news.
information

December 3, 1968

REGIONAL MEDICAL PROGRAMS SERVICE - New Comprehensive
Activity of Health Services § Mental Health Administration

 

The official announcement of the formation of the REGIONAL
MEDICAL PROGRAMS SERVICE -- which now includes the Division of
Regional Medical Programs and the Division of Chronic Disease
Programs -- within the newly established Health Services and
© Mental Health Administration is reproduced in this issue as it
appeared in the Federal Register 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 Programs SerVice...+-+s+eeeeererserecerers 10

New Organization Chart of Health Services and
Mental Health Administration. ....seeeeceeceeeercrecncss ee 14

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
Public Health Service * Health Services and Mental Health Administration * Bethesda, Maryland 20014 |
Office of the Secretary

PUBLIC HEALTH SERVICE; HEALTH
SERVICES AND MENTAL HEALTH
ADMINISTRATION

Statement of Organization, Functions,
and Delegations of Authority

This amendment to the Statement of
Organization, Functions, and Delega-
tions of Authority of the Department of
Health, Education, and Welfare, reflects
the implementation of the Reorganiza-
tion Orders signed by Secretary Wilbur
J. Cohen on March 13, 1968 (33 FR.
4894), April 1, 1968 (33 F.R. 5426), and
July 1, 1968 (33 F.R. 9909), with respect
to the organization of the Health Serv-
ices and Mental Health Administration
as an operating agency of the Depart-
ment, There is hereby established a new
Part 5 of the Department’s Statement for
the Health Services and Mental Health
Administration as set forth below. Those
provisions in Part 4 (Public Health Serv-
ice) of the Department’s Statement of
Organization, Functions, and Delegations
of Authority which are inconsistent with
the provisions of the new Part 5 are re-
voked herewith. .

Src. 5-A Mission. The Health Services
and Mental Health Administration
(2000) provides leadership and direction
to programs and activities designed to
improve physical and mental health
services for all of the people of the United
States and to achieve the development
of health care and maintenance systems
adequately financed, comprehensive, in-
terrelated, and responsive to the needs of
individuals and families in all socioeco-
nomic and ethnic groups.

To these ends, the Health Services
and Mental Health Administration: (1)
Collects, analyzes, and disseminates data
on births, . deaths, disease incidence,
health resources, and the state of the
Nation’s health.

(2) Plans, directs, and coordinates a@
national effort to improve the physical
health of the people of the United States
through the development of services to
promote and sustain physical health,
prevent physical linesses, and provide
care and treatment for physically ill
persons: (a) Conducts and supports re-
search, development, technical assist-
ance, and information activities to im-
prove the organization and delivery of

NOTICES

health services; (b) conducts and sup-

ports programs to control or prevent in-
fectious and chronic diseases; (c) Ppro-
vides health services and hospital and
outpatient medical care to designated
beneficiaries; (d) develops and recom-
mends quality standards for health serv-
ices financed in whole or in part by pro-
grams of the Department of Health,
Education, and Welfare; (e) supports
planning and construction of hospitals
and other health facilities; and (f) pro-
vides leadership and support for State
and area comprehensive health planning
and services and for regional cooperative
arrangements among medical schools,
research institutions, medical care facili-
ties, and practitioners.

(3) Plans, directs, and coordinates the
national effort to improve the mental
health of the people of the United States
through the development of knowledge,
manpower, and servites to promote and
sustain mental health, prevent mental
illness, and treat and rehabilitate men-
tally ill persons: (a) Conducts and sup-
ports research, development, technical
assistance, training, and information ac-
tivities to improve mental health serv-
ices; (b) conducts or supports programs
to contro] or prevent mental illnesses;
(c) supports or provides mental health
services and hospital and outpatient
mental health care to designated bene-
ficiaries; (d) recommends quality stand-
ards for mental health services, financed
in whole or in part, by programs of the
Department of Health, Education, and
Welfare; (e) supports planning and
construction of mental health hospitals
and centers and other mental health fa-
cilities; and (f) provides leadership and
support for comprehensive mental health
planning and services.

(4) Plans, directs, and coordinates
the development of physical and mental
health service programs to assure: (2)
That mental and physical personal
health concerns are integrated; (b) that
priorities which govern Administration
activities apply appropriately to mental
and physical health planning and serv-
ice activities; and (c) that social consid-
erations and priorities are woven into
both the physical and mental health op-
erations of the Administration.

Sec. 5-B Organization. The Health
Services and Mental Health Administra-
tion is directed by the Administrator
(Health Services and Mental Health
Administration) who is responsible to
the Assistant Secretary (Health and
Scientific Affairs). The Administration
consists of the following major com-
ponents, with functions as indicated:

OFFICE OF THE ADMINISTRATOR (2000)

Provides leadership and direction to
the programs and activities of the Health
Services and Mental Health Adminis-
tration.

Immediate Office of the Administrator
(2001). (1) Provides leadership for the
execution of Administration responsibil-
ities related to the conduct and improve-
ment of physical and mental health
services for the people of the United
States: (2) manages and directs the ac-

15953

Administration, (3) pro-
on physical
for the U.S.

tivities of the
vides consultative services
and mental health services

Government both at home and abroad;

and (4) directs the coordination of the
Administration’s intergovernmental and
other cooperative health programs, di-
rect health programs, and mental health
programs, to assure the integrated de-
velopment of all these programs into
comprehensive health programs.

Office of Information (2017). Under
the direction of the Assistant Adminis-
trator for Information who serves as &
member of the Administrator's immedi-
ate staff, plans, directs, and coordinates
the information programs and health
education activities of the Health Serv-
ices and Mental Health Administration:
(1) Advises on policy matters pertaining
and related to information and com-
munications activities—external and in-
ternal; (2) formulates policies and plans
for the guidance of information activities
throughout the Administration; (3)
identifies. programs, areas, and popula-
tion groups requiring special efforts in
health education and provides guidance,
assistance, and support to such special
efforts: (4) establishes operational pro-
cedures for the orderly and expeditious
processing and dissemination of infor-
mational materials and performs a con-
cept-review and evaluation function of
all such materials (films, radio and tele-
vision materials; publications, magazine
articles and news features, exhibits, etc.)
to ensure that information projects are
supportive of program and policy objec-
tives; (5) establishes guidelines to sup-
port informational program planning,
evaluation, and budgeting; (6) deter-
mines through the conduct or sponsor-
ship of population sampling studies or
otherwise the needs for health informa-
tion and education and the effectiveness
of public information and education pro-
grams in meeting those needs; and (7)
provides centralized supporting informa-
tion services at Administration and sub-
ordinate levels with particular emphasis
on regional needs.

Office of the Assistant Administrator
for Management (2019). The Assistant
Administrator for Management who
serves as a member of the Adminis-
trator’s immediate staff: (1) Participates
in executive policy formulation and
execution; (2) advises on management
implications of Administration plans
and programs; (3) provides Administra-
tion-wide leadership in all phases of
management; and (4) directs the ad-
ministrative management components in
the Office of the Administrator.

Office of Management Policy (20192).
(1) Conducts organization and manage-
ment studies and surveys; (2) initiates
or reviews proposals for establishing or
modifying organizational structure or
function, and management objectives,
policies, standards, and regulations; (3)
negotiates solutions to interagency,
interservice, and interoffice problems of
organization, functions, policy, pro-
cedures, or coordination; (4) advises and
assists Administration staff and operat-
ing offices and provides general staff

FEDERAL REGISTER, VOL. 33, NO. 212——WEDNESDAY, OCTOBER 30, 1968

No. 212———4

-2.

 
 
 
  
   

15954

support for major study groups estab-
lished by the Administrator; (5) partici-
pates in program and legislative plan-
ning to assure recognition of manage-
ment problems and opportunities in-
volved; (6) advises on issues of major
concern to the Administrator in the areas
of general administration and program
management; (7) manages the docu-
mentation and issuance system of the
Administration; (8) assures the avail-
ability and adequacy of Administration-
wide functional area systems of manage-
ment appraisal; (9) conducts general
appraisals of the effectiveness of man-
agement activities; (10) participates
with program officials in conduct of in-
depth appraisals of the effectiveness of
program operations and management;
and (11) conducts Administration-wide
management improvement programs.

Office of Systems Management
(20193) . Plans, develops, and coordinates,
the Administration’s management in-
formation system: (1) develops the spec-
jfications for, and coordinates the im-
plementation of Administration-wide
systems for recording and processing
data for program planning, direction,
and control; (2) provides technical serv-
ices to the Office of the Administrator in
data systems design; (3) maintains
liaison to insure that Administration
management data needs are met and
that adjustments are made to accommo-
date new areas of interest and changes in
program emphases or goals; (4) reviews
new data systems and proposals for con-
sistency with Administration program,
direction, and management needs; and
(5) develops and coordinates Adminis-
tration-wide programs for determining
the requirements for and utilization of
ADP equipment.

Office of Financial Management
(20194). (1) Collaborates with the Office
of Program Planning and Evaluation in
the development and implementation of
the 5-year program and financial plan
for the Administration’s Planning, Pro-
graming and Budgeting System; (2)
develops policies and instructions for
budget preparation and presentation;
(3) prepares budget submissions; (4)
participates in budget hearings; (5) al-
Jocates funds: (6) manages a system of
budgetary controls; (7) directs planning
and implementation of fiscal systems
and procedures; (8) provides account-
ing services; (9) prepares financial re-
ports; (10) participates in development
of policies and procedures concerning
financial aspects of grants and negotiated
research and development contracts;
(11) furnishes financial advice to con-
tracting officers; (12) evaluates financial
management systems and activities
throughout the Administration; and (13)
maintains liaison with the Office of the
Secretary and the Bureau of the Budget.

Office of Procurement and Materiel
‘Management (20195). (1) Establishes
Administration objectives, policies,
standards, and procedures for pro-
curement and supply, contracting, speci-
fications, cataloging, personal property
control, forms, printing, storage, and
distribution; (2) interprets regulatory
issuances and provides guidance and

NOTICES

technical assistance in these areas; (3)
acquires equipment, supplies, and serv-
ices; (4) coordinates plans for utiliza-
tion of Administration procurement and
materiel resources under national emer-
gency conditions; (5) evaluates procure~
ment and materiel management activities
throughout the Administration; and (6)
maintains liaison with the Office of the
Secretary, the General Services Admin-
istration, and other agencies concerned
with procurement and materiel manage-
ment activities.

Office of Buildings and Facilities
(20197). (1) Provides guidance and tech-~-
nical assistance in design, construction,
renovation, repair, improvement, and in
related real estate activities encompass-
ing the acquisition, utilization, and dis-
posal of real property and provision of
communication facilities, parking, and
other supporting services; (2) establishes
and evaluates buildings and facilities
programs, objectives, policies, and pro-
cedures; and (3) maintains liaison with
the Office of the Secretary, the Public
Buildings Administration, and other
agencies concerned with buildings and
facilities.

