Office
of the Director (GA).
Provides
overall direction and leadership for the IHS by :(1) Establishing goals and
objectives for the IHS consistent with the mission of the IHS; (2) providing
leadership during the development
of health care policy; (3) providing leadership to ensure the delivery
of quality comprehensive health
services; (4) coordinating the IHS activities and resources internally
and externally with the activities and
available resources of other governmental and nongovernmental programs,
promoting optimum utilization of
all available health resources; (5) advocating for the health needs and
concerns of American Indians and Alaska
Natives (AI/AN) and promoting the IHS programs at the local, State, national,
and international levels; (6)
developing and demonstrating alternative methods and techniques of health
services management and delivery
with maximum participation by Indian tribes and Indian organizations; (7)
supporting the development of
individual and tribal capacities to participate in Indian health programs
through means and modalities that they
deem appropriate to their needs and circumstances; (8) affording Indian people an opportunity to enter a
career
in the IHS by applying Indian preference; (9) disseminating information
to IHS consumers and the
general public regarding the activities of the IHS and the health status
of AI/AN people and communities; and
(10) ensuring full application of the principles of Equal Employment Opportunity
laws and the Civil Rights Act
in managing the human resources of the IHS.
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Urban
Indian Health Programs Staff.
(1)
Advises the Director, IHS, on the activities and issues related to the
IHS implementation of Title
V of the Indian Health Care Improvement Act, as amended;(2) develops and
recommends policies,
administrative procedures and guidelines for IHS services and activities
for urban Indian health programs
and organizations;(3) assures that urban Indian health programs and organizations
are informed of pertinent
health policy and that consultation with urban Indian health programs and
organizations occurs during
the development of IHS policy;(4) supports urban Indian health programs
and organizations in managing
health programs and coordinates support available from other public
and private agencies and organizations;
(5) advises the Director, IHS, on agency compliance to urban Indian health
program policies, administrative
procedures and guidelines;(6) maintains relevant information on urban Indian
health programs and
organizations; and (7) coordinates meetings and other communications with
urban Indian health program representatives.
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Congressional
and Legislative Affairs Staff
(1)
Is the principal advisor to the Director, IHS, on all legislative and congressional
relations matters; (2)
advises the Director and other IHS officials on the need for changes in
legislation and manages the development
of IHS legislative initiatives;(3) serves as the IHS liaison office for
congressional and legislative
affairs with congressional offices, the Department of Health and Human
Services (HHS), the
Office of Management and Budget (OMB), other Federal agencies, and the
White House; (4) tracks
all major legislative proposals in Congress that would impact on Indian
health and ensures that
the Director and appropriate IHS and HHS officials are briefed on potential
impact of proposed legislation;
(5) represents the IHS in discussions regarding policy, legislative initiatives/implementation
and
provides technical assistance and advice relative to the effect initiatives/implementation
would have on
the IHS;(6) collaborates with the Office of Management Support and the
Office of Public Health on programmatic
and financial issues related to budget formulation;(7) coordinates the
preparation and IHS internal
review and clearance process for the Agency Congressional Budget Justification
at the Department level;(8)
conducts the legislative analysis, and provides support and liaison to
the Director relative to IHS appropriations
efforts; (9) directs the development of IHS briefing materials for congressional
hearings, testimony,
and bill reports; (10) analyzes legislation for necessary action within
the IHS, and develops appropriate
Legislative Implementation Plans; and (11) provides leadership, advocacy,
and technical support
to respond to requests from the public, including tribal governments, tribal
organizations, and Indian
community organizations regarding IHS legislative issues.
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Policy
Support Staff.
(1)
Coordinates the review and analysis of policy-related issues, and advises
the Director, IHS, of options
for resolving problems caused by existing or proposed IHS policy; (2) forecasts
the costs, benefits,
and long-term results of policy options; (3) assures IHS policies are consistent
and do not conflict;
(4) provides leadership on behalf of the Director to functional area managers
at IHS Headquarters
in developing or modifying and overseeing the implementation of IHS policies
and procedures;(5)
organizes, facilitates, and supports stakeholder task teams to advise the
Director on major
policy issues;(6) completes special assignments for the Director that may
require coordination with
other IHS offices or other Federal agencies, tribes, or tribal organizations;
(7) serves as the IHS liaison
for intergovernmental and private sector initiatives that impact health
care services and management
of the IHS, and participates on intergovernmental task forces; (8) represents
the Director in
meetings with IHS employees and high-level management officials within
the IHS, the HHS, or other Federal
agencies, tribes, and other organizations;(9) provides staff support to
the Director, including preparation
of presentations and briefings; and (10) provides staff support to the
Council of Area and Associate
Directors (the Council), the Executive Leadership Group of the Council,
and other standing committees
of the Council.
