[Federal Register Volume 75, Number 191 (Monday, October 4, 2010)]
[Notices]
[Pages 61157-61160]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-24749]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statement of Organization, Functions and Delegations of Authority

    This notice amends Part R of the Statement of Organization, 
Functions and Delegations of Authority of the Department of Health and 
Human Services (HHS), Health Resources and Services Administration 
(HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 75 
FR 58416-58417 dated September 24, 2010).
    This notice reflects organizational changes to the Health Resources 
and Services Administration and updates the functional statement for 
the Bureau of Primary Health Care (RC). Specifically, this notice (1) 
Creates the Office of Administrative Management (RCM) and the Office of 
Training and Technical Assistance Coordination (RCS); (2) abolishes the 
Division of Health Information Technology State and Community 
Assistance (RCR); (3) renames the Office of Minority and Special 
Populations (RCG) to the Office

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of Special Population Health (RCG); and (4) abolishes the Eastern 
Division (RCN), the Central Mid-Atlantic Division (RCP), and the 
Western Division (RCQ); and establishes the Northeast Division (RCU), 
Central Southeast Division (RCV), the North Central Division (RCT); and 
the Southwest Division (RCW), to better align the regional functions of 
the Bureau.

Chapter RC--Bureau of Primary Health Care

Section RC-10, Organization

    Delete in its entirety and replace with the following:
    The Office of the Associate Administrator (RC) is headed by the 
Associate Administrator, Bureau of Primary Health Care (BPHC), who 
reports directly to the Administrator, Health Resources and Services 
Administration. BPHC includes the following components:
    (1) Office of the Associate Administrator (RC);
    (2) Office of Administrative Management (RCM);
    (3) Office of Training and Technical Assistance Coordination (RCS);
    (4) Office of Policy and Program Development (RCH);
    (5) Office of Quality and Data (RCK);
    (6) Office of Special Population Health (RCG);
    (7) Northeast Division (RCU);
    (8) Central Southeast Division (RCV);
    (9) North Central Division (RCT);
    (10) Southwest Division (RCW); and
    (11) Division of National Hansen's Disease Program (RC7).

Section RC-20, Functions

    (1) Delete the functional statement for the Bureau of Primary 
Health Care (RC) and replace in its entirety.

Office of the Associate Administrator (RC)

    Provides overall leadership, direction, coordination, and planning 
in support of BPHC programs. Specifically: (1) Establishes program 
goals, objectives and priorities, and provides oversight to their 
execution; (2) plans, directs, coordinates and evaluates BPHC-wide 
management activities; and (3) maintains effective relationships within 
HRSA and with other Department of Health and Human Services (HHS) 
organizations, other Federal agencies, State and local governments, and 
other public and private organizations concerned with primary health 
care, eliminating health disparities, and improving the health status 
of the Nation's underserved and vulnerable populations.

Office of Administrative Management (RCM)

    Plans, directs and coordinates BPHC-wide administrative management 
activities. Specifically: (1) Serves as BPHC's principal source for 
administrative and management advice and assistance; (2) provides 
guidance and coordinates personnel activities for BPHC; (3) provides 
organization and management analysis, coordinating the allocation of 
personnel resources, developing policies and procedures for internal 
operations, interpreting and implementing BPHC management policies, 
procedures and systems; (4) develops and coordinates BPHC program and 
administrative delegations of authority activities; (5) provides 
guidance to BPHC on financial management activities; (6) provides BPHC-
wide support services such as continuity of operations and emergency 
planning, contracts, procurement, supply management, equipment 
utilization, printing, property management, space management, records 
management, and management reports; (7) serves as BPHC Executive 
Secretariat; (8) serves as BPHC focal point for the design and 
implementation of management information systems to assess and improve 
program performance and internal operations; and (9) coordinates BPHC 
administrative management activities with other components within HRSA 
and HHS, and with other Federal agencies, State and local governments, 
and other public and private organizations, as appropriate.

Office of Training and Technical Assistance Coordination (RCS)

    Serves as the organizational focus for the coordination of training 
and technical assistance activities for BPHC programs and staff. 
Specifically: (1) Leads and coordinates training and technical 
assistance activities and resources for BPHC programs and staff; (2) 
serves as BPHC principal contact and information resource for training 
and technical assistance; (3) identifies key training and technical 
assistance needs of BPHC programs and staff, and develops programs to 
address them; (4) manages training and technical assistance cooperative 
agreements and contracts; (5) coordinates BPHC technical assistance and 
training activities within HRSA and HHS, and with other Federal 
agencies, State and local governments, and other public and private 
organizations concerned with primary health care, eliminating health 
disparities, and improving the health status of the Nation's 
underserved and vulnerable populations; and (6) provides support and 
coordination for emergency preparedness and response.