Office of Grants Management (20198).
(1) Coordinates the review, development,
and issuance of policy and procedural
materials for the Administration’s grant
programs; (2) establishes procedures for
the receipt, review, and referral system
for grant applications; (3) establishes
standards and guides for and evaluates
grants management operations through-
out the Administration; (4) provides ad-
vice and consultation on interpretation
and application of Departmental and
Administration policies and procedures
affecting grants management; (5) co-
ordinates Administration positions and
actions with respect to grants audit re-
quirements and results; (6) analyzes,
evaluates, and reports on Administration
grant activities; and (7) maintains
liaison with grantee institutions and or-
ganizations and the Office of the Secre-
tary and other components of the
Department.

Office of Personnel (20199). (1) Plans,
directs, and coordinates personnel pro-
grams covering headquarters and field
employees; (2) develops policies, proce-
dures and standards for personnel pro-
grams and operations; (3) provides per-
sonnel] service for officials and employees
of the Administration; (4) provides
technical advice and assistance to op-
erating officials on all personnel matters;
(5) conducts Administration-wide pro-
grams in areas such as personnel devel-
opment and utilization and safety and
occupational hazards control; (6) evalu-
ates Administration personnel programs,
systems, and activities; and (7) main-
tains liaison with the Office of the Sec-
retary, the Civil Service Commission,
and other agencies concerned with per-
sonnel management.

Office of Program Planning and Eval-
uation (2031). Under the direction of the
Assistant Administrator for Program
Planning and Evaluation who is a mem-
ber of the Administrator’s immediate
staff: (1) Serves as the Administrator’s
principal staff arm for program plan-

ning, coordination, and evaluation, in-
cluding the development of program al-
ternatives and policy positions; (2) over-
sees planning, reporting, and analytical
and evaluation functions in support of
policy formulation and program imple-
mentation; (3) advises the Administra-
tor and his immediate staff on program,
policy, and operational implications
arising from activities of the Office; (4)
collaborates with the Office of Financial
Management in the development and
implementation of the 5-year program
and financial plan for the Administra-
tion’s Program Planning and Budget~-
ing System; (5) maintains Haison with
other Federal and non-Federal health
agencies; (6) provides staff planning,
evaluation, and coordination service to
the Administrator for International
Health activities and programs; and (7)
assures program coordination and liai-
son‘in these areas between the Admin-
istrator and the operating program of
the Administration.

Office of Legislation (2035). Under the
direction of the Assistant Administrator
for Legislation who is a member of the
Administrator’s immediate staff: (1) As-
sists in the development of Administra-
tion objectives, policies and programs,
with particular reference to their rela-
tionship to statutory authorities and to
Congressional trends, attitudes and pol-

-icies; (2) assists the Administrator in the

coordination of operating efforts toward
meeting national goals and policies as
reflected in the legislation related to the
activities of the various elements of the
Administration. In meeting these re-
sponsibilities, the Office of Legislation
(a) provides for legislative analysis and
development through reports on pend-
ing bills, development of legislative pro-
gram, and technical assistance to Com-
mittee staffs and members of Congress;
(b) furnishes legislative program sup~
port through preparation of testimony,
backup material for hearings, assistance
on preparation of Congressional Com-
mittee reports; (c) provides Congres-
sional services and liaison through prep-
aration of general or special program
information; (d) provides Congressional
inquiry service, and follows up on sig-
nificant Congressional correspondence;
(e) serves as a legislative reference cen-
ter; (f) provides or arranges for sum-
maries of Congressional hearings and di-
gests of other Congressional develop-
ments or publications; and (g) maintains
liaison with the Office of the Assistant
Secretary for Legislation and the Assist-
ant Secretary for Health and Scientific
Affairs in matters concerned with legis-
lative proposals or legislative policies.
Regional Organization (20A1). The
Administration’s Regional Organization
provides a focal point for responding to
the needs of State and local govern-
mental officials, community agencies,
and public or private institutions in-
volved in the planning or provision of
health services. As such, it (1) exerts
Jeadership in planning and maintain-
ing effective health programs; (2) coor-
dinates activities with those of other
Federal health-related programs to
achieve maximum effect on priority

FEDERAL REGISTER, VOL. 33, NO. 212—-WEDNESDAY, OCTOBER 30, 1968

-3-
problem areas and population groups;
(3) provides consultative and technical
assistance on the planning and operation
of programs including those designed to
prevent or control infectious and chronic
diseases, to provide coordinated health
care services at the community level, and
to plan and train for emergency health
services during times of disasters; (4)
reviews and approves applications for
formula and protect grants for health
planning, for health services, and for the
construction of health facilities where
these functions have been assigned to
the Regional Offices; (5) promotes pro-
grams to improve the quality and utili-
gation of health care resources and
facilities; and (6) evaluates: State and
local health programs.

NATIONAL CENTER FOR BHeraLttH SERVICES
RESEARCH AND DEVELOPMENT (2100)

Conducts or, by means of grants and
contracts, supports, promotes, and stimu-
lates a national program of health serv-
ices research and developing and dem-
onstrations, including: (1) Improving
the availability of health services to all
people; (2) assisting all health profes-
sions to improve their capabilities for
assessing the: quality of their services;
(3) investigating the comparative costs
of alternative methods of providing and
financing health services; (4) experi-
menting with new architectural designs,
site locations and plans, and new meth-
ods of construction; (5) increasing effi-
ciency through new ways of utilizing
health personnel and development of new
types of health workers at the profes-
sional, technical, and auxiliary levels;
(6) applying and refining computer tech-
nology in screening, automating medical
records, and selected other aspects of the
medical care process, (1) accelerating
application of new or improved tech-
niques for the prevention, diagnosis,
treatment and control of diseases and
disabilities; (8) designing and demon-
strating experimental health service sys-
tems in urban and rural areas; (9)
making multidisciplinary analyses of the
organization and functioning of all com-
ponents of the health services system,
(10) increasing academic resources for
training health services research and de-
velopment personnel, and (11) establish-
ing and operating a health services data
system relevant to research and develop-

ment planning, policy making, and
management.
Office of the Director (2101). (1) Plans,

directs, administers, coordinates, and
evaluates the program and management
operations of the Center; (2) fosters and
stimulates a national program of health
services research and development ac-
tivities; (3) coordinates the Center’s
activities with other Administration or-
ganizational elements, other Federal or-
ganizations within and without the De-
partment, State and local bodies, and
professional and scientific organizations;
and (4) performs legislative planning
and review. ,
Liaison Staff (2109). (1) Assists and
advises the Director of the Center on
major policies affecting Center programs
and relations with other organizations;

FEDERAL REGISTER, VoL. 33,

NOTICES

(2) acts as the representative of the Cen-
ter Director and serves as focal point for
establishing and maintaining the Cen-
ter’s working relationships with other
components of the Administration, with
other organizational elements of the De-
partment, other Federal agencies, State
and local bodies, professional bodies, and
the health services research and develop-
ment community in general; (3) develops
and coordinates policy and procedure for
the conduct of Center relationships with
other agencies and organizations on
matters of collaborative efforts and com-
munication mechanisms; (4) develops
relationships with other governmental
bodies, professional bodies, and private
organizations to foster the implementa-
tion and application of research findings
so as to improve health care services in
actual operations; and (5) coordinates
with the Offices and Programs of the
Center on related aspects of extramural
activities.

Office of Grants and Contracts Man-
agement and Review (2115). (D Ad-
ministers a system of review for grants
and contracts submitted to the Center
and provides management services for
approved grants; (2) interprets and im-
plements policies relating to grants and
contracts emanating from the Office of
the Secretary, Office of the Administra-
tor, and Office of the Center Director;
(3) provides assistance to the Programs
of the Center and to organizations and
institutions concerning the interpreta-
tion and application of grants manage~-
ment and grants and contracts review
policies and procedures; and (4) main-
tains and provides fiscal and other types
of information on the status of grants
and contracts.

Office of Information (2117). (1) As-
sists and advises the Director in inter-
preting the program of the Center to
the general public and fo appropriate
professional and scientific groups, and
reports to the Director on actual and
prospective public response; (2) plans
and directs the public information pro-
gram of the Center; (3) acts as control
liaison point for clearance and coordina-
tion with other information offices; (4)
develops, reviews, and edits public is-
suances of the Center; and (5) provides
Center’s public information distribution
system.

Office of Administrative Management
(2119). (1) Plans, directs, and coordi-
nates administrative management activi-
ties of the Center, including providing
central services and assigning Manage-
ment Officers to Programs and Officers;
(2) assists the Office of the Director in
the development of Center goals and
objectives; (3) provides backup support
for Center Staffs and Offices such as ad-
ministrative services for grants and con-
tracts activities and administrative liai-
son with the Office of the Administrator
on contracts; (4) develops and imple-
ments management policies, procedures,
systems and practices for the conduct of
Center affairs; (5) appraises the effec-
tiveness of’ Center organization and
operations from & management stand-
point; (6) provides program guidance
and information to the Staff of the Ad-

NO. 212--WEDNESDAY, OCTOBE
-4-

15955

ministrator’s Office of Financial Man-
agement in their operation of a financial
management system for the Center,
including program policy interpretation
in budget formulation and execution, in
preparation of Program Planning and
Budgeting System data, and in the fi-
nancial aspects of grants administra-
tion; and (7) serves as the focal point
for liaison with the Office of the
Administrator and the Office of the
Secretary on financial, personnel, or-
ganization, supply, and other manage-
ment matters.

Program Planning and Evaluation
Staff (2131). (1) Assists and advises the
Center Direetor in program planning
and in the development, coordination,
and assessment of current and long-
range activities; (2) develops guidelines
and standards for appraising program
activities; (3) assesses and eyaluates
program accomplishments and activities
in terms of approved goals and objec-
tives; (4) identifies the need and rec-
ommends necessary actions for new
program activities including methods for
development; (5) provides leadership in
the development of Center goals and
objectives; and (6) directs and coordi-
nates the implementation of Program
Planning and Budgeting System in col-
laboration with the Office of Administra-
tive Management.

Health Economics Analysis Program
(2141). (1) Supports, conducts, and fos-
ters research on (a) the financial struc-
ture of medical care, (b) the effects of
health services on the economy as a
whole, (c) alternatives for capital financ-
ing, (@ cost-benefit and cost-effective-
ness of various ways of providing health
services, and (e) the economics of health
manpower; (2) supports research train-
ing in health economics, including
analyses of alternative methods of dis-
tribution and use of health manpower to
provide health care services; (3) collects
and disseminates information on and re-
sults of health economics research; and
(4) establishes and maintains coopera-
tive working relationships with other
organizations in the Administration and
the Department concerned with eco-
nomics of health services.

