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t# (hH  Z6Times New Roman Regular j W"  __!XX *XXX*  _HHS_Ԁ1.5:#X`X!;#0   t#!XX`ReducetheAbuseandIllicitUseofDrugs #X`X#! t# (hH  Z6Times New Roman Regular _ W"  __!XX *XXX*  _HHS_Ԁ1.6:#X`X!;#0   t#!XX`ReduceUnsafeSexualBehaviors #X`X#! t# (hH  Z6Times New Roman Regular W W"  __!XX *XXX*  HHS1.7:#X`X!;#0   t#!XX`ReducetheIncidenceandImpactofInfectiousDiseases #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS1.8:#X`X!;#0   t#!XX`ReducetheImpactofEnvironmentalFactorson 0 X 0XXHumanHealth #X`X#! t# (hH  Z6Times New Roman Regular ( )  __A\) xdExA  "US //4/9/01"(#_HHS_ԀFY2002PerformancePlanSummary!  88    W"  __!XX -Xe` XX-  _HHS_ԀGoal2:#X`X!;#0 e  t#!XX`IMPROVETHEECONOMICANDSOCIALWELL  BEINGOFINDIVIDUALS,FAMILIESANDCOMMUNITIESINTHEUNITEDSTATES #X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS2.1:#X`X!+#0   t#!XX`IncreasetheEconomicIndependenceofLowIncome  Families,IncludingThoseReceivingWelfare w#X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS2.2:#X`X!+#0   t#!XX`IncreasetheParentalInvolvementandFinancialSupport  of_ Noncustodial_ ԀParentsintheLivesofTheirChildren w#X`X#! t# (hH  Z6Times New Roman Regular q W"  _!XX *XXX*  HHS2.3:#X`X!+#0   t#!XX`ImprovetheHealthyDevelopmentandLearningReadiness  ofPreschoolChildren w#X`X#! t# (hH  Z6Times New Roman Regular F W"  _!XX *XXX*  HHS2.4:#X`X!+#0   t#!XX`ImprovetheSafetyandSecurityofChildrenandYouth w#X`X#! t# (hH  Z6Times New Roman Regular k W"  _!XX *XXX*  HHS2.5:#X`X!+#0   t#!XX`IncreasetheProportionofOlderAmericansWhoStay  ActiveandHealthy w#X`X#! t# (hH  Z6Times New Roman Regular s W"  _!XX *XXX*  HHS2.6:#X`X!+#0   t#!XX`IncreaseIndependenceandQualityofLifeofPersonswith  LongTermCareNeeds w#X`X#! t# (hH  Z6Times New Roman Regular j W"  _!XX *XXX*  HHS2.7:#X`X!+#0   t#!XX`ImprovetheEconomicandSocialDevelopmentof  DistressedCommunities w#X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  "US //4/9/01(#_HHS_ԀFY2002PerformancePlanandReportSummary!  113    W"  __!XX *XXX*  _HHS_ԀGoal3:#X`X!;#0  H2.XX`IMPROVEACCESSTOHEALTHSERVICESAND  ENSURETHEINTEGRITYOFTHENATIONSHEALTHENTITLEMENTANDSAFETYNETPROGRAMS#X`X.H2#  (hH  Z6Times New Roman Regular  W"  _!XX*XXX*  HHS3.1:#X`X!+#0   t#!XX`IncreasethePercentageoftheNationsChildrenand  AdultsWhoHaveHealthInsuranceCoverage w#X`X#! t# (hH  Z6Times New Roman Regular D W"  _!XX *XXX*  HHS3.2:#X`X!+#0   t#!XX`EliminateDisparitiesinHealthAccessandOutcomes w#X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.3:#X`X!;#0   t#!XX`IncreasetheAvailabilityofPrimaryHealthCareServices  for_Underserved_ԀPopulations #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.4:#X`X!;#0   t#!XX`ProtectandImprovetheHealthandSatisfactionof  BeneficiariesinMedicareandMedicaid #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.5:#X`X!;#0   t#!XX`EnhancetheFiscalIntegrityof_HCFA_ԀProgramsand  PurchasetheBestValueHealthCareforBeneficiaries  #X`X#! t#(hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.6:#X`X!;#0   t#!XX`ImprovetheHealthStatusofAmericanIndiansandAlaska  Natives #X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS3.7:#X`X!+#0   t#!XX`IncreasetheAvailabilityandEffectivenessofServicesfor  theTreatmentandManagementofHIV/AIDS w#X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.8:#X`X!;#0   t#!XX`IncreasetheAvailabilityandEffectivenessofMental  HealthCareServices #X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS3.9:#X`X!+#0   t#!XX`IncreasetheAvailabilityandEffectivenessofHealth  ServicesforChildrenwithSpecialHealthCareNeeds w#X`X#! t# (hH  Z6Times New Roman Regular  )  __A\) xdExA  "US //4/9/01(#HHSFY2002PerformancePlanandReportSummary!  156    W"  __!XX *XXX*  HHSGoal4:#X`X!;#0  X`XXX` t#!X5X`IMPROVETHEQUALITYOFHEALTHCAREAND  HUMANSERVICES#X`X#!5 t#8X5X`#X`X58x# #X`XX5X`# (hH  Z6Times New Roman Regular(hH  Z 6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ4.1:#X`X!;#0   t#!XX`EnhancetheAppropriateUseofEffective#X`X#! t# t#!XX`ԀHealthServices #X`X#! tU# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ4.2:#X`X!;#0   t#!XX`IncreaseConsumerandPatientUseofHealthCareQuality  Information #X`X#! t# (hH  Z6Times New Roman Regular h W"  __!XX *XXX*  _HHS_Ԁ4.3:#X`X!;#0   t#!XX`ImproveConsumerandPatientProtection #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ4.4:#X`X!;#0   t#!XX`DevelopKnowledgeThatImprovestheQualityand  EffectivenessofHumanServicesPractice #X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  _"US //4/9/01_(#HHSFY2002PerformancePlanandReportSummary!  183    W"  __!XX -Xe` XX-  HHSGoal5:#X`X!;#0 e  t#!XX`IMPROVETHENATIONSPUBLICee  X    e HEALTHSYSTEMS #X`X#! t# (hH  Z6Times New Roman Regular * W"  __!XX *XXX*  _HHS_Ԁ5.1:#X`X!;#0   t#!XX`ImprovetheCapacityofthePublicHealthSystemto  #X`X#! t# t#!XX`IdentifyandRespondtoThreatstotheHealthofthe << NationsPopulation #X`X#! tu# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ5.2:#X`X!;#0   t#!XX`ImprovetheSafetyofFood,Drugs,MedicalDevices,and  BiologicalProducts #X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  _"US //4/9/01_(#HHSFY2002PerformancePlanandReportSummary!  197    W"  __!XX*XXX*  HHSGoal6:#X`X!;#0   t#!XX`STRENGTHENTHENATIONSHEALTHSCIENCE  RESEARCHENTERPRISEANDENHANCEITSPRODUCTIVITY #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS6.1:#X`X!;#0   t#!XX`AdvancetheScientificUnderstandingofNormaland  AbnormalBiologicalFunctionsandBehaviors  #X`X#! t#(hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS6.2:#X`X!;#0   t#!XX`ImproveOurUnderstandingofHowtoPrevent,Diagnose,  andTreatDiseaseandDisability #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.3:#X`X!;#0   t#!XX`EnhanceOurUnderstandingofHowtoImprovethe  Quality,Effectiveness,Utilization,Financing,andCostEffectivenessofHealthServices Ԁ#X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.4:#X`X!;#0   t#!XX`AcceleratePrivateSectorDevelopmentofNewDrugs,  BiologicTherapies,andMedicalTechnology #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.5:#X`X!;#0   t#!XX`StrengthenandDiversifytheBaseofWellQualified 0 X 0XXHealthResearchers #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.6:#X`X!;#0   t#!XX`ImprovetheCommunicationandApplicationofHealth  ResearchResults #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS6.7:#X`X!;#0   t#!XX`StrengthenMechanismsforEnsuringtheProtection 0 X 0XXofHumanSubjectsinResearchandtheIntegrityof  0 X 0XXtheResearchProcess #X`X#! t# (hH  Z6Times New Roman Regular 3 )  __A\) xdExA  _4"US ///9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  11   s )  _____A\) xdExA_  _4"US ///9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  33   3 )  __A\) xdExA  _"US //4/9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  39   3 )  __A\) xdExA  _"US //4/9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  52    W"  __!XX *XXX*  HHSGoal1:#X`X!;# t#!XX`0  REDUCETHEMAJORTHREATSTOTHEHEALTH  ANDPRODUCTIVITYOFALLAMERICANS#X`X#! t# (hH  Z6Times New Roman Regular k W"  __!XX *XXX*  _HHS_Ԁ1.1:#X`X!;#0   t#!XX`ReduceTobaccoUse,EspeciallyAmongYouth #X`X#! t# (hH  Z6Times New Roman Regular  W"  __ !XX *XXX*  _HHS_Ԁ1.2:# X`X!;#0    t#!XX`ReducetheIncidenceandImpactofInjuriesandViolence  inAmericanSociety # X`X#! t# (hH  Z6Times New Roman Regular u W"  __ !XX *XXX*  HHS1.3:# X`X!;#0    t#!XX`ImprovetheDietandtheLevelofPhysicalActivityof  Americans # X`X#! t# (hH  Z6Times New Roman Regular T W"  __!XX *XXX*  HHS1.4:#X`X!;#0   t#!XX`ReduceAlcoholAbuseandPreventUnderAgeDrinking #X`X#! t# (hH  Z6Times New Roman Regular j W"  __!XX *XXX*  _HHS_Ԁ1.5:#X`X!;#0   t#!XX`ReducetheAbuseandIllicitUseofDrugs #X`X#! t# (hH  Z6Times New Roman Regular _ W"  __!XX *XXX*  _HHS_Ԁ1.6:#X`X!;#0   t#!XX`ReduceUnsafeSexualBehaviors #X`X#! t# (hH  Z6Times New Roman Regular W W"  __!XX *XXX*  HHS1.7:#X`X!;#0   t#!XX`ReducetheIncidenceandImpactofInfectiousDiseases #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS1.8:#X`X!;#0   t#!XX`ReducetheImpactofEnvironmentalFactorson 0 X 0XXHumanHealth #X`X#! t# (hH  Z6Times New Roman Regular ( )  __A\) xdExA  "US //4/9/01"(#_HHS_ԀFY2002PerformancePlanSummary!  91    W"  __!XX -Xe` XX-  _HHS_ԀGoal2:#X`X!;#0 e  t#!XX`IMPROVETHEECONOMICANDSOCIALWELL  BEINGOFINDIVIDUALS,FAMILIESANDCOMMUNITIESINTHEUNITEDSTATES #X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS2.1:#X`X!+#0   t#!XX`IncreasetheEconomicIndependenceofLowIncome  Families,IncludingThoseReceivingWelfare w#X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS2.2:#X`X!+#0   t#!XX`IncreasetheParentalInvolvementandFinancialSupport  of_ Noncustodial_ ԀParentsintheLivesofTheirChildren w#X`X#! t# (hH  Z6Times New Roman Regular q W"  _!XX *XXX*  HHS2.3:#X`X!+#0   t#!XX`ImprovetheHealthyDevelopmentandLearningReadiness  ofPreschoolChildren w#X`X#! t# (hH  Z6Times New Roman Regular F W"  _!!XX *XXX*  HHS2.4:#!X`X!+#0  ! t#!XX`ImprovetheSafetyandSecurityofChildrenandYouth w#!X`X#! t# (hH  Z6Times New Roman Regular k W"  _#!XX *XXX*  HHS2.5:##X`X!+#0  # t#!XX`IncreasetheProportionofOlderAmericansWhoStay  ActiveandHealthy w##X`X#! t# (hH  Z6Times New Roman Regular s W"  _%!XX *XXX*  HHS2.6:#%X`X!+#0  % t#!XX`IncreaseIndependenceandQualityofLifeofPersonswith  LongTermCareNeeds w#%X`X#! t# (hH  Z6Times New Roman Regular j W"  _'!XX *XXX*  HHS2.7:#'X`X!+#0  ' t#!XX`ImprovetheEconomicandSocialDevelopmentof  DistressedCommunities w#'X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  "US //4/9/01(#_HHS_ԀFY2002PerformancePlanandReportSummary!  116    W"  __*!XX *XXX*  _HHS_ԀGoal3:#*X`X!;#0  *H2.XX`IMPROVEACCESSTOHEALTHSERVICESAND  ENSURETHEINTEGRITYOFTHENATIONSHEALTHENTITLEMENTANDSAFETYNETPROGRAMS#*X`X.H2#  (hH  Z6Times New Roman Regular  W"  _,!XX*XXX*  HHS3.1:#,X`X!+#0  , t#!XX`IncreasethePercentageoftheNationsChildrenand  AdultsWhoHaveHealthInsuranceCoverage w#,X`X#! t# (hH  Z6Times New Roman Regular D W"  _.!XX *XXX*  HHS3.2:#.X`X!+#0  . t#!XX`EliminateDisparitiesinHealthAccessandOutcomes w#.X`X#! t# (hH  Z6Times New Roman Regular  W"  __0!XX *XXX*  _HHS_Ԁ3.3:#0X`X!;#0  0 t#!XX`IncreasetheAvailabilityofPrimaryHealthCareServices  for_Underserved_ԀPopulations #0X`X#! t# (hH  Z6Times New Roman Regular  W"  __2!XX *XXX*  _HHS_Ԁ3.4:#2X`X!;#0  2 t#!XX`ProtectandImprovetheHealthandSatisfactionof  BeneficiariesinMedicareandMedicaid #2X`X#! t# (hH  Z6Times New Roman Regular  W"  __4!XX *XXX*  _HHS_Ԁ3.5:#4X`X!;#0  4 t#!XX`EnhancetheFiscalIntegrityof_HCFA_ԀProgramsand  PurchasetheBestValueHealthCareforBeneficiaries  #4X`X#! t#(hH  Z6Times New Roman Regular  W"  __6!XX *XXX*  _HHS_Ԁ3.6:#6X`X!;#0  6 t#!XX`ImprovetheHealthStatusofAmericanIndiansandAlaska  Natives #6X`X#! t# (hH  Z6Times New Roman Regular  W"  _8!XX *XXX*  HHS3.7:#8X`X!+#0  8 t#!XX`IncreasetheAvailabilityandEffectivenessofServicesfor  theTreatmentandManagementofHIV/AIDS w#8X`X#! t# (hH  Z6Times New Roman Regular  W"  __:!XX *XXX*  _HHS_Ԁ3.8:#:X`X!;#0  : t#!XX`IncreasetheAvailabilityandEffectivenessofMental  HealthCareServices #:X`X#! t# (hH  Z6Times New Roman Regular  W"  _<!XX *XXX*  HHS3.9:#<X`X!+#0  < t#!XX`IncreasetheAvailabilityandEffectivenessofHealth  ServicesforChildrenwithSpecialHealthCareNeeds w#<X`X#! t# (hH  Z6Times New Roman Regular  )  __A\) xdExA  "US //4/9/01(#HHSFY2002PerformancePlanandReportSummary!  159    W"  __?!XX *XXX*  HHSGoal4:#?X`X!;#0  @X`XXX`@ t#!X5X`IMPROVETHEQUALITYOFHEALTHCAREAND  HUMANSERVICES#@X`X#!5 t#@8X5X`#@X`X58x# #?X`XX5X`# (hH  Z6Times New Roman Regular(hH  Z 6Times New Roman Regular  W"  __B!XX *XXX*  _HHS_Ԁ4.1:#BX`X!;#0  B t#!XX`EnhancetheAppropriateUseofEffective#BX`X#! t#B t#!XX`ԀHealthServices #BX`X#! tU# (hH  Z6Times New Roman Regular  W"  __D!XX *XXX*  _HHS_Ԁ4.2:#DX`X!;#0  D t#!XX`IncreaseConsumerandPatientUseofHealthCareQuality  Information #DX`X#! t# (hH  Z6Times New Roman Regular h W"  __F!XX *XXX*  _HHS_Ԁ4.3:#FX`X!;#0  F t#!XX`ImproveConsumerandPatientProtection #FX`X#! t# (hH  Z6Times New Roman Regular  W"  __H!XX *XXX*  _HHS_Ԁ4.4:#HX`X!;#0  H t#!XX`DevelopKnowledgeThatImprovestheQualityand  EffectivenessofHumanServicesPractice #HX`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  _"US //4/9/01_(#HHSFY2002PerformancePlanandReportSummary!  186    W"  __K!XX -Xe` XX-  HHSGoal5:#KX`X!;#0 e K t#!XX`IMPROVETHENATIONSPUBLICee  X    e HEALTHSYSTEMS #KX`X#! t# (hH  Z6Times New Roman Regular * W"  __M!XX *XXX*  _HHS_Ԁ5.1:#MX`X!;#0  M t#!XX`ImprovetheCapacityofthePublicHealthSystemto  #MX`X#! t#M t#!XX`IdentifyandRespondtoThreatstotheHealthofthe << NationsPopulation #MX`X#! tu# (hH  Z6Times New Roman Regular  W"  __O!XX *XXX*  _HHS_Ԁ5.2:#OX`X!;#0  O t#!XX`ImprovetheSafetyofFood,Drugs,MedicalDevices,and  BiologicalProducts #OX`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  _"US //4/9/01_(#HHSFY2002PerformancePlanandReportSummary!  200    W"  __R!XX*XXX*  HHSGoal6:#RX`X!;#0  R t#!XX`STRENGTHENTHENATIONSHEALTHSCIENCE  RESEARCHENTERPRISEANDENHANCEITSPRODUCTIVITY #RX`X#! t# (hH  Z6Times New Roman Regular  W"  __T!XX *XXX*  HHS6.1:#TX`X!;#0  T t#!XX`AdvancetheScientificUnderstandingofNormaland  AbnormalBiologicalFunctionsandBehaviors  #TX`X#! t#(hH  Z6Times New Roman Regular  W"  __V!XX *XXX*  HHS6.2:#VX`X!;#0  V t#!XX`ImproveOurUnderstandingofHowtoPrevent,Diagnose,  andTreatDiseaseandDisability #VX`X#! t# (hH  Z6Times New Roman Regular  W"  __X!XX *XXX*  _HHS_Ԁ6.3:#XX`X!;#0  X t#!XX`EnhanceOurUnderstandingofHowtoImprovethe  Quality,Effectiveness,Utilization,Financing,andCostEffectivenessofHealthServices Ԁ#XX`X#! t# (hH  Z6Times New Roman Regular  W"  __Z!XX *XXX*  _HHS_Ԁ6.4:#ZX`X!;#0  Z t#!XX`AcceleratePrivateSectorDevelopmentofNewDrugs,  BiologicTherapies,andMedicalTechnology #ZX`X#! t# (hH  Z6Times New Roman Regular  W"  __\!XX *XXX*  _HHS_Ԁ6.5:#\X`X!;#0  \ t#!XX`StrengthenandDiversifytheBaseofWellQualified 0 X 0XXHealthResearchers #\X`X#! t# (hH  Z6Times New Roman Regular  W"  __^!XX *XXX*  _HHS_Ԁ6.6:#^X`X!;#0  ^ t#!XX`ImprovetheCommunicationandApplicationofHealth  ResearchResults #^X`X#! t# (hH  Z6Times New Roman Regular  W"  __`!XX *XXX*  HHS6.7:#`X`X!;#0  ` t#!XX`StrengthenMechanismsforEnsuringtheProtection 0 X 0XXofHumanSubjectsinResearchandtheIntegrityof  0 X 0XXtheResearchProcess #`X`X#! t# (hH  Z6Times New Roman Regular 2 )  __A\) xdExA  _4"US ///9/01_(#HHSFY2002PerformancePlanandReportSummary!  4   3 )  __A\) xdExA  _4"US ///9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  11   s )  _____A\) xdExA_  _4"US ///9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  33   3 )  __A\) xdExA  _"US //4/9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  39   3 )  __A\) xdExA  _"US //4/9/01_zz(#HHSFY2002PerformancePlanandReportSummary!  52    W"  __g!XX *XXX*  HHSGoal1:#gX`X!;#g t#!XX`0  REDUCETHEMAJORTHREATSTOTHEHEALTH  ANDPRODUCTIVITYOFALLAMERICANS#gX`X#! t# (hH  Z6Times New Roman Regular k W"  __i!XX *XXX*  _HHS_Ԁ1.1:#iX`X!;#0  i t#!XX`ReduceTobaccoUse,EspeciallyAmongYouth #iX`X#! t# (hH  Z6Times New Roman Regular  W"  __k!XX *XXX*  _HHS_Ԁ1.2:#kX`X!;#0  k t#!XX`ReducetheIncidenceandImpactofInjuriesandViolence  inAmericanSociety #kX`X#! t# (hH  Z6Times New Roman Regular u W"  __m!XX *XXX*  HHS1.3:#mX`X!;#0  m t#!XX`ImprovetheDietandtheLevelofPhysicalActivityof  Americans #mX`X#! t# (hH  Z6Times New Roman Regular T W"  __o!XX *XXX*  HHS1.4:#oX`X!;#0  o t#!XX`ReduceAlcoholAbuseandPreventUnderAgeDrinking #oX`X#! t# (hH  Z6Times New Roman Regular j W"  __q!XX *XXX*  _HHS_Ԁ1.5:#qX`X!;#0  q t#!XX`ReducetheAbuseandIllicitUseofDrugs #qX`X#! t# (hH  Z6Times New Roman Regular _ W"  __s!XX *XXX*  _HHS_Ԁ1.6:#sX`X!;#0  s t#!XX`ReduceUnsafeSexualBehaviors #sX`X#! t# (hH  Z6Times New Roman Regular W W"  __u!XX *XXX*  HHS1.7:#uX`X!;#0  u t#!XX`ReducetheIncidenceandImpactofInfectiousDiseases #uX`X#! t# (hH  Z6Times New Roman Regular  W"  __w!XX *XXX*  HHS1.8:#wX`X!;#0  w t#!XX`ReducetheImpactofEnvironmentalFactorson 0 X 0XXHumanHealth #wX`X#! t# (hH  Z6Times New Roman Regular ( )  __A\) xdExA  "US //4/9/01"(#_HHS_ԀFY2002PerformancePlanSummary!  