFJ2C) 

(1) Plans, develops, and coordinates 

the execution of administrative systems, 

methods, and techniques for Area 

procurement activities; (2) provides 

guidance to Service Units on the 

administrative aspects of Federal 

contracting, procurement, and grant 

requirements; (3) serves as the principal 

focus for liaison activities regarding the 

administrative aspects of procurements, 

intra/inter-agency agreements, 

collaborative agreements, Memorandum 

of Agreements (MOA) and 

Memorandum of Understanding (MOU), 

etc.; (4) determines and delegates 

procurement authority; (5) administers 

the purchase card program; (6) provides 

planning, direction, monitoring, and 

evaluation assistance to Service Units 

on procurement functions; (7) ensures 

compliance with applicable Federal 

regulations and statutes; (8) audits inprogress and completed work of the 

Area Office and Service Units; (9) 

prepares and issues internal and field 

policy and guidance; (10) serves as 

NAIHS Ombudsman for development 

and fostering of contractual 

relationships; (11) provides technical 

assistance to non-acquisition personnel 

in the government. 

Division of Information Technology 

(GFJ2D) 

(1) Plans, coordinates and assists in 

implementation of new software/ 

hardware in support of clinical care, 

including assists in deployment of 

clinical software/hardware for 

electronic health records and associated 

Information Technology (IT) programs 

and systems; (2) Provides direction, 

supervision and management of all 

activities related to data processing, 

word processing, networking, videoconferencing, digital imaging 

transmission, computer security, 

telecommunications and archiving; (3) 

provides direct services through 

operation and management of associated 

automated data processing hardware 

and software; (4) provides technical 

assistance in related activities involving 

systems design, development, 

implementation, testing and training 

throughout the NAIHS, including staff 

assistance to Area and Service Unit 

staff; (5) provides data processing 

services, including computer 

operations, and information retrieval 

and analysis for operational data 

systems within the NAIHS; (6) performs 

systems analysis, computer 

programming, computer systems 

security, system implementation and 

user training for the Area’s data system; 

(7) ensures security of government IT 

systems, privacy of patient information, 

and compliance with Federal laws, 

regulations, and policies applicable to 

the IHS; (8) advises the Area executive 

management staff on effective, efficient, 

and successful IT strategies; (9) directs 

the acquisition, development, 

enhancement, deployment, support, and 

training for information systems that 

support health services and business 

operations of NAIHS; (10) participates 

in cross-government initiatives and 

collaborates with IHS Headquarters, IHS 

Areas, Tribal, and other partners to 

effectively and efficiently support 

NAIHS objectives and; (11) ensures a 

viable security program for protection of 

the NAIHS and Gallup Regional 

Services Supply Center (GRSSC) 

grounds and buildings; (12) assists as 

the administrative authority on Capital 

Investment Planning Program for all 

non-expendable equipment. 

Branch of Systems Administration 

(GFJ2D1) 

(1) Provides overall system 

administration support functions for the 

NAIHS and Service Unit Resource and 

Patient Management System (RPMS), 

Microsoft ®Windows©, Unix and 

Commercial Off The Shelf operating 

systems; (2) plans, develops, and 

manages the NAIHS website; (3) 

monitors and ensures all security 

requirements are met or exceeded; (4) 

develops applications for 

administrative, financial and clinical 

reporting requirements; (5) evaluates 

new technologies and internet services. 

Information Systems Security Staff 

(GFJ2D3) 

(1) Develops and monitors 

information systems security 

requirements for NAIHS; (2) plans, 

develops, and monitors security 

policies, procedures and requirements 

for the Area Office and Service Units; 

(3) installs, manages and monitors 

security systems to protect patient 

privacy and confidentiality; (4) plans, 

designs and implements network and 

telecommunications systems to provide 

optimum voice, video and data 

transmission; (5) manages and monitors 

a wide area network and local area 

networks for optimum digital imaging/ 

telehealth utilization and availability. 

Policy, Planning, and Management Staff 

(GFJ2D4) 

(1) Coordinates and promotes the 

NAIHS IT strategic planning initiatives; 

(2) monitors, develops and manages the 

NAIHS information systems policies 

and procedures; (3) consults with 

administrative services and 


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management regarding information 

systems initiatives and provides IT 

support; (4) maintains, monitors and 

coordinates the RPMS system-wide data 

elements requirements; (5) assembles 

performance improvement 

measurements required by The Joint 

Commission (TJC) or Centers for 

Medicare and Medicaid Services. 