Health Care Technology Program
(2145). (1) Supports, conducts, and fos-
ters research, development, experiments
or demonstrations on (a) the instrumen-
tation and automation of health services,
and (b) the application of electronic and
computer technology to disease detec-
tion systems, diagnosis, patient-monitor-
ing and therapy, medical record han-
dling, and techniques in laboratory
medicine; (2) supports research training
in health care technology; (3) collects
and disseminates information on and the
results of research in health care tech-
nology; and (4) works cooperatively with
hospitals and other organizations in the
Administration and the Department en-
gaged in research in health care
technology.

Health Care Institutions Program
(2151), (D Supports, conducts, and
fosters research, development, experi-
ments or demonstrations on (a) the de-
sign, organization, and administration

R 30, 1968
15956

of health care facitities, (b) effects of
new stafling patterns in improving health
care services, (c) factors contributing to
adequacy, effectiveness, and efficiency of
institutions, and (d) methods of deter-
mining siting in communities; (2) pro-
motes studies and tests of new methods
of construction for improving health care
capabilities of institutional facilities; @)
supports related research training; (4)
collects and disseminates information an
and the results of research on health care
institutions; and (5) works cooperatively
with other organizations in the Admin-
istration and the Department concerned
with research in health care institutions.

Social Analysis and Evatuation Pro-
gram (2155). (1) Supports, conducts, and
fosters research on (a) social and
psychological factors influencing individ-
uals- and groups in their health habits
and use of available services, (b) social
and psychological factors which affect
the operation of health institutions and
services, (c) the effects of social and
legal factors on the availability, quality,
and organization of services, and (d) the
evaluation of health services and pro-
grams: (2) consults with other programs
of the Administration and the Depart~-
ment on improved methods of evaluating
health service programs; (3) supports
related’ research training; (4) collects
and disseminates information and re-
sults of social science research and eval-
uation: and (5) works cooperatively
with other organizations in the Admin-
istration and the Department concerned
with social analysis and evaluation.

Health Care Organization and Delivery
Program (2161). (1) Supports, conducts,
and fosters research on (a) health
planning and community organization,
including the interaction between the
community and its medical care system,
(b) improved techniques for identifying
health needs, (c) the medical care pro-
cess, including organizational, admin-
istrative, economic, and other elements
that influence the process and its out-
come, and (d) methods for assessing the
effectiveness and quality of medical care;
(2) develops and demonstrates new or
improved methods of providing needed
personal health services and improved
methods and health service systems ap-
plicable to special types of urban and
rural communities; (3) supports related
research training; (4) collects and dis-
seminates information and results of
research in organization and delivery of
health care; and (5) works cooperatively
with organizations in the Administration
and the Department concerned with im-
proving methods of organizing and de-
livering health care.

Health Manpower Utilization Pro-
gram (2165). (1) Supports, conducts, and
fosters health services manpower utiliza-
tion research or demonstrations to de-
velop (a) new ways of increasing the
productivity of physicians, nurses, and
other health care personnel, (b) new
careers in health services manpower, and
(c) new ways of educating, training, and
utilizing health services manpower: (2)
supports related research training; (3)
collects and disseminates information

NOTICES

and results of research on health services
manpower utilization; and (4) estab-
dishes amd maintains cooperative work-
ing relationships with comeerned or-
ganizations in the Administration, in the
Buresu of Health Manpower of the Na-
tional Institutes of Health, and elsewhere
in the Department and the Nation.
Health Care Data Systems Program
(2171). (1) Supports, conducts, and fos-
ters research to improve and develop
methodology for collection, analysis, and
use of health care data, including meth-
ods for determining utilization of avail-
able health care personnel, facilities and
services, and analysis of the outcome of
this utilization; (2) assembles health
care data for use of program components
and supplements this as needed; (3) as-
sists other programs, and other govern-
mental and nongovernmental bodies, bv

providing data and by developing meth-

ods for assessing the effectiveness of and
need for modification of programs and
policies relating to health care services;
(4) provides related research training;
and (5) establishes and maintains coop~
erative working relationships with Fed-
eral and State and other public and
private organizations concerned with
development of data systems for health
services,

NaTIONAL CENTER FOR HEALTH
Sravistics (2200)

Collects, compiles, and publishes gen-
eral purpose vital. and health statistics
and develops a program in health, dem-
ographic and related statistics to serve
present and future needs of all segments
of health and related professions.

Office of the Center Director (2201).
(1) Plans, directs, and coordinates the
total program of the National Center for
Health Statistics; (2) stimulates re-
search and developmental activities; (3)
provides national and international lead-
ership in health statistics; (4) conducts
a variety of professional activities to pro-
vide assistance to States, to foster inter-
national relationships, and to improve
the broad field of health statistics; and
(5) provides central management and in-
formation services for the Center.

Office of Information (2217). (1) Con-
ducts information activities to present
the Center’s programs and product to
appropriate user groups; (2) conducts
scientific and technical communications
programs; (3) develops exhibits, notices,
information brochures, and other related
material; and (4) conducts publication
activities involving design, editing, and
Jayout of special and recurring statisti-
cal volumes and reports.

Office of Administrative Management
(2219). (1) Plans and directs the Center’s
administrative management activities;
(2) initiates and conducts management
programs embracing integrated systems
of planning and analysis; (3) develops
and coordinates the Center's legislative
activities; (4) provides financial guld-
ance and information to staff of the Ad-
ministration’s Office of Financial Man-
agement in the operation of a financial
management system for the Center, in-

cluding program policy interpretation in

budget formulation and execution and
in preparation of program planning and
budgetary support data; and (5) pro-
vides specialized services in management
analysis, personnel management, pro-
cedural development, and administrative
services for the Center.

Ofice of Program Planning and Eval-
uation (2231). (1) Provides a Center
focus for program planning and coordi-
nation for evaluating the adequacy and
completeness of new and existing pro-
grams in meeting the Center's total mis-
sion; (2) assesses program accomplish-
ments in relation to approved plans; (3)
provides linison with Service program
planning officials; (4) coordinates the
application of results of program
research conducted. throughout the
Center; and (5) collaborates with
counterpart offices in development and
implementation of the Department’s
PPB system.

Office of Statistical Methods (2233).
(1) Provides expert consultation on
mathematics, probability, statistical the-
ory, and methodology, and demographic
theory and methodology to the Center,
the programs of the Administration and
Department, and the health community;
(2) conducts mathematical statistical re-
search; (3) conducts -activities in the
development of sampling survey tech-
niques, the methodology of analysis of
data from complex surveys and demo-
graphic methodology, including modifi-
cation of statistical models to facilitate
computer solution; and (4) exercises a
surveillance function to assure the sta-
tistical adequacy of new and ongoing
programs.

Office of International Statistical Pro-
grams (2235). (1) Plans and conducts the
Center’s foreign research, consultation
and training programs and represents
the Center in international statistical ac-
tivities Including those concerned with
population problems; (2) stimulates the
conception and development of research
projects in foreign countries under the
Special International Research Program;
(3) provides technical advice on the de-
velopment of health statistics and reg-
istration programs; and (4) develops and
conducts academic and practical courses
in statistics, demography and registra-
tion for foreign visitors.

Office of State Services (2237). (1)
Plans programs to foster State, local, and
other professional relationships; (2) con~-
ducts a program of direct, technical
assistance to States and local areas cov-
ering all aspects of vital and health sta-
tistics activities; (3) develops a training
activity including courses in vital and
health statistics theory and practice to
serve State and local needs; (4) provides
secretariat services to the Public Health
Conference on Records and Statistics;
and (5) encourages improvement of the
vital and health statistics function in
State health programs.

Office of Health Statistics Analysis
(2241). (1) Plans and conducts a statis-
tical program providing analyses in depth
of health data; (2) stimulates the de-
velopment of specific statistical programs
or concepts throughout the Center to |

FEDERAL REGISTER, VOL. 33, NO. 212-—WEDNESDAY, OCTOBER 30, 1968

-5-
expand data available for analytical
studies; (3) analyzes and interprets data
reflecting the impact on the Nation’s
health of existing health conditions, pro-
grams and activities; (4) assesses the
adequacy for trend analysis of methodo-
logical approaches to data collection; and
(5) develops and publishes studies and
reports,

Division of Vital Statistics (2245). (1)
Conducts a statistical program serving
demographic and public health needs;
(2) promotes utilization of data through
expansion of the U.S. vital registration
system and through conduct of sam-
pling surveys to provide demographic
and health information; (3) conducts
methodological research on analyzing,
evaluating and presenting vital data and
publishes results; (4) evaluates the re-
sponsiveness of the statistical product to
user needs; and (5) develops and applies
actuarial methods and formulae for con-
struction of life tables and publishes
results.

Division of Health Examination Sta-
tistics (2249). (1) Conducts a statistical
program based on systematic Nationwide
health examinations of individuals and
publishes the results; (2) conducts re-
search on survey methodology, data qual-
ity and reliability; and (3) evaluates the
responsiveness of the statistical product
to user needs.

Division of Health Interview Statistics
(2255), (1) Conducts a statistical pro-
gram based on systematic Nationwide
health interview surveys and publishes
the results; (2) advises and technically
assists others on interview data and in-
terview methodolgy; (3) conducts re-
search on data quality and reliability and
the statistical techniques used; and (4)
evaluates the responsiveness of the sta-
tistical product to user needs,

Division of Health Resources Statistics
(2259). (1) Conducts a national statis-
tical program, using sampling surveys of
records, and primary and secondary
sources, to develop data on health re-
sources including facilities and man-
power, on short-term hospital visits, and
on the entire institutionalized popula-
tion, and publishes reports; (2) con-
ducts research on collection methodol-
ogies and publishes methodological re-
ports; (3) makes studies to improve data
quality and reliability; (4) provides tech-
nical assistance on the content and utili-
zation of health records data; and (5)
evaluates the responsiveness of the sta-
tistical product to user needs.

Division of Data Processing (2261). (1)
Provides data processing services to all
the Center’s programs; (2) develops gen-
eral computer programs and provides
technical expertise in systems analysis
and programming; (3) trains data proc-
essing, professional and executive per-

sonnel; (4) conducts research and orig--

inates methods for processing, handling,
transmitting, sorting, and retrieving
statistical data; (5) provides technical
assistance to States, other elements of
the Administration and the Department;
and (6) conducts a statistical processing
quality control program.

NOTICES

NATIONAL COMMUNICABLE DISEASE
CENTER (2300)

(1) Plans, conducts, coordinates, and
supports a national program for the pre-
vention and control of communicable and
other preventable diseases through (a)
surveillance activities, (b) research and
development programs, (c) epidemiologic
studies, (d) consultation and training,
(e) public information and education,
(f) technical assistance, and (g) com-
munity demonstrations; (2) directs for-
eign quarantine activities and enforces
foreign quarantine regulations; (3) pro-
vides consultation and assistance in up-
grading the performance of clinical lab-
oratories and evaluates and licenses
clinical laboratories engaged in interstate
commerce; and (4) provides consultation
to other nations in the control of pre-
ventable diseases and administers inter-
national activities for the eradication or
control of malaria, smallpox, and
measles.