91    W"  __z!XX -Xe` XX-  _HHS_ԀGoal2:#zX`X!;#0 e z t#!XX`IMPROVETHEECONOMICANDSOCIALWELL  BEINGOFINDIVIDUALS,FAMILIESANDCOMMUNITIESINTHEUNITEDSTATES #zX`X#! t# (hH  Z6Times New Roman Regular  W"  _|!XX *XXX*  HHS2.1:#|X`X!+#0  | t#!XX`IncreasetheEconomicIndependenceofLowIncome  Families,IncludingThoseReceivingWelfare w#|X`X#! t# (hH  Z6Times New Roman Regular  W"  _~!XX *XXX*  HHS2.2:#~X`X!+#0  ~ t#!XX`IncreasetheParentalInvolvementandFinancialSupport  of_ Noncustodial_ ԀParentsintheLivesofTheirChildren w#~X`X#! t# (hH  Z6Times New Roman Regular q W"  _!XX *XXX*  HHS2.3:#X`X!+#0   t#!XX`ImprovetheHealthyDevelopmentandLearningReadiness  ofPreschoolChildren w#X`X#! t# (hH  Z6Times New Roman Regular F W"  _!XX *XXX*  HHS2.4:#X`X!+#0   t#!XX`ImprovetheSafetyandSecurityofChildrenandYouth w#X`X#! t# (hH  Z6Times New Roman Regular k W"  _!XX *XXX*  HHS2.5:#X`X!+#0   t#!XX`IncreasetheProportionofOlderAmericansWhoStay  ActiveandHealthy w#X`X#! t# (hH  Z6Times New Roman Regular s W"  _!XX *XXX*  HHS2.6:#X`X!+#0   t#!XX`IncreaseIndependenceandQualityofLifeofPersonswith  LongTermCareNeeds w#X`X#! t# (hH  Z6Times New Roman Regular j W"  _!XX *XXX*  HHS2.7:#X`X!+#0   t#!XX`ImprovetheEconomicandSocialDevelopmentof  DistressedCommunities w#X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  "US //4/9/01(#_HHS_ԀFY2002PerformancePlanandReportSummary!  116    W"  __!XX *XXX*  _HHS_ԀGoal3:#X`X!;#0  H2.XX`IMPROVEACCESSTOHEALTHSERVICESAND  ENSURETHEINTEGRITYOFTHENATIONSHEALTHENTITLEMENTANDSAFETYNETPROGRAMS#X`X.H2#  (hH  Z6Times New Roman Regular  W"  _!XX*XXX*  HHS3.1:#X`X!+#0   t#!XX`IncreasethePercentageoftheNationsChildrenand  AdultsWhoHaveHealthInsuranceCoverage w#X`X#! t# (hH  Z6Times New Roman Regular D W"  _!XX *XXX*  HHS3.2:#X`X!+#0   t#!XX`EliminateDisparitiesinHealthAccessandOutcomes w#X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.3:#X`X!;#0   t#!XX`IncreasetheAvailabilityofPrimaryHealthCareServices  for_Underserved_ԀPopulations #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.4:#X`X!;#0   t#!XX`ProtectandImprovetheHealthandSatisfactionof  BeneficiariesinMedicareandMedicaid #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.5:#X`X!;#0   t#!XX`EnhancetheFiscalIntegrityof_HCFA_ԀProgramsand  PurchasetheBestValueHealthCareforBeneficiaries  #X`X#! t#(hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.6:#X`X!;#0   t#!XX`ImprovetheHealthStatusofAmericanIndiansandAlaska  Natives #X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS3.7:#X`X!+#0   t#!XX`IncreasetheAvailabilityandEffectivenessofServicesfor  theTreatmentandManagementofHIV/AIDS w#X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ3.8:#X`X!;#0   t#!XX`IncreasetheAvailabilityandEffectivenessofMental  HealthCareServices #X`X#! t# (hH  Z6Times New Roman Regular  W"  _!XX *XXX*  HHS3.9:#X`X!+#0   t#!XX`IncreasetheAvailabilityandEffectivenessofHealth  ServicesforChildrenwithSpecialHealthCareNeeds w#X`X#! t# (hH  Z6Times New Roman Regular  )  __A\) xdExA  "US //4/9/01(#HHSFY2002PerformancePlanandReportSummary!  159    W"  __!XX *XXX*  HHSGoal4:#X`X!;#0  X`XXX` t#!X5X`IMPROVETHEQUALITYOFHEALTHCAREAND  HUMANSERVICES#X`X#!5 t#8X5X`#X`X58x# #X`XX5X`# (hH  Z6Times New Roman Regular(hH  Z 6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ4.1:#X`X!;#0   t#!XX`EnhancetheAppropriateUseofEffective#X`X#! t# t#!XX`ԀHealthServices #X`X#! tU# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ4.2:#X`X!;#0   t#!XX`IncreaseConsumerandPatientUseofHealthCareQuality  Information #X`X#! t# (hH  Z6Times New Roman Regular h W"  __!XX *XXX*  _HHS_Ԁ4.3:#X`X!;#0   t#!XX`ImproveConsumerandPatientProtection #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ4.4:#X`X!;#0   t#!XX`DevelopKnowledgeThatImprovestheQualityand  EffectivenessofHumanServicesPractice #X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  _"US //4/9/01_(#HHSFY2002PerformancePlanandReportSummary!  186    W"  __!XX -Xe` XX-  HHSGoal5:#X`X!;#0 e  t#!XX`IMPROVETHENATIONSPUBLICee  X    e HEALTHSYSTEMS #X`X#! t# (hH  Z6Times New Roman Regular * W"  __!XX *XXX*  _HHS_Ԁ5.1:#X`X!;#0   t#!XX`ImprovetheCapacityofthePublicHealthSystemto  #X`X#! t# t#!XX`IdentifyandRespondtoThreatstotheHealthofthe << NationsPopulation #X`X#! tu# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ5.2:#X`X!;#0   t#!XX`ImprovetheSafetyofFood,Drugs,MedicalDevices,and  BiologicalProducts #X`X#! t# (hH  Z6Times New Roman Regular 4 )  __A\) xdExA  _"US //4/9/01_(#HHSFY2002PerformancePlanandReportSummary!  200    W"  __!XX*XXX*  HHSGoal6:#X`X!;#0   t#!XX`STRENGTHENTHENATIONSHEALTHSCIENCE  RESEARCHENTERPRISEANDENHANCEITSPRODUCTIVITY #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS6.1:#X`X!;#0   t#!XX`AdvancetheScientificUnderstandingofNormaland  AbnormalBiologicalFunctionsandBehaviors  #X`X#! t#(hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS6.2:#X`X!;#0   t#!XX`ImproveOurUnderstandingofHowtoPrevent,Diagnose,  andTreatDiseaseandDisability #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.3:#X`X!;#0   t#!XX`EnhanceOurUnderstandingofHowtoImprovethe  Quality,Effectiveness,Utilization,Financing,andCostEffectivenessofHealthServices Ԁ#X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.4:#X`X!;#0   t#!XX`AcceleratePrivateSectorDevelopmentofNewDrugs,  BiologicTherapies,andMedicalTechnology #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.5:#X`X!;#0   t#!XX`StrengthenandDiversifytheBaseofWellQualified 0 X 0XXHealthResearchers #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  _HHS_Ԁ6.6:#X`X!;#0   t#!XX`ImprovetheCommunicationandApplicationofHealth  ResearchResults #X`X#! t# (hH  Z6Times New Roman Regular  W"  __!XX *XXX*  HHS6.7:#X`X!;#0   t#!XX`StrengthenMechanismsforEnsuringtheProtection 0 X 0XXofHumanSubjectsinResearchandtheIntegrityof  0 X 0XXtheResearchProcess #X`X#! t# (hH  Z6Times New Roman Regular !  _ L MXX  _  e    E  _  #XVlXML .#XXVlDEPARTMENTofHEALTH ` andHUMANSERVICES#XVlX#L MXXVl \ FY2002    PERFORMANCEPLANandPERFORMANCEREPORTSUMMARY#XVlXML N#ZXXVl h  M #XVlXZ#   uuuuu   j  ЀXXVlTHISISASUMMARYDOCUMENT.    HHSadministersapproximately300programactivities,withover950annualperformancegoals.Tobestaccommodatethelinkageoftheseperformancegoalstothebudgetrequestsfortheseprogramactivities,HHShasincorporatedtheperformancegoalsintothebudgetsubmissionsfortheHHScomponentsthatadministertheprograms.ForacomprehensiveviewofallperformancegoalsforallHHSprogramactivities,includingthelatestperformanceresultsandotherrequiredinformation,usersmustrefertotheperformanceplansandreportsincludedinthebudgetjustificationfortheindividualHHScomponents.#XVlXЀ# *   uuuuu ZXXVl &! #XVlXZ#  l'" XVlXXXVlH  &XXVlTABLEOFCONTENTS #XVlX&#   USERGUIDE   X6"X ,XS` hXX6s.  &FE%XXVl  UserGuidetotheHHSPerformancePlansandReports""J(#.ll=1#XVlX%&FE#Ԉ     DATACOLLECTION  p )!  )!0  0(#(#    &FE%XXVlDatatoMeasureProgramPerformance#""J(#.-(#(##8)!݌ H x Ќ  )!  )! 0  0(#(#    StatusofFinalReportingonFY1999andFY2000PerformanceGoals#p"p"I(#.L(#(##26)! ݌ $ T  Ќ  )!  )! 0  0(#(#    SummaryofFindingsandRecommendationsfromProgramEvaluations#p"p"I(#.J(#(##28)! ݌  0  Ќ  #XVlX%&FE- #  MANAGEMENT&COORDINATION    )!  )!< 0  0(#(#    &FE%XXVlDepartmentalCommitmenttoManagementImprovement#p"p"I(#.;(#(##30)!< W ݌   Ќ  )!  )!P 0  0(#(#    CrosscuttingProgramCoordination#p"p"I(#.+(#(##36)!P k ݌ |  Ќ  #XVlX%&FE #  MEASURINGPROGRESSTOWARDSDEPARTMENTALGOALS&FE%XXVl  4d )!  )!0  0(#(#    HHSGoal1:0` (#(#REDUCETHEMAJORTHREATSTOTHEHEALTHANDPRODUCTIVITYOF , ALLAMERICANS#p"p"I(#.$$!` (#` (##49)!݌  Ќ  *  * 0  0(#(#0S(#(#    SummaryPerformanceReport#p"p"I(#.&S(#S(##50* '݌  Ќ  *  *0  0(#(#0S(#(#    HHS1.1:0` S(#S(#ReduceTobaccoUse,EspeciallyAmongYouth#p"p"I(#.>` (#` (##59*݌  Ќ  *  *"0  0(#(#0S(#(#    HHS1.2:0` S(#S(#ReducetheIncidenceandImpactofInjuriesandViolenceinAmericanSociety#p"p"I(#.`` (#` (##60*"=݌ l Ќ  *  *b0  0(#(#0S(#(#    HHS1.3:0` S(#S(#ImprovetheDietandtheLevelofPhysicalActivityofAmericans#p"p"I(#.T` (#` (##66*b}݌ Hx Ќ  *  *0  0(#(#0S(#(#    HHS1.4:0` S(#S(#ReduceAlcoholAbuseandPreventUnderAgeDrinking#p"p"I(#.XXG` (#` (##68*݌ $T Ќ  *  *0  0(#(#0S(#(#    HHS1.5:0` S(#S(#ReducetheAbuseandIllicitUseofDrugs#p"p"I(#.XX=` (#` (##71*݌ 0 Ќ  *  *0  0(#(#0S(#(#    HHS1.6:0` S(#S(#ReduceUnsafeSexualBehaviors#p"p"I(#.2` (#` (##74*݌   Ќ  *  *0  0(#(#0S(#(#    HHS1.7:0` S(#S(#ReducetheIncidenceandImpactofInfectiousDiseases#p"p"I(#.  J` (#` (##77*݌  Ќ  *  *0  0(#(#0S(#(#    HHS1.8:0` S(#S(#ReducetheImpactofEnvironmentalFactorsonHumanHealth#p"p"I(#.DDN` (#` (##85*1݌  Ќ  )!  )!E0  0(#(#    HHSGoal2:0` (#(#IMPROVETHEECONOMICANDSOCIALWELLBEINGOFINDIVIDUALS, L| FAMILIESANDCOMMUNITIESINTHEUNITEDSTATES#p"p"I(#.A` (#` (##88)!E`݌ (X  Ќ  *  *0  0(#(#0S(#(#    SummaryPerformanceReport#p"p"I(#.&S(#S(##89*݌  4! Ќ  *  *0  0(#(#0S(#(#    HHS2.1:0` S(#S(#IncreasetheEconomicIndependenceofLowIncomeFamilies,IncludingThoseReceiving  " Welfare#p"p"I(#. ` (#` (##96*݌ !# Ќ  *  *0  0(#(#0S(#(#    HHS2.2:0` S(#S(#IncreasetheParentalInvolvementandFinancialSupportof_Noncustodial_ԀParents*݌"$` (#` (# Ќ  *  *H0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#intheLivesofTheirChildren#p"p"I(#.2` (#` (##98*Hc݌ t# % Ќ  *  *f 0  0(#(#0S(#(#    HHS2.3:0` S(#S(#ImprovetheHealthyDevelopmentandLearningReadinessofPreschoolChildren#p"p"I(#.` ` `` (#` (##99*f ݌ P$!& Ќ  *  *!0  0(#(#0S(#(#    HHS2.4:0` S(#S(#ImprovetheSafetyandSecurityofChildrenandYouth#""H(#.  I` (#` (##104*!!݌ ,%\"' Ќ  *  *"0  0(#(#0S(#(#    HHS2.5:0` S(#S(#IncreasetheProportionofOlderAmericansWhoStayActiveandHealthy#""H(#.ddZ` (#` (##106*""݌ &8#( Ќ  *  * $0  0(#(#0S(#(#    HHS2.6:0` S(#S(#IncreaseIndependenceandQualityofLifeofPersonswithLongTermCareNeeds#""H(#. b` (#` (##110* $&$݌ &$) Ќ  *  *N%0  0(#(#0S(#(#    HHS2.7:0` S(#S(#ImprovetheEconomicandSocialDevelopmentofDistressedCommunities#""H(#.Y` (#` (##111*N%i%݌ '$* Ќ  )!  )!&0  0(#(#    HHSGoal3:0` (#(#IMPROVEACCESSTOHEALTHSERVICESANDENSURETHE)!&&݌T*'-` (#` (# Ќ  )!  )!'0  0(#(#    0(#(#0S(#(#0` S(#S(#INTEGRITYOFTHENATIONSHEALTHENTITLEMENT)!''݌ ` (#` (# Ќ  )!  )!(0  0(#(#    0(#(#0S(#(#0` S(#S(#ANDSAFETYNETPROGRAMS#""H(#.+` (#` (##113)!((݌  ,<)/ Ќ  *  *)0  0(#(#0S(#(#    SummaryPerformanceReport#""H(#.&S(#S(##114*))݌ ,*0 Ќ  *  **0  0(#(#0S(#(#    HHS3.1:0` S(#S(#IncreasethePercentageoftheNationsChildrenandAdultsWhoHave***݌-*1` (#` (# Ќ  *  *+0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#HealthInsuranceCoverage#""H(#.-` (#` (##121*++݌ .+2 Ќ  ݀  HHSGoal3:0 ` IMPROVEACCESSTOHEALTHSERVICESANDENSURETHEINTEGRITYOF  THENATIONSHEALTHENTITLEMENTAND ` (#` (# *  *-0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#0 ` (#` (#SAFETYNETPROGRAMS.Continued...#&FE%%&FE##XVlX%&FE#&FE%XXVl*--݌@p (# (# Ќ  *  */0  0(#(#0S(#(#    HHS3.2:0` S(#S(#EliminateDisparitiesinHealthAccessandOutcomes#""H(#.G` (#` (##123*///݌ L Ќ  *  *<00  0(#(#0S(#(#    HHS3.3:0` S(#S(#IncreasetheAvailabilityofPrimaryHealthCareServicesfor_Underserved_Ԁ*<0W0݌(` (#` (# Ќ  *  *~10  0(#(#0S(#(#    0SS(#S(#0` S(#S(#Populations#""H(#. ` (#` (##130*~11݌  Ќ  *  *20  0(#(#0S(#(#    HHS3.4:0` S(#S(#ProtectandImprovetheHealthandSatisfactionofBeneficiariesinMedicare*22݌ ` (#` (# Ќ  *  *30  0(#(#0S(#(#    0SS(#S(#0` S(#S(#andMedicaid#""H(#.8 8 ` (#` (##139*33݌    Ќ  *  *40  0(#(#0S(#(#    HHS3.5:0` S(#S(#EnhancetheFiscalIntegrityof_HCFA_ԀProgramsandPurchasetheBestValue*44݌h  ` (#` (# Ќ  *  *50  0(#(#0S(#(#    0SS(#S(#0` S(#S(#HealthCareforBeneficiaries#""H(#.1` (#` (##142*56݌ D t  Ќ  *  *70  0(#(#0S(#(#    HHS3.6:0` S(#S(#ImprovetheHealthStatusofAmericanIndiansandAlaskaNatives#""H(#.ttT` (#` (##144*777݌  P  Ќ  *  *Q80  0(#(#0S(#(#    HHS3.7:0` S(#S(#IncreasetheAvailabilityandEffectivenessofServicesfortheTreatmentandManagement  ,  ofHIV/AIDS#""H(#.@ @ ` (#` (##148*Q8l8݌   Ќ  *  *90  0(#(#0S(#(#    HHS3.8:0` S(#S(#IncreasetheAvailabilityandEffectivenessofMentalHealthCareServices#""H(#.^` (#` (##151*99݌   Ќ  *  *:0  0(#(#0S(#(#    HHS3.9:0` S(#S(#IncreasetheAvailabilityandEffectivenessofHealthServicesforChildren*:;݌ ` (#` (# Ќ  *  *!<0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#withSpecialHealthCareNeeds#""H(#.hh2` (#` (##155*!<<<݌ l Ќ  )!  )!A=0  0(#(#    HHSGoal4:0` (#(#IMPROVETHEQUALITYOFHEALTHCAREANDHUMANSERVICES#""H(#.I` (#` (##156)!A=\=݌ $T Ќ  *  *Z>0  0(#(#0S(#(#    SummaryPerformanceReport#""H(#.&S(#S(##157*Z>u>݌ 0 Ќ  *  *S?0  0(#(#0S(#(#    HHS4.1:0` S(#S(#EnhancetheAppropriateUseofEffectiveHealthServices#""H(#.L` (#` (##166*S?n?݌   Ќ  *  *@0  0(#(#0S(#(#    HHS4.2:0` S(#S(#IncreaseConsumerandPatientUseofHealthCareQualityInformation#""H(#.X` (#` (##175*@@݌  Ќ  *  *A0  0(#(#0S(#(#    HHS4.3:0` S(#S(#ImproveConsumerandPatientProtection#""H(#.@@;` (#` (##178*AA݌  Ќ  *  *B0  0(#(#0S(#(#    HHS4.4:0` S(#S(#DevelopKnowledgeThatImprovestheQualityandEffectivenessofHuman*BB݌p` (#` (# Ќ  *  *C0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#ServicesPractice#""H(#.<<%` (#` (##181*CD݌ L| Ќ  )!  )!E0  0(#(#    HHSGoal5:0` (#(#IMPROVETHENATIONSPUBLICHEALTHSYSTEMS#""H(#.$$?` (#` (##183)!E"E݌ 4 Ќ  *  *F0  0(#(#0S(#(#    SummaryPerformanceReport#""H(#.&S(#S(##184*F4F݌  Ќ  *  *G0  0(#(#0S(#(#    HHS5.1:0` S(#S(#ImprovetheCapacityofthePublicHealthSystemtoIdentifyandRespondto*G-G݌` (#` (# Ќ  *  *6H0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#ThreatstotheHealthoftheNationsPopulation#""H(#.D` (#` (##188*6HQH݌  Ќ  *  *jI0  0(#(#0S(#(#    HHS5.2:0` S(#S(#ImprovetheSafetyofFood,Drugs,MedicalDevices,andBiologicalProducts#""H(#._` (#` (##193*jII݌ t Ќ  )!  )!J0  0(#(#    HHSGoal6:0` (#(#STRENGTHENTHENATIONSHEALTHSCIENCERESEARCH)!JJ݌,\!` (#` (# Ќ  )!  )!K0  0(#(#    0(#(#0S(#(#0` S(#S(#ENTERPRISEANDENHANCEITSPRODUCTIVITY#""H(#.;` (#` (##197)!KK݌  8" Ќ  *  *L0  0(#(#0S(#(#    SummaryPerformanceReport#""H(#.&S(#S(##198*LL݌  # Ќ  *  *M0  0(#(#0S(#(#    HHS6.1:0` S(#S(#AdvancetheScientificUnderstandingofNormalandAbnormalBiological*MM݌!$` (#` (# Ќ  *  *N0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#FunctionsandBehaviors#""H(#.dd+` (#` (##205*NO݌ "% Ќ  *  *O0  0(#(#0S(#(#    HHS6.2:0` S(#S(#ImproveOurUnderstandingofHowtoPrevent,Diagnose,andTreatDisease*OP݌x# &` (#` (# Ќ  *  *Q0  0(#(#0S(#(#     S  ` andDisability#""H(#.\ \ "S(#S(##208*Q9Q݌ T$!' Ќ  *  *R0  0(#(#0S(#(#    HHS6.3:0` S(#S(#EnhanceOurUnderstandingofHowtoImprovetheQuality,Effectiveness,*R8R݌0%`"(` (#` (# Ќ  *  *=S0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#Utilization,Financing,andCostEffectivenessofHealthServices#""H(#.U` (#` (##213*=SXS݌  &<#) Ќ  *  *T0  0(#(#0S(#(#    HHS6.4:0` S(#S(#AcceleratePrivateSectorDevelopmentofNewDrugs,BiologicTherapies,*TT݌&$*` (#` (# Ќ  *  *U0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#andMedicalTechnology#""H(#.``*` (#` (##215*UU݌ '$+ Ќ  *  *V0  0(#(#0S(#(#    HHS6.5:0` S(#S(#StrengthenandDiversifytheBaseofWellQualifiedHealthResearchers#""H(#.Z` (#` (##218*VV݌ (%, Ќ  *  *W0  0(#(#0S(#(#    HHS6.6:0` S(#S(#ImprovetheCommunicationandApplicationofHealthResearchResults#""H(#.  