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Public
Affairs
(1)
Is the principal advisor to the Director, IHS, for strategic planning on
communications, media relations, and
public affairs policy formulation and implementation and for assuring that
IHS policy is consistent with directives
from the Assistant Secretary for Public Affairs; (2) establishes and implements
policy for the internal
and external dissemination of Agency information; (3) is the central focus
office for technical guidance
and assistance to IHS staff for the development of internal and external
communications, media
relations, and public affairs activities; (4) coordinates the IHS communications
and public affairs activities
with other public and private sector organizations; and (5) coordinates
the clearance of IHS public
relations activities and communications materials. To
provide for the full participation of Indian tribes in the programs and
services provided by the Federal Government,
and to ensure that the responsibilities of the United States are not waived,
modified, or diminished,
in any way with respect to Indian tribes and individual Indians, by any
grant, contract, compact,
or funding agreement awarded by the IHS under the Indian Self-Determination
and Education Assistance
Act, as amended, the:
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Office
of Tribal Self Governance (GA-1)
(1)
Develops and oversees the implementation of Tribal self-governance legislation
and authorities in the IHS, under
Title III of the Indian Self Determination and Education Assistance Act,
as amended; (2) develops and recommends policies, administrative procedures, and guidelines for self-governance
tribal activities, with maximum
input from IHS staff and workgroups, tribes and tribal organizations, and
the Tribal Self Governance Advisory
Committee; (3) advises the Director on Agency compliance with self-governance
policies, administrative
procedures and guidelines and coordinates activities for resolution of
problems with appropriate
IHS and HHS staff; (4) provides technical assistance and support in the
development of the Tribal Self-Governance Demonstration Project; (5) participates
in the reviews, and recommends approval, of proposals
from tribes for self-governance planning and negotiation grants; (6) oversees
the negotiation of self-governance
compacts and annual funding agreements with participating tribal governments;(7)
in conjunction
with IHS Area and Headquarters components, identifies the amount of Area
office and Headquarters
managed funds necessary to implement the annual funding agreements and
prepares annual
budgets for available tribal shares; (8) coordinates semi-annual reconciliation
of funding agreements
with IHS Headquarters components, Area offices, and participating tribes;
(9) is the principal
IHS office for developing, releasing, and presenting information on behalf
of the IHS Director
related to the IHS tribal self-governance activities to tribes, tribal
organizations, HHS officials,
IHS officials, and officials from other Federal agencies, State and local
governmental agencies,
and other agencies and organizations; (10) arranges national self-governance
meetings to promote the
participation by all AI/AN tribes in IHS self-governance activities and
program direction; and (11) coordinates
meetings for self governance tribal delegations visiting IHS Headquarters.
And, the
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Office
of Tribal Programs (GA 2) 
(1)
Advises the Director, IHS, on the activities and issues related to IHS'
implementation of self determination
under Title I of the Indian Self Determination and Education Assistance
Act, as amended; (2)
develops and recommends policies, administrative procedures, and guidelines
for a range of IHS services and
activities for Title I tribes and direct service tribes, and advises the
Director of the effect they have on health
programs; (3) assures that Indian tribes and Indian organizations are informed,
regarding pertinent health policy and-program management issues, and that
consultation and participation by tribes and Indian organizations
occurs during the development of IHS policy;(4) administers the Tribal
Management Grant Program
to assist tribes in developing and strengthening their capabilities in
managing health programs; (5)
supports Title I tribes in managing health programs and coordinates support
available from other public and private agencies and organizations;(6)
advises the Director, IHS, on Agency compliance to IHS self determination
program policies, administrative procedures, and guidelines; (7) coordinates
implementation of special
Indian legislation and authorities;(8) maintains relevant information on
Indian tribes and programs, and IHS
tribal self determination policies; (9) coordinates meetings and other
communications with non-self- governance
tribal delegations; and (10) is the principal IHS office for developing,
releasing, and presenting information
on behalf of the IHS Director related to the IHS tribal self-determination
activities to tribes, tribal organizations,
HHS officials, IHS officials, and officials from other Federal agencies,
State and local governmental agencies, and other agencies and organizations.
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Federal
Employment Opportunity and Civil Rights Staff (GA-3)
(1)
Administers the IHS equal employment opportunity, civil rights, and affirmative
action programs, in
accordance with applicable laws, regulations, and HHS policies; (2) plans
and oversees the implementation of
IHS affirmative employment and special emphasis programs; (3) reviews data
on IHS employee personnel actions
and advises IHS managers of discriminatory trends; (4) ensures immediate
action on complaints of alleged
sexual harassment or discrimination on the basis of sexual orientation;
(5) decides on accepting, for investigation,
or dismissing discrimination complaints and evaluates accepted complaints
for procedural sufficiency
and investigates, adjudicates, and resolves such complaints; and (6) develops
EEO education and training
programs for IHS managers, supervisors, counselors, and employees.