Office of the Director (2301). (1) Di-
rects the activities of the National Com-
municable Disease Center; (2) advises
the Administrator, Health Services and
Mental Health Administration, on policy
matters concerning the Center activities;
(3) provides liaison, through the Center’s
Washington office, with other govern-
mental agencies and outside groups; (4)
provides or obtains technical assistance
for State and local health departments
and private and official agencies, as
needed; (5) provides professional and
technical direction to regional personnel
on disease control matters; and (6) par-
ticipates in the development of the Cen-
ter’s goals and objectives. :

Office of International Services (2311).
(1) Plans, organizes and administers pro-
grams of specialized training for foreign
representatives and for domestic repre-
sentatives to foreign countries; (2) pro-
vides for the reception and orientation of
foreign visitors to the Center; (3) de-
signs, develops, and implements seminar
services and resources reference on cur-
rent international health affairs for Cen-
ter staff; (4) renders advisory services on
Public Law 480 projects; and (5) estab-
lishes and maintains liaison with other
organizations concerned with interna-
tional health. .

Office of Information (2317). Plans,
organizes, and administers the Center’s
public information program, publications
management, and all concomitant ac-
tivities such as tours and receptionist
services, publications clearance, and dis-
tribution of information and educational
materials.

Office of Research Grants (2318). (1)
Develops and administers the Center’s
research grants programs, including
stimulation of research in neglected or
underemphasized fields; (2) provides fi-
nancial support to nonprofit research or-
ganizations; and (3) maintains active
liaison with Administration and Depart-
ment organizational components con-
cerned with grants. .

Staff Services—-Administrative Man-
agement (2319). Under the direction of
the Executive Officer: (1) Assists and

15957

direction, and assessment of manage-
ment activities throughout the Center
and assures consideration of manage-
ment implications in program decisions;
(2) conducts Center-level management
services such as administrative services,
financial management, personnel man-
agement, engineering services, computer
systems, management analysis, legisla-
tive reference, library, and other dele-
gated authorities as may be assigned;
(3) provides technical leadership and
guidance to,management services at field
stations and evaluates technical per-
formance; (4) maintains liaison with
HSMHA officials on management mat-
ters including ADP systems, management
information systems, and communica-
tion networks; (5) provides financial
data and systems development support
to the Program Planning and Budgeting
system; and (6) participates in the de-
velopment of the Center’s goals and
objectives.

Office of Program Planning and Eval-
uation (2331). In cooperation with the
Center’s Executive Officer, programs, and
staff services: (1) Plans and develops
short and long range goals and objectives
for the Center; (2) analyzes and evalu-
ates the Center’s programs activities;
(3) collaborates in the-development and
implementation of the PPB system; (4)
maintains liaison with counterpart or-
ganizations as appropriate; and (5) de-
velops systematic approaches to report-
ing on the operations of the Center.

Ecological Investigations Program
(2341). (1) Plans, coordinates, and con-
ducts field station activities which in-
clude investigations of: (a) Viral men-
ingitis and encephalitis; (b) hepatitis
and gastroenteritis; (c) respiratory in-
fections caused by viruses, bacteria; and
fungi: (d) plague and other zoonoses;
(e) schistosomiasis and other tropical
diseases; and (f) the epidemiology of
oncogenic viruses; and (2) develops
measures for prevention and control of
the communicable diseases under
investigation.

Epidemiology Program (2345). (1)
maintain surveillance over communicable
and certain preventable diseases of na-
tional importance and develops pro-
grams of international surveillance in
collaboration with the Foreign Quaran-
tine Program, the Department of De-
fense, the Department of State, and the
World Health Organization; (2) investi-
gates special communicable disease prob-
Jems and recommends control measures;
(3) evaluates experimental vaccines and
immunizing agents and procedures; (4)
provides epidemic aid and epidemiologi-
cal services and consultation to States,
Federal agencies, foreign countries, and
other recipients; (5) recruits and trains
public health epidemiologists; (6) col-
lects and analyzes morbidity and mor-
tality statistical data and publishes re-
ports of findings; (7) enforces interstate
quarantine regulations; and (8) serves
as the WHO Regional Reference Labora-
tory for Rabies in the Americas.

Foreign Quarantine Program (2351).
(1) Plans, directs, and conducts the

advises in the development, coordination, national program to protect the United

FEDERAL REGISTER, VOL. 33, NO. 212—WEDNESDAY, OCTOBER 30, 1968

-6-
15958

States against the introduction of com-
municable diseases from foreign coun-
tries; (2) provides epidemiological data
on worldwide communicable disease
prevalence; and (3) implements the
provisions of the International Sanitary
Regulations.

Malaria Eradication Program (2355).
Administers the Public Health Service
international program of malaria eradi-
cation jointly planned and developed
with U.S. Agency for International De-
velopment missions and the national
ministries of health of cooperating
countries and which encompasses as ap-
propriate such activities as vector con-
trol, field investigations and testing of
methods and procedures, evaluation’ of
country programs, and training and
epidemiological appraisals.

Smallpox Eradication Program (2361).
(1) Provides overall consultation, direc-
tion, coordination, and management for
the United States participation in the
worldwide program ‘for eradication of
smallpox; (2) when feasible, conducts
other simultaneous immunization pro-
grams; and (3) maintains surveillance
of smallpox and smallpox vaccine reac-
tion in the United States.

Training Program (2365). (1) Con-
ducts a program of continuing education
for the practicing health professions on
methods and techniques of disease pre-
vention and control; (2) promotes the
establishment, maintenance, and im-
provement of State and other health
training programs: (3) provides com-
municable disease control training and
consultation in natural disasters and
epidemics; (4) devises, develops, and
demonstrates advanced training meth-
odologies through the above activities;
and (5) coordinates the Center’s training
activities. .

Laboratory Division (2375). qi) Ad-
ministers a comprehensive national labo-
ratory improvement program, (2) directs
and conducts the administration of the
licensure and evaluation of clinical labo-
ratories engaged in interstate commerce
under the authority and provisions of the
Clinical Laboratories Improvement Act
of 1967; (3) conducts research for im-
proving and standardizing laboratory
methodology; (4) evaluates techniques,
materials, and reagents used in public
health laboratories; (5) provides ref-
erence and typing center services related
to clinical laboratory procedures for na-
tional and international organizations;
(6) produces and distributes microbiolog-
ical reference and working reagents not
commercially available or of unreliable
supply; (7) provides consultation, train-
ing, and informational services in labora-
tory techniques and laboratory manage-
ment to States and other recipients; (8)
distributes experimental vaccines and
special immune globulins to prevent and
control laboratory infections; and (9)
directs, coordinates, and manages bio-
jJogical, chemical, and engineering re-
search and development on methods,
materials, and equipment for the pre-
vention, control, and eradication of
veetor-borne diseases at the Technical
Development Laboratories, Savannah,
Ga. :

_ FEDERAL REGISTER,

NOTICES

State and Community Services Divi-
sion (2381). (1) Plans, directs, and coor-
dinates a national program for the pre-
vention, control or eventual eradication
of serious diseases, such as tuberculosis,
respiratory diseases, syphilis, gonorrhea
and other veneral diseases, for which
specific preventive measures are avail-
able; (2) administers intramural and ex-
tramural programs for the control or
eventual eradication of preventable
diseases; and (3) conducts community
demonstration programs in cooperation
with State and local health departments
and other agencies to serve as models in
teaching communicable disease control
and prevention.

NATIONAL INSTITUTE oF MENTAL HEALTH
(2400)

Plans, directs, and coordinates the na-
tional effort to improve the mental
health of the people of the United States
through the development of knowledge,
manpower, and services to promote and
sustain mental health, prevent mental
jliness, and treat and rehabilitate men-
tally ill persons: (1) Administers direct
and support programs of mental health
research, training and services, develop-
ment of mental health -standards, con-
sultative and technical services to re-
gions, States, and communities, con-
struction and staffing of community
mental health centers and construction,
modernization, and renovation of other
mental health facilities, scientific com-
munications for professional individu-
als and groups and information and ed-
ucation for the public; (2) serves as the
principal focus for behavioral science ac~
tivities and for social and cultural prob-
lems related to mental health and for
concerns and activities ranging from the
causes, diagnosis, treatment, and preven-
tion of mental disorders to the biological
and psychosocial factors that determine
human behavior and development; (3)
exerts focused efforts in such areas as al-
coholism, narcotic and other drug abuse,
development and evaluation of psychoac-
tive drugs, suicide prevention, cultural
deprivation, crime and delinquency, serv-
ices for the mentally ill offenders, and the
behavior of groups including mass vio-
lence; (4) gives specific emphasis to (a)
an attack on the overall mental health
manpower problem by experimental
training, both direct and supported, and
continuing education, (o) an expansion
of research efforts in clinical and ap-
plied areas, and (c) an expansion and
improvement of mental health services
through utilization of programs such as
medicare, Appalachian development, and
pertinent aspects of aid to education; and
(5) conswts with appropriate individu-
als and agencies in the development of
mental health programs in other

countries.

Intramural research activities located on
National Institutes of Health premises
are operated in accordance with the gen-
eral policies and practices applicable to
the intramural research programs of the
NIH components under & mutual agree-
ment between the two organizations.

-7-

Office of the Director (2401). (1) Plans,
directs, and administers the programs of
the Institute; (2) develops and provides
policy guidance and staff direction to In-
stitute programs in such areas as pro-
gram coordination and review, mental
health research, administrative manage-
ment, intramural training, and patient
care; (3) serves as the focal point for the
national mental health effort; and (4)
provides professional and technical di-
rection to the regional personnel on
mental health matters.

Office of Communications (2417). (1)
Serves as focal point for all Institute
public information and scientific com-
munications activities including opera-
tion of the National Clearinghouse for
Mental Health Information; (2) advises
the Director and the Divisions on pro-
gram developments related to public in-
formation and scientific communications
in the field of mental health; (3) pro-

vides central services for information ac-

tivities, including editing, clearance, and
layout design services for Institute pub-
lications and photography; and (4) op-
erates the Institute library.

Office of Administrative Management
(2419). (1) Provides advice, coordina-
tion, and services in financial manage-
ment, management policy, personnel
management, grants and contracts man-
agement, general services, and data pro-
cessing activities; (2) advises the Direc-
tor and the Divisions on developments
and their implications in these areas; and
(3) designs, issues, and implements ad-
ministrative operating procedures for
the conduct of Institute affairs.

Office of Program Planning and Eval-
uation (2431). (1) Develops and issues
guidelines and standards for program
planning and evaluation; (2) develops
or coordinates the development of plans
and evaluates program accomplish-
ments: (3) coordinates development of
the program aspects of the Program
Planning and Budgeting System; (4)
identifies and analyzes national mental
health needs and their socioeconomic
implications; (5) develops standards for
mental health diagnosis, treatment, care,
and rehabilitation; and (6) provides
legislative reference services, assists in
the development of legislation, and ad-
vises on legislative matters in mental
health.