X` (#` (##221*W X݌ |)&- Ќ  *  **Y0  0(#(#0S(#(#    HHS6.7:0` S(#S(#StrengthenMechanismsforEnsuringtheProtectionofHumanSubjectsin**YEY݌X*'.` (#` (# Ќ  *  *IZ0  0(#(#0S(#(#    0SS(#S(#0` S(#S(#ResearchandtheIntegrityoftheResearchProcess#""H(#.F` (#` (##225*IZdZ݌ 4+d(/ Ќ  #XVlX%&FE.#  ,@)0 hHX,<  hHa  &XXVlB,X,hXX ,XS` hXB  _USERGUIDETOTHE  HHSPERFORMANCEPLANSANDREPORTS "] #XVlX&\#  \&XXVlT#XVlX&]#heDepartmentofHealthandHumanServices(HHS)enhancesthehealthandwellbeingofall  Americansbyprovidingforeffectivehealthandhumanservicesandbyfosteringstrong,sustainedadvancesinthesciencesunderlyingmedicine,publichealth,andsocialservices.Weaccomplishthismissionthroughthecollaborativeeffortsoftheover300programsthatareadministeredbyouroperatingcomponentsandstaffofficeswithintheOfficeoftheSecretary.HHSadministerstheseprogramsincoordinationwithpartners!State,local,andTribalgovernments,grantees,andcontractors!whoimplementtheseprogramsintheStatesandlocalcommunities.Infact,theoverwhelmingmajorityoftheapproximately$486.8billiondollarsthatwillbeexpendedforHHSprogramsinFY2002willbespentbytheseprogrampartners.Therefore,thestrategicgoals,performancegoals,andresultsintheHHSStrategicPlanandtheannualperformanceplansandreportsreflectthecombinedcommitmentandeffortofHHSprogramsandtheirState,localandTribal,andnongovernmentalpartners.TheHHSFY2002PerformancePlanandReportiscomprisedoftheperformanceplansandreportspreparedbythefollowingoperatingandstaffcomponents.Theperformanceplansandreportshavebeenintegratedintothecomponentsbudgetjustificationinordertofacilitatetheuseofperformanceinformationinthebudgetdecisionmakingprocess.0   AdministrationonAging (_AoA_)servesastheprimaryfederalfocalpointandadvocacyagent \ forolderAmericans.Throughanetworkofstateandareaagenciesonaging,_AoA_Ԁfundedprogramsdelivercomprehensiveinhomeandcommunityservices;andmakelegalservices,counseling,andombudsmenprogramsavailabletoelderlyAmericans. (#(# 0   AdministrationonChildrenandFamilies (_ACF_)leadsthenationinimprovingtheeconomic L andsocialwellbeingoffamilies,children,andcommunitiesthoughfederalgrantprogramslikeHeadStart,ChildSupportEnforcement,ChildWelfareServices,ChildCareandDevelopment,andTemporaryAssistancetoNeedyFamilies. (#(# 0   AgencyforHealthcareResearchandQuality (_AHRQ_)enhancesthequality, #! appropriateness,andeffectivenessofhealthservicesandaccesstosuchservices,throughthepromotionofimprovementsinclinicalandhealthsystempractices,includingthepreventionofdiseasesandotherhealthconditions. (#(#   0   CentersforDiseaseControlandPrevention (CDC)monitorshealth;identifiesand <(#& investigatespublichealthproblems;promoteshealthybehaviors;anddevelopsandadvocatessoundpublichealthpoliciestopreventandcontroldisease,injury,anddisability. (#(# 0   FoodandDrugAdministration (FDA)promotesimprovementinthehealthoftheAmerican +@'* publicbyensuringtheeffectivenessand/orsafetyofdrugs,medicaldevices,biologicalproducts,food,andcosmetics;andbyencouragingtheactiveparticipationofbusinessandthepublicinmanagingthehealthhazardsassociatedwiththeseproducts..*-(#(# Ї0   HealthCareFinancingAdministration (HCFA)paysMedicarebenefits;providesstateswith  matchingfundsforMedicaidbenefits;conductsresearch,demonstrations,andoversighttoensurethesafetyandqualityofmedicalservicesandfacilitiesprovidedtoMedicarebeneficiaries;andestablishesrulesforeligibilityandbenefitpayments. (#(# 0   HealthResourcesandServicesAdministration (HRSA)promotesequitableaccessto P  comprehensive,qualityhealthcareforall,withaparticularfocuson_underserved_Ԁandvulnerablepopulations. (#(# 0   IndianHealthService (IHS)providescomprehensivehealthservicesforAmericanIndianand  T  AlaskaNativepeople,withopportunityformaximumtribalinvolvementindevelopingandmanagingprogramstoimprovehealthstatusandoverallqualityoflife. (#(# 0   NationalInstitutesofHealth (NIH),throughits25institutes,centers,anddivisions,supports   andconductsmedicalresearch,domesticallyandabroad,intothecausesandpreventionofdiseasesandpromotestheacquisitionanddisseminationofmedicalknowledgetohealthprofessionalsandthepublic. (#(# 0  @XVlXXXVl OfficeforCivilRights (OCR)promotesandensuresthatpeoplehaveequalaccesstoand X opportunitytoparticipateinandreceiveservicesinallHHSprogramswithoutfacingunlawfuldiscrimination.Throughpreventionandeliminationofunlawfuldiscrimination,theOfficeforCivilRightshelpsHHScarryoutitsoverallmissionofimprovingthehealthandwellbeingofallpeopleaffectedbyitsmanyprograms. (#(# #XVlXX@XVlNq#0   OfficeofInspectorGeneral (OIG)improvesHHSprogramsandoperationsandprotects 4 themagainstfraud,waste,andabuse.Byconductingindependentandobjectiveaudits,evaluations,andinvestigationsOIGprovidestimely,useful,andreliableinformationandadvicetoDepartmentofficials,theAdministration,theCongress,andthepublic. (#(# 0   ProgramSupportCenter (_PSC_)providesabroadrangeofadministrativeservicestoHHS  componentsandotherFederalagenciesonacompetitive,fee-for-servicebasis._PSC_Ԁservicesareprovidedinthreebusinessareas:humanresources,financialmanagement,andadministrativeoperations. (#(# 0   SubstanceAbuseandMentalHealthServicesAdministration (SAMHSA),throughitsthree $$t" centers,workstoimprovequalityandavailabilityofprevention,earlyintervention,treatment,andrehabilitationservicesforsubstanceabuseandmentalillness,includingcooccurringdisorders,inordertoimprovehealthandreduceillness,death,disability,andcosttosociety. (#(#    GeneralDepartmentalManagement  ($' 0  0(#(# DepartmentalAppealsBoard (DAB)isanindependentofficeestablishedtoprovide *%) conflictresolutionservices.Theseservicesarebasicallyoftwotypes:1)adjudicatoryhearings,appellatereviewofdecisionsofadministrativelawjudges,andsimilarlystructuredformalandinformalreviewsofcontesteddecisions;and2)alternativedisputeresolution(_ADR_),includingmediationandotherconsensualprocessesandtrainingrelatedto_ADR_."  @@ ffffff? QHCFA Cr4 ?  6@226@C22 vlA@"  6@22 6@r  4@204@v20 tra2A"  4@20 4@  @@]tE?t91% zpEB"  @@ ]tE?r  D@40D@z40 g]2C"  D@40 D@  A@35A@g35 nd2D"  A@35 A@  @@?n88% QGEE"  @@ ? QHRSA Cr4 lF  Q@68Q@CЀ68 vlAlG"  Q@68 Q@r  N@61N@vЀ61 tra2lH"  N@61 N@  @@?t90% zpElI"  @@ ?r  @S@77@S@zЀ77 g]2lJ"  @S@77 @S@  G@47G@gЀ47 nd2lK"  G@47 G@  @@?!O?n61% QGElL"  @@ ?!O? QIHS Cr4 M  ;@27;@CЀ27 vlAN"  ;@27 ;@r  :@26:@vЀ26 tra2O"  :@26 :@  @@ %?t96% zpEP"  @@  %?r  A@34A@zЀ34 g]2Q"  A@34 A@  =@29=@g29 nd2R"  =@29 =@  @@KKKKKK?n85% QGES"  @@ KKKKKK? QNIH Cr4 lT  T@80T@C80 vlAlU"  T@80 T@r  T@80T@v80 tra2lV"  T@80 T@  @@?t100% zpElW"  @@ ?r  T@83T@z83 g]2lX"  T@83 T@  T@83T@g83 nd2lY"  T@83 T@  @@?n100% QGElZ"  @@ ? QOCR Cr4 [  $@10$@CЀ10 vlA\"  $@10 $@r  $@10$@vЀ10 tra2]"  $@10 $@  @@?t100% zpE^"  @@ ?r  3@193@zЀ19 g]2_"  3@19 3@  3@193@gЀ19 nd2`"  3@19 3@  @@?n100% QGEa"  @@ ? QOIG Br3 lb  @6@BЀ6 tj@lc"  @6 @r  @6@tЀ6 sr`1ld"  @6 @  @@?s100% yoEle"  @@ ?r  @5@yЀ5 e[1lf"  @5 @  @5@eЀ5 mc1lg"  @5 @  @@?m100% QGElh"  @@ ? QOPHS Cr4 i  *@13*@C13 vlAj"  *@13 *@r  &@11&@v11 tra2k"  &@11 &@  @@;;?t85% zpEl"  @@ ;;?r  >@30>@z30 g]2m"  >@30 >@  &@11&@g11 nd2n"  &@11 &@  @@wwwwww?n37% QGEo"  @@ wwwwww? QPSC Cr4 !lp  D@40D@CЀ40 vlA!lq"  D@40 D@r  D@40D@vЀ40 tra2!lr"  D@40 D@  @@?t100% zpE!ls"  @@ ?r  E@42E@z42 g]2!lt"  E@42 E@  E@42E@g42 nd2!lu"  E@42 E@  @@?n100% QGE!lv"  @@ ? QSAMHSA Cr4 "w  F@45F@C45 vlA"x"  F@45 F@r  E@43E@v43 tra2"y"  E@43 E@  @@?>?t96% {qE"z"  @@ ?>?r h@198h@{198 h^3"{" h@198 h@  V@91V@h91 nd2"|"  V@91 V@  @@+j?n46% TrGE"}"  @@ +j? TTOTAL PrrA$l~r  0؄@P667 urh?$l"  0 ؄@rr  0P@u650 rrn?$l"  0 P@r  @@bmY5/?97% {rnE$l"  @@ bmY5/?rr  0Ў@{986 urh?$l"  0 Ў@r  0x@u687 ~rq?$l"  0 x@r  @@ǀ(:K?~70%UKI$l"  @@  ǀ(:K?r U  8%    &XXVl  SUMMARYOFFINDINGSANDRECOMMENDATIONS  FROMPROGRAMEVALUATIONS 0#XVlX&/#   /GPRAandOMBCircularA11,Part2,requireFederalagenciestoincludeasummaryofthefindingsandrecommendationsofAgencyprogramevaluationsintheGPRAperformancereport. @XVlXXXVlTheHHSevaluationsthatwerecompletedduringFiscalYear1999arereportedinthe   DepartmentsannualreporttoCongresstitled:PerformanceImprovement2000:Evaluation t  ActivitiesoftheU.S.DepartmentofHealthandHumanServices.Forpurposesofcomplying `  withtheGPRArequirement,HHSisincorporatingthisevaluationreportbyreferenceintothisHHSPerformanceReportandPerformancePlanSummary.TheHHSreportonprogramevaluationsprovidesCongresswithevaluativeinformationontheDepartmentsprograms,policies,activities,andstrategies.#XVlXX@XVl|1#@XVlXXXVl `  Intheeraofresultsorientedmanagement,evaluationsareplayinganincreasinglyimportantroleinstrategicplanning,performancemanagement,andprogramimprovement.Tothisend,#XVlXX@XVl;4# XVlXXXVlHHSis $ committedtoensuringitsevaluationsyieldvaluableknowledge,andthatknowledgeisusedtocomplementannualperformanceplanningandreporting.EvaluationsconductedbyHHSagenciesgenerallyserveoneormoreofthefollowingpurposes:evaluateprogrameffectiveness;developperformancemeasurements;assessenvironmentalimpactsonhealthandhumanservices(i.e.,externalfactorsaffectingprogramperformance);andimproveprogrammanagement.TheresultsoftheseevaluationsareincreasinglybeingusedbyHHSprogrammanagerstoinformtheannualperformanceplanningprocessandtheinterpretationandreportingofannualperformancedata. Programeffectiveness providesawaytodeterminetheimpactofHHSprogramsonachieving  \ intendedgoalsandobjectives.Forexample,#XVlXXXVlQ5#ԀtheSubstanceAbuseandMentalHealthServices L Administrationperformedacomprehensivestudymeasuringoutcomesandcost/benefitsofsubstanceabusetreatment.UsingdatafromtheNationalTreatmentImprovementEvaluationStudy(NTIES),estimatesoftreatmentcosts,crimerelatedandhealthcarecosts,andtheincomeof4,411substanceabusersintheperiodsbeforeandaftertreatmentwereanalyzedThestudyfounddramaticreductionsincrimerelatedcosts,modestreductionsinhealthcarecosts,andmodestincreasesintheearningsofsubstanceabusersintheperiodaftertreatment.Inaddition,findingsonothertreatmentoutcomesshowedthatdrugusewascutinhalf,criminalactswerereducedupto80percent,homelessnesswasreduced,andratesofemploymentwereincreased. Performancemeasurement istheprimarymechanismusedtomonitorannualprogressin 4&!$ achievingdepartmentalstrategicandannualperformancegoals.Tosupportperformancemeasurement,weareinvestingevaluationfundstodevelopandimproveperformancemeasurementsystemsandthequalityofthedatathatsupportsthosesystems.Forexample,theOfficeoftheAssistantSecretaryforPlanningandEvaluationassessedthe stateoftheartinperformancemeasurementfortheDepartmentspublichealth,substanceabuse,andmentalhealthblockgrantprograms.TheresultsarebeingusedtodevelopanalyticalframeworksforHHSanditspartnersintheStatestomeasureserviceoutcomes,processes,andcapacityandaddressissuesofdataandinformationsystemrequirements.  .)-  Environmentalassessment isXVlXXXVlԀthewaywemonitorandforecastchangesinthehealthandhuman   servicesenvironmentthatwillinfluencethesuccessofourprogramsandtheachievementofourgoalsandobjectives.Inturn,thisunderstandingallowsustoadjustourstrategiesandcontinuetodelivereffectivehealthandhumanservices.Forexample,#XVlXXXVl?#ԀTheHealthResourcesandServices x AdministrationconductedastudyofmandatoryMedicaidmanagedcareenrollmentsystemstoassesstheeffectsenrollmentpoliciesonfederallyqualifiedhealthcenters(FQHC)andtheirabilitytoadapttomanagedcaresystems.Thestudyresultsarebeingusedtobetteridentifypolicyimplicationsfor accessandqualitytohealthcarefortheunderserved. Programmanagement reflectstheneedofprogrammanagerstoobtaininformationordata  P  helpfulforeffectivelydesigningandmanagingaprogram.Theseevaluationsgenerallyfocusondevelopmentaloroperationalaspectsofprogramactivitiesandprovideunderstandingofservicesdeliveredandpopulationsserved.Forexample,theOfficeofHIV/AIDSattheCentersforDiseaseControlandPreventionconductedanevaluationofitsfiveyeardemonstrationofsocialmarketingtechniquesforHIV/STDpreventionprogramstargetedtoyoungpeopleunder26yearsofage.Theresultsarebeingusedtoassesstheimplementationphaseoftheprogramandinformcollaborativenationalpartnerswhoprovidedtechnicalassistancetothelocaldemonstrationsites. PerformanceImprovement2000isavailableelectronicallyfromtheHHSPolicyInformation P Center(PIC)websiteat:<4xl 6O  5  http://aspe.os.dhhs.gov/PIC/gate2pic.htm>.6yF6OFale  7ljFԀThePICprojectdatabase, < acentralizedsourceofinformationonmorethan6,000studiessponsoredbyHHS,otherFederalagenciesandprivatesectorentities,servesasaninformationsourceforindividualevaluations(eithercompletedorinprogress).ForadditionalinformationaboutusingthePICdatabaseoraccessingcopiesofevaluationreports,pleasecontactthePolicyInformationCenterat(202)6906445.<   /<tcttt9,X,X,X,X9  &XXVl  DEPARTMENTALCOMMITMENTTO  ЀMANAGEMENTIMPROVEMENT PJ#XVlX&1J#   "JTheDepartmentofHealthandHumanServicesiscommittedtoexemplarymanagementthatensuresthatprogramsaredeliveredinanefficientandeffectivemanner.Thiscommitmentisexpressedinanumberofways!throughimprovingourfinancialmanagement,improvingourprocurementprocesses,anddevelopingandtrainingourworkforce.ThissectionoftheHHSSummarydescribesthevarioustoolsusedbytheDepartmenttomanage,address,andreportonourmissioncriticalmanagementactivitiesandchallenges.TheseincludeaccountingandfinancialmanagementtoolssuchasthoseoutlinedintheChiefFinancialOfficers $t  (CFO)ActandtheFederalFinancialManagementImprovementAct(FFMIA),systemsplanning `  toolsdescribedintheClingerCohenAct,andtheperformancemeasurementtoolsintheGPRA. L  Itpresentsexamplesofperformancegoalsusedtomeasureourmissioncriticalmanagementactivitiesanddiscussessomeoftheresultswehaveachieved. TOOLSFORIMPROVINGMANAGEMENTANDADMINISTRATION   TheDepartmentusesseveralkeytoolstoimprovethemanagementandadministrationofour p programresponsibilities:L 0 !"#$%xh- !"#$%L 3   37P23  0    FinancialaccountabilitytoolssuchastheChiefFinancialOfficers(CFO)Act,theFederal 4 FinancialManagementImprovementAct(FFMIA),theFederalManagersFinancial  p IntegrityAct(FMFIA)andtheDebtCollectionImprovementAct(DCIA).37PbP݌ \(#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3R23  0    ToolsformanagingourtechnologyresourcessuchastheClingerCohenActandthe 4 PresidentialDecisionDirective(PDD63),whichrecognizethataddressingcomputerbased   riskstothenationscriticalinfrastructuresrequiresanapproachthatinvolvescoordinationandcooperationacrossfederalagenciesandamongpublicandprivatesectorentitiesandothernations.3RR݌ (#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3DU23  0    TheOfficeofFederalProcurementPolicyAct,whichseekstoimproveprocurement l#! efficiencyinsupportofthemissionaccomplishmentsoffederalagencies,andinstructsagenciestoestablishclearlinesofcontractingauthorityandaccountability.TheActpromoteselectroniccommerceintheadministrationofprocurementsystems.3DUoU݌ (#(# Ќ       4   INTERACTIONBETWEENGPRAANDOTHERMANAGEMENTTOOLS  (D$' Thesetoolshaveplanningandreportingrequirementsthatgenerateextensiveinformationonkeymanagementactivities.MuchofthisinformationisreflectedinorsupportedbytheHHSperformanceplans.Forexample,theHHSperformanceplanscontainperformancegoalsforallofourmissioncriticalactivities.Insomecases,theperformancegoalsareidenticaltothe benchmarksestablishedbytheaforementionedstatutes.Inothercases,theperformancegoals |.)- supportthembyidentifyingspecificstrategiesoractivitiesthatmustbeimplementedtoachievetheobjectivesestablishedbythestatutes. L 0 !"#$%xx0 !"