Property and Supply Management Staff 

(GFJ2D5) 

(1) Provides leadership, direction and 

overall management of all personal 

property in key areas of planning, 

accountability, utilization, control, and 

disposal; (2) provides guidance on Area 

property management procedures 

including property accounting and 

reporting instructions; (3) executes 

physical inventories including the 

reconciliation of inventory reports and 

standard general ledger accounts; (4) 

documents all transactions affecting 

personal property; (5) provides 

technical assistance Area-wide on 

property software packages, e.g., 

Sunflower Assets; (6) provides overall 

management of Area Office expendable 

office and federal forms supplies to 

include reliability, timeliness, quality, 

service and cost effectiveness; (7) 

provides technical and staff assistance 

to Area and Service Units on matters 

related to the acquisition, utilization, 

disposition, and accountability of 

equipment; (8) plans, develops, 

coordinates, and provides internal audit 

activities related to all-encompassing 

Logistical Management functions: Office 

services, Federal Records Management 

and delegation/directives control, 

personal property management, and 

other administrative services in support 

of Area programs; (9) provides guidance 

to Service Units in the operation and 

evaluation of procurement and 

acquisition of equipment, office 

services, and transportation; (10) serves 

as the subject matter expert on Federal 

personal property management laws, 

rules, regulations, policies, procedures, 

and practices 

Office of Clinical Services (GFJ3) 

(1) Ensures the delivery of safe and 

comprehensive care to all primary care 

and specialty care patients in NAIHS; 

(2) Responsible for all health programs 

ensuring safe quality care for all patients 

in the NAIHS; (3) The Chief Medical 

Officer assists the Clinical Directors and 

Chief Nurse Executives by supporting 

Area-wide initiatives to provide patient 

access, safety and satisfaction as well as 

the financial performance of clinical 

services; (4) provides consultation and 

technical assistance to all operating and 

management levels of the NAIHS and 

Indian Tribes in the design and 

implementation of a health management 

delivery system; (5) provides guidance 

and support to all field activities related 

to the day-to-day delivery of health care; 

(6) provides Area-wide leadership in 

Clinical programs in relation to the IHS 

goals, objectives, policies, and priorities; 

(7) provides direction for the operation 

of the healthcare delivery activities of 

the NAIHS; (8) handles all logistics 

associated with the conduct of clinical 

program reviews of Service Units; (9) 

directs the development and 

implementation of health care 

standards, quality control and quality 

assurance, operational planning 

activities and reviews of clinical 

programs; (10) provides leadership, 

guidance, and coordination of the 

clinical manpower and training 

programs. 

Division of Clinical Consultants (GFJ3A) 

(1) Provides technical support 

expertise to Service Units; (2) provides 

professional guidance in formulating 

policies, procedures and standards of 

care and practices; ensures Area-wide 

compliance with established policies, 

procedures and regulations; (3) advises 

on assessment findings for potential 

implications for NAIHS policy, plans, 

programs and operations; (4) develops 

quality of care evaluation criteria, 

standards of care, and guidance for the 

maintenance of the quality assurance 

programs of the NAIHS; (5) conducts 

monitoring activities to assess the 

quality of care provided by the NAIHS. 

Division of Purchased/Referred Care 

(GFJ3B) 

(1) Establishes and provides 

organization, coordination, and 

implementation of policies and 

procedures for Purchased/Referred Care 

(PRC) operations, utilizing managed 

care concepts; (2) coordinates the 

development of an annual budget, with 

advice of allowance, for PRC fund 

control activities; (3) coordinates and 

evaluates medical, preventive, and 

hospital services provided through 

formal contractual procedures; (4) 

implements and administers a PRC 

quality assurance program that is data 

based and verifiable for monitoring the 

quality of PRC; (5) establishes strategic 

PRC plans that are developed to support 

organizations, issues, or work processes; 

(6) coordinates and implements 

information resources related processes 

that integrate selected techniques/ 

methods with PRC systems to solve 

processes/problems; (7) coordinates and 

analyzes appeal cases, high cost care 

cases, and deferred PRC services. 

Professional Recruitment Staff (GFJ3G) 

(1) Develops the NAIHS program to 

recruit, assign and retain health care 

professionals; (2) assesses the 

professional staffing needs, coordinates 

the development of strategies to satisfy 

these needs, and increase the morale 

and retention of all professionals; (3) 

provides liaison with Commissioned 

Corps activities; (4) maintains contact 

with related professional societies, 

educational institutions, and other 

Federal, State and local agencies; (5) 

coordinates professional recruitment, 

assignment and development of Dental 

Officers for the Area; (6) enhances 

partnerships with Tribal healthcare 

organizations that are administered by 

the Navajo Nation and its contractors by 

providing recruitment and retention 

activities for the organizations that have 

left Tribal shares at the Area Office for 

this purpose. 

