• 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

" Front Matter ." HHS in the 21st Century: Charting a New Course for a Healthier America . Washington, DC: The National Academies Press, 2009 .

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