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«U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Program Support Center Human Resources Service Division of Commissioned Personnel 5600 Fishers Lane, ...»

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Commissioned officers in all health professional disciplines are assigned to NIH within the intramural laboratory and clinical research programs, as extramural grant and contract administrators, and in other management positions in support of its research mission.

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SAMHSA was established by Congress (Public Law 102-321) on October 1, 1992, to strengthen the Nation’ health care delivery system for prevention and treatment services for substance s abuse and mental illnesses. SAMHSA builds on Federal-State partnerships with communities and private organizations to address the needs of individuals with substance abuse and mental illnesses as well as the community risk factors that contribute to these illnesses.

- 23 Commissioned Corps Officer’ Handbook, 1998 s SAMHSA is an OPDIV within HHS and consists of three Centers--Center for Mental Health Services (CMHS), Center for Substance Abuse Prevention (CSAP), and Center for Substance Abuse Treatment (CSAT) as well as the Office of the Administrator (OA), Office of Applied Studies (OAS), Office of Extramural Activities Review (OEAR), and Office of Program Services (OPS).

CMHS provides national leadership in the application of mental health services research. The Center’ activities are designed to improve access and reduce barriers to high-quality services s for people with, or at risk for, these disorders, as well as their families and communities.

CMHS administers the State Block Grants for community health services and other programs providing direct assistance to the States. The Center administers grants and contracts intended for the development and application of new knowledge in the mental health services field. It collects and disseminates national data on mental health services.

CSAP provides a national focus for Federal efforts to demonstrate and promote effective strategies for preventing substance abuse. Working in collaboration with States and other organizations, CSAP administers grants and contracts that support the development, application, and dissemination of new knowledge in substance abuse prevention. CSAP sponsors the National Clearinghouse for Alcohol and Drug Information, the largest source of literature and other materials on substance abuse research, treatment, and prevention for States, educational institutions, and the public.

CSAT provides national leadership in efforts to enhance the quality of substance abuse treatment services and insure their availability to individuals who need them, including those with co-occurring drug, alcohol, mental, and physical problems. CSAT administers the State Block Grants for substance prevention and treatment as well as grants and contracts that support the development and application of new knowledge in the treatment field.

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OPS works in partnership with other SAMHSA components to manage information resources, grants and contracts, and administrative services.

OEAR administers, coordinates, monitors, and evaluates the review of applications for OPDIV grants and cooperative agreements and the review of contract proposals. The office is responsible for review policy of the OPDIV.

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Over the years, SAMHSA programs have been extremely valuable in improving the Nation’ s response to mental and addictive diseases. The programs have transformed the state of the art in mental health care from custodial confinement in remote institutions to active care in local communities. They have supported addiction treatment programs, raised standards of care,

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PSC is a self-supporting OPDIV of HHS. As the first true business enterprise at HHS, the PSC provides services on a competitive, fee-for-service basis to customers throughout HHS and other government agencies. Services are provided in three broad business areas: human resources, financial management, and administrative operations.

Human Resources Service (HRS)

HRS provides a full range of personnel management services including payroll management and operations; personnel operations services for civilian and commissioned personnel;

common needs training; employee relations and labor relations; and the administration of the Board for Correction of PHS Commissioned Corps Personnel Records.

Financial Management Service (FMS)

FMS supports the financial operations of HHS and other Departments through the provision of payment management services for Departmental and other Federal grant and program activities, accounting and fiscal services; debt management services; and the review, negotiation, and approval of rates, including indirect cost rates, research patient care rates, and fringe benefit rates.

Administrative Operations Service (AOS)

AOS supports the administrative management functions within the Department in the areas of property and materiel management, and support services ranging from telecommunications services and commercial graphics to mail distribution. Also included is the operation of a full service medical supply support activity.

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Commissioned officers are also assigned to certain agencies outside HHS, to help meet their health professional staffing needs. Officers are often detailed to the Agency for International Development, the World Health Organization, the Pan-American Health Organization, the Peace Corps, and the





Department of Defense as well as the following program areas:

1. HEALTH CARE FINANCING ADMINISTRATION (HCFA)

HCFA is a major component of HHS. It was created in 1977 to administer the Medicare and Medicaid programs -- two national health care programs that benefit more than 72 million beneficiaries. In the 20 years since its creation, HCFA's mission has grown to include responsibility for: Federal oversight of clinical laboratories under the Clinical Laboratory Improvement Amendments; and under the Health Insurance Portability and Accountability Act, for individual and small group health insurance regulation. The recently enacted Balanced Budget Act of 1997 adds to HCFA's responsibilities the task of establishing the new State Children's Health Insurance Program to expand health insurance coverage to low-income children.