#$%LForthisreason,theDepartmentsperformancegoalsoftenappearinmultipledocuments.Forexample,theHHSChiefFinancialOfficersStatusReportandFiveYearPlanidentifiesstrategic ` financialmanagementgoals,includinggoalsforFFMIAanddebtcollectionactivities.PerformanceresultsforthesegoalsarereportedintheAccountabilityReport.ManyofthemostmissioncriticalCFOgoalsarealsoincludedasperformancegoalsandreportedonintheHHSPerformancePlansandReports.PerformanceresultsarereportedinboththeAccountabilityReportandtheperformanceplansandreportswithanimportantdistinction.TheAccountabilityReportcontainsinformationonkeyperformancegoals.Theperformanceplansandreports,bycontrast,reportonalloftheDepartmentsperformancegoals.Inaddition,theAccountabilityReportincludesinformationonachievementsincriticalmanagementactivities,suchasgrantsmanagement,procurementandworkforceplanning,whicharenotdirectlylinkedtoperformancegoals. L & !"#$%dxx0 !"#$%LMEASURINGMANAGEMENTACTIVITIES  H ThecurrentAdministrationhasindicatedthatitintendstouseGPRAtosupporteffortstoimprovethefunctioningoftheFederalgovernmentandmakeitmoreefficient.SincetheimplementationofGPRA,HHShasmeasuredcriticalmanagementactivities.Infact,forthepasttwoyears,SenatorFredThompsonhasreviewedreportsfromGAOandtheHHSOfficeofInspectorGeneralthatidentifiedanumberofcriticalmanagementchallenges.InFY2000,SenatorThompsonnotedthattheHHSFY2000PerformancePlanscontainedperformancegoalsfor12ofthe14highriskandothermostseriousmanagementproblemsconfrontingtheDepartment.AdetailedassessmentofthesechallengesandtheperformancegoalsthatrespondtothemareincludedintheHHSAccountabilityReport.  ForthemostrecentlistofmanagementchallengesidentifiedbytheInspectorGeneral,HHSperformanceplansagaincontainedperformancegoalsaddressingallchallenges.However,whileourperformanceplanscontaingoalsthataddressaspectsofcriticalinfrastructureprotection,whichwasoneofthechallengesidentified,wewillworkoverthenextyeartodevelopgoalsthataddressthisissuemoredirectly.Thefollowingareexamplesofperformancegoalsusedtomeasureourmissioncriticalmanagementactivitiesandhighlightsoftheresultswehaveachieved.TheDepartmentlooksforwardtoexpandingitsmeasurementofimportantmanagementactivitiesoverthenextyear.L 0 !"#$%xx& !"#$%L 3   3e23  0    FinancialManagement :ThefollowingarehighlightsoftheDepartmentsperformancegoals )$( fromtheHHSChiefFinancialOfficersStatusReportandFiveYearPlan:3ee݌*%)(#(# Ќ  L - !"#$%@hx0 !"#$%L 3     3ug2@3  0    TheDepartmenthashadagoaltoearna cleanopiniononitsauditedfinancial X,'+ statementssinceFY1999,whichitmetinFY1999andFY2000.SeveraloftheHHS componentsincludesimilarperformancegoalsintheirperformanceplans.Forexample, 0.)- HCFA,HRSAandCDChavemetgoalstoobtain cleanopinionsontheirfinancialstatements.3ugg݌ (#(#   L - !"#$%@hh- !"#$%L   3     3Aj2@3  0    TheDepartmenthasmetorexceededitsFY2000goalsrelatedtothepercentageof t paymentstransferredelectronicallybyprocessing100percentofgrantpayments,99percentofsalarypayments,86percentofvendorpaymentsand95percentoftravelpaymentsontime.BecauseHHSperformanceforvendorandtravelpaymentssignificantlyexceededitsexpectations,ithasincreaseditsFY2001goalsto90and100percent,respectively.3Ajxj݌ (#(# Ќ     3     3l2@3  0    TheDepartmenthassetanannualtargettoincreasetotaldebtcollectionby10percent  8  overthepreviousyear.InXVlXXXVlԀFY1999,$14.27billionwascollectedfordebtsowedtoHHS.&FE%XXVlԀ $  Althoughthisrepresents#XVlX%&FE1n#a7percentincreaseoverFY1998,theamountcollectedisalmost   $1billionaboveFY1998.InFY2000,$15.3billionwascollected,whichagainrepresentsa7percent,$1billion,increaseoverFY1999.#XVlXXXVlm#3lm݌ (#(# Ќ    L 0 !"#$%xh- !"#$%L 3   3Ap23  0    ITSystems :HHShasadoptedaninnovativeenterpriseinfrastructuremanagementapproach p thatcentralizes,standardizesandsecurescontinuityandconformity.TheOfficeoftheSecretaryandtheHHScomponentsworktogethertoenhanceinteroperabilitywithintheDepartment(suchascorefinancialsystems),reduceduplicationofequipmentandservices,andprovideforsecuresystemsduringemergencies(suchassupportingaresponsetoBioterrorism).ITmanagementpracticesarestreamlinedthroughDepartmentwideITpolicies,standardoperatingproceduresandmeasurableservicelevelagreements.Someofthekeyactivitiesincludeautomatedassetmanagement;PublicKeyInfrastructure(PKI)foridentification;rapidsoftwaredistributionandrecovery;virusdetectionanddefenseandresponsetonetworkintrusion.3Aplp݌ (#(# Ќ  L - !"#$%@hx0 !"#$%L 3     3t2@3  0    TheOfficeoftheSecretarysOfficeofInformationResourceManagement(OIRM)has  setperformancegoalstoinitiateEnterpriseInfrastructureManagementtoprovidesoftwaredistribution,asset,problem,andfacilitiesmanagementandtoXVlXXXVlԀi#XVlXXXVl*v#XVlXXXVlnitiateEnterprise p SoftwareLicensestoconsolidateduplicativeefforts#XVlXXXVlnv#.OIRMhassetsupporting \  performancegoalstopurchase100%ofthetargetedTivoli,PeregrineandSASsoftwareproductsbyFY2002.3tt݌ (#(# Ќ   3     3w2@3  0    CDChassetagoaltoensurethatcriticalinformationsystemsandITinfrastructure(CDC  $\" DataCenter,wideareanetwork,email,andInternet/webservices)operatereliablyandcontinuously.Thereliabilityratewasapproximately97.3percentinFY2000.CDCplanstoincreasethatrateto99percentinFY2001,and99.5percentinFY2002.3wx݌ (#(# Ќ   3     3z2@3  0    HRSAisdevelopingagoaltoreducethenumberofsecurityviolationsthatcreateamajor (#' risktotheHRSAtechnicalinfrastructure.HRSAplanstomeasurethisactivitythroughanannualtargettoreducethe violationratiobytenpercenteachyear.XVlXXXVlԀHRSAhasdefined *%) a securityviolationas#XVlXXXVl{#XVlXXXVlanyactivityorincident,whethermaliciousorunintentional,that l+&* hassubstantialadverseaffectsupontheperformanceorconfigurationoftheITinfrastructureoranyofitscomponents.#XVlXXXVl!|#3z݌ (#(# Ќ   3   3e?2d3  0    TheIHSandHRSAFederalOccupationalHealthProgram(FOHP)partneredtoshare  ` softwareenablingIHStoreceiveoccupationalhealth,environmentalassessmentandhealthinformationmanagementsupportservicesfromvariousresources.ItenablesIHStomeetitsenvironmentalmanagementresponsibilities.3e??݌ (#(# Ќ  #m;#P - !"#$%@hx& !"#$%;P NationalInstitutesofHealth    L & !"#$%dxh- !"#$%L 3   3lB2d3  0    TheIHSandtheNationalInstituteofGeneralMedicalSciences(NIGMS)arecollaborating   onbringingtogetherinpartnershipacademicresearchinstitutions,IndiantribesorIndiancommunitybasedorganizations.ThepurposeistostrengthencapacityforresearchondiseasesofimportancetoAmericanIndiansandtodevelopacadreofAmericanIndianscientistsandhealthprofessionalswhowillbecomeactiveparticipantsincompetitiveNIHfundedresearch.3lBB݌ (#(# Ќ   3   3D2d3  0    TheIHSandtheNationalInstituteforDentalandCraniofacialResearch,inpartnershipwith H theStateUniversityofNewYorkatBuffalo,havealongstanding(fiveyear)partnershiptodeveloptreatmentregimensforindividualswithdiabeteswhoalsosufferfromperiodontaldisease.ThefirstsiteforthestudywasSacaton,Arizona,andthecurrentsiteisSantaFe,NewMexico.Theresultshavebeenreportedintheprofessionalliteratureandthetechnologyisbeingexportedunderagrantprogram.3D#E݌ (#(# Ќ   3   3G2d3  0    TheIHSandNationalInstituteofDiabetesandDigestiveKidneyDiseases(NIDDK) | collaborateonfacilitiesandservicestoconductclinicalresearchstudiesprimarilyintheareasofdiabetesanddigestivediseasesatthePhoenixIndianMedicalCenter(PIMC),Arizona.Italsofacilitatescollaborativeresearchinterestindiabeticrenaldiseaseandepidemiologicsurveysandstudies.3GG݌ (#(# Ќ  #B#P - !"#$%@hx& !"#$% BP HHSOfficeofWomen'sHealth  $D # TheNationalIndianWomen'sHealthSteeringCommitteeisconducting11surveysthroughIndiancountrytoidentifywomen'shealthissuesandwillbemakingrecommendationstotheDirectorofIHS. SubstanceAbuseandMentalHealthServicesAdministration  )%) TheIHSalongwithotherFederalAgenciesareworkingwithSAMHSAtosupportseveralNativeAmericancollaborationsinmentalhealthandsubstanceabuse,includingthe"IndianSelfDetermination:SummitonTribalStrategiestoReducealcohol,SubstanceAbuseandViolence." PartnershipswithOtherFederalAgenciesandNonGovernmentalOrganizations  /T+/ Ї AmericanCollegeofObstetricsandGynecology   TheAmericanCollegeofObstetricsandGynecologists(ACOG)FellowsInServiceProgramrecruitsandscreensBoardCertifiedorActiveCandidatesforBoardCertificationobstetriciangynecologists(OBG's)forshorttermassignmentsinIHSfacilities.ThesefellowsaugmentlocalIHSstaffwhentheirOBG'sareawayforleave,educationaltraining,maternityleave,orprolongedillnessordisability.Thereareapproximately812assignmentseachyear,with11havingbeenassignedthispastyear.Anumberofrequestshavealreadybeenmadeforthisyear'sprogram.TheACOGCommitteeonAmericanIndianAffairsmeetswithIHSHeadquarters,Area,andServiceUnitstaff23timesayearandconductsanAreawideobstetricandgynecologicqualityofcareconsultationsitevisitannually.AllAreaswithfullserviceobstetricsandgynecologyprogramsaresitevisitedonarotatingschedule.TheBillingsAreawassurveyedlastyear.TheCommitteemetwiththeIHSOBGcliniciansinAlbuquerqueinJuly,2000,andisschedulingitsnextsitevisittothePhoenixAreainthespringof2001.TheACOGIHSPostgraduateCourseonObstetric,Neonatal,andGynecologicCareispresentedannuallybyspeciallyrecruitedandselectedACOGandIHSfacultyforapproximately100110IHSandTribalphysicians,advancedpracticenurses,andclinicalnurses.Thiscourseisdesignedtoprovideaweeklongupdateofobstetric,neonatal,andgynecologiccarewiththefocusonpracticesappropriateintheprimarycaresettinginoftensmallerormoreremotefacilities.Approximately110haveregisteredforthenextcoursetobepresentedinAurora,CO,inSeptember,2000. DepartmentofInterior/BureauofIndianAffairs    L - !"#$%@hh- !"#$%LTheIHSalongwithotherFederalAgenciesareworkingwiththeDOI/BIAtosupportseveralNativeAmericancollaborationsinmentalhealth,includingthe"IndianSelfDetermination:SummitonTribalStrategiestoReduceAlcohol,SubstanceAbuseandViolence."TheIHScontinuestoworkwiththeBIAtoprovidetechnicalassistanceandtrainingforbackgroundchecksofemployeesofTribalhealthprograms,andpartnerinthesupportoftheIHS/BIAAnnualYouthConferencereachingJuniorHighandHighSchoolandcollegeteenswithanagendathatcoversawidevarietyoflifeissues.#T#P - !"#$%@hh- !"#$%XTP DepartmentofJustice  $D # L - !"#$%@hh- !"#$%LTheIHSandotherFederalagencieshavepartneredwiththeU.S.DepartmentofJustice,OfficeofJuvenileJusticeandDelinquencyPreventionandOfficeofCommunityOrientedPolicingServicestosupportcoordinatedactivitiesinmentalhealthandcommunitysafety,targetingAI/ANchildren,youth,andfamilies.Thegrantfundsareforathreeyearperiodtoprovidetribeswitheasytoaccessassistanceindevelopinginnovativestrategiesthatfocusonthementalhealth,behavioral,substanceabuse,andcommunitysafetyneedsofAI/ANyoungpeopleandtheirfamiliesTheIHSandotherfederalagencieshavepartneredwiththeU.S.DepartmentofJustice,OfficesofTribalJustice,OJPCorrectionsProgramandOfficeofJusticeProgramtocosponsorthe"IndianSelfDetermination:SummitonTribalStrategiestoReduceAlcohol,SubstanceAbuse /T+/ andViolence."Theconferencewillfocusondevelopinganationalagendaonalcohol,substanceabuseandviolenceforIndiancountry;andanopportunityforFederalagenciestohighlightpromisingpracticesandstrategiesonalcohol,substanceabuseandviolence.Tribeswillbegivenmaterials,andtheywillbeabletonetworkwithresearchers.#W#P - !"#$%@hh- !"#$%WP EnvironmentalProtectionAgency  \ L - !"#$%@hh- !"#$%LTheIHSandEPAhaveseveralinteragencyagreementstocoordinateactivitiesofbothagenciespertainingtotheenvironmentandhumanhealthofAI/ANandtheirlands.ThroughtheirjointefforttheEPAcanprovideresourcestotheSanitationFacilitiesConstructionProgram'snationalnetworkofstafftopromotetheirmutualinterests,createcostefficienciesandeliminateoverlappingresponsibilities,i.e.designandconstructwastewatertreatmentprojects.IntheirpartnershipwithEPA,theIHSalsoentersintoMemorandumsofUnderstanding(MOU)withtribestoapplyandmanageClean(CW)IndianSetAsidegrantstodevelopandmanagetheirwaterandsanitationfacilitiesprogram.TheIHSandEPAprovidetechnicalguidanceandsupportthroughouttheprocess.#]#P - !"#$%@hh- !"#$%]P FederalEmergencyManagementAgency  X TheIHS,theFederalEmergencyManagementAgency(FEMA)andtheU.S.FireAdministration(USFA)arecollaboratingtoreducetherateoffireandburninjuriesinAmericanIndianandAlaskanativechildren,ages05yearstohalfthenationalaveragebytheyear2010.Fireistheleadingcauseofchildhoodinjurydeathinthehomeandchildrenunderfiveyearsofageareatthehighestrisk. InjuryPrevention   ThemissionoftheIHSInjuryPreventionProgramistodecreasetheincidenceofsevereinjuriesanddeathtothelowestpossiblelevelandincreasetheabilityoftribestoaddresstheirinjuryproblems.TheIHShasinitiatedanaggressivepublichealthattacktopreventtraumaticinjuryamongAmericanIndiansandAlaskaNatives.Primaryemphasisisdirectedtotheinjuriesofthegreatestcause,suchasmotorvehiclecrashes,andtothemostcommonriskfactors,suchaslackofoccupantrestraints,alcoholimpaireddriving,andpoorroadconditionsinruralareas.Otheremphasisareasareinchildhoodinjury,thepreventionofhousefirerelatedinjuries,andbuildingthecapacityofTribestoaddressinjuriesinlocalcommunitiesthroughcoreprogrammaticfundingandtrainingininjuryprevention.Toaccomplishtheirmission,theIHSInjuryPreventionProgramhasformedpartnershipswithmanygovernmentandnongovernmentagencies.TheIHShasacollaborativeagreementwiththeNationalCenterforInjuryPreventionandControloftheCDCforthepurposeofinjuryprevention,withspecificareasofinterestininjuryepidemiologyandsurveillanceandintheevaluationofcommunitybasedinjurypreventionandcontrolinitiatives.DuringthepastyeartheCDCandtheIHScollaboratedwiththeAmericanAcademyofPediatricsandseveralTribalgroupstopresentthefirsteverbriefingoninjuryissuestostafffromtheSenateSelectSubcommitteeonIndianAffairs.  (.h*. OtherformalInteragencyAgreementsexistbetweenIHSandtheU.S.FireAdministration,and theNationalHighwayTrafficSafetyAdministration.Programstaffworkwithmanyotheragenciesandgroupsincludingthefollowing;theNationalSafeKidsCampaign,theConsumerProductSafetyCommission;BureauofIndianAffairs'LawEnforcementServicesandDivisionofHighwaySafety;AmericanAcademyofPediatrics,CommitteeonNativeAmericanChildHealthandtheCommitteeonInjuryandPoisonPrevention;FederalHighwayAdministration;HRSA'sMaternal&ChildHealthBureau;TheJohnsHopkinsUniversity;HarborviewInjuryPreventionResearchCenter;andprivatefoundations. U.S.ArmyMedicalCommand   L  TheIHSandtheU.S.ArmyMedicalCommandcollaborationpermittedtheIHStoaccesstheArmy'scontractwithMedNational.MedNationalisahealthmanpowerrecruitingfirmlocatedinSanAntonio,Texas.ThroughMedNational,theIHShasaccesstoanalternatesourceofdentalmanpowerandhasbeenabletoplace6dentistsinIHSandTribaldentalclinics. UnitedStatesDepartmentofAgriculture   TheIHScontinuestoworkwiththeUSDAforWICservicesforHeadStartIndianchildrentoprovidebasicnutritionfooditemstoensurehealthphysicaldevelopmentofchildrenbetweenages15yearsold. UniformedServicesUniversityoftheHealthSciences  H TheIHSalsohasacollaborativeagreementwiththeUniformedServicesUniversityoftheHealthSciences(USUHS)fortechnicalassistanceinensuringenvironmentalcomplianceofIHShealthcarefacilities.Duringthepastyear,USUHSstaffdevelopedacomprehensivehazardousmaterialsandwastemanagementplanthatwillbeappliedinallIHSfacilities.    DepartmentofVeteransAffairs   L & !"#$%dxh- !"