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Office
of Management Support (GAA)
(1)
Provides advice and support to the Director and IHS managers on administrative
and management regulations,
policies, and procedures; (2) provides IHS-wide leadership, guidance, and
support in the management
of financial, human, personal property, supply, and information resources;
(3) formulates, administers,
and supports IHS-wide policies, delegations of authority, and organizations
and functions development;
(4) provides leadership, direction, and coordination of activities for
continuous improvement
of management accountability and administrative systems and for effective
and efficient program
support services IHS-wide; (5) administers a program for assuring the integrity
of IHS employees
in performance of their official duties and responsibilities that conforms
with applicable laws, regulations,
and guidance from within the Department and from other Federal oversight
agencies, and directs
the process for personnel security and suitability in the IHS; (6) ensures
the accountability and integrity
of acquisition and grants management, personal property utilization, and
disposition of IHS resources;
(7) assures that the IHS management services, policies, procedures, and
practices support IHS Indian
Self Determination policies; (8) administers the control and quality of
IHS reports, correspondence, and
publications charged to Headquarters officials for internal or external
dissemination, including regular and
special reports required by the Department and the Congress; (9) advises
the Director on statutory and regulatory
issues related to the IHS and coordinates resolution of IHS legal issues
with the Office of the General
Counsel (OGC), IHS staff, and other Federal agencies; (10) provides leadership
and advocacy of
the IHS mission and goals with the Department, Administration, Congress,
and other external authorities; (11)
assures that IHS appeal systems meet legal standards;(12) assists in the
assurance of Indian access to State,
local, and private health programs; (13) manages IHS compliance with ethics
requirements including the
Federal Managers Financial Integrity Act; and (14) assures that access
to IHS records meet statutory
requirements.
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Program
Integrity and Ethics Team
(1)
Directs the investigation and resolution of allegations of impropriety,
mismanagement of resources,
abuse of authority, violations of Standards of Conduct, or other forms
of wrongdoing or mismanagement;
(2) formulates plans and provides leadership, guidance, and evaluations
for the IHS Personnel
and Physical Security programs; (3) provides focus for IHS-wide management
investigative capability
for hotline cases; (4) provides focus for management of the IHS-wide Ethics
program; (5)
develops and recommends policies and procedures related to employee ethics,
financial interests, and
outside activities;(6) advises IHS management of appropriate corrective
and remedial actions to be taken
on investigatory findings and recommendations; and (7) provides management focus
and guidance for the IHS-wide employee drug testing program.
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Executive
Secretariat (GAA-1).
(1)
Reviews, analyzes, and coordinates correspondence received by the IHS Office
of the Director (OD); (2)
assigns and controls required correspondence followup action by appropriate
functional areas at IHS
Headquarters and Areas; (3) assigns, controls, and tracks reports required
by the Congress; (4)
ensures the quality of correspondence, reports, and publications from IHS
Headquarters and
Area offices that require signature by IHS OD for internal and external
distribution; (5)
conducts training to promote conformance by IHS Headquarters and Area staff, on
the IHS Executive
Correspondence Guidelines, other good correspondence practices,
and/or the requirements of
higher echelon organizations; (6) maintains an automated document tracking
system to assist in timely processing
of internal and external correspondence; (7) maintains official records
for OD correspondence and conducts
topic research of files, as needed; (8) writes, develops, prepares, and
coordinates documents for IHS OD
signature;(9) coordinates the review of policy issues that surface in prepared
responses or initiatives and resolves differences; and (10) ensures accurate
flow of correspondence and related information to tribes, tribal organizations, heads of Federal Government departments and agencies, congressional
staff offices, and
members of Congress.
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Management
Policy Support Staff (GAA-2)
(1)
Provides analysis, advisory, and assistance services to IHS managers and
staff for the development, clearance, and
filing of IHS directives and delegations of authority;(2) serves, as principal
advisor and source
for technical assistance for establishment or modification of organizational
infrastructures, functions,
and Standard Administrative Code configurations; (3) administers a program
for assuring IHS
compliance with management control requirements in the Federal Managers
Financial Integrity Act; (4)
coordinates the development, clearance, and transmittal of IHS responses
and followup to reports issued
by the Office of Inspector General (OIG), the General Accounting Office
(GAO), and other Federal
internal and external authorities; and (5) provides assistance and support
to special assigned task
groups, and conducts special program or management integrity reviews as
required.
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Division
of Administrative Support (GAA1)
Plans,
develops and directs program support and genera1 services programs; (2)
develops and disseminates
policy and procedural guidelines for uniform administrative services and
practices; (3)
provides guidance and support to IHS Headquarters and field in the development,
planning, and
implementation of administrative functions; (4) maintains liaison with
Department and General Services
Administration (GSA) on logistics issues affecting the IHS; (5) monitors,
evaluates, and reports
on administrative programs and services;(6) provides advice and technical
assistance on design
and layout, inventories, and print order tracking for IHS publications;
and (7) manages a variety
of special projects.
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Office
Services Team.
(1)
Administers office, supply, and space management services for Headquarters;
(2) develops and disseminates
policy and procedural guidelines for uniform office service programs;(3)
provides leadership and
coordination in planning, development, operation, and evaluation of special
office support programs in small
purchase acquisitions, GSA supplies, equipment, furniture, communications,
transportation, mail management, photocopying, and printing; and (4) manages
motor vehicles, personal property, and special projects
and interagency activities.