Office of Environmental Health and 

Engineering (GFJ4) 

(1) Establishes policies related to 

NAIHS health care and sanitation 

facilities planning, construction, 

operations, and maintenance; (2) 

provides leadership, guidance and 

coordination to the overall Navajo 

facilities management programs; (3) 

develops and coordinates program 

requirements for planning, design and 

evaluation of health care and sanitation 

facilities; (4) develops, coordinates, and 

evaluates technical standards, guides, 

plans and requirements for health care 

and sanitation facilities construction 

requirements within the NAIHS; (5) 

provides leadership, guidance, and 

coordination to the overall Area 

Biomedical Engineering Program and 

the Occupational Health and Safety 

Management Programs; (6) allocates 

appropriation funds to all Office of 

Environmental Health and Engineering 

(OEHE) programs and projects; (7) 

provides non-legal advice to the Area on 

Public Law 93–638 as it relates to OEHE 

services and activities. 

Division of Environmental Health 

Services (GFJ4A) 

(1) Plans, develops and appraises 

Area-wide environmental health 

services programs; (2) provides 

technical assistance to the Service Units 

and the Tribes on the implementation of 

comprehensive environmental health 

programs and services among Indian 

families and communities; (3) provides 

technical assistance on environmental 

health including institutional 

environmental health and plan reviews, 

vector control, epidemiology, sanitary 

facilities, and food sanitation to the IHS, 


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Tribes and Federal and State agencies; 

(4) plans and implements an integrated 

Area-wide injury prevention and control 

program designed to reduce injury 

deaths and hospitalizations; (5) 

coordinates environmental responses to 

emerging diseases with Tribes, States, 

and other Federal agencies; (6) manages 

and administers a Web-based 

environmental health database that 

helps determine resource requirement 

allocations. 

Division of Sanitation Facilities 

Construction Services (GFJ4B) 

(1) Administers the Indian Sanitation 

Facilities Construction Program through 

Public Law 86–121; (2) plans, develops, 

coordinates, appraises and evaluates 

Area-wide sanitation facilities 

construction activities conducted in 

cooperation with Tribal groups and 

other agencies; (3) provides engineering 

consultation regarding environmentally 

related public health programs; (4) 

provides technical liaison with other 

Governmental agencies, foundations 

and groups relative to public health 

engineering and environmental health; 

(5) provides personnel staffing, training, 

orientation, and development; (6) 

ensures professional/technical/ 

environmental standards compliance 

and support; (7) provides National 

Environmental Policy Act (NEPA) 

compliance documentation, approval, 

and support; (8) provides right-of-way 

easement documents, approval, and 

support; (9) provides specialty use/ 

construction permits, approval, and 

support; (10) provides project funding 

document preparation, production, 

approval, and support; (11) coordinates 

multi-agency funded projects 

coordination, procurement, and task 

tracking; (12) provides procurement/ 

warehousing/inventory of office and 

special order project materials/ 

equipment/services; (13) provides 

project services, materials, equipment, 

and construction via Memorandum of 

Agreements and Public Law 93–638 

contracts with Navajo Engineering 

Construction Authority and Navajo 

Tribal Utility Authority; (14) provides 

vehicle fleet maintenance, management, 

and support; (15) provides project 

electrical design, services, and support; 

(16) provides project accounting and 

payment services and/or support; (17) 

provides project final inspection/ 

transfer process documentation, 

tracking, approval, and support; (18) 

provides technical support for writing, 

completion, and distribution of project 

final reports; (19) coordinates feasibility 

studies related to Tribal, Tribal Chapter, 

and other outside agency requests. 