Office of Program Liaison (2433). (1)
Coordinates Institute relationships and
activities with Department components,
other Federal agencies, international
groups, and with regional, State, and
jocal mental health agencies and citizen
groups; (2) acts as liaison between the
regional staffs and Institute program
areas; (3) performs grant application
review and referral for the Institute;
and (4) coordinates similar activities in
the Divisions and keeps Divisions in-
formed on significant developments.

Division of Extramural Research Pro-
grams (2441). () Plans and administers
programs of support for research on the
causes, prevention, diagnosis, and treat-
ment of mental diseases including be-
havioral, clinical, biological, and applied
psychopharmacological research; (2)
develops and utilizes various types of

VOL 33, NO. 212-——-WEDNESDAY, OCTOBER 30, 1968

 
grant and contract mechanisms to sup-
port this research; (3) conducts and
supports epidemiological research; and
(4) coordinates Institute programs in
schizophrenia, and in mental health
and social problems.

Division of Manpower and Training
Programs (2445), (1) Plans and admin-
isters programs of support for training
of mental health personnel for research
and service on a nationwide basis, in-
cluding training in the mental health
core disciplines, specialized training for
professionals and subprofessionals in
allied fields, and experimental training
for current and newly emerging pro-
grams and activities; (2) develops and
utilizes various types of grant and con-
tract mechanisms to support these
training programs; and (3) collects and
evaluates data on national mental
health manpower.

Division of Mental Health Service
Programs (2449). (1) Plans and admin-
isters programs for the support of na-
tionwide mental health services includ-
ing (a) general improvement of State
and local mental health programs, (b)
construction dnd staffing of comprehen-
sive community mental health centers,
(c) improvement of the quality of care
and competence of staff in State mental
hospitals and institutions, (d).construc-
tion, modernization, and renovation of
mental hospital, general hospital, and
‘university-based psychiatric facilities;
(2) coordinates Institute activities and
consults with other Federal agencies
and the States on mental aspects of
medical care provided under Social Se-
curity legislation; (3) provides advice
and consultation to regional, State and
community agencies in the development
and utilization of mental health serv-
ices; (4) coordinates Institute pro-
grams of regional, metropolitan, and
rural mental health problems; (5) op-
erates a model comprehensive com-
munity mental health center; and (6)
develops and coordinates Institute pro-
grams in regard to the delivery of men-
tal health services through occupational
mental health programs and related serv-
ice programs.

Division of Special Mental Health
Programs (2451). (1) Plans and admin-
isters programs directed toward the so-
lution of specialized mental health prob-
Jems such as alcoholism, family and
child mental health, crime and delin-
quency, mental health and social change,
and suicide prevention, including the
research, training, service, and other as-
pects of such programs; (2) develops
and utilizes various types of grants and
contract mechanisms to carry out these
programs; and (3) coordinates and in-
tegrates these programs with other per-
tinent components of the Institute.

Division of Narcotic Addiction and
Drug Abuse (2455). (1) Plans and ad-
ministers the Institute’s programs in the
field of narcotic addiction and drug abuse
through such activities as (a) operation
of clinical research centers, (b) conduct
of research in narcotics and drug abuse,
(c) support of research, training, service,
and demonstration in narcotics and drug

NOTICES

abuse through grants, contracts, and
conferences, and (d) administration of
the Institute’s responsibilities for the re-
habilitation of narcotic addicts under the
Narcotic Addict Rehabilitation Act; and
(2) as pertinent to clinical research ef-
forts, provides patient care for narcotic
addicts.

Mental Health Intramural Research
Program (2461). (1) Plans and adminis-
ters a comprehensive long-term intra-
mural research program of clinical and
behavioral, biological, and special re-
search dealing with causes, diagnosis,
treatment, and prevention of mental dis-
orders and the biological and psycho-
social factors that determine human be-
havior and development; (2) provides
a focus for national attention in the area
of mental health research; (3) provides
technical support to the three intra-
mural divisions through development
and maintenance of electronic and me-

‘chanical instrumentation and equip-

ment; and (4) assures that Institute in-
tramural research activities located on
National Institutes of Health premises
are operated in accordance with the gen-
eral policies and practices applicable to
the intramural research programs of the
NIH components under a mutual agree-
ment between the two organizations.

Division of Clinical and Behavioral Re-
search (24613). Plans and conducts a
coordinated program of clinical and be-
havioral research dealing with the
causes, diagnosis, treatment, and preven-
tion of mental disease.

Division of Biological and Biochemical
Research (24615), Plans and conducts a
coordinated program of biological and
biochemical research dealing with the
basic biological processes that determine
both adaptive and maladaptive behavior.

Division of Special Mental Health Re-
search (24617). (1) Plans and conducts a
program of intramural research on
special mental health problems such as
psychopharmacology, neuropharmacol-
ogy, memory, human behavior, and the
biochemistry of learning; and (2) per-
forms clinical evaluation and followup
activities in connection with research
patients.

National Center for Mental Health
Services, Training, and Research (2471).
(1) Administers Saint Elizabeths Hos-
pital as a model demonstration of the

conversion of a large mental hospital into -

an ective, modern, community-based
mental health program including: (a)
Operation, in collaboration with the Dis-
trict of Columbia Health Department, of
a@ community mental health center for
residents of designated areas of the Dis-
trict of Columbia; (b) operation of a
training and education program to pro-
vide multidisciplinary clinical training
and other types of training for profes-
sional and other personnel engaged or in-
terested in mental health activities; and
(c) planning, development, and conduct
of clinical research for the purpose of
obtaining a better understanding of
the causes of mental disorders, and of the
factors bearing upon their development,
treatment, and prevention; and (2) pro-
vides administrative and logistical sup-

15959

special institute research pro-
Porras In arena such as crime and delin-
quency, alcoholism, and suicide which are
located in the facilities of the hospital.
Saint Elizabeths Hospital—Division of
Clinical and Community Services
(24713). (1) Provides treatment, care,
and rehabilitation services for patients;
(2) operates a model comprehensive com-
munity mental health center; and (3)
operates a security treatment facility.
Seymour D. Vestermark Division of
Intramural Training (24715), Adminis~-
ters the Institute programs of intramural
training including & mental health
career development program for officers
of the Commissioned Corps, psychiatric
residency programs, nursing training,
and other training for both Federal and
non-Federal personnel in various mental
health disciplines and related areas.
Winfred Overholscr Division of Clini-
cal Research (24717). Conducts research
in the clinical sciences as related to men-
tal illness in such areas as clinical neu-
rology, personality assessment, sociology,
and clinical behavior.

HEALTH FACILITIES PLANNING AND
CONSTRUCTION SERVICE (2500)

(1) Administers a grant and consul-
tation program for the planning, con-
struction, modernization. equipping, and
utilization of health facilities; (2) par-
ticipates in the administration of related
programs by providing administrative,
architectural, and engineering services
for the planning, construction, and mod-
ernization of community mental health
centers, facilities for the mentally re-
tarded, university affiliated facilities for
the mentally retarded, educational fa-
cilities for the health professions, nurse
training, allied health educational facil-
ities, including health facility projects
assisted under the Appalachian Redevel-
opment Aci and sheltered workshops
under the Vocational Rehabilitation
Act; and (3) formulates, administers and
evaluates activities which supplement
the grant program, including the devel-
opment of guide materials. :

Office of the Director (2501). (1)
Plans, directs, coordinates and evaluates
activities and relationships of the Serv-
ice; and (2) provides management, edu-
cation, legislative and regulatory plan-
ning, information and other central
services for the Service.

Office of Program Planning and Anal-
ysis (2531). (1) Provides program plan-
ning and development assistance, sta~
tistical and data evaluation services and
budget statistical support to the Serv-
ice; (2) conducts surveys and studies to
collect and analyze data on patient care
facility needs and resources; and (3)
develops measures of need for patient
care facilities and devises and tests for-
mulae for use in the administration of
the Service’s grant program, and serves
as a resource for information on the
extent of existing, planned or needed
patient care health facilities.

Office of Architecture and Engineer-
ing (2541). (1) Provides leadership in
the architectural and engineering as-
pects of the health facility construction

FEDERAL REGISTER, VOL. 33, NO. 212—WEDNESDAY, OCTOBER 30, 1968

-8-
15960

grant program and the several construc-
tion programs assisted by this Service;
(2) provides consultation and assistance
to representatives of foreign govern-
inents, to Federal, State, and local gov-
ernment officials, to private organiza-
tions and to the public concerned with
health facilities regarding planning, de-
signing and constructing such facilities,
conducts studies on the design and con-
struction requirements of health facili-
ties; (3) develops regulations, standards,
guides and planning materials; and (4)
maintains liaison with equipment and
material manufacturers, and profes-
sional organizations associated with the
design and operation of health facilities.

Office of Equipment Consultation
(2545). (1) Administers a program for
determining equipment resources needed
and disseminating specialized technical
data through educational and training
programs for hospitals, participates in
the formulation of policy relating to ade-
quate and proper equipment for such fa-
cilities; (2) develops and conducts a pro-
gram for obtaining and presenting data
on comparable items. of equipment, for
reviewing and analyzing equipment item
comparability, and for distributing such
information to health facilities through-
out the country, and members of the
public concerned with the hospital and
health facility equipment area; (3) pro-
motes the development of high stand-
ards; and (4) provides technical direc-
tion, leadership, consultation, and guid-
ance to regional staff.

Office of Consultation on Hospital
Functions (2551). (1) Serves as the focal
point within the Service for developing,
organizing, and continually evaluating
the functional requirements of health
care facilities; (2) provides leadership
in the development of standards and
other guide materials; (3) promotes the
application of new concepts, standards,
and practices; and (4) provides related
consultation to regional office staffs,
State agencies, project sponsors and
other representatives of the hospital
community.

Office of State Plans (2555). (1) Di-
rects the Service’s formula grant pro-
gram for the planning, construction and
modernization of hospitals, diagnostic
and treatment centers, long-term care

. facilities, rehabilitation facilities, and
participates in the administration of re-
lated programs by providing administra-
tive and consultation assistance for the
planning, modernization and construc-
tion of community mental health centers,
facilities for the mentally retarded, uni-
versity affiliated facilities for the men-
tally retarded, educational facilities for
the health professions, nurse training,
allied health professions educational fa-
cilities, including health facility projects
assisted through the Appalachian Rede-
veluprrent Act and sheltered workshops
undzy the Vocational Rehabilitation
Act: (2) conducts consultation, study
and evaluation programs which support
and supplement the grant programs; and
(3) develops regulations, policies, proce-
dures, and other guide materials.

