LEADER 03999nam 2200721 a 450 001 9910966363503321 005 20251017110108.0 010 $a9786612083631 010 $a9780309139786 010 $a0309139783 010 $a9781282083639 010 $a1282083635 010 $a9780309127974 010 $a0309127971 035 $a(CKB)1000000000785683 035 $a(OCoLC)288630861 035 $a(CaPaEBR)ebrary10286190 035 $a(SSID)ssj0000170660 035 $a(PQKBManifestationID)11165391 035 $a(PQKBTitleCode)TC0000170660 035 $a(PQKBWorkID)10224983 035 $a(PQKB)11257638 035 $a(Au-PeEL)EBL3378463 035 $a(CaPaEBR)ebr10286190 035 $a(CaONFJC)MIL208363 035 $a(OCoLC)923280039 035 $a(MiAaPQ)EBC3378463 035 $a(Perlego)4738613 035 $a(DNLM)1495727 035 $a(BIP)26228573 035 $a(EXLCZ)991000000000785683 100 $a20090209d2009 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aHHS in the 21st century $echarting a new course for a healthier America /$fCommittee on Improving the Organization of the U.S. Department of Health and Human Services (HHS) to Advance the Health of Our Population ; Leonard D. Schaeffer, Andrea M. Schultz, and Judith A. Salerno, editors 205 $a1st ed. 210 $aWashington, D.C. $cNational Academies Press$dc2009 215 $a1 online resource (293 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a9780309127967 311 08$a0309127963 320 $aIncludes bibliographical references. 327 $aDefine a twenty-first century vision -- Foster adaptability and alignment -- Increase effectiveness and efficiency of the U.S. health care system -- Strengthen the HHS and U.S. public health and health care workforces -- Improve accountability and decision making -- The transition. 330 $aThe U.S. Department of Health and Human Services (HHS) profoundly affects the lives of all Americans. Its agencies and programs protect against domestic and global health threats, assure the safety of food and drugs, advance the science of preventing and conquering disease, provide safeguards for America's vulnerable populations, and improve health for everyone. However, the department faces serious and complex obstacles, chief among them rising health care costs and a broadening range of health challenges. Over time, additional responsibilities have been layered onto the department, and other responsibilities removed, often without corresponding shifts in positions, procedures, structures, and resources. At the request of the U.S. House of Representatives Committee on Oversight and Government Reform, HHS in the 21st Century assesses whether HHS is "ideally organized" to meet the enduring and emerging health challenges facing our nation. The committee identifies many factors that affect the department's ability to address its range of responsibilities, including divergence in the missions and goals of the department's agencies, limited flexibility in spending, impending workforce shortages, difficulty in retaining skilled professionals, and challenges in effectively partnering with the private sector. 606 $aPublic health$zUnited States 606 $aMedical policy$zUnited States 615 0$aPublic health 615 0$aMedical policy 676 $a362.1 701 $aSchaeffer$b Leonard D$01806482 701 $aSchultz$b Andrea M$01806483 701 $aSalerno$b Judith A$01800459 712 02$aInstitute of Medicine (U.S.).$bCommittee on Improving the Organization of the U.S. Department of Health and Human Services (HHS) to Advance the Health of Our Population. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910966363503321 996 $aHHS in the 21st century$94355675 997 $aUNINA