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Personal
Property Management Team
(1)
Plans, develops, and administers the IHS policies on personal property
management in conformance
with Federal personal property management laws, regulations, policies,
procedures, practices,
and standards;(2) interprets regulations and provides advice on execution
and coordination of personal
property management policies and programs; (3) develops and recommends
policies and procedures
for the protection and disposition of IHS records and oversees the evaluation
of Records Management
activities in the IHS;(4) administers management systems and methods for
planning, utilizing, and
reporting on administrative personal property management programs, . including
the IHS personal property
accountability and controls systems;(5) provides guidance and serves as
principal administrative authority
on Federal personal property management laws, regulations, policies, procedures,
practices, and standards;
(6) conducts surveys and studies involving evaluation and analysis of the
personal property management
activities IHS-wide; (7) maintains liaison with the Department and the
GSA on personal property
management issues and programs affecting the IHS; and (8) prepares reports
on IHS personal
property and develops statements for annual budget formulation and presentation.
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Division
of Financial Management (GAA2)
(1)
Develops and prepares the budget for the Office of Management and Budget
(OMB) submission and the President's
budget for the Indian Health Service and Facilities Appropriation; (2)
participates with Department officials
in budget briefings for the OMB and Congress; (3) distributes, coordinates,
and monitors resource allocations;
and (4) in collaboration with the Headquarters officials and the tribes,
develops and implements budget,
fiscal, and accounting procedures and conducts reviews and analyses to
ensure compliance in budget activities.
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Budget
Formulation and Presentation Branch (GAA21)
(1) Interprets policies, guidelines, manual issuances, OMB
circulars, and instructions of Congress, the OMB, the Department,
and IHS on formulation of preliminary, formal, and congressional
budget requests for the IHS and Indian Health
Facilities appropriation requests;(2) directs the collection,
review, and analysis of program and financial data from the Area
Offices, tribes, and tribal organizations to determine resource
requirements; (3) prepares witness information for hearings before
the House and Senate Appropriation Committees, House Committee on
Interior and Insular Affairs, the Senate Committee on Indian
Affairs, and other congressional committees as requested;(4)
coordinates development of responses and inserts to be used for the
record by and for congressional appropriations hearings; (5)
coordinates development of briefing materials in response to
congressional concerns and hearings; and (6) develops, implements,
and maintains IHS policies and procedures for congressional budget
liaison activities.
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Budget
Execution Branch (GAA22)
(1)
Interprets policies, guidelines, and directives from Congress, OMB, GAO,
Treasury, the Department, and IHS
on budget execution; (2) recommends and coordinates IHS Area Budget Execution;
(3) prepares apportionment
requests for the IHS and Indian Health Field appropriations;(4) consults
with the Headquarters officials
on Area funding allocations; (5) maintains fund control;(6) establishes
and maintains IHS Headquarters
memorandum-accounts-of-obligations; and (7) prepares reprogramming requests.
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Systems
Review Analysis Branch (GAA23)
(1)
Interprets policies, guidelines, and manual issuances of Congress, Treasury,
GAO, the Department, and IHS
on systems of fiscal management;(2) plans, directs, and implements fiscal
policies and procedures on Headquarters
and field accounting; 3) coordinates the cost accounting system in the
IHS; and (4) conducts reviews
and analysis of accounting and financial management operating systems.
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Division
of Acquisition and Grants Management (GAA3)
(1) Develops, recommends,
and oversees the implementation of policies and procedures and delegations
of authority
for the acquisition and grants management activities in the IHS, including
self-governance compacts, consistent
with applicable regulations, directives, and guidance from higher echelon
in the Department and Federal
government oversight agencies; (2) executes and administers contracts for
IHS Headquarters, grant awards
IHS-wide, and assists in acquisition and grants operations at field components
as required; (3) evaluates
compliance with acquisition and grants management related directives at
IHS Headquarters and Area
offices and oversees actions required to correct identified weaknesses;
(4) provides cost advisory and audit
resolution services in accordance with applicable statutes and regulations;
(5) advises the Director, Office
of Management Support, of proposed legislation, regulations, and directives
that affect contracts and financial
assistance programs in the IHS; (6) manages the IHS acquisition and grant
information systems and conducts
analysis of data for reports and/or responses to inquiries from internal
and external authorities; (7)
conducts training and provides advice and technical consultation for contracts
and grants policies and procedures
to IHS Headquarters and field components; (8) coordinates the IHS Small,
Disadvantaged, and
Women Owned Business programs and oversees compliance with the Buy Indian
Act; (9) is the IHS contact
point for contract protests, and to the Department and the GAO regarding
contract-related issues; (10)
administers the agency agreements program in the IHS; and (11) coordinates
the collection of disallowed
costs cited in reports of contractor and grantee audits.
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Acquisitions
Management Branch (GAA31).