NOTICES

COMMUNITY HEALTH SERVICE (2600)

Stimulates, conducts, supports, and
evaluates programs designed to increase
the effectiveness and efficiency of allo-
eating and utilizing health resources for
quality preventive and curative health
services, obtainable and acceptable to the
American people. To this end, the Service
promotes, develops, and supports: (1)
Comprehensive health planning de-
signed to match resources to the needs
and wants of people in accordance with
continually assessed priorities; (2)
standards and evaluative activities as
means of increasing the Nation’s capac-
ity for delivering quality health services;
(3) activities designed to increase the
scope and adequacy of balanced re-
sources for the provision of comprehen-
sive personal health services; and (4)
programs of comprehensive health care
focused on the needs of individuals and
families wherever they live.

Office of the Director (2601). (1) Pro-
vides leadership and general direction
for Service operations; (2) establishes
program objectives and policies; (3) co-
ordinates and evaluates development and
progress of the Service’s activities; (4)
provides technical guidance and coordi-
nation to Service activities in the Re-
gional Offices; and (5) provides a liaison
with other agencies including the Social
Security Administration, the Consumer
Protection and Environmental Health
Service, the Social and Rehabilitation
Service, Department of Housing and
Urban Development, Appalachian Re-
gional Commission, and the Office of Eco-
nomic Opportunity. |

Office of Information (2617). (1) De-
velops and conducts an overall Service
information program; (2) coordinates,
evaluates, and provides leadership in the
development and effective operation of
Division information programs; (3) pro-
vides staff advice on information mat-
ters; (4) participates in the planning and
development of Service-level policies
with special responsibility for their in-
terpretation to the public.

Office of Administrative Management
(2619). (1) Plans, directs, and evaluates
the administrative management activi-
ties of the Service; (2) develops and im-
plements management policies, proce-
dures, and systems; (3) provides program
guidance and information to the staff
of the Administration’s Office of Finan-
cial Management in the operation of a
financial management of grants; and
Service, including program policy inter-
pretation in budget formulation and
execution, in preparation of Program
Planning and Budgeting data, and in the
financial management of grants; and
(4) serves as the focal point for liaison
with officials of the Office of the Admin-
istrator and Office of the Secretary on
financial, personnel, organization, sup-
ply, contracts, and other management
matters.

Office of Field ‘Services (2621). (1)
Coordinates the implementation of Serv-
ice programs in the regional offices and
field; (2) maintains liaison’ with re-
gional staffs, the Social Security Admin-

istration, and the Social and Rehabili-
tation Service and other Federal agen-
cies to coordinate regional office activi-
ties, and (3) recommends regional and
field staffing assignments.

Division of Analysis and Evaluation
(2631). (1) In cooperation with the Na-

‘tional Center for Health Statistics, and

making use of available primary and
secondary data, develops and continu-
ally updates a picture of the national
health status to determine health needs,
available resources, and gap areas; (2)
devises and operates a system for analy-
sis of State plans and health service de-
velopment projects and for determining
impact of grant programs on health
status of populations; (3) develops and
applies methodological approaches to the
creation of community profiles and com-
munity health indices; (4) assists in pro-
viding community health data and in
developing methodology and design for
data systems at National, State, and local
levels; (5) provides leadership in devel-
opment and operation of the Service’s
Program Planning and Budgeting Sys-
tem including preparation of annual and
5-year plans, establishment of program
goals, evaluation of progress, and de-
velopment of program alternatives; and
(6) provides grants management serv-
ices for the Division including receipt,
clerical review, and routing of applica-
tions, issuance of notices of award, and
application and interpretation of grants
policy.

Division of Comprehensive Health
Planning (2641). (1) Provides leadership
in the development and operation of pro-
grams to provide grants to State and
local agencies for the conduct and im-
provement of comprehensive State and
area health planning; (2) develops
policy issuances and program guidelines
for the conduct of comprehensive health
planning under section 314 of the Public
Health Service Act; (3) establishes and
maintains a system of pertinent com-
munication and information exchange
with other Federal agencies and Na-
tional organizations concerned with
planning or having related health in-
terests; (4) stimulates and participates
in the development of projects and ad-
ministers grant program for studies,
training, and demonstrations looking
toward the improvement of comprehen-
sive health planning techniques; (5)
recommends funding of project grants
for area-wide planning and for train-
ing; (6) provides technical assistance to
regional offices and participates at their
request in providing consultation and in-
formation on comprehensive health
planning to States and communities;
(7) conducts or arranges for staff train-
ing in planning for regional office per-
sonnel with responsibility for consulting
and advising States and communities;
and (8) conducts analyses and com-
parisons of the progress of State and
area-wide planning programs with par-
ticular attention to their implications for
Federal policy.

Division of Health Standards (2645).
(1) Develops, evaluates, and recom-
mends minimum standards for health
care provided under Titles XVIII and

FEDERAL REGISTER, VOL. 33, NO. 212—-WEDNESDAY, OCTOBER 30, 1968

“9-
XIX and other Federal reimbursement
programs; (2) develops, evaluates, and
recommends guidelines and procedural
manuals for use by State agencies in
their licensure, inspection, and certifica-
tion programs; (3) develops mode! legis-
lation covering standards, licensure, and
inspection of health facilities; (4) iden-
tifies need for new and revised standards
so as to continually up-grade quality of
health care: (5) identifies need for and
develops standards for State health serv-
ice programs supported by section 314
grants; (6) provides technical consulta-
tion to other Federal programs, to re-
gional office personnel, and to State and
local health officials in the development
and interpretation of health standards;
(7) identifies need for and stimulates
projects for evaluating quality of care
and for innovative approaches to stand-
ard-setting; and (8) maintains and
analyzes State agency Medicare agree-
ments, plans and operations, and par-~
ticipates in review of State agency Medi-
care certification documents.

Division of Health Resources (2651).
(1) Encourages, assists, and supports ap-
propriate agencies to develop needed
resources and increase their capacity to
provide quality, effective services; (2)
develops, supports, and evaluates meth-
ods for organizing and financing of
group practice arrangements as @ com-
munity health resource; (3) conducts
programs designed to assist States in the
effective application of standard-setting
programs, licensure Jaws and regula-
tions; (4) assists providers of health
services to adopt professionally accepted
practices and conform with requirements
of standard-setting programs, including
licensure, certification under programs
authorized by the Social Security Act,
and accreditation programs, (5) pro-
vides leadership in the development of
programs to increase professional and
technical skills, and effective use of per-
sonnel in health facilities and agencies;
and (6) stimulates improved adminis-
tration and operation of health facilities
and agencies.

Division of Health Care Services
(2655). (1) Promotes the utilization of
improved methods of health services
organization, delivery, and financing at
the community level in both urban and
rural settings; (2) stimulates interest in
and knowledge of their health services
on the part of members of the commu-
nity; (3) promotes studies of existing
patterns of heaith ‘services organization
in specific communities to identify gaps
in services to people; (4) encourages the
design of systems of health service
delivery to meet the communities’ ex-
pectations and wishes; (5) promotes the
concept of coordinated local programing
in order to assure maximum effective-
ness from available resources; (6) rec-
ommends funding for project grants
for development and extension of health
services; and (7) supports the delivery
of health services to groups with special
needs, such as the rural] and urban poor,
the residents of sparsely populated
areas, and the migrant worker.

FEDERAL REGISTER, VOL. 33,

NOTICES

15961

 

 

RecrionaL MepicaL PROGRAMS SERVICE
(2700)

*

Plans, conducts, coordinates, and sup-
ports national programs for the preven-
tion and control of major killing and
crippling diseases and chronic illnesses,
and for the improvement in delivery of
health care services: (1) Through the
provision of information on comprehen-
sive care for long-term ilinesses; (2)
through professional and technical as-
sistance and advice to regional groups,
States, and local communities; (3)
through studies and demonstrations to
improve methods of prevention, treat-
ment and rehabilitation for chronic dis-
eases; and (4) through grants to support
the development of programs for inte-
grated service and comprehensive care
of those suffering from such illnesses and
chronic diseases by encouraging coopera-
tive arrangements leading to regionaliza-
tion of facilities, services and resources.

Office of the Director (2701). (1) Pro-
vides direction and Jeadership for the
programs and components of the Re-
gional Medical Programs Service; (2)
plans and formulates mission objectives
and policies; (3) coordinates the pro~-
grams and components of the Service
utilizing research results and informa-
tion developed by the Division of Chronic
Disease Programs, the National Insti-
tutes of Health, the National Center for
Health Services Research and Develop-
ment, and elsewhere; (4) develops and
coordinates policy and operational rela-
tionships with public and private organi-
zations’ which support and carry out
health programs related to the objectives
of the program; (5) establishes and
maintains Haison with appropriate lead-
ers in the medical community, State and
local officiais and members of Congress;
and (6) provides management and ad~
ministrative services.

Division of Regional Medical Programs
(2747). Supports, through grants and
contracts, technical and professional as-
sistance, the planning, development, and
operation of regional programs to re-
duce the illness, disability and premature
deaths resulting from heart disease, can-
cer, stroke and related diseases. These
programs link medical schools, medical
research centers, hospitals and other
health organizations and institutions
through regional cooperative arrange-
ments in order to carry out research,
training (including continuing educa-
tion), demonstrations of patient care
and other activities to achieve more
widespread and effective use of the latest
advances in the diagnosis and treatment
of these diseases, encouraging and pro-
moting the establishment of more effec-
tive systems for the delivery of health
care services and, thus, generally improv~
ing the health of the population, as well
as the health manpower and facilities
available to the nation.

Division of Chronic Disease Programs
(2751). Plans, conducts, and coordinates
programs for the prevention and control
of chronic diseases through (1) surveil-
Jance activities; (2) field trials, feasibil-
ity studies, and demonstrations; (3)

epidemiologic studies; (4) technical as-
sistance to Government and other or-
ganizations; (5) consultation on interna-
tional programs; and (6) public informa-
tion and education activities, including a
National Clearinghouse for Smoking and
Health. :

 

 

 TINDIAN Heavta Service (2800) ~~
The Indian Health Service:‘ (1) De-

velops and directs a program of com-
prehensive health services for eligible
American Indians and Alaska Natives;
(2) provides hospital and medical care
services and preventive health services
such as public health nursing, health
education, environmental health, mater-
nal and child health, school health and
oral health; (3) conducts tuberculosis
and other communicable disease con-
trol activities; (4) encourages and assists
in the development of individual and
community water and waste disposal
systems; (5) provides training for health
personnel; (6) conducts systems evalua-
tion and development for the manage-
ment and delivery of comprehensive
health services to American Indians and
Alaska Natives. _

Office of the Director (2801). GQ) |
Plans, develops, and directs the Indian
health program; (2) coordinates Service
activities with other governmental and

governing bodies; (3) evaluates program.

development; (4) coordinates technical
training for beneficiaries to qualify them
for service in the Indian health program.