Office of Policy and Program Development (RCH)

    Serves as the organizational focus for the development of BPHC 
programs and policies. Specifically: (1) Leads and monitors the 
development and expansion of primary care programs, including health 
centers and other health systems; (2) identifies and provides 
assistance to communities, community-based organizations, and BPHC 
programs related to the development and expansion of primary care 
programs; (3) manages BPHC capital and loan guarantee programs; (4) 
leads and coordinates the analysis, development and drafting of policy 
impacting BPHC programs; (5) consults and coordinates with other 
components within HRSA and HHS, and with other Federal agencies, State 
and local governments, and other public and private organizations on 
issues affecting BPHC programs and policies; (6) performs environmental 
scanning on issues that affect BPHC programs; (7) monitors BPHC 
activities in relation to the HRSA and HHS Strategic Plan; and (8) 
serves as BPHC focal point for communication and program information.

Office of Quality and Data (RCK)

    Serves as the organizational focus for BPHC program performance, 
clinical and operational quality improvement, data reporting, and 
program evaluation. Specifically: (1) Provides leadership for 
implementing BPHC clinical quality and performance improvement 
strategies/initiatives, including health information technology; (2) 
oversees BPHC Federal Tort Claims Act (FTCA) medical malpractice 
liability programs, reviewing clinical, quality improvement, risk 
management, and patient safety activities to improve policies and 
programs for primary health care services, including clinical 
information systems; (3) leads and coordinates BPHC accreditation and 
national quality recognition programs; (4) coordinates BPHC clinical, 
quality and performance reporting activities within HRSA and HHS, and 
with other Federal agencies, State and local governments, and other 
public and private organizations concerned with primary health care, 
eliminating health disparities, and improving the health status of the 
Nation's underserved and vulnerable populations; (5) identifies and 
provides assistance to BPHC programs around clinical, quality and 
performance reporting activities; and (6)

[[Page 61159]]

serves as BPHC focal point for the design and implementation of program 
evaluations.

Office of Special Population Health (RCG)

    Serves as the organizational focus for the coordination of BPHC 
activities relating to the delivery of health services to special 
populations, including: migrant and seasonal farm workers, homeless 
persons and residents of public housing, school children, minorities 
and other vulnerable populations. Specifically: (1) Ensures that the 
needs and special circumstances of special populations and the provider 
organizations that serve them are addressed in BPHC programs and 
policies; (2) advises BPHC about the needs of special populations; (3) 
identifies and provides assistance to communities, community-based 
organizations and BPHC programs related to the development, delivery 
and expansion of services targeted to special populations; (4) 
coordinates BPHC activities for special populations within HRSA and 
HHS, and with other Federal agencies, State and local governments, and 
other public and private organizations concerned with primary health 
care, eliminating health disparities, and improving the health status 
of the Nation's underserved and vulnerable populations; and (5) 
provides support to the National Advisory Council on Migrant Health.

Northeast Division (RCU)

    Manages BPHC primary health care service delivery programs and 
associated activities within HHS Regions I, II and III. Specifically: 
for Regions I, II and III, (1) Manages the post-award/designation 
administration of BPHC primary health care service delivery programs, 
including State-based training and technical assistance; (2) serves as 
BPHC representative to organizations receiving BPHC service delivery 
grants/designations; (3) promotes a continued focus on quality, cost-
effective care for underserved and vulnerable populations; (4) 
identifies and provides assistance on program-related statutory/
regulatory policy, and program reporting requirements; (5) monitors the 
performance of BPHC primary health care service delivery programs, 
making programmatic recommendations and providing assistance to improve 
performance, where appropriate; (6) reviews findings and 
recommendations of periodic and episodic grantee assessments, 
developing actions needed to assure continuity of services to 
underserved and vulnerable populations and appropriate use of Federal 
resources; (7) provides technical guidance to grantees on the 
management and integration of community-based systems of care, the 
adaptation of successful strategies/models, and the resolution of 
difficult issues; (8) conducts State and regional surveillance on 
issues that affect BPHC primary health care service delivery programs; 
and (9) provides consultation to and coordinates activities within HRSA 
and HHS, and with other Federal agencies, State and local governments, 
and other public and private organizations involved in the 
implementation of BPHC primary health care service delivery programs.