1)
Develops and recommends policies and procedures for acquisition operations
in the IHS; (2) Provides advice,
technical consultation, and training to IHS Headquarters and field operations
staff; (3) reviews and makes
recommendations for approval/disapproval of contract related documents
such as: pre- and post-award
documents, unauthorized commitments, procurement planning documents, Justification
for Other Than
Full and Open Competition, waivers, deviations, and determinations and
findings that require action by
the Agency Principal Official Responsible for Acquisition, the Agency Head
of Contracting, or the Office of
the Secretary; (4) executes and administers contracts for IHS Headquarters
and field components as authorized;(5)
conducts compliance reviews of all IHS procurement operations, including
tribal contracting activities, and
recommends and oversees completion of necessary corrective actions; (6)
processes unsolicited
proposals for the IHS;(7) serves as IHS Bid Protest/Mistake in Bid control
point; (8) develops and
oversees compliance to policies and procedures for use of the International
Merchant Purchase Acquisition
Card in the IHS;(9) manages the Department acquisition training and certification
and the project
officer training programs in the IHS; (10) reviews, recommends, and issues
delegations of acquisition authority
in the IHS; and (11) supports and maintains the IHS Contract Information
System and controls entry of
data into the HHS Contract Information System.
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Grants
Management Branch (GAA32)
(1)
Awards and administers grants, compacts, and cooperative agreements for
IHS financial assistance programs;(2)
develops, recommends, and oversees the implementation of grant and compact-related
policy
and procedures;(3) manages the Department Grants Training and Certification
programs for IHS
and reviews and recommends delegations of authority to grants and compact
officials in the IHS; (4)
conducts oversight compliance reviews of IHS grants operations including
compacts, and recommends
and oversees completion of necessary corrective actions; (5) reviews and
makes recommendations
for improvements in grantee and potential grantee management systems; (6)
is the IHS liaison with Congress, the Department, and the public for grants
and other financial assistance
programs within the IHS; (7) maintains the Catalog of Federal Domestic
Assistance for IHS
financial assistance programs; (8) conducts grants-related training for
IHS staff, grantees, and
potential grantees;(9) coordinates payment to grantees including scholarship
recipients; and (10)
establishes and maintains the IHS automated Grants Information System and
controls data entry
into the HHS Grants Management Information System.
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Division
of Human Resources (GAA4)
(1)
Advises the Director, IHS, on personnel management issues, programs and
policies for Civil Service and
Commissioned Corps personnel programs; (2) assures implementation of the
Indian Preference policy
in all personnel practices; (3) develops personnel management policies,
programs, and reports in
accordance with applicable laws, regulations, and policies;(4) provides
personnel management and services
throughout IHS, to include, but not limited to, manpower planning and utilization,
staffing, recruitment,
compensation and classification, human resource development, pay administration,
labor, and
employee relations; (5) provides advice, consultation; and assistance to
IHS management and tribal officials
on tribal health program personnel policy issues; (6) provides technical
support, guidance, and assistance
on all personnel programs to IHS Headquarters operations and other organizations
as necessary; (7)
provides liaison for IHS commissioned corps activities with the Department
Division of Commissioned Personnel;
and (8) represents IHS in all personnel management matters.
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Human
Resources Advisory team.
(1) Plans, conducts, and evaluates personnel functional programs; (2) develops
IHS personnel policies, programs, and
reports; (3) provides personnel program and policy advice and assistance
throughout IHS; (4)
provides advice and assistance to IHS management and tribal officials on
tribal health program personnel
policies; and (5) develops and implements Indian Preference policies and
procedures.
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Human
Resources Operations Team
(1)
Plans and implements personnel servicing responsibilities for IHS programs
covered by the headquarters
appointing authority, including staffing, recruitment, classification, pay
administration, and
employee relations;(2) provides staff support for the establishment and
recruitment of Senior Executive
Service positions including performance management, compensation and award nominations;(3)
processes personnel actions and appoints all civil service employees; and
(4) provides
advice and training on timekeeping and pay administration.
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Commissioned
Personnel Support Team.
(1)
Acts as the 1iaison between IHS and the Program Support Center, Division
of Commissioned Personnel, HHS;
(2) advises the Director, IHS supervisors, administrators and managers,
officers and dependents on commissioned
personnel benefits, policies, procedures, regulations, as the IHS primary
point of contact for commissioned
personnel management; (3) develops policies, procedures, and recommendations
to the Division
of Commissioned Personnel; and (4) produces resource materials and conducts
training sessions on
commissioned personnel issues for officers, ,supervisors, and commissioned
personnel specialists in IHS Area
Offices.
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Division
of Information Technology Support(GAA5).
(1)
Advises the "Director, IHS, on all aspects of information management; (2)
directs the development and implementation
of policies, procedures, and standards for information management activities
and services in the
IHS; (3) directs the design, development/purchase, implementation, and
support of information systems and
services
used in the IHS;(4) provides information technology services and
support to IHS, tribal, and urban
Indian health programs; and (5) represents the IHS to, and enters into
information technology agreements
with Federal, tribal, State, and other organizations.
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User
Support Team.
(1)
Designs, develops/purchases, implements and supports information systems
and services used in IHS
Headquarters; and (2) provides information technology services and support
to IHS Headquarters.
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Information
Technology Support Center (GAA51)
(1)
Develops and implements policies, procedures, and standards for information
management activities and services
in the IHS; (2) designs, develops/purchases, implements, and supports information
systems and services
used in the IHS; (3) provides information technology services and support
to IHS, tribal, and urban Indian
health programs; and (4) represents the IHS to Federal, tribal, State,
and other organizations.