#$%L 3   31q2d3  0    Nationally,theIHSiscollaboratingwiththeVAontargeteddatasystemsandcredentialingto  increasethenumberofNativeAmericanveteranseligibleforservicesandtoidentifyunderservedareasofIndiancountrywhereNativeAmericansreside.31q\q݌ (#(# Ќ   3   3r2d3  0    TheIHS,HFCAandtheSocialSecurityAdministrationplantoincludetheVAintheir H  collaborationtodevelopanagreementtargetingeducationandoutreachofveteranbeneficiarieswhoareunderutilizingtheirbenefitsandservices.3rs݌ (#(# Ќ   3   3t2d3  0    ManylocalIHSfacilitieshavecareagreementsandpharmaceuticalsupplyagreementswith  8  nearbyVAfacilitiesthatmaximizecapabilitiesandextendstheoutreachofservicesforbothagencies.3tt݌ (#(# Ќ   3   3v2d3  0    TheIHSparticipatesintheVADrugPrimeVendorProgram.BycollaboratingwiththeVA   andbeingincludedontheVAprimevendordrugcontract,theIHSisabletotakeadvantageofnationaldrugcontractpricesnegotiatedbytheVA.ThisallowstheIHStopurchaseselectedpharmaceuticalatsubstantiallydiscountedprices,evenlowerthanFederalSupplyService(FSS)pricesinmostcases.TheIHShasbeenparticipatingforseveralyearsandplanstocontinuethiscollaborationindefinitely.TheprogramhasresultedinverysubstantialsavingsforIHSovertheyears.#p#3vAv݌ (#(# Ќ  P - !"#$%@hx& !"#$%pP(<  \  <e9,X,X,X,X9iU5%!`z3 `E`ttx [i (#(#     (#(#iUf5%!`z3 `E`ttx [iiU5%!`z3 `E`ttx [iiU5%!`z3 `E`ttx [i &XXVlR#XVlX&6}# esearchindicatesthatasignificantpercentageofprematuremortalityandmorbidityinthe H  UnitedStatescanbepreventedifindividualsavoidcertainhighriskbehaviors(e.g.,smoking),adopthealthyones(e.g.,exercise),andreduceexposuretomajorenvironmentalriskstohealth(e.g.,leadbasedpaint).ThestrategicobjectivesunderthisgoalfocusDepartmenteffortsonchangingbehaviorsandreducingtherisksthatareassociatedwiththeleadingcausesofprematuremortalityandmorbidity(e.g.,heartdiseaseandstroke)intheUnitedStates.Theimportanceofthisgoalisevidentfromthehealthandeconomicconsequencesofthebehaviorsthatareaddressed.Forexample,L - !"#$%@hh- !"#$%L 3   32@3  0    Smokingisestimatedtoberesponsibleformorethan400,000deathsannually(oneinevery  fivedeathsintheUnitedStatesissmokingrelated),anditisestimatedthatsmokingincreasestheriskofcontractingotherdiseases,includingheartdiseaseandemphysemaandotherrespiratorydiseases.3݌ (#(# Ќ   3   3}2@3  0    Unintentionalinjuries(primarilyfromfires,falls,drowning,andpoisonings)aretheleading D causeofdeathintheUnitedStatesforpeoplebetweentheagesof1and44.3}݌ (#(# Ќ   3   32@3  0    Violenceinintimaterelationshipsisestimatedtoresultinfinanciallossestowomenvictimsof H $150millionayear.3݌ (#(# Ќ   3   3 2@3  0    Poordietandlowlevelsofphysicalactivityareassociatedwith300,000deathseachyear,   secondonlytotobacco.3 K݌ (#(# Ќ   3   3T2@3  0    AlcoholabuseexactsafinancialtollontheNation,costingover$166billionannually,of  whichapproximately$58billionisattributedtounderagedrinking.3T݌ (#(# Ќ   3   32@3  0    Drugabuse,estimatedtocostsocietyover$100billionperyear,islinkedtootherpublic T"! healthproblems,suchassuicide,homicide,motorvehicleinjury,sexuallytransmitteddiseases,andHIVinfection.3߇݌ (#(# Ќ   3   3D2@3  0    Unsafesexualbehaviorisrelatedtomorethan12millioncasesofsexuallytransmitted &D"% diseases,highteenpregnancyrates,andbillionsofdollarsinpreventablehealthcarespendingeachyear.WhiletheactualdeathratesfromHIVinfectionhavedeclined,thenumberofnewinfections(estimatedat40,000annually)andcostoftreatmentremainhigh.3Do݌ (#(# Ќ   3   3g2@3  0    Finally,infectiousdisease(e.g.,pneumoniaandinfluenza)wasthesixthleadingcauseof *&* deathintheUnitedStatesin1998.3g݌ (#(# Ќ  L - !"#$%@hh- !"#$%L  _  &XXVl  SUMMARYPERFORMANCEREPORT ' &݌p+'+(#(# Ќ   3   3"*23  0    PhysicalActivity. XVlXXXVlAccordingtothe_NHIS_,thelevelofphysicalactivityamongadultshas H-)- declinedoverthelastfewyears.From1995to1997,thepercentofpeopleaged18-74whoengageinmoderatephysicalactivityforatleast30minutesperday,fiveormoretimesa $/d+/ week,hasdecreasedfrom23%to15%._OPHS_ԀhassetanFY1999targetof29percent,basedonHealthyPeople2000.Although_OPHS_Ԁisconcernedaboutthisdecreasingtrend,thelandmarkSurgeonGeneral'sReportonPhysicalActivityandHealthwaslaunchedin1996andmessagesregardingthehealthbenefitsofmoderateintensityphysicalactivityarejustnowbeingintegratedintomanyexistingprogramsandmaterials._OPHS_,inconjunctionwithenhancedpublic/privatepartnerships,recommendsthedevelopmentofpubliceducationprogramsthatconveythestateoftheartconsensusonwhatlevelofmoderatephysicalactivityyieldshealthbenefitsand,ifpossible,thebenefitsaccruedwithhigherlevelsofactivity._OPHS_Ԁencouragesformativeresearchwithavarietyoftargetaudiencesinordertobestaddressmotivationalbarriers;developmentofinnovativeandnon-traditionalapproachesforreachingthegeneralpublic,e.g.,usingmajorsportsleaguesandtheirevents;enhancementofrelationshipswithschools,employers,parksandothercommunityagencies,inordertoprovidenecessarylinkagesforaccessandavailabilityoffacilitiesandtomakeenvironmentalchangesatthecommunitylevel.#XVlXXXVl*#3"*M*݌ (#(# Ќ  XVlXXXVl#XVlXXXVl1#    iU5%!`z  `E$tt< i (#(#    (#(#iUh5%!`z  `E$tt< iiU5%!`z  `E$tt< iiU5%!`z  `E$tt< i9,X,hX,X,X9XVlXXXVl&XXVl T #XVlX&4#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff p componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl4# \  *_k ddrdd rdd dd edd edd dd dd v\w(#(#,SS ,4SS ,SSS +  &\\\\G 4 t  &  &FE%XXVlPerformanceGoals 8\\\\A#!   \\\\G 8  Targets 8\\\\A#!   \\\\A 8  ActualPerformance =\\\\A(&t    \\\\A =@&FE%%&FEReducethepercentageofteenagers(ingrades9 $  12)whosmokebyconductinganeducationalcampaign,providingfundingandtechnicalassistancetoStateprograms,andworkingwithnongovernmentalentities.CDCPlan#&FE%%@&FE@9# 0\\\\T\\\\A 0@&FE%%&FEFY03:32.3% $  FY01:34.2%FY99:36.4%#&FE%%@&FE:# 0\\\\ \\\\ 0FY03:FY01:7/01FY99:34.8%FY97:36.4%FY95:34.8%FY93:30.5%FY91:27.5% /\\\\A L\\\\ /Reduceproportionofmotherswhosmokeduringpregnancy._OPHS_ԀPlan 0\\\\X\\\\A 0FY02:8%FY01:9%FY00:10%FY99:12% 0\\\\P"\\\\ 0FY02:FY01:FY00:05/02FY99:05/01FY98:12.9%FY97:13.2% /\\\\A(\\\\ /IncreasenumberofStateswhoserateoftobaccosalestominorsviolationsisatorbelow20%.SAMHSAPlan 0\\\\0+\\\\A 0FY02:30StatesFY01:26StatesFY00:26StatesFY99:8States 0\\\\ /\\\\ 0FY02:FY01:FY00:25StatesFY99:21StatesFY98:12StatesFY97:4States /\\\\A5\\\\ /DevelopatleastfiveregionaltobaccocontrolcenterstoassistAmericanIndianandAlaskanNativehealthfacilitiesandorganizationswithtobaccopreventionandcessationactivities.IHS #9 Plan 0\\\\d$ :\\\\A 0FY02:Commenceallprescribedcontrolactivitiesin5sitesFY01:Establish5tobaccocontrolcentersFY00:establishbaselineratesfortobaccousage 0\\\\&\"A\\\\ 0FY02:FY01:FY00:baselineratesestablished(&8#I  \\\\ (#XVlX%&FE/8#  (D$I iU5%!`z  `E`ttx 3i (#(#     (#(#iUj5%!`z  `E`ttx 3iiU 5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i9,X,hX,X,hX9XVlXXXVl&XXVl T #XVlX&D#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVlC# H  * ddSS 4SS 4SSS S_k(#(#,z SS , SS ,SS +  &\\\\G  `  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance A\\\\,&p    \\\\A A  &FE%XXVlInjuries #XVlX%&FE2H# ;\\\\A&$0  \\\\ ;&FE%XXVlReducethenumberofunintentionalinjuries `  forAI/ANpeople.IHSPlan 0\\\\<|\\\\A 0 Hospitalizations  `  FY02:2%FY01FY01:50% 0\\\\4?\\\\ 0FY02:FY01:FY00:baseline3/01FY98:25%est. /\\\\AC\\\\ /Decreaseproportionofinjurioussuicideattemptsamongyouthgrades912._OPHS_ %XE Plan 0\\\\`&4 F\\\\A 0FY02:1.4FY01:1.6FY00:1.8FY99:2.0 0\\\\<'!J\\\\ 0FY02:FY01:FY00:DNCFY99:2.6%FY98:DNCFY97:2.6%FY95:2.8%#XVlX%&FET# /\\\\A)#Q\\\\ /&FE%XXVlDevelopandfieldtestuniformandevidence @+%R basedguidelinesforthetreatmentofpoisoning.HRSAPlan ,&T  0\\\\.(V\\\\A 0FY02:5FY01:5 0\\\\,%X\\\\ 0FY02:FY01:FY00:0 3\\\\,&[\\\\ 3#H  OccupationalInjuries ;\\\\A&$d \\\\ ; Collect,analyze,anddisseminatesurveillanceinformationonoccupationalillnesses,injuries,andhazardstohelptargetandevaluateinterventionsandpreventionefforts.CDCPlan 0\\\\p D\\\\A 0FY02:Publishsurveillancereportsaddressing2majoroccupationalinjuryorillnessissuesannuallyTargetonenationalpreventionactivityannuallyPrepareanddisseminatepublicusedatasets.FY01:Initiatewebbasedsurveillanceinformationdissemination.Pilottestimproveddatacollectionmethods.Initiatehazardsurveystargetedbyworkforcesector.FY00:Continuetocollect,analyze,anddisseminatesurveillancedata.FY99:Collect,analyzeanddisseminatesurveillancedataandproducereports 0\\\\'!,\\\\ 0FY02:&FE%%&FE - FY01:FY00:Achieved.Examples:(1)SimpleSolutions:ErgonomicsforFarmWorkers(2)_MMWR_ԀpertainingtopesticidepoisoningusingdatacollectedthroughtheToxicExposureSurveillanceSystem(TESS)6/900Vol29).(3)1999WorkRelatedLungDiseaseSurveillanceReport(4)_NIOSH_ԀWorkerHealth2000_Chartbook_ofOccupationalSurveillanceInformationFY99:Achieved /\\\\A'!R\\\\ /Fostersafeandhealthfulworkingconditionsbytransferringscientificandtechnicalinformationtoemployers,workers,thepublicandtheoccupationalsafetyandhealthcommunity.CDCPlan ,&W  0\\\\-\'X\\\\A 0FY02:ImproveoverbaselineFY01:Establishbaselineofinformationtransferredviaweb,phone,andprint 0\\\\,&]\\\\ 0FY02:FY01:#XVlX%&FEX# 3\\\\+%a\\\\ 3MZ  &FE%XXVlViolence #XVlX%&FE\b# ;\\\\A&$.(b \\\\ ;&FE%XXVlReducethenumberofstudentsreporting d incidentsofphysicalfightingamongprogramparticipantsinCDCfundedyouthviolenceproject.CDCPlan 0\\\\$ \\\\A 0FY00:30%ofstudentsreportbeinginvolvedinaphysicalfight. 0\\\\H\\\\ 0FY00:AchievedFY96:A30%reductioninphysicalfightingreportedintheinitialphaseFY94:50%ofstudentsreportbeinginvolvedinaphysicalfight /\\\\AL \\\\ /Developbestpracticesprotocolsforimplementationandevaluationofyouthviolencepreventionprogramsin1999.CDC tH  Plan 0\\\\P$ \\\\A 0FY02:Developcapacityfortechnicalassistanceinimplementingthebestpractices_Sourcebook_nationwidethroughCDCsNationalYouthViolencePreventionResearchCenter.FY01:Providetechnicalassistancetoatleast5communitiesinimplementingBestPractices.FY00:DisseminateBestPracticesprotocolstoatleastonetargetaudienceFY99:DevelopBestPracticesprotocolsforimplementationandevaluationofpreventionprograms 0\\\\!+\\\\ 0FY02:FY01:FY00:Publicationcompleted;distributioninFY01.FY99:Protocolsdevelopedandcompiledintoa_Sourcebook_ԀofBestPractices.#XVlX%&FEb# /\\\\A!A\\\\ /&FE%XXVlIncreasethepercentofIHS,Tribal,and 8# B UrbanmedicalfacilitieswithUrgentCareorEmergencydepartmentsorservicesthathavewrittenpoliciesandproceduresforroutinelyidentifying,treatingand/orreferringvictimsoffamilyviolence,abuseorneglect(child,spouse,elderly)andtrainstaffintheiruse.IHSPlan 0\\\\<)#I\\\\A 0 StaffTraining  8# J FY02:56% PoliciesandProcedures  &| N FY02:80%FY01:75%FY00:70%FY99:60% 0\\\\*#R\\\\ 0FY02:FY01:establish̀baselineFY02:FY01:FY00:72%FY99:64%FY98:47%#XVlX%&FEh# /\\\\A*$\\\\\ /&FE%XXVlIncreasethenumberofFederallyrecognized d IndianTribesthathavefamilyviolencepreventionprograms#XVlX%&FE&l#&FE%XXVl._ACF_ԀPlan 0\\\\H\\\\A 0#&FE%%&FE]#&FE%%&FEK+ 4 <DL!,X,hXKFY02:205 d FY01:189FY00:174FY99:162#&FE%%&FEm# $   0\\\\ \\\\ 0?+ 4 <DL!X?FY02:FY01:FY00:187dFY98:174dFY96:120#XVlX%&FEl# /\\\\A  \\\\ /&FE%XXVlIncreasethemonthlycapacityofthe p D NationalDomesticViolenceHotlinetorespondtocalls._ACF_ԀPlan 0\\\\( \\\\A 0FY02:12,000FY01:11,000FY00:NAFY99:NA 0\\\\\\\\ 0FY02:FY01:FY00:11,000FY99:11,000FY98:8,000 /\\\\A\\\\ /Decreasethepercentageofchildrenwithsubstantiatedreportsofmaltreatmentthathavearepeatedsubstantiatedreportofmaltreatmentwithinsixmonths._ACF_ԀPlan 0\\\\ \\\\A 0CY02:7%CY01:7%CY00:NACY99:NA 0\\\\ !\\\\ 0CY02:CY01:CY00:9/01CY99:8%CY97:8%#XVlX%&FEno# /\\\\A &\\\\ /&FE%XXVlMaintainthenumberofrecipientsofchild 0' protectiveservicesthatarefundedwhollyorinpartbytheSocialServicesBlockGrant._ACF_ԀPlan 0\\\\*\\\\A 0FY02:1,302,895FY01:1,302,895FY00:NAFY99:NA 0\\\\.\\\\ 0FY02:FY01:FY00:5/02FY99:5/01FY98:1,302,895FY97:1,037,860#XVlX%&FEr# /\\\\A|P4\\\\ /&FE%XXVlEnhanceStateandcoalitioncapabilityto 5 delivereffectivesexualassaultpreventionprograms.CDCPlan 0\\\\x7\\\\A 0FY03:ConductatleastonetrainingsessionbasedonneedsassessmentFY02:Assesstrainingneedsofsexualassaultpreventionprogramstaff 0\\\\8 =\\\\ 0#XVlX%&FEu#&FE%XXVlFY03: > FY02:#XVlX%&FEv# /\\\\ATA\\\\ /&FE%XXVlEstablishinnovativeprogramstoaddress d preventionofviolenceagainstwomen.CDC l@ Plan 0\\\\H\\\\A 0FY02:Projectsongoing:nomilestonestoreport.FY01:Develop/publishprogressreportonfundedprojectswithalongtermgoalofdevelopingrecommendationsforkeycomponentsofsuccessfulprogramsby2005.FY00:Implementandbeginevaluationof2innovativecommunitybasedprogramstoaddressviolenceagainstwomen:(1)Communitycoordinatedresponsetointimatepartnerviolenceand (2)communitybasedprimarypreventionprograms. 0\\\\\\\\ 0FY02:FY01:FY00:10projectswerefunded09/00FY99:Noevaluationsdonetodate.#XVlX%&FEaw# 3\\\\xL/\\\\ 3Mb  &FE%XXVlEmergencyMedicalServices#XVlX%&FE{# ;\\\\A&$0 \\\\ ;&FE%XXVlConductneedsassessmentsinareas X,1 consideredinhighestneed.(Developmental)HRSAPlan 0\\\\3\\\\A 0FY02:_TBD_FY01:1 0\\\\45\\\\ 0FY02:FY01: /\\\\A47\\\\ /IncreasethenumberofStatesthathaveimplementedStatewidepediatricprotocolsformedicaldirection.HRSAPlan 0\\\\8! :\\\\A 0FY02:15StatewideFY01:15StatewideFY00:20*FY99:18**StatewideandPartial 0\\\\"?\\\\ 0FY02:FY01:FY00:12StatewideFY99:25*FY98:16* /\\\\A"D\\\\ /IncreasethenumberofStatesthatrequireall_EMSC_ԄrecommendedpediatricequipmentonAdvancedLifeSupport(ALS)Ambulances.HRSAPlan 0\\\\& H\\\\A 0FY02:23FY01:23FY00:10FY99:7 0\\\\& L\\\\ 0FY02:FY01:FY00:19FY99:18FY98:5('!Q  \\\\ (#XVlX%&FE{# &FE%XXVlSeealso:  )#R ''` XX'L & !"#$%dxx0 !"#$%L 3   32d3  0 '   Objective3.8,IncreasetheAvailabilityandEffectivenessofMentalHealthCareServices#XVlX%&FEA#3?݌ +T%T'(#'(# Ќ  iU5%!`z  `E`ttx 3i (#(#     (#(#iUl5%!`z  `E`ttx 3iiU 5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i3,X,hX'` X3XVlXXXVl&XXVl T #XVlX&#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl# H  * ddz SS z  SS  SS (#(#,SS ,SS ,SSS +  &\\\\G  `  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&p    \\\\A =&FE%XXVlIncreasepercentofpeopleaged1874whoengage 0  inmoderatephysicalactivityforatleast30minutesperday,fiveormoretimesaweek._OPHS_ԀPlan 0\\\\\\\\A 0FY02:24.5%FY01:26%*FY00:30%FY99:29%#XVlX%&FE##pj&XXVl*TargetsreflectchangeinHealthy <| People2010#XVlX&pj#&FE%XXVl   0\\\\l\\\\ 0FY02:FY01:FY00:(12/02)FY99:(12/01)FY98:(12/01)FY97:15%FY95:23% /\\\\AX!\\\\ /IncreasethenumberofhomedeliveredmealsprovidedtoolderAmericans(numbersinmillions)._AoA_ԀPlan 0\\\\$\\\\A 0FY02:183.0FY01:176.0FY00:155.0FY99:119.0 0\\\\p(\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:132.1FY98:129.7FY97:123.4FY96:119.1 /\\\\AD/\\\\ /IncreasethenumberofcongregatemealsprovidedtoolderAmericans(numbersinmillions)._AoA_ P1 Plan 0\\\\,l2\\\\A 0FY02:115.2FY01:115.2FY00:113.1FY99:123.4 0\\\\ H6\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:113.3FY98:114.1FY97:113.1FY96:118.6 /\\\\A"=\\\\ /IncreasethenumberofhomedeliveredmealsprovidedtoelderlyNativeAmericans(numbersinthousands)._AoA_ԀPlan 0\\\\%"@\\\\A 0FY02:1,850FY01:1,795FY00:1,632FY99:1,456 0\\\\&"D\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:1,698FY98:1,624FY97:1,525 /\\\\AX($J\\\\ /IncreasethenumberofcongregatemealsprovidedtoelderlyNativeAmericans(numbersinthousands)._AoA_ԀPlan 0\\\\+'M\\\\A 0FY02:1,650FY01:1,583FY00:1,439FY99:1,322 0\\\\\,(Q\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:1,327FY98:1,354FY97:1,386 /\\\\A.T*W\\\\ /#XVlX%&FE#&FE%XXVlMaintainongoingbodymassindex(_BMI_) d  assessmentsinAI/ANchildren35yearsoldand/or810yearsold,forbothinterventionpilotsitesandnoninterventioncomparisonsites,aspartofanoverallassessmentoftheongoingchildhoodobesitypreventionproject'seffectiveness.IHSPlan 0\\\\ \\\\A 0FY02:continueimplementationandaccesscommunityacceptanceFY01:implementprogramandmonitorpilotsandcomparisonsitesFY00:developfivepilotsitesFY99:developapproachandbaselines 0\\\\ \\\\ 0FY01:FY00:pilotsitesestablishedFY99:accomplished /\\\\A(\\\\ /Increasethepercentofwomenofreproductiveagewhowillbeconsuming400microgramsoffolicacid.CDCPlan 0\\\\, !\\\\A 0 FY02:36% tH " FY00:40%FY99:35% 0\\\\, $\\\\ 0FY02:FY00:34%FY99:biennialsurveyFY98:32%FY96:25%#XVlX%&FEՒ#&FE%XXVl /\\\\A)\\\\ /CollaboratewithNIHandAmericanIndianandAlaskaNativesitesindevelopingandimplementingculturallysensitive,communitydirectedpilotcardiovasculardiseasepreventionprograms.IHSPlan 0\\\\.