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Government
Performance Results Act
Final FY 2005 Annual Performance Plan,
Revised Final FY 2004 Performance Plan and
FY 2003 Annual Performance Report
Message
From the Administrator
Performance Plan and Report/Budget Link
Appendix to the Performance Plan
EXECUTIVE
SUMMARY
A.
Agency Mission
The
Health Resources and Services Administration (HRSA), an Agency of
the U.S. Department of Health and Human Services, is the principal
Federal Agency charged with increasing access to basic health care
for those who are medically underserved. Health care in the United
States is among the finest in the world, but it is not available
to everyone. At a time when the Nation enjoys unprecedented prosperity,
millions of families still face barriers to quality health care
because of their income, lack of insurance, isolation, or language
and cultural differences. A recent Institute of Medicine report
concluded that the Nation's health care safety net, while intact
for the short term, is endangered over the longer term by shrinking
resources (both funding and available practitioners) and expanding
responsibility. Assuring a safety net for individuals and families
who live outside the economic and medical mainstream is a key HRSA
role.
Since HRSA's
establishment, the Agency's budget has increased to a funding level
of nearly $7 billion, resources that benefit millions of Americans
through HRSA programs. HRSA's portfolio includes a range of programs
or initiatives designed to increase access to care, improve quality,
and safeguard the health and well-being of the Nation's most vulnerable
populations.
Collectively,
HRSA programs work to improve access to care for the nearly 44 million
Americans who are uninsured and the more than 40 million who live
in urban and rural medically underserved areas. HRSA supports over
800 community health centers; funds services for people living with
HIV/AIDS through the Ryan White CARE (Comprehensive AIDS Resources
Emergency) Act; assists States and health care organizations in
improving services to mothers and children; oversees the national
system that allocates organs, tissue, and bone marrow for transplant;
and works with academic health centers and other training programs
to enhance the supply, diversity, and distribution of the Nation's
health care workforce.
B.
Overview of Plan and Performance Report
Performance
Highlights
A
few of the ways HRSA helped states and communities extend essential
health care services to their neediest citizens in FY 03 include:
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Investing
more than $1.5 billion in health centers across the country
-- centers that serve millions, including migrant workers, homeless
people, and residents of public housing. HRSA established new
access sites in previously unserved areas and expanded existing
sites to include new services, particularly in the areas of
oral health, mental health, outreach, respite care and pharmacy
services.
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Placing
more than 2,700 primary care clinicians in health professional
shortage areas through the National Health Service Corps (NHSC).
In partnership with state and community organizations, HRSA's
Health Centers and NHSC programs deliver high-quality primary
care services in more than 4,000 U.S. communities.
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Dramatically
reducing AIDS-related mortality through new drug treatment regimens
for tens of thousands of low-income, underinsured and uninsured
people living with HIV/AIDS. The treatments are made available
through state and local programs funded and supported by HRSA's
Ryan White CARE Act.
-
Reaching
out to low-income parents to enroll their children in the State
Children's Health Insurance Program and Medicaid, giving their
sons and daughters access to critically important primary health
care.
During FY 03,
HRSA expanded its efforts to prepare for bioterrorism and other
mass casualty events. HRSA expanded the Bioterrorism Hospital Preparedness
program. The purpose of this cooperative agreement program is to
upgrade the preparedness of the Nation's hospitals and collaborating
entities to respond to bioterrorism. HRSA also implemented the new
Bioterrorism Training and Curriculum Development program. These
programs will also allow the health care system to become more prepared
to deal with nonterrorist epidemics of rare diseases.
These and other
activities strengthen the Nation's health care safety net and improve
Americans' quality of life. They reflect HRSA's historic role in
helping communities design cost-effective health care and public
health strategies that pay long-term dividends by reducing expensive
-- and preventable -- hospitalizations and improving health and
health care.
Budget and Performance Integration
HRSA's
FY 2005 Performance Plan is designed to complement and support the
budget justification material for the Agency's FY 05 budget request
and is an integral part of the overall HRSA budget. The presentation
in this Plan/Report show the direct linkage between budget line
items and performance. The Plan represents the initial stages of
an extensive review, reorganization and revision of HRSA's Performance
Plan, which will result in a document with greater clarity and one
which will allow HRSA to more tightly integrate budget and performance
management over the coming years. In this process HRSA will continue
its focus on measuring outcomes and on monitoring efficiency, providing
information for consideration in decision making.
For this FY 2005 Plan, HRSA continued to be aggressive in deleting
and refining its performance measures. The process was aided by
supplanting several measures with those developed during the Program
Assessment Rating Tool (PART) process. HRSA also added or identified
existing efficiency measures for all programs. This Plan contains
118 measures with FY 05 targets. This number includes 64 outcome
measures, 26 output measures and 28 efficiency measures.
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