Division of Facility Planning and 

Management (GFJ4C) 

(1) Develops and coordinates program 

requirements for planning, design and 

evaluation of health care facilities in the 

NAIHS; (2) develops, coordinates, and 

evaluates technical standards, 

guidelines, plans, and requirements for 

health care facilities construction 

requirements within NAIHS; (3) 

develops and coordinates facility 

construction programs; (4) provides 

technical assistance and monitors 

NAIHS and Tribal facilities planning 

and construction programs; (5) 

coordinates inter-agency requirements 

for shared or cooperative projects with 

agencies such as Department of Defense, 

Department of Veterans Affairs, State, 

Tribal, and regional planning bodies; (6) 

provides technical assistance and 

consultation to the Tribal Government 

to assist and brief those organizations on 

the progress of planning, design and 

construction projects; (7) ensures 

compliance with NEPA and other 

environmental regulations in planning, 

design and construction of health care 

facilities, support buildings, major 

renovations/expansions to existing 

facilities and staff quarters; (8) 

responsible for real property asset 

accountability of all IHS government 

property; (9) responsible for budget 

accounting for all construction projects 

for all funding sources; (10) provides 

non-legal advice the NAIHS on Public 

Law 93–638 as it relates to OEHE 

services and activities. 

Facility Planning Staff (GFJ4C1) 

(1) Provides leadership and guidance 

on health planning, program planning, 

health systems planning, (2) provides 

coordination for the Area including 

updates of Area Master Plans for Health 

Services, including current and 

proposed new health services, new 

health facilities, staff housing/quarters, 

and staffing requirements for current 

and future needs. 

Division of Biomedical Engineering 

(GFJ4D) 

(1) Plans, develops, coordinates, 

appraises and evaluates Area-wide 

biomedical engineering programs; (2) 

assesses Service Unit biomedical 

engineering needs and develops 

appropriate action programs and 

modification to existing program 

functions; (3) coordinates staff 

assignments, designs medical 

equipment training and education 

programs for hospital and clinical staff 

and career development activities for 

the NAIHS; (4) provides engineering 

and technical assistance and 

consultation on biomedical engineering 

and telemedicine equipment, purchases, 

modifications, installation and hospital 

renovation and construction projects; (5) 

coordinates safety and emergency 

response planning activities; (6) ensures 

compliance with applicable regulatory 

requirements from various professional 

organizations and entities including the 

National Fire Protection Agency, 

Association for the Advancement of 

Medical Instrumentation, TJC, Food and 

Drug Administration, etc.; (7) 

coordinates the modification, 

installation and design of medical, 

dental, and radiology equipment; (8) 

assesses and minimizes the clinical and 

physical risk of equipment use on 

patients and clinical staff through 

equipment maintenance, inspection, 

testing and quality assurance and risk 

management programs; (9) supports 

direct patient care programs by 

maintaining and certifying the operation 

and safety of all medical equipment; 

(10) provides specialized biomedical 

engineering equipment repair for all 

dental, medical, and radiology 

equipment; (11) coordinates and 

monitors complex medical and 

laboratory contracts Area-wide; (12) 

provides design and engineering of a 

Picture Archiving and Communication 

System for radiology functions and 

recommends telemedicine applications 

for the clinical need and mission of 

NAIHS; (13) specifies and designs 

telecommunications requirements for 

telemedicine to ensure sufficient 

bandwidth is available for the 

telemedicine programs. 

Division of Occupational Health and 

Safety Management (GFJ4E) 

(1) Performs industrial hygiene 

activities including compliance surveys 

of radiographic equipment; (2) assesses 

radiation exposure to patients; (3) 

provides quality assurance assessment 

of medical imaging processing; (4) 

provides surveys of occupational 

exposure to nitrous oxide, ethylene 

oxide, anesthetic gases, mercury and 

other chemical hazards; (5) evaluates 

ventilation systems in negative pressure 

isolation rooms, operating rooms and 

dental operations; (6) provides 

ergonomic analyses of workstations and 

high risk occupations; (7) provides 

safety and infection control program 

development and evaluation including 

training and consultative assistance for 

safety officers and infection control 

practitioners; (8) provides compliance 

reviews of existing policies and 

procedures; (9) develops model policies 

and procedures; (10) provides safety and 

infection control program accreditation 

compliance reviews; (11) provides 


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occupational safety and infection 

control training for Service Unit staff; 

(12) provides environmental sampling 

to include sample collection and 

analysis of suspected asbestoscontaining materials, lead-based paint 

and quantification of indoor air 

contaminants; (13) performs 

environmental assessments which 

include surveys to determine Service 

Unit compliance with Federal, State and 

local environmental regulations; (14) 

coordinates facilities management to 

conduct life safety code (building fire 

safety component) surveys; (15) 

conducts construction plan reviews for 

new construction and renovation; (16) 

consults with and advocates for facility 

managers on life safety code compliance 

issues. 