\\\\A 0FY02:3sitesimplementinginterventionsFY01:3siteswithinterventionplan 0\\\\3\\\\ 0FY02:FY01:(7  \\\\ (#XVlX%&FE_#  7 iU5%!`z  `E$tt< i (#(#    (#(#iUn5%!`z  `E$tt< iiU 5%!`z  `E$tt< iiU5%!`z  `E$tt< i9,X,hX,X,hX9XVlXXXVl&XXVl T #XVlX&Y#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff p componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl:# \  * d dSS SS SSS S(#(#,SS ,4SS ,SS +  &\\\\G 4 t  &  PerformanceGoals 8\\\\A#!   \\\\G 8  Targets 8\\\\A#!   \\\\A 8  ActualPerformance =\\\\A(&    \\\\A =&FE%XXVlIncreaseproportionofyouthnotusingalcohol D  oranyillicitdrugsduringthepast30days.   _OPHS_ԀPlan 0\\\\ \\\\A 0FY02:88.6%FY01:88%̀ 0\\\\ \\\\ 0FY02:FY01:FY00:(12/01)FY99:90.9%FY98:90.1%%FY97:77%FY96:78%FY95:75%FY94:76%#XVlX%&FE_# /\\\\A$\\\\ /&FE%XXVlNumberofclientsservedintheSubstance T AbusePreventionandTreatmentBlockGrant.SAMHSAPlan 0\\\\ L\\\\A 0FY02:1,751,537*FY01:1,635,422*FY00:1,525,688* 0\\\\(#\\\\ 0FY02:FY01:FY00:(8/02)FY99:(8/01)FY98:1,564,156*FY97:1,537,143*FY96:1,601,214*FY95:1,635,963* /\\\\AX+\\\\ /#XVlX%&FEa#&FE%XXVlMaintaintheratesandintensityoffollowup , foradolescentsdischargedfromIHSsupportedRegionalTreatmentCentersandtoassurereducedratesofalcoholanddruguse.IHS \!/ Plan. 0\\\\8"x0\\\\A 0 Abstinence  1 FY02:5%overFY01#XVlX%&FEU#&FE%XXVl 2 FY01:5%overFY00FY00:establishbaseline FollowupRates  #T6 FY02:FY01orhigher#XVlX%&FE#&FE%XXVl #0 7 FY01:FY00orhigherFY00:45%#XVlX%&FE#pj&XXVl(+10% FY99)#XVlX&pj$#&FE%XXVl %!9 FY99:establishbaseline 0\\\\`'#;\\\\ 0FY02:FY01:FY00:5/01FY02:FY01:FY00:48%#XVlX%&FEy#pj&XXVl@12months %!D Ѐ(+17%)#XVlX&pjP#&FE%XXVl &"E #XVlX%&FEȨ#&FE%XXVlFY99: '\#F 64.5%30days55.2%6months40.9%12months#XVlX%&FE#&FE%XXVl3\\\\)%I\\\\ 3z  ProgramManagementandDataCollection ;\\\\A&$d \\\\ ;IntheSubstanceAbusePreventionandTreatmentBlockGrant,SAMHSAPlan#XVlX%&FE#&FE%XXVl  I&FE%%&FEncreasethepercentoftechnicalassistance  h eventsthatresultinsystems,programorpracticechange.#&FE%%&FE$#&FE%%&FEIncreasepercentage#&FE%%&FE#Ԁblockgrantapplications   thatincludeneedsassessmentdatafrom_CSAT_needsassessmentprogram.#XVlX%&FE#&FE%XXVl 0\\\\l \\\\A 0&FE%%&FEFY02:87%FY01:85%FY00:70%FY99:Establishbaseline#&FE%%&FEK# (  &FE%%&FEFY02:90%FY01:85%FY00:80%#&FE%%&FE߭##XVlX%&FE#&FE%XXVl 0\\\\tH \\\\ 0&FE%%&FEFY02:FY01:(9/01)FY00:84%FY99:66%#&FE%%&FE##XVlX%&FEf#XVlXXXVl&FE%XXVlFY02: ! FY01:(9/01)FY00: 80% l # FY99: 72% xL $   FY98:72% X, % FY97:62%#&FE%%&FEI##XVlX%&FEh# /\\\\A4 &\\\\ /&FE%XXVlInthePreventionSetAsidefortheSubstance x' AbusePreventionandTreatmentBlockGrant,SAMHSAPlan \0) IncreasenumberofStatesthatincorporateneedsassessmentdataintoblockgrantapplication.IncreasepercentageofStatesthatusefundsineachof6preventionstrategyareas. 0\\\\3\\\\A 0FY02:40StatesFY01:38StatesFY00:34StatesFY02:100%FY01:100%FY00:90%0 ?  ??  0\\\\ B\\\\ 0FY02:FY01:FY00:34StatesFY99:26StatesFY94:13StatesFY02:FY01:FY00:90%FY99:90%ofStates(52of58jurisdictions)FY96:34States(56%)#XVlX%&FE#&FE%XXVl3\\\\!\R\\\\ 3   SubstanceAbusePrevention,Intervention,andTreatmentInformation ;\\\\A&$d \\\\ ;#XVlX%&FE#&FE%XXVlIntheNationalClearinghouseforAlcoholand  DrugInformation,SAMHSAPlan  Increasethenumberofinformationrequests.Maintaincustomersatisfaction.#XVlX%&FEմ# XXVl*#XVlX #pj&XXVlThenewOMBapprovedcustomersatisfactionwillbeusedfor T( thefirsttimeinFY00,whichiswhytheperformancemeasureremainsat85%untilanewbaselineisestablished.#XVlX&pj8# 0\\\\ \\\\A 0&FE%XXVlFY02:+270%#XVlX%&FEj#pj&XXVlԀoverbaseline#XVlX&pj#&FE%XXVl  h# FY01:+260%#XVlX%&FE #pj&XXVloverbaseline#XVlX&pjo#&FE%XXVl p D$ FY00:+245%#XVlX%&FE#pj&XXVlԀoverbaseline#XVlX&pj!#&FE%XXVl L % FY02:85%*FY01:85%*FY00:85%* 0\\\\X,:\\\\ 0FY02:FY01:FY00:10/01FY99:+135%overbaseline;40,285requests/month:59%byphone;3%bymail;and2%byfax/inpersonFY98:+43percent;25,289requests/month:phone:14,437,mail:2887,Email:6810,_PREVLINE_:1155FY97:17,600requests/month:phone,3,750;mail,2,750;_PREVLINE_:1,100FY02:FY01:FY00:10/01FY99:Exceeded90%FY98:Exceeded90%FY97:85%#XVlX%&FEq#&FE%XXVl( X  \\\\ (#XVlX%&FE# &FE%XXVlSeealso:  "Y  3   ? ,X',hX,X,hX?32d3  0 '   Objective2.4,ImprovetheSafetyandSecurityofChildrenandYouth3 ݌$p['(#'(# Ќ  9'` X,X',hX9L & !"#$%dxx& !"#$%L 3   3|2d3  0 '   Objective3.8,IncreasetheAvailabilityandEffectivenessofMentalHealthCareServices#XVlX%&FE`#3|݌x%L\'(#'(# Ќ   T&( ] iU5%!`z  `E$tt< i (#(#    (#(#iUp5%!`z  `E$tt< iiU5%!`z  `E$tt< iiU5%!`z  `E$tt< iXVlXXXVl&XXVl T #XVlX&K#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff p componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl,# \  @XVlXXXVl@&FE%X@XVl* d dSS 4SS 4SS (#(#,SS ,4SS ,SSS +  &\\\\G 4 t  &  PerformanceGoals 8\\\\A#!   \\\\G 8  Targets 8\\\\A#!   \\\\A 8  ActualPerformance #@XVlX%@&FEi##XVlXX@XVlJ#&FE%XXVl =\\\\A(&t    \\\\A =#XVlX%&FE#&FE%XXVlIncreaseproportionofyouthnotusingalcoholor $  anyillicitdrugsduringthepast30days._OPHS_   Plan#XVlX%&FE#&FE%XXVl 0\\\\ \\\\A 0FY02:88.6%FY01:88%̀#XVlX%&FE#&FE%XXVl    0\\\\x \\\\ 0FY02:FY01:FY00:(12/01)FY99:90.9%FY98:90.1%%FY97:77%FY96:78%FY95:75%FY94:76%#XVlX%&FE#&FE%XXVl /\\\\A\\\\ /#XVlX%&FE#&FE%XXVlNumberofclientsservedintheSubstanceAbuse 4t PreventionandTreatmentBlockGrant.SAMHSAPlan 0\\\\, \\\\A 0FY02:1,751,537*FY01:1,635,422*FY00:1,525,688* 0\\\\$\\\\ 0FY02:FY01:FY00:(8/02)FY99:(8/01)FY98:1,564,156*FY97:1,537,143*FY96:1,601,214*FY95:1,635,963* /\\\\A8x,\\\\ /#XVlX%&FE#&FE%XXVlMaintaintheratesandintensityoffollowupfor - adolescentsdischargedfromIHSsupportedRegionalTreatmentCentersandtoassurereducedratesofalcoholanddruguse.IHSPlan. 0\\\\\\\\A 0FY02:40StatesFY01:38StatesFY00:34StatesFY02:100%FY01:100%FY00:90%0    7 7  0\\\\$'!M\\\\ 0FY02:FY01:FY00:34StatesFY99:26StatesFY94:13StatesFY02:FY01:FY00:90%FY99:90%ofStates(52of58jurisdictions)FY96:34States#XVlX%&FE#pj&XXVl(56%)#XVlX&pj&#&FE%XXVl3\\\\(!]\\\\ 3R  SubstanceAbusePrevention,Intervention,andTreatmentInformation ;\\\\A&$pd \\\\ ;#XVlX%&FEm#&FE%XXVlIntheNationalClearinghouseforAlcoholand  DrugInformation,SAMHSAPlan  Increasethenumberofinformationrequests.Maintaincustomersatisfaction.#XVlX%&FE# XXVl*#XVlX #pj&XXVlThenewOMBapprovedcustomersatisfactionwillbeusedforthe 4( firsttimeinFY00,whichiswhytheperformancemeasureremainsat85%untilanewbaselineisestablished.#XVlX&pj# 0\\\\ \\\\A 0&FE%XXVlFY02:+270%#XVlX%&FE#pj&XXVlԀoverbaseline#XVlX&pjh#&FE%XXVl t h# FY01:+260%#XVlX%&FE#pj&XXVloverbaseline#XVlX&pj#&FE%XXVl P D$ FY00:+245%#XVlX%&FEk#pj&XXVlԀoverbaseline#XVlX&pj#&FE%XXVl , % FY02:85%*FY01:85%*FY00:85%* 0\\\\8,:\\\\ 0FY02:FY01:FY00:10/01FY99:+135%overbaseline;40,285requests/month:59%byphone;3%bymail;and2%byfax/inpersonFY98:+43percent;25,289requests/month:phone:14,437,mail:2887,Email:6810,_PREVLINE_:1155FY97:17,600requests/month:phone,3,750;mail,2,750;_PREVLINE_:1,100FY02:FY01:FY00:10/01FY99:Exceeded90%FY98:Exceeded90%FY97:85%#XVlX%&FE#&FE%XXVl("xZ \\\\ (#XVlX%&FE# &FE%XXVlSeealso:  |$p[ -'` X'` X-L & !"#$%dxx& !"#$%L 3   32d3  0 '   Objective3.8,IncreasetheAvailabilityandEffectivenessofMentalHealthCareServices#XVlX%&FE#3݌ 4&( ]'(#'(# Ќ  iU5%!`z  `E$tt< i (#(#    (#(#iUr5%!`z  `E$tt< iiU5%!`z  `E$tt< iiU5%!`z  `E$tt< i3,X,hX'` X3XVlXXXVl&XXVl T #XVlX&#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff p componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl# \  @XVlXXXVl@&FE%X@XVl* d dSS 4SS 4SSS S(#(#,SS ,SS ,SS +  &\\\\G 4 t  &  PerformanceGoals 8\\\\A#!   \\\\G 8  Targets 8\\\\A#!   \\\\A 8  ActualPerformance A\\\\,&t    \\\\A A  AdolescentSexualActivity ;\\\\A&$$  \\\\ ;Inall13communitydemonstrationsfundedbythePreventionResearchCenter,thehuborganizationandatleastfivepartnerswillcollaborativelyhavebegunimplementing3ormoreinterventionstopreventteenpregnanciesinresponsetospecificneedsidentifiedviaacommunityassessmentinatleasttwoneighborhoods.CDCPlan 0\\\\|\\\\A 0FY02:13programsFY01:13FY00:13FY99:7 0\\\\(\\\\ 0FY02:FY01:FY00:9of13FY99:7of13FY98:1of13#@XVlX%@&FE##XVlXX@XVl#&FE%XXVl /\\\\A\\\\ /IntheAbstinenceEducationProgram,achieveStatesettargetsforreducingtheproportionofadolescentswhohaveengagedinsexualintercourse.HRSAPlan 0\\\\!\\\\A 0FY02:50%FY01:50% 0\\\\#\\\\ 0FY02:FY01:FY00:1/02FY99:5/01FY98:71.4%(15of21Statesreporting) /\\\\A8x)\\\\ /IntheAbstinenceEducationProgram,achieveStatesettargetsforreducingtherateofbirthstoteenagersaged1517.HRSAPlan 0\\\\<|-\\\\A 0FY02:50%FY01:50% 0\\\\`0\\\\ 0FY02:FY01:FY00:1/02FY99:5/01FY98:44.8%(13of28Statesreporting) /\\\\A 46\\\\ /Reducethepercentageofadolescents(grades912)whoabstainfromsexualintercourseorusecondomsifcurrentlysexuallyactive.CDCPlan ( BlackorAfricanAmericanadolescents.HispanicorLatinoAdolescents. 0\\\\ \\\\A 0FY03:89%FY01: 89% L@ FY03:87%FY01: 87%#XVlX%&FE#&FE%XXVl t h ̀FY03:88%FY01: 88%#XVlX%&FE#&FE%XXVl    0\\\\xl \\\\ 0 @&FE%%&FE FY03: pd FY01:7/02FY99:85%FY97:85%#&FE%%@&FE##XVlX%&FEj#&FE%XXVl    FY95:83%@&FE%%&FEFY03:  # FY01:7/02FY99:83%FY97:80%#&FE%%@&FE##XVlX%&FEu#&FE%XXVl , & FY95:82%#XVlX%&FEV#&FE%XXVl@&FE%%&FEFY03:  ) FY01:7/02FY99:84%FY97:82%#&FE%%@&FE##XVlX%&FE#&FE%XXVl TH ,  FY95:77%#XVlX%&FEy# 3\\\\0$-\\\\ 3,  &FE%XXVlHIV/AIDS #XVlX%&FE6# ;\\\\A&$. \\\\ ;&FE%XXVlReducetheannualincidenceofnewHIVinfections. / CDCPlan 0\\\\0\\\\A 0FY02:37,900FY01:40,000FY00:40,000FY99:MeasuretransmissionratesofnewHIVinfections 0\\\\\P6\\\\ 0FY02:FY01:9/01FY00:est.40,000FY99:est40,000newinfectionsperyear#XVlX%&FE# /\\\\A\P<\\\\ /&FE%XXVl@&FE%%&FEIncreasethenumberoffemaleclientsprovided = comprehensiveservices,includingappropriateservicesbeforeorduringpregnancy,toreduceperinatalAIDStransmission.#&FE%%@&FE##XVlX%&FE#&FE%XXVlԀHRSAPlan 0\\\\`T@\\\\A 0@&FE%%&FEFY02:21,884females A FY01:21,844FY00:14,470FY99:13,900#&FE%%@&FE>##XVlX%&FE# `TD  0\\\\< 0E\\\\ 0&FE%XXVlFY02: F FY01:FY00:FY99:18,948FY98:12,690FY97:9,469#XVlX%&FE;# /\\\\A! K\\\\ /&FE%XXVlDecreaseby5percentannuallythenumberofnewly "|L reportedAIDScasesinchildrenasaresultofperinataltransmission.CDCandHRSAPlans 0\\\\@$4N\\\\A 0FY02:141casesFY01:151FY00:161FY99:214 0\\\\%R\\\\ 0FY02:FY01:FY00:1/02FY99:171casesFY98:235FY97:310FY96:502#XVlX%&FE# /\\\\A'!Y\\\\ /&FE%XXVlIncreasethepercentageofhighrisksexuallyactive  )#Z personswhoknowtheirHIVstatusandhavereceivedriskreductioncounseling.IHSPlan 0\\\\*$\\\\\A 0FY02:+10%FY01:Establishbaseline 0\\\\*$_\\\\ 0FY02:FY01:#XVlX%&FE# /\\\\A)#a\\\\ /&FE%XXVl@&FE%%&FEAchieveandmaintainthepercentageofhighschool pd studentswhohavebeentaughtaboutHIV/AIDSpreventioninschoolat90%orgreater.#&FE%%@&FE#ԀCDCPlan 0\\\\(\\\\A 0FY03:90%#XVlX%&FE#Ԁorgreater&FE%XXVl pd FY01:90%orgreaterFY99:90%orgreater 0\\\\8,\\\\ 0FY03:  pd FY01:FY99:91%FY97:92% FY95:86%#XVlX%&FE #&FE%XXVl 3\\\\  \\\\ 3'  SexuallyTransmittedDiseases ;\\\\A&$T H  \\\\ ;IntheAbstinenceEducationProgram,achieveStatesettargetsforreducingtheincidenceofyouths1519yearsoldwhohavecontractedselectedsexuallytransmitteddiseasesHRSAPlan 0\\\\4( \\\\A 0FY02:50%FY01:50% 0\\\\ \\\\ 0FY02:FY01:FY00:1/02FY99:5/01FY98:44.8%(13of29Statesreporting).#XVlX%&FE%# /\\\\A \\\\ /&FE%XXVlTheprevalenceofChlamydia_trachomatis_among t  womenundertheageof25inpubliclyfundedfamilyplanningclinicswillbereduced.CDCand_OPHS_ 8, Plans 0\\\\\\\\A 0FY02:<5%FY01:<6%FY00:<6%FY99:<6% 0\\\\"\\\\ 0FY02:FY01:FY00:6/01FY99:5.5%*FY98:5.4%*FY97:5%FY96:9%̀*medianallStates /\\\\Ax*\\\\ /Theincidenceofgonorrheainwomenaged1544willbereduced.CDCandOPHSPlans#XVlX%&FE #&FE%XXVl 0\\\\,\\\\A 0FY02:<250/100,000FY01:<250/100,000FY00:<250/100,000FY99:<250/100,000 0\\\\|0\\\\ 0FY02:FY01:FY00:6/01FY99:286/100,000FY98:292/100,000FY97:261/100,000FY96:259/100,000FY95:299/100,000#XVlX%&FE #&FE%XXVl /\\\\A8\\\\ /#XVlX%&FE #&FE%XXVlIncreasethepercentageofU.S.countiesthatwill h!\9 haveanincidenceofprimaryandsecondarysyphilisinthegeneralpopulationoflessthanorequalto4per100,000.CDCPlan 0\\\\#<\\\\A 0FY02:>92%FY01:>90%FY00:>90%FY99: 85% 0\\\\#@\\\\ 0 FY02: h!\A FY01:FY00:6/01FY99:91%FY98:90%FY97:87%FY96:90%FY95:81%#XVlX%&FEl# /\\\\Al'`!H\\\\ /&FE%XXVlAspartofalargergoaltoeliminatesyphilisinthe ("I U.S.,CDCwillreducetheracialdisparityinsyphilis.CDCPlan 0\\\\*$K\\\\A 0FY02:15%to17.8%.FY01:15%to20.9%FY00:15%to24.6%FY99:15%to28.9%#XVlX%&FE# 0\\\\p+d%O\\\\ 0&FE%XXVlFY02: ("P FY01:FY00:4/02FY99:4/01FY98:34.2%#XVlX%&FE4#&FE%XXVl(L,@&T  \\\\ ( #XVlX%&FE#Seealso: 3'` X,X,hX3؀Objective3.7,IncreasetheAvailabilityandEffectivenessofServices&FE%XXVlԀfortheTreatment 4.((U andManagementofHIV/AIDS  $/)V iU5%!`z  `E$tt< i (#(#    (#(#iUt5%!`z  `E$tt< iiU5%!`z  `E$tt< iiU5%!`z  `E$tt< i&FE%%&FE#XVlX%&FE#&XXVl T #XVlX&#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff 0p componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl#  \ *  ddSS SS SS (#(#,SS ,SS ,SS +  &\\\\G  4  &  &FE%XXVlPerformanceGoals 8\\\\A#!X   \\\\G 8  Targets 8\\\\A#!X   \\\\A 8  ActualPerformance A\\\\,&4 t    \\\\A A  &FE%%&FEDomesticandGlobalPublicHealthCapacity#&FE%%&FE@##XVlX%&FE #&FE%XXVl ;\\\\A&$  \\\\ ;&FE%%&FETheEmergingInfectionsProgram(_EIP_),a T  networkofregionalpopulationbasedprograms,willbeestablishedtoconductactivesurveillance,engageinappliedepidemiologicandlaboratoryresearchandpilotandevaluatepreventionandinterventionmeasures.#&FE%%&FE,##XVlX%&FE#&FE%XXVlԀCDCPlan 0\\\\`\\\\A 0&FE%%&FEFY02:n/a T  FY01:9_EIP_Ԁsites.FY00:9_EIP_Ԁsites.FY99:8_EIP_Ԁsites.#&FE%%&FE$##XVlX%&FE#&FE%XXVl 0\\\\\\\\ 0&FE%%&FEFY01:FY00:9_EIP_Ԁsites.FY99:7_EIP_Ԁsites.#&FE%%&FE##XVlX%&FEC#&FE%XXVl /\\\\A\\\\ /&FE%%&FEExtramuraldomesticandglobalsurveillance  networkswillmonitorconditionsincludingantimicrobialresistance,threatsfromtransfusionofbloodandbloodproducts,infectiousdiseasesamongtravelersand_immunosuppressed_Ԁand_underserved_Ԁpopulations.#&FE%%&FE #ԀCDCPlan&FE%%&FE#XVlX%&FEf #&FE%XXVl \" #&FE%%&FEV"##XVlX%&FE"#&FE%XXVl 0\\\\8#\\\\A 0&FE%%&FE ExtramuralNetworks  $ FY02:6FY01:6FY00:5FY99:4#XVlX%&FE##pj&XXVlOveralltarget:10networks.#XVlX&pj$##XVlXXXVla##&FE%XXVl 0\\\\+\\\\ 0 &FE%%&FE#XVlX%&FE$#&FE%XXVlFY02:FY01:FY00:6FY99:4FY98:3FY97:3#&FE%%&FE$##XVlX%&FE%#&FE%XXVl /\\\\A82\\\\ /&FE%%&FEState/localhealthdepartmentswillhave @3 increasedepidemiologicandlaboratorycapacity(_ELC_)forsurveillanceandresponsetoinfectiousdiseasethreats.#&FE%%&FE%#ԀCDCPlan&FE%%&FE#XVlX%&FE%#&FE%XXVl 6 #&FE%%&FE'##XVlX%&FE`'#&FE%XXVl 0\\\\p 7\\\\A 0&FE%%&FE HealthDepartments  @8 FY02:58FY01:53FY00:43FY99:33#XVlX%&FE'#pj&XXVlOverall#pj&&pj)(#Ԁpj&&pjtarget:5560health ("h> departments#XVlX&pj(##XVlXXXVl )#&FE%XXVl 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[[ 0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FE#&FE%XXVlbaseline:20012002;first `#T" report:2003)    #XVlX%&FEڙ#&FE%XXVl_HCFA_ԀPlan 0\\\\%%\\\\A 0&FE%%&FEFY02: #&FE%%&FE#&FE%%&FESecondReport#&FE%%&FEG# &FE%%&FE P D*  FY01:#&FE%%&FE#&FE%%&FEԀFirstReport#&FE%%&FE# &FE%%&FE 0 $+  FY00:#&FE%%&FEK#&FE%%&FEԀSetStatespecific  , methodologyandbaseline#&FE%%&FE# &FE%%&FE  -  FY99:#&FE%%&FE0#&FE%%&FEԀNotApplicable 5 #&FE%%&FE#&FE%%&FE#&FE%%&FE#&FE%%&FE  ?+ 4 <DL!X? #&FE%%&FEB#&FE%%&FE FY02: #&FE%%&FEӞ#&FE%%&FEFirstReport#&FE%%&FE&# &FE%%&FE ;  FY01: #&FE%%&FEw#&FE%%&FEԀSetbaseline#&FE%%&FEݟ# &FE%%&FE <  FY00:#&FE%%&FE/#&FE%%&FEԀBegin#&FE%%&FE#Statespecific = methodologyand&FE%%&FE#XVlX%&FEu#&FE%XXVlbaseline |> activities#&FE%%&FE #&FE%%&FE ?