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Self-Determination
Services Team.
(1)
Develops support tribal operation of information management activities
and services; and
(2) represents the IHS to tribal and other organizations.
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Applications
Software Development and Support Team
(1)
Designs, develops/purchases, implements and supports application software
and related services used in
the IHS; (2) provides application software services and support to IHS,
tribal, and urban Indian health programs;
and (3) represents the IHS to Federal, tribal, State, and other organizations.
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Self-Determination
Services Team
(1)
Develops policies and related materials to support tribal operation of
information management activities and
services; and (2) represents the IHS to tribal and other organizations.
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Applications
Software Development and Support Team.
(1) Designed; develops/purchases, implements and Supports application software
and related services used in
the IHS;(2) provides application software services and support to IHS,
tribal, and urban Indian health programs; and
(3) represents the IHS to Federal, tribal, State, and other organizations.
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Telecommunications
Management Team
(1)
Develops and implements policies, procedures, and standards for telecommunication
services in the IHS. (2)
designs, develops/purchases, implements and supports telecommunication
services used in the IHS;
(3) provides telecommunication services and support to IHS, tribal, and
urban Indian health programs;
and (4) represents the IHS to Federal, State, and other organizations.
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Computer
Systems Management Team
(1)
Develops and implements policies, procedures, and standards for computer
systems management activities
and services in the IHS; (2) designs, develops/ purchases, implements,
and supports computer systems
and services used in the IHS; (3) provides computer systems services and
support to IHS, tribal,
and urban Indian health programs; and (4) represents the IHS to Federal,
tribal, State, and other organizations.
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Division
of Regulatory and Legal Affairs (GAA6).
(1)
Manages the IHS overall regulations program and responsibilities,
including determining the need for and developing
plans for changes in regulations, developing or assuring the development
of needed regulations, and
maintaining the various regulatory planning processes;(2) provides all
IHS liaison with the Office of the Federal
Register on matters relating to the. submission and clearance of documents
for publication in the Federal
Register
(3) assures proper agency clearance and processing of Federal
Register Documents; (4)
informs management and program officials of regulatory activities of other
Federal agencies; (5)
manages the IHS review of non-IHS regulatory documents that impact the
delivery of health services to Indians;
(6) advises the Director and serves as liaison with the Office of the General
Counsel (OGC) on such matters
as litigation, regulations, and related policy issues;(7) determines need
for and obtains legal clearance of
IHS directives and other issuances; (8) coordinates legal issues with the
OGC, IHS, HHS components, and other
Federal agencies, including the identification and formulation of legal
questions, and advising on the implementation
of OGC opinions; (9) assures that IHS appeals processes meet legal
standards; (10) advises on
and participates in Indian Self Determination and Education Assistance
Act appeals and hearings; (11)
provides guidance and assistance on State and Federal health reform efforts,
including access and civil rights
aspects and State Medicaid waiver applications; (12) advises on the administration
of the contract health
services (CHS) appeals system and is a participant with the Office of Public
Health in the Director's CHS
appeal decisions; and (13) manages the retrieval and transmittal of information
in response to requests
received
under the Freedom of Information Act (FOIA) or the Privacy Act, and ensures
the security of IHS documents
used in such responses that contain sensitive and/or confidential information.
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Regulations and
Records Access Team
(1)
Manages the Agency's regulation program and responsibilities; (2) provides
liaison with the Office of the
Federal Register;(3) advises on the need for or changes in current regulations;
(4) develops or assures the
development of IHS regulations; (5) keeps IHS officials informed on relevant
regulatory activities of other
agencies of the Government; (6) coordinates regulations activities with
agencies within the Department that
impact on the delivery of health services to Indians; (7) maintains and
updates the various regulatory agendas;(8)
assures that all IHS materials for publication in the Federal Register
are properly cleared, processed,
and in proper format; (9) manages the retrieval, review, and appropriate
transmittal of information in
response to Freedom of Information Act (FOIA) requests including ensuring
the appropriate security of such
documents; and (10) coordinates the implementation and the application
of Privacy Act requirements.
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Legal
Affairs Team.
(1)
Coordinates the resolution of and the development of legal advice to the
Director on IHS legal issues with
the OGC, IHS senior staff, and other Federal agencies; (2) provides liaison
with the OGC in such matters
as litigation, regulations, legislation, policy review, civil rights, and
administrative appeals; (3)
provides advice on the development and implementation of non-personnel
appeals processes to assure they
meet legal standards; (4) maintains and distributes the Compendium of Legal
Opinions; (5) reviews IHS
directives and other issuances for needed legal clearances; (6) advises
on the impact on IHS and the Indian
community of State and Federal health reforms; and (7) provides policy
review and advice on the need for or application of legal opinions.