Division of Administrative Support 

(GFJ4G) 

(1) Provides administrative direction 

and guidance to the operational 

Divisions within the NAIHS OEHE, 

including guidance provided to Area, 

District, and Field Offices located 

throughout the NAIHS; (2) performs 

accounting services for the OEHE 

Divisions, including planning and 

implementation of annual OEHE 

program budgets; (3) maintains annual 

OEHE budget commitment registers; (4) 

receives and approves vendor invoices; 

(5) provides certification of funds 

available within appropriate electronic 

financial management and government 

travel systems; (6) ensures proper 

obligation and expenditure of program 

and project funds; (7) provides overall 

internal coordination with the NAIHS 

Division of Financial Management and 

the Division of Acquisition Management 

and Contracts, ensures appropriate 

financial transactions, documentation 

and reporting; (8) advises the OEHE 

Director on NAIHS OEHE IT needs and 

requirements, including computer 

equipment, computer networking, 

electronic mail, internet connectivity, 

new technologies, information system 

security awareness and compliance, and 

information system continuity of 

operations plans; (9) provides technical 

consultation and direct assistance to 

OEHE staff stationed at Area, District, 

and Field Offices concerning hardware 

and software installation, configuration, 

maintenance and repair; (10) assesses 

and monitors OEHE professional 

staffing needs; (11) coordinates with 

Division Directors to develop strategies 

to meet the needs and increase the 

morale and retention of OEHE staff; (12) 

works with Human Resources to prepare 

vacancy announcements and process 

personnel orders for civil servants and 

Commissioned Corps Officers; (13) 

encourages full program support and 

compliance concerning Indian 

preference and EEO requirements in 

hiring and managing staff; (14) oversees 

the OEHE staff professional 

development program; (15) receives, 

reviews, and processes OEHE training 

authorization documents to support 

continuing education and improved 

competencies among OEHE staff; (16) 

supports staff individual development 

plans (IDPs) and ensures training 

requests are consistent with established 

IDPs; (17) provides program 

management of OEHE personal property 

in terms of accountability, utilization, 

control, and disposal; (18) provides 

guidance on OEHE property 

management procedures including 

property accounting and reporting 

instructions; (19) documents all 

transactions affecting OEHE personal 

property; (20) assists the OEHE Director 

with Public Law 93–638 issues; (21) 

participates in formal Public Law 93– 

638 negotiations with the Navajo Nation 

and Tribal Organizations authorized by 

Navajo Nation to contract pursuant to 

Public Law 93–638; (22) serves as 

members of the NAIHS Incident 

Response Team. 

Office of Tribal Partnerships and 

Liaison (GFJ5) 

In support of the IHS mission, the 

Office of Tribal Partnership and 

External Affairs: (1) Provides leadership 

and partnership efforts on Tribal and 

urban Indian health activities in 

implementation of Title I and Title V of 

the Indian Self-Determination and 

Education Assistance Act and Title V of 

the Indian Health Care Improvement 

Act; (2) responsible for the 

implementation of policies, procedures, 

and standards for Tribal and urban 

health programs; (3) serves as the liaison 

between Tribes and headquarters; (4) 

principal advisor to the Area Director 

and Area; (5) serves as primary source 

of technical and policy advice on Tribal 

matters. 

Indian Self-Determination Staff (GFJ5A) 

(1) Plans, coordinates, and 

implements all tasks relative to 

contracting/compacting activities 

pursuant to the Indian SelfDetermination and Education 

Assistance Act, Public Law 93–638, as 

amended; (2) advises the Area Director 

and leadership on the activities and 

issues related to the IHS’ 

implementation of Title V of the Indian 

Health Care Improvement Act, as 

amended and assures that Urban Indian 

health programs and organizations are 

informed of pertinent health policies; 

(3) coordinates and effectuates 

respectful and positive relations with 

Tribal, State and Federal Governments 

and agencies, and intra/inter-agency 

departments at local and national 

offices; (4) develops supportive 

relationships with local Tribal 

Governments and Tribal organizations 

(contractors and compactors); (5) 

provides advice on the effect and impact 

of IHS policies, plans, programs and 

operations on Tribal operations and 

relationships; (6) advises and reports 

pertinent data/information to the Area 

Director, Executive Committee, Public 

Law 93–638 Negotiation Team, Service 

Unit Chief Executive Officers, Tribal 

Governments, and Tribal organizations 

relative to contracting activities; (7) 

compiles Area Director Report to Navajo 

Nation legislature on a quarterly basis; 

(8) in coordination with the Office of the 

General Counsel, provides technical 

support to Office of Environmental 

Health and Engineering, Area Offices 

and Federal Service Units on Public 

Law 93–638 issues; (9) oversees the 

negotiation of all self-determination 

contracts and self-governance compacts 

and funding agreements with 

participating Tribal governments and 

Tribal organizations; (10) advises on 

new methods and techniques for Indian 

community participation in, and 

management of their health programs; 

(11) provides technical assistance in 

such areas as financial resource 

management (inter/intra-agency); (12) 

organizes, collaborates, promotes and 

maintains effective Tribal consultation 

with Tribal Government programs, 

Tribal organizations and Tribal Leaders; 

(13) ensures that urban confer with 

Urban Indian health programs and 

organizations occurs during the 

development of IHS policy. 

