mission and responsibilities, 8, 77, 166, 229

organizational structure, 26, 89 n.2, 165, 214, 218

origin, 229

statutory requirements and constraints, 89 n.2, 218-219, 228-231

Agency for Toxic Substances and Disease Registry (ATSDR), 26, 29, 165, 166, 223-224, 249-250

Alignment.

See also Organizational structure of HHS;

Structure of HHS

defined, 59

Alzheimer’s disease, 73, 242

American Indians and Alaska Natives, 59, 167, 217.

See also Indian Health Service

Amyotrophic lateral sclerosis, 73

Asian Americans, 14, 116

Assistant secretary for health (ASH), 26, 42, 47, 61, 62, 64, 165, 205, 214, 224, 227, 250

Association of State and Territorial Health Officials, 118

Autism, 73, 237

B

Baby boom generation, 1, 21, 109, 113 n.4, 134, 224

Balanced Scorecard, 132

Beering, Steven, 121

Best Pharmaceuticals for Children Act, 220

Biomedical research, 73, 74

Bioterrorism, 1, 41, 102

Budget for HHS, 1.

See also individual agencies

continuing resolutions, 76

departments compared, 21, 22

discretionary, 3, 30, 46, 143-144

distribution across agencies and programs, 27, 28

predictability across Public Health Service agencies, 48

President’s 2009 requests, 14, 21, 28, 29-30, 76, 117, 129 n.2

research funding, 76-77

splintered appropriations and earmarks, 5, 141

strategic initiative fund, 17, 19, 37, 126, 143, 144, 173

Bureau of Labor Statistics, 120

C

Carmona, Richard, 64, 74-75

Center for Comparative Effectiveness Research, 89 n.2

Center for Faith-Based and Community Initiatives, 60

Center for Food Safety and Applied Nutrition, 78-79

Center for Veterinary Medicine, 76-79

Centers for Disease Control and Prevention

budget allocations, 10, 28, 29, 35, 48, 57, 76, 77, 152, 172

data collection and sharing, 11, 51, 187, 190, 262

director’s term and selection process, 9, 34-35, 56, 62, 66, 68, 94, 171-172

food safety functions, 79-80, 82

mission and responsibilities, 7, 166

organizational structure, 26, 62, 165, 214, 219

origin, 27, 219

science base and scientific credibility, 75

Front Matter (R1-R20)

Summary (1-20)

1 Introduction (21-38)

2 Define a Twenty-First Century Vision (39-54)

3 Foster Adaptability and Alignment (55-86)

4 Increase Effectiveness and Efficiency of theU.S. Health Care System (87-104)

5 Strengthen the HHS and U.S. Public Healthand Health Care Workforces (105-124)

6 Improve Accountability and Decision Making (125-146)

7 The Transition (147-158)

Appendix A Acronyms and Abbreviations (159-162)

Appendix B Letter from Congressmen Waxman and Davis (163-164)

Appendix C HHS Organizational Chart and Missions (165-168)

Appendix D U.S. Secretaries of Health, Education, andWelfare (1953–1979) and HHS (1980–Present) (169-170)

Appendix E Recommendations Directed to Congress (171-174)

Appendix F Dissenting Opinions on Recommendation 3a (175-190)

Appendix G The Reorganization Option:Views from Former Secretaries of the U.S.Department of Health and Human Services (191-208)

Appendix H Statutory Framework for the Organization and Management of the U.S.Department of Health and Human Services (209-274)

Index (275-290)