+ 4 <DL!X? #&FE%%&FE#&FE%%&FE FY02: #&FE%%&FEF#&FE%%&FESetbaseline#&FE%%&FE# &FE%%&FE "E  FY01:#&FE%%&FE# &)%%&FEԀ#&FE%)% &I#&FE%%&FEԀBegin#&FE%%&FE#Statespecific l#`F methodologyand&FE%%&FE#XVlX%&FEM#&FE%XXVlbaseline L$@G activities#&FE%%&FE# &FE%%&FE FY00:#&FE%%&FE#&FE%%&FEԀN/A#&FE%%&FE# &FE%%&FE &I #&FE%%&FEL# #XVlX%&FEJ#&FE%XXVl 0\\\\& J\\\\ 0&FE%%&FEFY02:  P DO   FY01: #&FE%%&FE#&FE%%&FE , P #&FE%%&FE#&FE%%&FE  FY00:#&FE%%&FE#&FE%%&FEԀ13GroupI  Q StatesdevelopedStatespecificmethodology,targetsandmeasuredbaselines.3StateswillcompletetheseeffortsinFY2001 #&FE%%&FEC#&FE%%&FE FY99:#&FE%%&FE%#&FE%%&FEIdentified Z GroupIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FEs#&FE%%&FE 4(^ ?+ 4 <DL!X? #&FE%%&FE#&FE%%&FE FY02:  `   FY01:  a  FY00: #&FE%%&FE#&FE%%&FEIdentified b GroupIIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FEY# &FE%%&FE g #&FE%%&FE#&FE%%&FE  ?+ 4 <DL!X? #&FE%%&FE^#&FE%%&FE FY02:  "j   FY01:  h#\k  FY00: #&FE%%&FE#&FE%%&FEԀN/A#&FE%%&FE# &FE%%&FE %n #&FE%%&FE#  &FE%%&FE FY99:#&FE%%&FEC#&FE%%&FEԀN/A#&FE%%&FE# &FE%%&FEԀ #&FE%%&FEح##XVlX%&FEɥ# /\\\\A& o\\\\ /&FE%XXVlIncreasetheproportionofAmericanIndianand P(D"p AlaskanNativechildrenwhohavecompletedallrecommendedimmunizationsbyagetwo.IHS *#r Plan#XVlX%&FEp# 0\\\\*$s\\\\A 0&FE%XXVlFY02:1%overFY01 P(D"t FY01:1%overFY00FY00:2%overFY99FY99:91% 0\\\\*$w\\\\ 0#XVlX%&FE#&FE%XXVlFY02: P(D"x FY01:FY00:86%#XVlX%&FEn#pj&XXVl12/12Areas#XVlX&pjݰ#&FE%XXVl *#z FY99:89%#XVlX%&FE*#pj&XXVlԀ12/12Areas#XVlX&pj#&FE%XXVl *${ Ѐ87%#XVlX%&FEٱ#pj&XXVlԀ11/12Areas#XVlX&pj?#&FE%XXVl +%| FY98:88%#XVlX%&FE#pj&XXVl11/12Areas#XVlX&pj# /\\\\A,&}\\\\ /&FE%XXVlAchieveorsustainthefollowingimmunization pd coverageofatleast90%amongchildren19to 35monthsofageforeachvaccine:L Ih(x& !"#$%L 3   3~2h  1  .3  0 [   4dosesofDiphtheriaTetanusPertussis   containingvaccine3~݌ [[ Ќ   3   32h  2  .3  0 [   3dosesof_Haemophilus_Ԁ_influenzae_type   bvaccine3݌ [[ Ќ   3   3Զ2h  3  .3  0 [   1doseofMeaslesMumpsRubella t h vaccine*3Զ݌ [[ Ќ   3   3Ϸ2h  4  .3  0 [   3dosesofHepatitisBvaccine3Ϸ݌,  [[ Ќ   3   32h  5  .3  0 [   3dosesofPoliovaccine3߸݌   [[  3   32h  6  .3  0 [   1doseofVaricellavaccine*3݌ [[ Ќ   3   3v2h  7  .3  0 [   4dosesof_Pneumococcal_ԀConjugate   vaccine*3v݌ [[ Ќ  #XVlX%&FEu#pj&XXVl**Performancetargetsfornewlyrecommendedvaccineswillbegin5 <0 yearsafterthe_ACIP_Ԁrecommendation.Thevaricellameasurewillbeginin2001,eventhoughcoverageisbeingreportedearlier.The_pneumococcal_Ԁconjugatemeasurewillbeginin2006,eventhoughcoveragewillbereportedearlier.#XVlX&pj#&FE%XXVl  CDCplan 0\\\\4(\\\\A 0FY02:90%FY01:90%FY00:90%FY99:90% 0\\\\ #\\\\ 0FY02:FY01:8/02FY00:Provisionaldata.Final08/011.83%2.94%3.91%4.90%5.90%6.63%*FY99:1.83%2.94%3.92%4.88%5.90%6.58%*FY98:1.84%L 8 !"#$%Yh(IL2.93%3.92%4.87%5.91%6.43%*#XVlX%&FEv# 3\\\\=\\\\ 3  XVlXXXVl&FE%XXVlVaccineSafetySurveillance#XVlX%&FE=##XVlXXXVl#&FE%XXVl ;\\\\A&$\P> \\\\ ;Usenewdataminingtechniquestoincreasethenumberofdetectedtrueandfalsesignalsofadverseeventsassociatedwithvaccination.CDCPlan 0\\\\`!TB\\\\A 0FY02:5newtechniques 0\\\\C\\\\ 0FY02:FY01:FY01:FY00:12newtechniques(<"0H % \\\\ (   `     h     #XVlX%&FE# Seealso:  %J    `     h      p   L - !"#$%@hh8 !"#$%L 3   32@3  0    Objective1.6,ReduceUnsafeSexualBehaviors3݌& L(#(# Ќ  L - !"#$%@hh- !"#$%L 3   3!2@3  0    Objective3.7,IncreasetheAvailabilityandEffectivenessofServicesfortheTreatment '!M andManagementofHIV/AIDS3!L݌ (#(# Ќ   3   3T2@3  0    Objective5.2,ImprovetheSafetyofFood,Drugs,MedicalDevicesandBiological )#O Products3T݌ (#(# Ќ  P - !"#$%@hh- !"#$%P  t+h%Q iU 5%!`z  `E`ttx 3i (#(#     (#(#iUv5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3iXVlXXXVl T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVlY# $ d *d&dSS SS SS   (#(#, SS ,` SS ,4SS +  &\\\\G  <  &  &FE%XXVlPerformanceGoals 8\\\\A#!`  \\\\G 8  Targets 8\\\\A#!`  \\\\A 8  ActualPerformance =\\\\A(&<|    \\\\A =IncreasethetoxicsubstancesthatcanbemeasuredbyCDCsenvironmentalhealthlaboratorysostateoftheartlaboratorymethodscanbeemployedtopreventavoidableenvironmentaldisease.CDC \ Plan 0\\\\8\\\\A 0FY02:12newsubstancesFY01:12FY00:8FY01:8 0\\\\\\\\\ 0FY02:FY01:FY00:8FY99:9FY97:200 /\\\\A\\\\\ /Increasetheprioritysubstancesincludedinexposureassessmentsothatarepresentativesampleof1,500Americanscanbetestedforexposuretohighprioritysubstances.CDCPlan 0\\\\#\\\\A 0FY02:75substances;issuereportonthe50fromFY01FY01:50substances;issuereporton27fromFY00FY00:25toxicsubstances 0\\\\(\\\\ 0FY02:FY01:FY00:27FY98:0 /\\\\A.\\\\ /Increaseunderstandingofthehumanhealtheffectsofexposuretopesticides.CDCPlan 0\\\\1\\\\A 0FY02:Complete1study 0\\\\$d2\\\\ 0FY02:FY01:0studies /\\\\A@4\\\\ /Increasetheunderstandingoftherelationshipbetweenenvironmentalexposureandhealtheffects.CDCPlan 0\\\\ D7\\\\A 0FY02:5studies 0\\\\L8\\\\ 0FY02:FY010studies /\\\\A(h:\\\\ /@&FE%%&FEThenumberofchildrenwithelevated t!; bloodleadlevelswillhavebeenreduced.CDCPlan#&FE%%@&FEj# 0\\\\,#l=\\\\A 0@&FE%%&FEFY03:35%reduction t!> FY99:25%#&FE%%@&FEN# P"? *@&FE%%&FE#@XVlX%@&FEP#@pj&X@XVlNodataavailableinFY99_NHANES_. $$!B _NHANES_ԀresultswillnextbeavailableFY03.#@XVlX&@pj##XVlXX@XVl#&FE%XXVl 0\\\\X&"D\\\\ 0@&FE%%&FEFY03: t!E FY01:FY99:*FY9194:890,000childrenwithbloodleadlevelsgreaterthan10microgramsperdeciliter#&FE%%@&FEw# /\\\\A&"K\\\\ /Increasecommunityawarenessandknowledge,andpromotebehavioralchangesthatcaneliminateormitigateadversehumanhealthoutcomesassociatedwithhazardoussubstancesinthe_environment.using_Ԁhealtheducationandcommunicationstrategiesandmaterials._ATSDR_ԀPlan 0\\\\.P*S\\\\A 0FY02:35%ofsampledpopulationawareofenvironmentalexposuresFY01:35%FY00:35% 0\\\\|+'X\\\\ 0FY02:FY01:FY00:100%#XVlX%&FE(#&FE%XXVl&FE%%&FE |+'] FY99:35% /\\\\AX,(^\\\\ /Conductcommunityinvolvementactivities atsiteswithanurgentpublichealthhazard._ATSDR_ԀPlan 0\\\\(\\\\A 0FY02:95%ofsitesFY01:90%FY00:75%#&FE%%&FE#&FE%%&FE#XVlX%&FE#&FE%XXVl 0\\\\(\\\\ 0FY02:FY01:FY00:100%#&FE%%&FE^#&FE%%&FE#XVlX%&FE#&FE%XXVl /\\\\A( \\\\ /Increasethesciencebaseofoccupationalsafetyandhealththroughpublications,innovations,andresearchpartnerships.CDCPlan 0\\\\,  \\\\A 0FY02:Increasepeerreviewedpublicationsby_NIOSH_Ԁand_NIOSH_ԄsponsoredresearchersoverbaselineFY01:Establishbaseline 0\\\\ \\\\ 0FY02:FY01: /\\\\A \\\\ /Collect,analyze,anddisseminatesurveillanceinformationonoccupationalillnesses,injuries,andhazardstohelptargetandevaluateinterventionsandpreventionefforts.CDCPlan 0\\\\ \\\\A 0FY02:Publishsurveillancereportsaddressing2majoroccupationalinjuryorillnessissuesannuallyTargetonenationalpreventionactivityannuallyPrepareanddisseminatepublicusedatasets.FY01:Initiatewebbasedsurveillanceinformationdissemination.Pilottestimproveddatacollectionmethods.Initiatehazardsurveystargetedbyworkforcesector.FY00:Continuetocollect,analyze,anddisseminatesurveillancedata.FY99:Collect,analyzeanddisseminatesurveillancedataandproducereports 0\\\\,&@\\\\ 0FY02:#&FE%%&FE*#&FE%%&FE TH A FY01:FY00:Achieved.Examples:(1)SimpleSolutions:ErgonomicsforFarmWorkers(2)_MMWR_ԀpertainingtopesticidepoisoningusingdatacollectedthroughtheToxicExposureSurveillanceSystem(TESS)6/900Vol29).(3)1999WorkRelatedLungDiseaseSurveillanceReport(4)_NIOSH_ԀWorkerHealth2000_Chartbook_ԀofOccupationalSurveillanceInformationFY99:Achieved /\\\\A+%b\\\\ /Fostersafeandhealthfulworkingconditionsbytransferringscientificand technicalinformationtoemployers,workers,thepublicandtheoccupationalsafetyandhealthcommunity.CDCPlan 0\\\\ \\\\A 0FY02:ImproveoverbaselineFY01:Establishbaselineofinformationtransferredviaweb,phone,andprint 0\\\\  \\\\ 0FY02:FY01:#XVlX%&FEl##XVlXXXVl#XVlXXXVl&FE%XXVl /\\\\A( \\\\ /ProvidesanitationfacilitiestoneworlikenewhomesandexistingIndianhomes.IHSPlan    0\\\\ \\\\A 0FY02:2,528New/Likè12,727Existing ,  Ѐ15,255TotalFY01:3,800New/Likè10,930Existing  Ѐ16,527TotalFY00:3,740New/Likè11,035Existing TH  Ѐ14,775TotalFY99:5,900New/Likè9,330Existing   Ѐ15,230Total 0\\\\\\\\ 0FY02:FY01:FY00:3,886New/Likè14,490Existing TH $ Ѐ18,376TotalFY99:3,557New/Likè13,014Existing  ' Ѐ16,571Total /\\\\A(\\\\ /Developenvironmentalhealthsurveillancesystemandcompletecommunityenvironmentalassessmentsin90%ofAmericanIndianandAlaskanNativecommunities.IHSPlan 0\\\\-\\\\A 0FY02:+10%overFY01FY01:15%ofcommunitiesassessedFY00:Developprotocolandplan 0\\\\2\\\\ 0FY02:FY01:FY00:protocolandplanpartiallycompletedFY99:nosystemsinplace(\P9 \\\\ (#XVlX%&FEM# <x  h\9  <x*X,XX*iU5%!`z  `Ett o i (#(#      (#(#iUy5%!`z  `Ett o iiU5%!`z  `Ett o iiU5%!`z  `Ett o i T hefocusofthisgoalistopromoteandsupportinterventionsthathelpdisadvantagedand 4 t distressedindividuals,families,andcommunitiesimprovetheireconomicandsocialwell-being.Westressinterventionsthatarerelatedtoimprovingjobskills,accesstosocialservices,familyandcommunitystability,andindependentliving.WealsorecognizetheimportanceofhealthcareinachievingmanyoftheobjectivesunderGoal2andillustratethiswithappropriatestrategiesinanumberofareassuchasHeadStart.TheobjectivesfurtherprioritizeDepartmenteffortsbytargetinginterventionstowardlow-incomefamilies(includingthosereceivingwelfare),children,theelderly,personswithdisabilities,anddistressedcommunities.Whilesubstantialprogresshasbeenmadeinthepastseveralyearsinhelpingwelfarerecipientsmovetowork,increasingchildsupportpayments,andprovidingchildcareandearlylearningservicestolowandmoderateincomefamilies,evidencesupportsacontinuedfocusonhelpingthosewhoneedhelp.Forexample,data(1999)indicatethat17percentofallchildrenstillliveinpoverty.Preschoolenrollmentforthesechildrenisstillatonly40percent.Affordablechildcareforlowandmoderateincomeworkingfamiliesisstilllargelyinaccessible.In1998,only1.5millionof9.9millionchildreneligibleforchildcareassistancereceivedit.Almostonemillionchildrenwerethevictimsofsubstantiatedorindicatedchildabuseorneglectin1997.Thirtythreepercentofchildreninfostercareremainwithoutpermanentplacementwithafamilyforaslongasthreeyearsormore.AstheAmericanpopulationages,evidencepointstotheneedtoextendeffortstohelpthegrowingnumberofelderlypersonsremainasactiveandhealthyaspossibleanddelayoravoidchronicmedicalproblems.Anagingsocietymeansthatthenumberofpersonsneedinglong-term-careserviceswillincreaseandtheavailabilityoftheseservicesinthehomeandcommunitywillbeasignificantchallengeifwearetohelpthesecitizensmaintaintheirindependenceandqualityoflife.Theneedforlong-termsupportisnotlimitedtotheelderly.Assurvivalratesincreaseamongpeoplewhoarebornwithoracquiredisabilities,andwithmoreopportunitiesforthemtoleadbetter-qualitylivesinthecommunity(ratherthanininstitutions),therewillbegreaterneedtoexpandtheoptionsforhomeandcommunity-basedsupportstructuresforpeopleofallages.  $4!$     &XXVlSUMMARYPERFORMANCEREPORT   HHSStrategicGoal2#XVlX&&#   #XVlXXXVl.#XVlXXXVl&XXVl T #XVlX&(#heseareselectedperformancestoriesfromtheperformanceplansoftheHHSoperatingand  staffcomponentsthatsupportkeyareasrelatedtotheachievementofthisstrategicgoal.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplan.#XVlXXXVl #    ECONOMICINDEPENDENCEFORFAMILIES  p  @XVlXXXVlL 0 !"#$%xh- !"#$%L 3   323  0    #XVlXX@XVlN#XVlXXXVl TemporaryAssistanceforNeedyFamilies(_TANF_). Aprimarygoalofthe_TANF_ H  legislation(thePersonalResponsibilityandWorkOpportunityReconciliationActof1996)istomoverecipientsofassistancefromwelfaretoworkandselfsufficiency.CongressestablishedworkparticipationperformancestandardsandcreatedaHighPerformanceBonusincentivesystemtofacilitatetheachievementofthisgoal.Theearly_TANF_Ԁperformancemeasureshavefocusedonemploymentandmorethanadequatelydemonstratetheearlysuccessoftheprogram.InFY1999,49Statesreported1.2millionjobentries.Inaddition,alloftheStatesmettheCongressionallyestablishedallfamiliesworkparticipationtargetof35percent.Only74percentoftheStateswithtwoparentfamilyprogramsmetthetargetrateof90percent.Thestatutorytwoparentparticipationtargetof90percentremainsarigorousstandard.AlsoinFY1999,thepercentageofadult_TANF_Ԁrecipientswhobecamenewlyemployedincreasedto42.9percent(from38.7percentinFY1998);76.8percentofadult_TANF_Ԁrecipientsemployedinonequarteroftheyearcontinuedtobeemployedinanotherquarterandtherateofearningsgainedfromonequartertothesecondsubsequentquarterwas22percent._ACF_ԀstatesthatFY2000datawillbeavailableinDecemberof2001.3݌ (#(# Ќ   3   323  0    #XVlXXXVlN#@XVlXXXVl ChildSupportEnforcement. TheChildSupportEnforcementprogrambrokenewrecordsin  L nationwidecollectionsinFY2000byreaching$17.9billion.Thegovernmentcollectedarecord$1.4billioninoverduechildsupportfromFederalincometaxrefunds.Morethan1.42millionfamiliesbenefittedfromthesecollections.Inaddition,aprogramtomatchdelinquentparentswithfinancialrecordsidentifiedmorethanonemillionaccountswithavalueinexcessof$3billion.Thenumberofpaternitiesestablishedoracknowledgedreachedarecord1.6millioninFY1999.Ofthese,over754,000wereestablishedthroughinhospitalacknowledgmentprogramsand845,000paternitieswereestablishedthroughtheChildSupportEnforcementprogram.3݌ (#(# Ќ   3   3 23  0    ChildCare. TheChildCareandDevelopmentFund(_CCDF_)wasestablishedunderthe H'#& PersonalResponsibilityandWorkOpportunityReconciliationActof1996tohelpworkinglowincomefamiliesachieveandmaintaineconomicselfsufficiencyandtoimprovetheoverallqualityofchildcare.Thenumberofchildrenservedthroughthe_CCDF_Ԁwillhavegrownfrom1.51millioninFY1998to1.76millioninFY1999toaprojectedtargetof1.92millioninFY2000.InFY1999onehalfofthe1.76millionchildrenservedwerepreschoolersbetweentwoandsix,15percentwereinfantsandtoddlers,and35percentwereschoolage.AlsoinFY1999,975,000familieswereworkingorpursuingtraining/educationwithsupportof_CCDF_subsidiesandthepercentageofpotentiallyeligiblechildrenwhoreceived_CCDF_Ԁsubsidies .*. increasedto12percent(from10percentinFY1998)._ACF_ԀstatesthatdataforFY2000willbeavailableinAprilof2001.Whilethe_CCDF_Ԁisservinganincreasingnumberofchildrenandfamilieseachyear,thereisstillagreatneedforquality,affordablechildcareforlowincomeworkingfamilies.Newpresidentialinitiativesareexpectedtoincreasethenumberofchildrenservedby_CCDF_Ԁsubsidiesto2.6millionbyFY2002.3  ݌ (#(# Ќ  #XVlXX@XVlN#L 0 !"#$%xx0 !"#$%L 3   323  0    EmploymentIntervention. ThegoalofSAMHSAsEmploymentIntervention H  DemonstrationProgram,aKnowledgeDevelopmentprograminitiatedinFY1995,istodeterminethemosteffectiveapproachesforassistingadultswithseriousmentalillnesstofindandmaintaincompetitiveemployment.TheprogramwillreportfinalresultsinFY2001orFY2002,however,interimresultsshow:3݌ (#(# Ќ    L & !"#$%dxx0 !"#$%L 3   0  3w2d3  0(#(#  TheemploymentrateofparticipantsrosefromaFY1995baselineofzero(withthe   exceptionofonesite,toenterthestudyparticipantswerenotworking)to55percentinFY2000.Onaverage,28percentof_EIDP_Ԁparticipantswereemployedafter3months,40percentaftersixmonths,47percentafter9months,51percentafter12months,and56percentafter18months.3w݌ (#(# Ќ   3   0  32d3  0(#(#  Thetotalhoursworkedbyparticipantsincreasedfrom346,405hoursinFY1998to \ 863,435hoursinFY2000,andthetotaldollarsearnedincreasedfrom$1.8millioninFY1998to$5.0millioninFY2000.3݌ (#(# Ќ  0   (#(# # #P 0 !"#$%xx& !"#$%+PL 0 !"#$%xx0 !"#$%L 3   323  0    TransitionfromHomelessness. Clientsservedthough@XVlXXXVlSAMHSAsProjectsforAssistance  L inTransitionfromHomelessnessformulagrantprogramhaveincreasedfrom105,000inFY1997to115,000inFY1998.Alsoofgreatsignificanceisthepercentageofpersonscontactedwhobecomeenrolledinmentalhealthservices.Thepopulationofindividualswhoarehomelessandwhohaveseriousmentalillnesshasmultipleandcomplexneeds,andisextremelydifficulttoengageinservices.InFY1996andFY1997,41percentofthosecontactedbecameenrolledinservices.ThispercentagedroppedslightlyinFY1998to37percent.Thesepercentagesareconsideredtorepresentanexcellentrateofsuccessforthispopulation.FY1999dataforthesegoalswillbeavailableinJuneofFY2001.Basedontheseresults,itisexpectedthatSAMHSAwillmeetorexceeditsFY1999targets.3݌ (#(# Ќ  #XVlXX@XVl.