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HCFA acts as a purchaser of health care services for Medicare and Medicaid beneficiaries. It also: (1) assures that Medicare and Medicaid are properly administered by its contractors and State agencies; (2) establishes policies for the reimbursement of health care providers; (3) conducts research on the effectiveness of various methods of health care management, treatment, and financing; (4) assesses the quality of health care facilities and services, and (5) takes aggressive action to minimize fraud, abuse, and error in the administration of HCFA's programs.

HCFA’ headquarters are located in Woodlawn, Maryland, and it has 10 regional offices s located in Boston, New York, Philadelphia, Atlanta, Chicago, Dallas, Kansas City, Denver, San Francisco, and Seattle. Its staff includes physicians, nurses, other health care professionals, health insurance specialists, social science research analysts, specialists in financial management and information systems, economists, actuaries, and individuals with many other specialities and backgrounds.

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CG is an organizational agency of the Department of Transportation (DOT), and a Branch of the Armed Forces. HHS details commissioned corps officers to this DOT agency via an InterAgency Memorandum of Agreement. The detail provides direct health care to CG active-duty and retired personnel, and their dependents. Other eligible Department of Defense and commissioned corps beneficiaries are also served by the detail.

The majority of the detail is assigned to shore-based, primary care oriented medical clinics and dental clinics. CG provides the support staff, which includes Health Service Technicians, Physician Assistants, and Medical Administrators.

The detail consists primarily of board-certified or board-eligible Family Physicians, General Practice Residency trained Dentists, and experienced Pharmacists. Other detailed personnel include: Physicians trained in Aerospace Medicine, General Medicine, Internal Medicine, Pediatrics, or Psychiatry. Also detailed are environment health specialists, industrial hygienists, nurses, and medical technologists.

Besides excellent duty locales, CG offers many professional development and training opportunities for detailed Corps officers, e.g., continuing medical education, flight surgeon training, family practice residencies, and dental specialty training. The cost of professional development and training is paid by the CG.

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3. U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA) EPA is responsible for implementing the Federal laws designed to protect human health and the environment. EPA endeavors to accomplish its mission systematically by proper integration of a variety of research, monitoring, standard-setting, and enforcement activities.

As a complement to its other activities, EPA coordinates and supports research and antipollution activities of State and local governments, private and public groups, individuals and educational institutions. EPA also monitors the operations of other Federal agencies with respect to their impact on the environment.

EPA is divided into the following programs: Research and Development, Air and Radiation, Solid Waste and Emergency Response, Water, Pesticides Prevention and Toxic Substances, and Enforcement and Compliance. EPA's headquarters are in Washington, D.C., with regional offices in Atlanta, Boston, Chicago, Dallas, Denver, Kansas City, New York, Philadelphia, San Francisco, and Seattle. The major research centers are in Las Vegas, Nevada; Cincinnati, Ohio; Research Triangle Park, North Carolina; Edison, New Jersey; Ada, Oklahoma; and Corvallis, Oregon.

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The mission of BOP, a component of the Department of Justice, is to protect society by carrying out the judgments of the Federal courts through providing confinement services to committed offenders. This confinement function complements other sentencing options available to Federal judges.

The Bureau's Health Services Division utilizes all commissionable disciplines except veterinarians and is responsible for all inmate health care services, food and farm services, environmental health, safety and sanitary services.

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The Commission on Mental Health Services employs less than one hundred commissioned officers in several categories. Dietitians, pharmacists, psychiatrists, sanitarians, social workers, and others find assignments here to be challenging, giving a new understanding of providing care to the indigent.

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The Commissioned Corps of the PHS is an all officer organization comprised entirely of health professionals. It is one of the seven Uniformed Services of the U.S.. Others are the Army, Navy, Air Force, Marine Corps, Coast Guard, and the commissioned corps of the National Oceanic and Atmospheric Administration.

In the event of a national emergency as declared by the President, the commissioned corps may be designated as a military service. While in this status, an officer is subject to the Uniform Code of Military Justice.

PHS has a specific mission and places commissioned corps officers in positions consistent with that mission. All officers, depending upon their qualifying degrees, are members of one of the 11 professional categories shown in Table 2.

Abbreviations and codes are used on personnel orders and other official personnel documents. In addition to the 11 categories, an operational group was formed that is based on a specific function and is composed of members from more than one category. The Research Officer Group's (ROG) specific function is the conduct of original research. Requirements for membership in ROG are: a doctoral degree and participation in a program of original research with an external scientific review system.

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