Central Southeast Division (RCV)

    Manages BPHC primary health care service delivery programs and 
associated activities within HHS Regions IV and VII. Specifically: For 
regions IV and VII, (1) Manages the post-award/designation 
administration of BPHC primary health care service delivery programs, 
including State-based training and technical assistance; (2) serves as 
BPHC representative to organizations receiving BPHC service delivery 
grants/designations; (3) promotes a continued focus on quality, cost-
effective care for underserved and vulnerable populations; (4) 
identifies and provides assistance on program-related statutory/
regulatory policy, and program reporting requirements; (5) monitors the 
performance of BPHC primary health care service delivery programs, 
making programmatic recommendations and providing assistance to improve 
performance, where appropriate; (6) reviews findings and 
recommendations of periodic and episodic grantee assessments, 
developing actions needed to assure continuity of services to 
underserved and vulnerable populations and appropriate use of Federal 
resources; (7) provides technical guidance to grantees on the 
management and integration of community-based systems of care, the 
adaptation of successful strategies/models, and the resolution of 
difficult issues; (8) conducts State and regional surveillance on 
issues that affect BPHC primary health care service delivery programs; 
and (9) provides consultation to and coordinates activities within HRSA 
and HHS, and with other Federal agencies, State and local governments, 
and other public and private organizations involved in the 
implementation of BPHC primary health care service delivery programs.

 North Central Division (RCT)

    Manages BPHC primary health care service delivery programs and 
associated activities within HHS Regions V, VIII and X. Specifically: 
for Regions V, VIII and X, (1) Manages the post-award/designation 
administration of BPHC primary health care service delivery programs, 
including State-based training and technical assistance; (2) serves as 
BPHC representative to organizations receiving BPHC service delivery 
grants/designations; (3) promotes a continued focus on quality, cost-
effective care for underserved and vulnerable populations; (4) 
identifies and provides assistance on program-related statutory/
regulatory, policy, and program reporting requirements; (5) monitors 
the performance of BPHC primary health care service delivery programs, 
making programmatic recommendations and providing assistance to improve 
performance, where appropriate; (6) reviews findings and 
recommendations of periodic and episodic grantee assessments, 
developing actions needed to assure continuity of services to 
underserved and vulnerable populations and appropriate use of Federal 
resources; (7) provides technical guidance to grantees on the 
management and integration of community-based systems of care, the 
adaptation of successful strategies/models, and the resolution of 
difficult issues; (8) conducts State and regional surveillance on 
issues that affect BPHC primary health care service delivery programs; 
and (9) provides consultation to and coordinates activities within HRSA 
and HHS, and with other Federal agencies, State and local governments, 
and other public and private organizations involved in the 
implementation of BPHC primary health care service delivery programs.

Southwest Division (RCW)

    Manages BPHC primary health care service delivery programs and 
associated activities within HHS Regions VI and IX. Specifically: for 
Regions VI and IX, (1) Manages the post-award/designation 
administration of BPHC primary health care service delivery programs, 
including State-based training and technical assistance; (2) serves as 
BPHC representative to organizations receiving BPHC service delivery 
grants/designations; (3) promotes a continued focus on quality, cost-
effective care for underserved and vulnerable populations; (4) 
identifies and provides assistance on program-related statutory/
regulatory policy, and program reporting requirements; (5) monitors the 
performance of BPHC primary health care service delivery programs, 
making programmatic recommendations and providing assistance to improve 
performance,

[[Page 61160]]

where appropriate; (6) reviews findings and recommendations of periodic 
and episodic grantee assessments, developing actions needed to assure 
continuity of services to underserved and vulnerable populations and 
appropriate use of Federal resources; (7) provides technical guidance 
to grantees on the management and integration of community-based 
systems of care, the adaptation of successful strategies/models, and 
the resolution of difficult issues; (8) conducts State and regional 
surveillance on issues that affect BPHC primary health care service 
delivery programs; and (9) provides consultation to and coordinates 
activities within HRSA and HHS, and with other Federal agencies, State 
and local governments, and other public and private organizations 
involved in the implementation of BPHC primary health care service 
delivery programs.

Division of National Hansen's Disease Program (RC7)

    Manages the National Hansen's Disease Program in accordance with 
regulations of the Public Health Service. Specifically: (1) Provides 
care and treatment for persons with Hansen's disease, including 
managing a national outpatient health care delivery program; (2) 
conducts research and provides education and training on Hansen's 
disease; and (3) provides consultation to and coordinates activities 
within HRSA and HHS, and with other Federal agencies, State and local 
governments, and other public and private organizations involved in 
Hansen's disease activities.

Section RC-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA 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.
    This reorganization is upon date of signature.

    Dated: September 27, 2010.
Mary K. Wakefield,
Administrator.
[FR Doc. 2010-24749 Filed 10-1-10; 8:45 am]
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