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Division
of Health Professions Support (GAA7)
(1)
Develops the IHS program to recruit, select, assign, and retain health
care professionals, in accordance with
policies and guidance provided by the Division of Human Resources; (2)
assesses IHS professional staffing needs; (3) provides research and analysis
functions for Chief Medical Officers,
Clinical Directors, and senior clinicians; (4) manages and supports health
professions education programs
and activities; and (5) develops and administers Indian Health Professions
programs authorized by
the Indian Health Care improvement Act (IHCIA), as amended.
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Health
Professions Support Team
Develops
and Implements IHS programs to recruit, select, assign, and retain health
care professionals and coordinates
these activities respective disciplines;(2) assesses professionals staffing
needs and coordinates the
development of strategies and systems to satisfy these needs;(3) coordinates
the planning and development
of IHS strategies and systems to improve the morale and retention of all
professionals; (4)
coordinates Headquarters activities for physician residency and training
programs;(5) coordinates the IHS
National Health Service Corps (NHSC) program, including liaison and assignment
of NHSC scholarship
recipients to IHS; (6) develops priority sites for the loan repayment program;(7)
responsible for
coordinating placement of loan repayment physicians; (8) serves as IHS
coordinator for pre-medical and
medical school IHS scholarship recipients;(9) retrieves, establishes, and
manages information and data on
the IHS work force; and (10) conducts work force data analyses, including
trends and projections, identifying
work force needs by major personnel systems, categories, and disciplines.
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Loan
Repayment Branch (GAA71)
(1)
Awards, monitors, places (in IHS, tribal, and urban sites), and processes
waivers and defaults of participants in
the Loan Repayment Program (LRP) as mandated by Section 108 of the
IHCIA; (2) coordinates the LRP payment
and debt management function with the Program Support Center; and (3) coordinates
program administration
with the IHS Area office and Service Unit personnel, particularly placement
activities,
including
Clinical Directors, Chief Medical Officers, and professional recruiters.
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Scholarship
Branch (GAA72)
(1) Develops, administers, and evaluates programs in the IHS Scholarship Program
authorized under the IHCIA:
Section 102 (Health Professions Recruitment Program for Indians), Section
103 (Health Professions Preparatory
Scholarship Program for Indians), Section 104 (Indian Health Professions
Scholarship Program), Section
105 (IHS Externs Program), Section 120 (Matching Grants to Tribes for Scholarship
Programs), Section
217 (Indians Into Psychology Program), and other funded programs authorized
under the IHCIA.
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Office
of Public Health (GAB).
(1)
Advises and supports the Director, IHS, on policy, budget formulation,
and resource allocation regarding the
operation and management of IHS direct, tribal and urban public health
programs, quality assurance, and self-determination;
(2) provides agency-wide leadership and consultation to IHS direct, tribal,
and urban public health
programs on IHS goals, objectives, policies, standards, and priorities;
(3) represents the IHS within the HHS
and external organizations for purposes of liaison, professional collaboration,
cooperative ventures, and advocacy;
(4) manages and provides national leadership and consultation for IHS and
Area Offices on strategic and
tactical planning, program evaluation and assessment, public health and
medical services, research agendas, and
special public health initiatives for the agency; (5) manages the design, development, and assessment, for
facilities
implementation of resource requirements and resource allocation methodology
models for the agency;(6)
carries out IHS responsibilities as required by the United States Federal
Response Plan under Emergency
Support Function No. 8.(7) assures agency compliance with the Code of Federal
Regulations 45, Part
46, Protection of Human Subjects; and (8) administers the functions related
to clinical services, managed care, hospitals
and ambulatory care centers, community and environmental health and facilities
and environmental
engineering.
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Division
of clinical and Preventive Services (GAB1)
(1)
Serves as the primary source of technical and policy advice for IHS, and
Area Offices and IHS direct, tribal,
and urban public health programs on the full scope of clinical health care
programs, including their quality
assurance and preventive aspects, and tort claims; (2) provides leadership
in articulating the clinical needs
of the AI/AN population and competing health care needs; (3) advocates
the resource needs of specialized
health care delivery providers of clinical services disciplines;
(4) provides consultation and technical
support to IHS direct, tribal, and urban public health programs including,
but not limited to, alcohol
and substance abuse, dental services, diabetes and other chronic disease
prevention, emergency medical
services training and material support, mental health, nutrition services
training and education, services
for children with special needs, and sensory disabilities services; and
(5) administers the program functions
that include, but are not limited to, alcohol and substance abuse, chronic
disease such as diabetes
and cancer, clinical engineering, dental services, emergency medical services,
health records, maternal
and child health, mental health and social services, pharmacy services,
nursing services, and nutrition
and dietetics.
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Division
of Managed Care(GAB2)
(1)
Serves as the primary source of technical and policy advice for IHS, and
Area Offices and IHS direct, tribal, and
urban public health programs on the full scope of clinical health programs,
including their quality assurance
and preventive aspects, managed care services, third party collections
and reimbursements, health care
facility accreditation, risk management and quality assurance; (2)
administers and implements guidelines for
the IHS contract health services (CHS) program including funds management,
alternate resources, the Catastrophic
Health Emergency Fund (CHEF), claims adjudication, and manages the national
IHS payment policy
with a fiscal intermediary; (3) provides leadership at a national and State
level for Medicare and Medicaid
and the private insurance sector; (4) serves as liaison with the Health
Care Financing Administration
for rate setting; (5) performs analytical studies to address managed care
issues; (6) serves
as the focal point regarding Medicaid and Medicare managed care activities,
including the review, evaluation,
and monitoring of sections 1115 and 1915(b) Medicaid waiver proposals and
other State
and Federal health care reform activities; and (7) assures training on
negotiation of provider agreements
for Medicaid and private insurance network provider participation.