Office of Tribal Affairs (2811). (1)
Promotes and encourages participation
of the beneficiaries and interested or-
ganizations in Indian ‘health programs;
(2) identifies tribal relations problems
with potential adverse effects on health
programs, and develops solutions; (3)
maintains liaison with tribal councils,
State officials, and interested groups; (4)
maintains an information gathering sys-
tem yielding non-statistical data on
tribal affairs and analyzes and inter-
prets such information to facilitate
policy formulation and decision making;
(5) coordinates Congressional cor-
respondence for the Service. .
"Management Appraisal Office (2815).
(1) Promotes the principles and practice
of good management; (2) makes recom-
‘mendations for establishing new or
revised management policies; (3) reviews
organizational proposals; (4) develops
recommendations for improved proce-
:dures; (5) conducts surveys and ap-
‘praisals of organizational units and
‘activities; .(6) advises professional per-
‘sonnel on management matters; (7)
-maintains liaison with the Bureau of
Indian Affairs; (8) promotes and co-
ordinates staffing studies.

Information Office (2817), (1) De-
velops informational programs; (2) dis-
seminates information on the health
needs of Indians and Alaska Natives and
on available services; (3) maintains
liaison with voluntary health agencies,
mass and special media writers interested
‘in Indian health and national press,

 

 

-10-

NO, 212—-WEDNESDAY, OCTOSER 30, 1968

nongovernmental agencies, and tribal »

needs, accomplishments and personnel |
15962

radio and television news outlets; (4)
provides guidance to Area Offices on in-
formation matters.

Office of Administration (2819), (1)
Plans, develops and coordinates admin-
istrative activities of the Service, includ-
ing administrative services, personnel
management, and financial manage-
ment activities; (2) participates in ad-
ministrative staff recruitment, assign-
ment, and development.

Health Programs Systems Center
(2820). A center for development and
demonstration of management systems
for administration, planning, allocation
of and benefit assessment of program for
indivicual and community health serv-
ices; development and operation of op-
timal delivery systems for comprehensive
health services for the American Indian
in the Tucson, Ariz., area; and for con-
sultation and technical assistance to all
operating and management levels of the
Indian Health Service in the evaluation,
requirement analysis, design and impie-
mentation of health management and
services delivery systems,

Office of Program Planning and Eval-
uation (2831). As a staff resource for the
Service Director, coordinates program
planning and evaluation activities for
the Service, including: (1) Development
of program planning criteria, and evalu-
ation methodology; (2) assists in devel-
opment of program goals and reporting
of progress; (3) assistance in develop-

NOTICES

ficiaries; (2) provides advice and con-
sultation in these matters.

Office of Environmental Health (2845).
(1) Plans, develops, coordinates, and ap-
praises environmental health activities
which include environmental health
services and sanitation facilities con-
struction for beneficiaries; (2) partici-
pates in professional staff recruitment,
assignment and development.

Field Organization. The Indian Health
Service mission is accomplished in the
field through Indian (or Alaska Native)
Health Area Offices and Subarea Offices,
Hospitals, Medical Centers, Health Cen-
ters, Health Stations, and other facilities.

FepERAL HEALTH PROGRAMS SERVICE
(2900)

Carries out programs to provide: (1)
Comprehensive direct health care for
designated Federal peneficiaries and se-
lected community groups; (2) occupa~

. tional health care and safety services for

ment of program and policy alternatives ,

for management decision; (4) provision
of planning, reporting and analytical
functions for both Service and Adminis-
tration use in support of policy formula-
tion and program implementation; (5)
provision of advice on operational impli-
cations arising from activities of the
Office of the Director; (6) collaboration
with appropriate fiscal and budget offices
in development and implementation of
the 5-year program and financial plan;
(7) maintenance of liaison with other
elements of the Administration and
other Federal and non-Federal agencies;
(8) development of improved methodolo-
gies for program planning and. evalua-
tion, and monitoring their installation

Federal employees; (3) national plan-
ning, advance preparation, and logistic
support for emergency health services;
(4) training for health services person-
nel: and (5) the conduct of intramural
clinical and health services research.

Office of the Director (2901). (1)
Plans, develops,.coordinates, and admin-
isters the programs of the Service and
(2) provides advice to the Administrator
on policy matters concerning such pro-
grams.

Office of Policy Coordination 291i).
(1) Provides consultation, guidance, and
coordination in policy development for
the Service: and (2) develops and assists
in the formulation or evaluation of legis-
jation, regulations, policies, and proce-
dures.

Office of Health Manpower Develop-
ment (2912). (1) Provides leadership,
guidance, and coordination to overall

. Service professional and technical health

and use; (9) identification of needs for

legislative action; and (10) participa-
tion in recruitment, assignment, and de-
velopment of program planning staff
within the Service.

Office of Special Services (2833). (1)
Promotes and coordinates research; (2)
develops and structures program innova-
tions for implementation by operating
offices; (3) plans and directs the train-
ing activities of the Indian Health Serv-
ice and the Indian Health Service Train-
ing Center; (4) develops new training
methodologies as required by new pro-
gram developments; and (5) promotes,
coordinates, and directs domestic and
non-domestic special projects that ex-
pand.the effectiveness of the Indian
Health Program.

Office of Program Services (2841). (1)
Plans, develops, coordinates, and ap-

praises professional and program serv- .
- matters; (3) reviews, edits, and writes

ices relating to the medical care and
preventive health services provided bene-

FEDERAL REGISTER, VOL. 33,

manpower development activities; (2)
conducts and provides consultative serv-
ices in the planning and programming
for professional and technical Service
training and career development activi-
ties: (3) coordinates affiliation agree-
ments for training; (4) cooperates with
other offices in personnel recruitment,
utilization, and evaluation; and (5)
maintains liaison with other agencies
and accrediting organizations.

Office of Professional Services (2913).
(1) Provides leadership, guidance, and
coordination to the overall Service pro-
fessional activities; (2) coordinates and
evaluates the clinical care activities of
the Service; (3) participates in profes-
sional staff recruitment and assignment;
(4) maintains liaison with other Federal
agencies, accrediting organizations and
related professional groups; and (5) pro-
vides medical and consultative services to
other agencies of the Federal Govern-
ment.

Office of Information (2917). (1) De-
velops and conducts an information pro~
gram consonant with the purposes and
needs of the variety of programs of the
Service; (2) advises on public relations
policy, including guidance in such

-“11-

general, professional and technical
articles and presentations; and (4) co-
ordinates and maintains liaison within
and outside the Department to further
the information and public relations ob-
jectives of the Service.

Office of Administrative Management
(2919). Provides leadership, guidance,
and coordination to.the Service’s man-
agement activities including (1) the con-
duct. and coordination of the Service's
management plans and programs, (2)
the development, coordination, evalua-
tion of administrative programs, policies
and standards; (3) participation in ad-
ministrative staff recruitment training
and assignment; and (4) providing of
consultative services to and the mainte-
nance of liaison with other agencies and
organizations.

Office of Research (2921). (1) provides
leadership, guidance, and coordination to
the research activities of the Service; (2)
coordinates the planning and program-
ing of intramural research; (3) develops
and administers research program
policies and standards; (4) coordinates
collaborative research activities with
other agencies and organizations, includ-
ing research projects under the Special
International Research Program (Public
Law 480); (5) provides consultant serv-
ices to other agencies and organizations;
and (6) maintains liaison with other
‘Government and non-Government re-
search organizations.

Office of Program Planning and
Evaluation (2931). Provides staff sup-
port to the Service Director through
development and operation of the pro-
gram planning and evaluation function
for the Service, which includes: (1) Pro-
gram planning, coordination, and evalua-
tion: (2) development of program goals
and reporting of progress; (3) develop-
ment of program and policy alternatives
for management decision; (4) exercise
of planning, reporting and analytical
functions for both Service and Admin-
istration use in support of policy for-
mulation and program implementation;
(5) provision of advice on program,
policy, and operational implications
arising from activities of the Office of
the Director; (6) collaboration with ap-
propriate fiscal and budget offices in
development and implementation of the
5-year program and financial plan; (7)
maintenance of liaison with other
elements of the Administration and other
Federal and non-Federal agencies; (8)
development of improved methodologies
for program planning and evaluation,
and monitoring and guidance of their in-
stallation and use; (9) identification of
the need for legislative action; (10) co-
ordination of the Service’s facilities
modernization program changes; and
(11) facilities systems analysis.

Division of Federal Employee Health
(2945). (1) Provides consultation on,
and stimulates the development of, im-
proved occupational health and safety
programs throughout the Government;
(2) evaluates upon request, Federal
agency occupational health services in
relation to standards; (3) administers
employee occupational health programs

NO. 212—-WEDNESDAY, OCTOBER 30, 1968
for other Federal agencies on a reim-~
pursable basis; (4) conducts research
studies, training and demonstration proj-
ects; (5) develops occupational medical
standards and methods for Federal em-
ployee occupational health programs;
and (6) promotes activities designed to
protect the working health and safety of
Federal employees in order to maximize
thelr productivity.

Division of Emergency Health Services
(2951). Develops, plans, and administers
programs covering all aspects of emer-
gency health and medical services and
resources applicable to all contingen-
cies ranging from natural disasters to
thermonuclear attack, including such
programs as (1) the management of the
emergency medical stockpile; (2) re-
search; (3) resource analysis; and (4)
the provision of guidance, training, and
consultation to health agencies and
facilities.

U.S. Coast Guard Medical Program
(2971). (1) Develops and directs a com-
prehensive medical program for military
personnel of the Coast Guard; and (2)
provides medical and dental.care to Coast
Guard military personnel and eligible de-
pendents through hospitals, clinics, in-
firmaries, sick bays, motorized dental
units and contract resources located
throughout the United States and foreign
countries and aboard Coast Guard
vessels.

Bureau of Prisons Medical Program
(2981). (1) Develops and directs a com-
prehensive medica) program for prisoners
in Federal prisons and correctional in-
stitutions; (2) provides medical, psy-

chiatric, and related services for such -

prisoners through hospitals and infir-
maries located primarily at Bureau of

Prisons facilities; (3) collaborates in .

planning prison hospital construction;
and (4) helps develop standards for
medical care in State and county prisons.
Bureau of Employees’ Compensation
Medical Program (2991). (1) Develops
and directs a comprehensive medical
services program for Federal employees
who sustain an injury or illness as a
result of their employment; (2) provides
technical advice in the adjudication of
compensation claims; and (3) partici-
pates in staff educational activities.

Field Organization. The Service pro- |

vides a comprehensive program of direct
health care for designated Federal bene-
ficiarles and selected community groups;
carries out the training of health serv-
ices personnel; conducts intramural and
health services research; plans and per-
forms activities in support of and in co-
operation with intra-agency and inter-
agency sponsored community programs.
The mission of the Service is carried out
through a system of hospitals, clinics,
dispensaries, mobile units, health units,
medical stockpile depots, and other
facilities.

Sec. 5-C Delegations of Authority.
The order of succession and delegations
of authority to the Administrator, and
related matters are indicated below.