Urban Programs Staff 

(1) Coordinates activities with IHS HQ 

and NAIHS on relevant Tribal and 

Urban activities; (2) coordinates, assists 

and monitors inter-governmental and 

legislative activity and functions; (3) 

monitors and provides liaison for the 

maintenance of an effective financial 

management system on all aspects of 

contract/compact funding; (4) 

participates in cross-cutting issues and 

processes including, but not limited to 

emergency preparedness/security, 

budget formulation, self-determination/ 

self-governance issues, federal and 

Tribal workgroups, and resolution of 

audit findings as may be needed and 

appropriate. 

Office of Public Health (GFJ6) 

The NAIHS Office of Public Health 

promotes the health and wellness of the 

Navajo Nation. (1) Works together to 


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improve the health status of the Navajo 

Nation; (2) collaborates with the Navajo 

Nation, State, Tribal, Federal and 

Universities to maintain an active 

network of public health professionals; 

(3) utilizes data, surveillance, and 

statistics to monitor public health and 

eliminate health disparities; (4) focuses 

on prevention, epidemiology, disease 

surveillance, infectious disease control, 

chronic disease prevention, 

immunizations, and health promotion. 

Division of Health Promotion and 

Disease Prevention (HPDP) (GFJ6A) 

(1) Develops, implements, and 

evaluates HPDP Programs to create a 

healthier Navajo Nation; (2) The Navajo 

HPDP hosts, coordinates, implements, 

communicates wellness, and 

disseminates evidence based health 

promotion information to prevent 

chronic diseases; (3) The Navajo HPDP 

program collaborates with the 

community and stakeholders to promote 

health and wellness; (4) implements a 

wide range of preventive programs 

including Just Move It, Acudetox 

(Ocular Acupuncture), Navajo Wellness 

Model, Basic Tobacco Intervention 

Skills, Lifestyle Balance, School Health 

Prevention Programs, Physical 

Activities, Youth Mental Health First 

Aid, and Employee Wellness. Other 

Areas include: Chronic Disease 

Prevention, Community Health, 

Immunizations, Nicotine Prevention, 

Behavioral Health, and Health 

Promotion and Disease Prevention. 

Diabetes Treatment and Prevention 

Staff (GFJ6B) 

(1) Works with the Special Diabetes 

Programs for Indians grants to provide 

diabetes treatment and prevention 

services to IHS, Tribal and Urban Indian 

health programs. 

Branch of Program Statistics (GFJ6C) 

(1) Provides day-to-day technical and 

scientific planning, direction, 

management, and analyses of infections 

and/or acute or chronic illnesses, 

injuries, and occupational hazards; (2) 

serves as a technical expert and advisor 

in epidemiology in the design, conduct, 

and analysis of epidemiologic studies 

and associated risk factors and costs; (3) 

works closely with epidemiologic and 

surveillance team members in 

developing data coding, editing, and 

analysis plans for activities and 

epidemiologic studies; (4) selects and 

utilizes statistical techniques and 

computer software packages most 

appropriate to the problem at hand; (5) 

prepares and submits manuscripts for 

presentation at scientific meetings and 

for publication in scientific journals; (6) 

delivers presentations to public health, 

medical and other professional groups; 

(7) serves as technical officer for 

collaborative projects with State health 

departments and other governmental 

and non-governmental agencies and 

organizations; (8) interacts effectively 

with officials at all levels of Federal and 

state government, private and nonprofit 

institutions, international health 

agencies, and other health professionals; 

(9) cooperates with other organizational 

components within IHS to achieve 

overall objectives; (10) provides 

responses to requests from individuals 

within and outside IHS; (11) provides 

health care program work conducting 

and consulting on epidemiological 

studies/issues; (12) provides 

professional consulting services of 

various health care programs for 

epidemic/pandemic issues. 