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Division
of Community and Environmental Health (GAB3)
(1)
Serves as the primary source 0: technical and policy advice for IHS Headquarters
and Area Offices on the
full scope of preventive, community, and environmental health programs
and health data issues; (2) provides
leadership in identifying and articulating preventive, community, and environmental
health needs of
AI/AN populations and supports efforts to build tribal capacity;
(3) advocates for preventive, community,
and environmental health care providers;(4) provides and directs public
health surveillance, intervention
and evaluation programs and the information systems to support them; (5)
maintains, analyzes,
makes accessible, and publishes results from national program databases;
(6) performs statistical
and epidemiological consultation for the IHS in response to special conditions
and communicable
disease outbreaks of public health significance; and (7) performs functions
related to public
health programs such as environmental health, injury prevention, institutional
environmental health, chronic
disease prevention, infectious disease control, public health nursing,
public health education, HeadStart,
dental public health, community health representatives, and nutrition.
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Division
of Facilities and Environmental Engineering (GAB4)
(1)
Serves as the primary source of technical and policy advice for IHS Headquarters
and Area Offices, and
IHS direct, tribal, and urban public health programs on the full scope
of health care and sanitation facilities
construction and management, environmental engineering, and realty services
management; (2)
develops objectives, priorities, standards, and methodologies for the conduct
and evaluation of environmental
and facilities engineering activities;(3) maintains needs based workload
methodology for
equitable resource distribution; and (4) provides leadership, consultation,
and staff development to
assure functional and well maintained health care facilities, and the availability
of water, sewer, and solid
waste facilities.
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Environmental
Engineering Branch (GAB41)
(1)
Develops, implements, and manages the environmental engineering programs
of the agency including the
Sanitation Facilities Construction (SFC) program and compliance with environmental
protection and historic
preservation legislation; (2) provides agency-wide management assistance,
and special support and
consultation, to address special environmental public health problems,
for environmental/engineering/ construction
activities and, for compliance with environmental legislation; (3) develops,
implements, and evaluates
agency program activities, objectives, policies, plans, guidelines, and
standardized data systems
for SFC activities; (4) consults with tribal groups/organizations in the
development and implementation
of SFC policies and initiatives;(5) maintains a national inventory of past
and present projects
to address those needs; and (6) allocates financial and personnel resources nationwide
based on need and workload using the national data inventories.
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Facilities
Program Development Branch (GAB42)
(1)
Develops and coordinates program policy for health care facilities;
(2) provides support in the development
of budget and program justification;(3) maintains construction priority
systems for health care support facilities; and (4) maintains health care facilities planning systems.
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Facilities
Engineering Branch (GAB43)
(1)
Implements program policy and provides consultation on facilities planning,
engineering, acquisition, and management;(2)
serves as principal resource in providing leadership, guidance, and coordination
of facilities management
and engineering activities for the IHS, Area Offices, and IHS direct, tribal
and urban public health
programs; (3) develops and evaluates technical standards and guides; (4)
monitors new construction activities
and the improvement, repair, and alteration of health care supporting facilities;
and (5) formulates financial
resources allocation nationwide based on need and workload.
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Engineering
Services Branch (Dallas) (GAB44).
(1)
Administers facilities engineering and construction for specified Area
Offices; (2) carries out management activities
relating to IHS-owned and utilized facilities; (3) serves as the source
of expertise on assigned programs and as liaison with IHS Headquarters on technical programmatic areas; (4)
assists in the development,
implementation, and monitoring of Area Office annual workplans related
to assigned projects
including setting objectives responsive to national and Area priorities
and assigns office resources required
to attain these objectives; and (5) coordinates the development and consultation
of cross-cutting
objectives.
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Engineering
Services Branch (Seattle) (GAB45)
(1)
Administers facilities engineering and construction for specified Area
Offices; (2) carries out management
activities relating to IHS-owned and utilized facilities; (3) serves as
the source of expertise on assigned
programs and as liaison with IHS Headquarters on technical programmatic
areas; (4) assists in the development,
implementation, and monitoring of Area Office annual workplans related
to assigned projects, including
setting objectives responsive to national and Area priorities and assigns
office resources required to attain
these objectives; and (5) coordinates the development and consultation
of cross-cutting objectives.
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IHS Area Offices (GF)
An
Area Office is a bureau-level organization under the direction of an Area
Director, who reports to the Director, IHS.
Each Area Office Carries out the mission of the IHS by providing a system
of health care unique
to the Area population. Area Office Directors supervise clinical
directors, who administer programs of
direct care to the Area population. The following are the Area Offices
of the IHS:
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