Order of succession. During the ab-
serice or disability of the Administrator

or in the event of a vacancy in that office, ©

FEDERAL REGISTER, VOL. 33, NO. 212—-WEDNESDAY, OCTOBER 30, 1968

NOTICES

the first official listed below who is avail-
able shall act as Administrator, except
during a planned: period of absence for
which a different order has been specified
under (2) below:

(1) (a) Deputy Administrator; (b)
Associate Administrator.

(2) For a planned period of absence,
the Administrator may specify a different
order of succession.

Delegations of authorities. The Admin-
istrator shall continue to exercise all of
the authorities given to him under the
April 1, 1968, Redelegation by the Assist-
ant Secretary for Health and Scientific
Affairs (33 F.R. 5426) as amended May 1,
1968, (33 F.R. 6891 ) and the Secretary’s
Reorganization Order of July 1, 1968 (33
F.R. 9909). All delegations or redelega-
tions to any officers or employees of the
Administration which were in effect im-
mediately prior to the effective date
hereof continue in effect in them or their
successors.

Dated: October 24, 1968.

Donan F. Smmpson,
Assistant Secretary
for Administration.

[F.R. Doc. 68-13160; Filed, Oct. 29, 1968;
8:47 am.]

-12-

15963

 
 

 

 

ee
H S M HA See pages 14-15 for CHART

NEWS REORGANIZED STRUCTURE
GETS SECRETARY’S APPROVAL
po

The organizational structure of the Health Services and Mental Health
Administration (HSMHA) was announced this week following formal approval by
Secretary of Health, Education, and Welfare, Wilbur J. Cohen.

The structure has been the basis for HSMHA operations since September I,
1968, with Irving J. Lewis, Deputy Administrator, designated Acting Administra-
tor of HSMHA by the Secretary on September 3. °

Dr. Alan W. Donaldson will continue to serve as Associate Administrator.
Other top assignments are:

Dr. Paul Q. Peterson, Associate Administrator for Direct Health Programs.
Dr. Peterson previously was Deputy Director of the Bureau of Health Services.
In his new assignment he will coordinate the direct health care programs of
HSMHA serving merchant seamen, American Indians, Alaska Natives, and
Programs for the U.S. Coast Guard, the Bureau of Prisons, and the Bureau of
Employees' Compensation.

Assisting Dr. Peterson, as Deputy Associate Administrator for Direct |
Health Programs, will be Dr. Kazumi Kasuga.

Dr. Robert Leslie Smith, Regional Health Director in San Francisco, who
currently is serving as Special Assistant for the Partnership. for Health Program.
Dr. Smith has been temporarily assigned to Mr. Lewis' office to direct a task
force of officials from various parts of HSMHA to assess the result of the first
two years of operation under the new Partnership for Health law.

The four major staff offices in the Office of the Administrator will be
under the direction of: Assistant Administrator for Management, John H.
Kelso; Assistant Administrator for Program Planning and Evaluation, Karl D.
Yordy; Assistant Administrator for Legislation, Dr. J. Jefferson Bennett; and

Assistant Administrator for Information, Edward J. McVeigh.
( Continued on page-4)

 

-13-

 
-PiI-

 

HEALTH SERVICES & ee
MENTAL HEALTH ADMINISTRATION orrict oF re aommnzr¥aron
Irving J. Lewis

Acting Administrator:
Deputy Administrator: leviog +. Lewis
Assaciate Administrator: Dr. Alan W. Donaldson
Associate Administrator~Direct Health Programs: Dr, Paul Q. Peterson
Associate Administrator~Intergovernmental Programs: Wocancy
*

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

  
    
  
    
  
   
 
 
   

 

ASSISTANT ADMINISTRATOR ASSISTANT ADMINISTRATOR ASSISTANT ADMINISTRATOR ASSISTANT ADMINISTRATOR
FOR INFORMATION FOR MANAGEMENT FOR PROGRAM PLANNING FOR LEGISLATION
AND EVALUATION
Edward J. McVeigh John H. Kelso Dr. J. Jefferson Bennett
Horace G, Ogden Soul R. Rosoff Karl D. Yordy Elton D, Woolpert
Office of Information Office of Management Policy Office of Program Plonning and Office of Legislation
Office of Systems Manogament Evaluation
Office of Finonctol Monogement
Office of Procurement and
Materiel Management
Office of Buildings and Foctlitles
Office of Grants Managemant
Office of Personnel
NATIONAL CENTER FOR HEALTH SERVICES NATIONAL CENTER FOR HEALTH STATISTICS NATIONAL COMMUNICABLE NATIONAL INSTITUTE OF MENTAL HEALTH
RESTARCH AND DEVELOPMFNT DTANT CETTE
Dr, Pal J, Saree Thehoe D, Wuuhey 1h, David by ‘eonue bn, fieolny ts Yedle
Dr, Nesmis MeCurthy Wy eda Re Buhay: . - —
Re ee fe een ce ee eee : - wees a coe Olfice of the Director
Office of Communications
Office of the Director Office of tha Director Office of tha Director Office of Administrative Monogement
Ligison Staff Olfice of Information Office of Internotional Services Office of Program Planning ond Evaluation
Office of Grants and Contracts Manogement Office of Administrative Managemant Office of Information Office af Program Liaison .
and Review Office of Program Planning and Evaluation . Office of Reteorch Grants
Cifice of Information Office of Starisricel Methods Staff Services - Administrative Management Mentol Health Intromuro! Research Program
Office of Administrative Management Office of Intemational Statistical Programs Office of Program Planning and Evaluation Division of Clinical and Behavioral Rasaarch
Program Planning and Evaluation Staff Office of Stote Services Ecological Investigations Program Divito of Specs Maal Heals Reeeeae
° f Heal th Statistics Anal yt fpidemiology , Division of Extramural Research Programs
i of rea raristics ne Foreign Quarantine Program Division of Manpower ond Training Programs
Health Economies Analysis Program Division of Vitot Statistics Malaria Eradication Program divin Sf Aantal Health Service Programs
Health Core Technology Program Division of Health Examination Statistics Smallpox Eradication Program Division of Special Mental Health Programs
Health Care Institutions Program Division of Health interview Stotistics Training Program Division of Narcotic Addiction and Daag Abuse
Social Analysis and Evalvation Program Division of Health Resources Stotistiet Laboratory Division Notional Center for Mento! Health Services
Health Care Organization and Delivery Program sion of Data Processing State and Community Services Division Training, ond Reseorch ,
Health Menpower Utilization Progrom a
Health Care Date Systems Program Field Stations and Laboratories and Comncamy eerie non of Ctaieat

Seymour D, Vewermarie - Divition of uzwmoral Training
Wintred Overtoleer = Division of Clinical Resarch

am a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HEALTH FACILITIES PLANNING AND REGIONAL MEDICAL PROGRAMS INDIAN HEALTH SERVICE FEDERAL HEALTH PROGRAMS SERVICE
COMMUNITY HEALTH SERVICE
CONSTRUCTION SERVICE SERVICE
Dr. Horald M. Groning Or, Stanley W, Olson Dr. Erwin $. Rabeou Dr. Robert von Hoek
Dr. H, McDonald Rimpie Br. John W. Cashman, Acting Director Or, Donald R. Chadwick Or. Emery A. Johnson Or. Jock Butler
Te em pO Office of the Director
Office of the Director Office of the Director Office of the Director Office of the Director Office of Policy Coordination
; . Oifice of Information Office of Tribal Affairs Office of Health Manpower Development
Office of Program Planning and Anolysis Office of Administrative Management Division of Regional Medice! Programs Monagement Appraisal Office Office of Professional Sevices
Office of Architecture and Engineering Office of Field Services Division of Chronic Disease Programs Office of taformation Cice of i
Office of Equipment Consultation Office of Information. Office of Information
ministration i Heouaie
Olfice of Congul tation on Hospitat Division of Analysis ond Evaluation Health Programs Systems Center Office of Administrative Management
Functions Division of Comprahersiva Health Office of Program Planning and Office of Program Planning and
Office of Store Plans Planning Evaluation nee

Office of Special Services
Office of Progrom Services
Office of Environmental Health

Division of Health Standards
Division of Health Retources
Division of Health Core Services

ion of Federal Employes Hectth
jon of Emergency Heal th Services

 

 

‘ REGIONAL HEALTH ORGANIZATION Area Offices and Hospitals, Clinics Hospitals end ta ieatalieaiiad

ond Centers Bureau of Prisons Medical Program

U.S. Coast Guord Medical Program

Bureau of Empleyees' Compensation
Medical Program

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

% Equel Employment Opportunity Officer, Patent Advisor, Regional Representotive, and Chief Professional Officers.
 

Operating components of the Administration include:

« National Institute of Mental Health, Dr. Stanley F. Yolles, Director
and Dr. Bertram Brown, Deputy Director.

- Community Health Service (combining the Office of Comprehensive
Health Planning with components of the Division of Medical Care Administration) ,

Dr. John Cashman, Acting Director.

- Regional Medical Programs Service (including elements of the National
Center for Chronic Diseases), Dr. Stanley W. Olson, Director, and Dr. Donald

R. Chadwick, Deputy Director.

~ National Center for Health Services Research and Development,
Dr. Paul J. Sanazaro, Director, and Dr. Thomas McCarthy, Deputy Director.

. National Communicable Disease Center, Dr. David E. Sencer, Director,
and Dr. John R. Bagby, Deputy Director.

. Health Facilities Planning and Construction Services (replacing the
Division of Hospital and Medical Facilities), Dr. Harald M. Graning, Director,
and Dr. H. McDonald Rimple, Deputy Director.

. National Center for Health Statistics, Theodore D. Woolsey, Director

. Indian Health Service, Dr. E. S- Rabeau, Director, and Dr. Emery A.
Johnson, Deputy Director.

- Federal Health Programs Service (including the former Division of Direct
Health Services, the Division of Federal Employee Health, and the former
Division of Health Mobilization now renamed as the Division of Emergency
Health Services), Dr. Robert van Hoek, Director, and Dr. Jack Butler, Deputy
Director. This Service will also have the responsibility for providing
administrative and professional support for the Medical Programs of the Bureau
of Prisons, the U.S. Coast Guard, and the Bureau of Employees’ Compensation.

The delegations of authority stipulate: "The Administrator shall continue
to exercise all of the authorities given to him under the April |, 1968, re-
delegation by the Assistant Secretary for Health and Scientific Affairs (33 F.R.
5426) as amended May |, 1968 (33 F.R. 6891) and the Secretary's Reorganization
Order of July |, 1968, (33 FR. 9900). All delegations or redelegations to any
officers or employees of the Administration which were in effect immediately
prior to the effective date hereof continue in effect in them or their successors. "

Agency Has Nine Uperating Lomponents ————

 

HSMHA News

 

 

gies Editor
tee mae enemas

Irving J. Lewis
Acting Administrator, HSMHA

Edward J. McVeigh
Information Director

Health Services & Mental Health Administration

Public Health Service

 

ir :
om. Brubeck U.S. Department of Health, Education, and Welfare