Office of Quality and Patient Safety 

(GFJ7) 

(1) Advises the NAIHS Area Director 

on all aspects of assuring quality health 

care and develops and implements a 

strategic quality framework, integrating 

feedback and inputs from various levels 

of the organization and Tribal/Urban 

Indian organization partners; (2) 

oversees accreditation readiness 

activities and compliance with 

accreditation requirements; (3) conducts 

training and informational activities that 

promote skills development in quality 

improvement, quality assurance, and 

performance improvement; (4) assesses 

and reports on patient satisfaction and 

experience using standardized survey 

instruments and processes, and 

facilitates improvement activities; (5) 

coordinates and organizes participation 

of NAIHS facilities and staff in 

interagency quality improvement 

activities; (6) develops and monitors 

quality improvement and assurance 

metrics for health care delivery 

processes and outcomes, and advises 

Service Units on quality improvement 

methods to improve support and 

outcomes of NAIHS administrative 

functions and processes; (7) develops 

programs to assess, address, and 

continuously improve systems and 

processes to improve health care 

quality, promote sustained compliance 

with relevant Federal regulations and 

accreditation and professional 

standards, reduce and improve patient 

wait times and patient experience of 

care in all related health care settings; 

(8) consults on and provides guidance 

for standardization of health care 

delivery policies and protocols; (9) 

develops programs which promote 

patient safety management and 

reporting systems and processes, 

sentinel event investigations/root cause 

analysis, and clinical risk management; 

(10) supports patient-centered care 

processes, engagement of patients as 

partners in care, and patient activation 

through self-management support and 

involvement in delivery service 

improvements; (11) participates in 

cross-cutting issues and processes, 

including but not limited to, emergency 

preparedness/security, quality 

assurance, recruitment, budget 

formulation, self-determination issues, 

and resolution of audit findings as may 

be needed and appropriate. 

Division of Patient Safety (GFJ7A) 

(1) Develops and implements a 

quality program to promote patient 

safety; (2) promotes a culture of safety; 

(3) provides education; (4) establishes 

and monitors systems and metrics 

related to patient safety events; (5) 

establishes policy and guidelines to 

reduce adverse events; (6) reduces all 

types of hospital-acquired conditions, 

(7) reduces hospital readmissions; (8) 

improves communication with primary 

care and management of communitybased resource delivery; (9) promotes 

sustained compliance with relevant 

federal regulations and accreditation 

and professional standards; (10) 

coordinates mock surveys; (11) 

promotes accreditation services 

coordination; (12) provides 

accreditation resource management; (13) 

provides survey corrective action plan 

development assistance and 

coordination; (14) maintains 

accreditation and certification survey 

reports; (15) promotes multidisciplinary 

integration of survey readiness support 

activities; (16) promotes patient safety 

program; (17) promotes unification of 

Service Unit Quality Managers; (18) 

promotes quality management practice; 

(19) promotes and embraces new 

models of care delivery; (20) enhances 

the efficiency of the care delivery 

process; (21) develops and implements 

a program to support the patientcentered medical home model; (22) 

promotes a competent quality 

management staff; (23) coordinates 

training and support resources for 

health care staff; (24) standardizes 

quality management tools and 

resources; (25) provides leadership 

development and skill building; (26) 

supports quality assurance and quality 

improvement programs. 

Quality Assurance Staff (GFJ7B) 

(1) Optimizes use of health IT and 

data to enhance health care system 

compliance; (2) assess if patient safety 

meets standards of care; (3) reports 

quality management data related to 


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clinical outcomes; (4) develops quality 

assurance and control activities related 

to protocols monitoring, data collection, 

abstraction, and data analysis; (4) 

develops improvement strategies to 

supply data to staff to meet 

accreditation standards; (5) implements 

quality improvement resources that 

include Model of Improvement, Six 

Sigma, and evidence-based quality 

improvement practices; (6) implements 

policies and procedures and staff 

education based on quality management 

data information. 

Branch of Informatics (GFJ7C) 

(1) Provides technical support to the 

Service Units in the area of clinical 

informatics and maintains expertise in 

IHS-specific patient management 

software; (2) assists Service Units with 

efforts to enhance services and maintain 

compliance with interoperability 

standards; (3) communicates informatics 

needs to IHS Headquarters; (4) informs 

Service Units of service enhancements 

planned by the IHS Office of IT; (5) 

supports Service Units in data retrieval 

to meet quality standards. 

Navajo Area Service Units 

The NAIHS continues to be the 

primary health care provider for the 

Navajo Nation and San Juan Southern 

Paiute Tribe. Comprehensive health care 

is provided through inpatient, 

outpatient and community health 

(preventive) programs. The goal is to 

provide high quality, comprehensive 

preventive health care to the Navajo 

Nation, San Juan Southern Paiutes and 

all IHS beneficiaries served at NAIHS 

facilities, including prenatal care, 

immunizations, well-baby clinics, 

family planning, health education, and 

chronic disease follow-up. Service Units 

in the NAIHS are as follows: 

• Chinle Service Unit (GFJA) 

• Crownpoint Service Unit (GFJB) 

• Gallup Service Unit (GFJD) 

• Kayenta Service Unit (GFJE) 

• Shiprock Service Unit (GFJJ) 

Section GA–40, Indian Health Service— 

Delegations of Authority 

All delegations of authority and redelegations of authority made to IHS 

officials that were in effect immediately 

prior to this reorganization, and that are 

consistent with this reorganization, 

shall continue in effect pending further 

re-delegation. 

(Authority: 44 U.S.C. 3101) 

This reorganization shall be effective 

on May 9, 2022. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2022–10312 Filed 5–12–22; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Public Health Nursing Case 

Management: Reducing Sexually 

Transmitted Infections 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2022–IHS–PHN–0001. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.383. 

Key Dates 

Application Deadline Date: August 

11, 2022. 

Earliest Anticipated Start Date: 

September 26, 2022. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for a cooperative 

agreement for Public Health Nursing 

Case Management: Reducing Sexually 

Transmitted Infections. This program is 

authorized under the Snyder Act, 25 

U.S.C. 13; the Transfer Act, 42 U.S.C. 

2001(a); and the Indian Health Care 

Improvement Act, 25 U.S.C. 1621q, 

1660e. This program is described in the 

Assistance Listings located at https://

sam.gov/content/home (formerly known 

as the CFDA) under 93.383. 

Background 

The IHS Public Health Nursing (PHN) 

program is a community health nursing 

program that focuses on the goals of 

promoting health and quality of life, and 

preventing disease and disability. The 

PHN program provides quality, 

culturally sensitive health promotion 

and disease prevention nursing care 

services through primary, secondary, 

and tertiary prevention services to 

individuals, families, and community 

groups. Program funds provide critical 

support for direct health care services in 

the community, which improve 

Americans’ access to health care. The 

PHN program supports populationfocused services to promote healthier 

communities through community based 

nursing services, community 

development, and health promotion 

and/or disease prevention activities. 

The PHN program promotes the 

establishment of program plans based 

on community assessments and 

evaluations to prevent disease, promote 

health, and implement community 

based programs. There is an emphasis 

on screening, home visits, 

immunizations, maternal-child health 

care, elder care, chronic disease, school 

services, health promotion and disease 

prevention, case management, 

population based services, and 

community disease surveillance. The 

PHN program is available to support 

transitions of care from the clinical 

setting into the community with an 

emphasis on the clinical, preventive, 

and public health needs of American 

Indian/Alaska Native (AI/AN) 

communities. 

PHN patient care coordination 

activities aim to serve the patient and 

family in the home and in the 

community. Preventive health care 

informs populations, promotes healthy 

lifestyles, and provides early treatment 

for illnesses. The PHN’s expertise in 

communicable disease assessment, 

outreach, investigation, and surveillance 

aids in the management and prevention 

of the spread of communicable diseases. 

PHNs conduct nurse home visiting 

services via referral for communicable 

disease investigation and treatment, 

which includes such services as health 

education/behavioral counseling for 

health promotion, risk reduction, and 

immunizations to prevent illnesses with 

a goal to detect and treat problems in 

their early stages. The PHN’s unique 

scope of service supports the goal of 

decreasing sexually transmitted 

diseases. 

Purpose 

The purpose of this IHS program is to 

mitigate the prevalence of sexually 

transmitted infections (STI) within 

Indian Country through a case 

management model that utilizes the 

PHN as a case manager. The emphasis 

is on raising awareness of STIs as a 

high-priority health issue among AI/AN 

communities and to support prevention 

and control activities of comorbid 

conditions. Case management involves 

the client, family, and other members of 

the health care team. Quality of care, 

continuity, and assurance of appropriate 

and timely interventions are also 

crucial. In addition to reducing the cost 

of health care, case management has 

proven its worth in terms of improving 

rehabilitation, improving quality of life, 

and increasing client satisfaction and 

compliance by promoting client selfdetermination. The goals and outcomes 

of the PHN case management model are 

early detection, diagnosis, treatment, 

and evaluation that will improve health 


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