# CHILDRENSHEALTHANDDEVELOPMENT   #`" L 0 !"#$%xx0 !"#$%L L 0 !"#$%xx0 !"#$%L 3   323  0    SafetyandSecurityofChildrenandYouth. _ACF_Ԁfundsanumberofprogramsthatfocus $8!$ onpreventingmaltreatmentofchildrenintroubledfamilies,protectingchildrenfromabuse,andfindingpermanentplacementsforthosewhocannotreturnsafelytotheirhomes.ProgramssuchasFosterCare,AdoptionAssistanceandIndependentLivingprovidestableenvironmentsforthosechildrenwhocannotremainsafelyintheirhomes.TheimplementationoftheAdoptionandSafeFamiliesActof1997(whichencouragesspeedierpermanencydecisionsforchildren)hasresultedinsomedemonstrableimprovementsinprogramperformance.Forexample,theannualnumberofadoptionsforchildreninthepublicfostercaresystemhasincreasedfrom36,000inFY1998to46,000inFY1999.Further,ofthechildrenwhoexitfostercarethroughreunification,thepercentwhodosowithinoneyearhasincreasedfrom63percentinFY1998to65percentinFY1999.DataforFY2000willbeavailableinSeptemberof2000.3-݌ /`+/(#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3(#23  0    IHSWellChildVisits. XVlXXXVlArecognizedstandardofcare,wellchildvisitshavebeenassociated  withimprovedpostneonatalmortalityandopportunitiestoimprovefamilyhealthandsafetyinthelongerterm.Ofparticularimportanceareeducationalinterventionswithparentsconcerningdietandnutrition,injuryprevention,andpreventionoffamilyviolence.Aspartoflargereffortstoim#XVlXXXVl##XVlXXXVlprovechildandfamilyhealth#XVlXXXVl}%#,IHSsetaFY2000goal toincreasebyfive ` percenttheproportionoftheAmericanIndianandAlaskanNativechildrenreceivingaminimumoffourwellchildvisitsby27monthsofage.InFY2000,provisionaldatashowthat5,840childrenor47.7percentoutof12,237childrenreceivedaminimumoffourwellchildvisitsby27monthsofage,anincreaseof9.2percentovertheFY1999proportionof38.5percent(3,799of9,873children).3(#V#݌ (#(# Ќ   3   3'23  0    IHS!HeadStartObesityPreventionPrograms. InFY2000,fivetribalHeadStart   programswereselectedtopilotobesitypreventionandinterventionapproachesintheircommunities,meetingIHSFY2000goal.Eachpilotsitewilltailora_multidisciplinary_approachtoteststrategiestoreducetheincidenceofobesityinHeadStartchildren,theirparents,HeadStartstaffandthetribalcommunityatlarge.Thecommunitybasedinitiativeswillincludenutrition,physicalactivity,andbehavioralhealthinterventionsForexample,theNorthernCheyenneHeadStarthasengagedtheirlocalmarketstoallowstafftolabelhealthyfoodintheirstoresotribalmembersareabletoquicklyidentifyhealthyfoodchoicesfortheirfamilieswhileshopping.Thisinterventionwaspilotedinonestoreatthepermissionoftheretailer.Itwassopopular,othervendorsinthecommunityrequestedassistanceinestablishingthesameservice.Eachsitewillalsodevelopastrategicplanthatincludesanevaluationplantomonitorobjectivesandoutcomes.3'(݌ (#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3L-23  0    ComprehensiveCommunityMentalHealthServicesforChildrenandTheirFamilies.   @XVlXXXVlResultsfortheComprehensiveCommunityMentalHealthServicesforChildrenandTheir  FamiliesProgram#XVlXX@XVl(.#@XVlXXXVl,aTargetedCapacityExpansionprogram,indicatethatchildreninservices  foratleasttwelvemonthsshowsignificantimprovementsafteroneyear:3L-w-݌ (#(# Ќ  b & !"#$%(dxx0 !"#$%bb & !"#$%(dxx& !"#$%b 3   0  302d3  0(#(#  Inpatienttreatmentdaysdecreasedby44percentfrombaselinein1998;thisdecreasehas t beenmaintained,andFY2001andFY2002targetshavebeenincreasedaccordingly.301݌ (#(# Ќ  0   (#(#  3   0  3l22d3  0(#(#  Thebaselineforregularschoolattendancewas70percentinFY1997.InFY1998 8"x! following12monthsofservices,regularschoolattendancehadrisento78.8percent.InFY1999,thefigurewas88.9percent,andinFY00itwas82percentallsubstantiallyabovethebaselinelevelandexceedingtheannualtargets.3l22݌ (#(# Ќ   3   0  342d3  0(#(#  TheFY1997baselineforchildrenhavingmorethanonelivingarrangementaftersix &#& monthsofservicewas76percent.After12monthsinthisprogram,theFY1998figurewas23.7percent.ForFY1999,thefigurewas27percent,andforFY2000,26percent.Thesedatashowthattheprogramhasbeenabletomaintaintheseverysubstantialdecreasesfrombaseline.FY2001andFY2002targetshavebeenincreasedaccordingly.#XVlXX@XVl.#344݌*&*(#(# Ќ  L 0 !"#$%xx& !"#$%L 3   3723  0    ChildhoodImmunizations. XVlXXXVlEffortstoprotectchildrenintheU.S.fromvaccinepreventable H-)- diseasehavebeenasuccess.Casesofmostvaccinepreventablediseasesofchildhoodaredownmorethan97percentfrompeaklevelsbeforevaccineswereavailable.Nocasesof $/d+/ paralyticpolioduetoindigenoustransmissionofwildpoliovirushavebeenreportedintheU.S.since1979._Haemophilus_Ԁ_influenzae_typeb(_Hib_)invasivedisease,themaincauseof  bacterialmeningitis,hasdeclinedbymorethan99percentinchildrenunderfivesincetheintroductionofthevaccine.Measleshitalowof67reportedcasesin1999.Coveragelevelsforpreschoolchildrenareatanalltimehighforallracialandethnicgroups.Thereductioninthenumberofindigenouscasesofmumpshasexceededourgoalof500cases.In1999,therewereonly387casesofmumps;in2000,theincidencewasfurtherreducedto323cases.ThisreductionislinkedtotheeffectivenessoftheMeaslesMumpsRubellavaccineanditscoveragerate.377݌ (#(# Ќ  0  CDCmetitsFY2000goalofatleast90percentimmunizationcoverageamongchildren19to35monthsofageforfouroffivevaccines.Thecoveragerateforfourdosesof_Diptheria_ԄTetanusPertussis(_DTaP_)containingvaccinedidnotachievethe90percentgoal.However,theratehassteadilyincreasedsincethechangetoafourdoseschedule,asrecommendedbyAdvisoryCommitteeonImmunizationPractices(_ACIP_)in1991.ThisgoalhasbeentheoneofthemostdifficultforCDCtoachievebecauseitrequiresthatthefourthdosebegiventothechildafterthesecondyearoflife.Theadministrationof_DTaP_Ԁtendstocoincidewithregularwellbabyvisitsthroughthethirddose;however,thefourthdosedoesnot,requiringavisitspecificallyforthispurpose.CDCdoeshavecoverageratesof95percentforthefirstthreedoses.Theseareconsideredtobethemostcritical,however,CDCandthe_ACIP_Ԁfeelstronglythatthefourthandfifthdosesareimportantforfullvaccination.Varyingstaterequirementsforthefourdosevaccineschedulemayhavealsoledtoaslowerincreaseincoverage. (#(# #XVlXXXVl)8#XVlXXXVl0  IHSsetaFY2000goaltoincreaseto91percenttheproportionofAmericanIndianand   AlaskanNative(AI/AN)childrenwhohavecompletedallrecommendedimmunizationsbytheageoftwo;however,theFY2000ratewas86percent.Reasonsincludeproblemswiththeinfrastructuretodelivervaccines,suchasvacanciesinpositionsessentialforthedelivery,increasinglycompleximmunizationschedulesasnewvaccinesareadded,andincompletetrackingduetothemultiplesourcesofhealthcare(manynonIHS).AmongstepstakentoaddressthesechallengesareaddressingagencywiderecruitmentandretentionproblemsanddevelopinginformationalmaterialsspecifictoAI/ANcommunitiesinordertoeducateparentsontheimportanceandsafetyofnewvaccines. (#(# 0  _HCFA_,workinginconjunctionwiththeStates,CDC,andtheAmericanPublicHumanServicesAssociation(_APHSA_),hasdevelopedathreestageprocesstodevelopindividualStatebaselinesandmethodologiesforreportingonaperformancegoalonimmunizationcoveragefortwoyearoldchildrenenrolledinMedicaid.Thefirstgroupof16StatesisexpectedtohavedevelopedtheirStatespecificmethodologyandmeasuredbaselinelevelsbytheendofFY2000andhavetheirfirstremeasurementsbytheendofFY2001.Thesecondgroupof10StatesexpectstohaveestablishedthebaselineandmethodologybytheendofFY2001,andallremainingStateswillhaveestablishedthebaselineandmethodologybytheendofFY2002.#XVlXXXVlOB#XVlXXXVlx*&*(#(# #XVlXXXVlH# THEAGINGPOPULATION  <-|)-  L 0 !"#$%xx0 !"#$%L     4  (.h*.   F    _L 0 !"#$%xx0 !"#$%L 3   XVlXXXVl 3J23  0    ݀OlderAmericansActCommunitybasedServices. Underthisprogramactivity,the   AdministrationonAgingandtheAgingNetworkprovidenumerousservicestoolderAmericansincludingforexample,informationandassistance,outreach,transportation,meals,chores,homehealth,andadultdaycare.TheprogramprovidessomeservicestoroughlyonehalfofthepoorelderlypopulationoftheUnitedStates.TheAgingNetworksuccessfullyleveragesfunds($1.80orgreaterofleveragedfundsforeach$1.00of_AoA_ԀfundingforFY19971999)andgeneratesincome($.33orgreaterforeach$1.00of_AoA_ԀfundingforFY19971999).Finally,theAgingNetwork,strivingtoservethemostvulnerableelderly,hasbeensteadilyincreasingthenumberofhomedeliveredmealsprovidedfrom119.1millioninFY1996to132.1millioninFY1999,substantiallyexceedingtheFY1999targetof119million.DataforFY2000willbeavailableFebruary2002.3JK݌ (#(# Ќ  #XVlXXXVlJ#L 0 !"#$%xx0 !"#$%L 3   3P23  0    VaccinationsforSeniorCitizens. Toreducetheincidenceofdeathsrelatedtoinfluenzaand   _pneumoccoccal_Ԁdisease,healthprofessionalsrecommendlifetimevaccinationfor_pneumoccoccal_Ԁdiseaseandannualvaccinationforinfluenzaforpersonsaged65andover.XVlXXXVlCDCplaysacriticalroleindevelopingimmunizationpolicybyprovidingtechnicaland   scientificsupporttogroupsthatrecommendimmunizationpolicyintheUnitedStatesandglobally.CDCsupportsimmunizationprogramstoincreasecommunityparticipation,education,andpartnershipsthroughpublicinformationcampaigns,educationandtrainingforproviders,assistancetocommunitiesonbuildingcoalitions,andpartnershipswithcommunitybasedorganizations,nationalminorityorganizations,volunteergroups,vaccinecompanies,professionalorganizationsandFederalagencies.#XVlXXXVlQ#CDC,_HCFA_,andIHSshare $d complementarygoalstoincreasethenumberofannualinfluenzaandlifetime_pneumoccoccal_vaccinationsamongselectedpopulationsaged65andover;however,annualtargetsarespecifictothepopulationsserved.XVlXXXVl3P@P݌((#(# Ќ  0  CDChasdemonstratedanincreaseinthepercentageofpersons65yearsofageorolderreceivingvaccineagainstinfluenza(from33percentin1989to64percentin1998).Similarly,thecoverageratefor_pneumococcal_Ԁvaccineincreasedfrom15percentto46percentoverthesameperiod.#XVlXXXVlU#ԀCDCwillreportdataonitsFY1999targetsof60percentand  54percent,respectively,inSeptemberof2001. (#(# 0  Althoughperformancedataon_HCFA_sgoaltoincreasetherateofinfluenzavaccinationto60percentwillnotbeavailableuntil2002,_NHIS_Ԁtrenddataindicatesthatvaccinationratesinthispopulationhaverisenfrom55percentinFY1994to64percentinFY1998.InFY2001,_HCFA_ԀwillbeginusingdatafromtheMedicareCurrentBeneficiarySurvey,whichwillsupportseparatetargetsforratesofinfluenzaand_pneumococcal_Ԁvaccinationsfornursinghomeresidentsaswellasbeneficiariesinthecommunity.AdultimmunizationsarebeingexaminedbythePeerReviewOrganizationsaspartof_HCFA_squalityimprovementefforts. (#(# 0  XVlXXXVlIHSestablishedaFY2000baselineof30.7percentofallAmericanIndiansandAlaskan ($( Nativesover65vaccinatedagainstinfluenzabyextractingthisdatafromitselectronicmedicalrecords,andhassettargetsforaonepercentincreaseinbothFY2001andFY2002._Pneumococcal_Ԁimmunization,whichisonlyrecommendedonceeveryfiveyears,ismoredifficulttoascertainfromIHSelectronicmedicalrecords,andIHSwasnotabletodevelopabaseline.InFY2001,IHSwillpilotandvalidatemethodsusinginfluenzavaccination,andbasedontheoutcomeofthesestudies,willbeginmeasuring_pneumococcal_ԀvaccinationratestoestablishabaselineinFY2001.#XVlXXXVl[#/\+/(#(# ЇL 0 !"#$%xx0 !"#$%L 3   3@_23  0    XVlXXXVl TargetingElderlyandHighRiskAmericanIndians/AlaskanNatives. (AI/AN).Elders,  newborns,infants,andpregnantwomenarehighriskpopulationsinAI/ANcommunitiesandthetargetofIHSpublichealthnursing(_PHN_)services.Because_PHN_Ԁservicescanbeprovidedinanysettingwherethepatientisaccessible,thisisespeciallyeffectiveforhighriskpatientsandfamilies(e.g.,substanceabusingpatients,familieswithdysfunctionallifestyles,includingelderabuse).Settingsincludehomes,schools,jails,bars,andothercommunitylocationsinadditiontothehealthclinic.Theabilitytomeetthepatientintheirownenvironmentallowsthe_PHN_Ԁtofullyassesssocioeconomicandqualityoflifevariablesthataffecthealthstatusandfacilitatesrapportwithpatientswhooftendistrusttheformalhealthcaresystem. InFY2000,IHSprovided371,548total_PHN_Ԁvisits(9.5percentincrease)and  P  127,873home_PHN_Ԁvisits(7percentincrease),exceedingitsgoaltoincrease_PHN_Ԁvisitsbysevenpercent.Servicesprovidedincludedprimaryandsecondarytreatmentandpreventiveservices,counseling,education,communitydevelopmentandreferralfollowup.3@_k_݌ (#(# Ќ   3   3e23  0    #XVlXXXVl_#_Mammograms_. Encouragingbreastcancerscreeningforwomenage65andover,including   regular_mammograms_,iscriticaltoreducingbreastcancerdeaths._HCFA_sPeerReviewOrganizationshavebeendirectedtomonitorandimprovethepercentageoffemaleMedicarebeneficiariesage65andolderwhoreceivea_mammogram_Ԁwithintwoyearsasanindicatorofthequalityofpreventivecare.InFY1998theNationalHealthInterviewSurvey(_NHIS_)indicatedthat63.8percentofwomenage65oroverreceivedabiennial_mammogram_,aconsiderableincreasefromthebaselineof55percentin1994.Dataindicating_HCFA_sprogressinmeetingitsFY2000targetof60percentwillbeavailablefrom_NHIS_ԀinSummerof2000.BeginninginFY2001,_HCFA_ԀwilluseMedicareclaimsdataforthismeasureratherthanselfreported_NHIS_Ԁdata.Baselinereportsshowmammographyratesof45percentinFY1998and49percentinFY1999.XVlXXXVlԀ_HCFA_Ԁhasreviseditstargetsaccordingly.InFY2002,ithas ( setatargettoincreasebiennialmammographyratesto52percent.3ee݌ (#(# Ќ   3   30l23  0    #XVlXXXVl k#Nursinghomecare. WhileHHSfocusessignificantattentiononavoidinginstitutionalcare,  theDepartmentisfullycommittedtoprotectingtherightsofnursinghomeresidentsandenhancingtheircare.Boththereduceduseofphysicalrestraintsonnursinghomepatientsandtheloweredprevalenceofpressureulcersinnursinghomesarewidelyacceptedasindicatorsofqualityofcare._HCFA_ԀhasreportedtheachievementofitsFY1999goaltoreducetheprevalenceoftheuseofphysicalrestraintsamongallnursinghomesfrom17.2percentin1996to14percentin1999.Withreportedprevalenceofunder12percentin1999,_HCFA_hasadoptedamorerigoroustargetof10percentforFY2000andFY2001.InterimdataforFY2000showareductionto9.8percent._HCFA_Ԁhasreportedbaselinedatashowinga9.8percentprevalenceofpressureulcersinnursinghomes,andhasestablishedtargetsof9.6percentand9.5percentforFY2001andFY2002respectively.XVlXXXVl30l[l݌%("%(#(# Ќ    '$' &   ECONOMICANDSOCIALDEVELOPMENTOFDISTRESSEDCOMMUNITIES   #XVlXXXVlq# 3   3r23  0    XVlXXXVl ImprovingAccessforAmericanIndiansandAlaskanNativesThroughFacilities  Construction. Constructionofnewhealthcarefacilitiestoreplaceold,inadequatefacilitiesis  thefirststepinimprovingaccessfor_underserved_Ԁlocations.Efficientspaceforhealthcaredeliveryallowsformoreappointmentsandforpatientstoseemorehealthcareprovidersinonetrip.Likewise,modernfacilitieshelprecruitandretainhealthcareproviders,whichmeansmorecontinuityofhealthcaredelivery.Onceafacilityhasbeencompleted,IHShasexperiencedanaverageincreaseofapproximately60percentmorepatientvisitsthanintheoldfacility.Facilitiesareselectedthroughapriorityrankingsystemdeterminedbyworkload,age,isolationoralternativestoconstruction,andexistingspacedata.IHSmetitsFY2000goaltocontinueconstructionofthereplacementhospitalinFortDefiance,Arizona;startconstructionofthereplacementhospitalin_Winnebago_,Nebraska;continueconstructionofthereplacementhealthcenterinParker,Arizona;designthenewhealthcenterinRed' qMesa,Arizona;designandstartconstructionofthestaffquarterstosupportthehospitalin_Zuni_,NewMexico;andcontinuethedesignandconstructionofdentalunits.#XVlXXXVlr#3r@r݌ (#(# Ќ   3   3x23  0    ProvidingSanitationFacilitiesforAmericanIndianandAlaskanNativeHomes. InFY t 2000,IHSprovidedsanitationfacilitiesto3,886newandlikenewhomesand14,490existinghomesforatotalof18,376.Theseexceededthetotalgoalofprovidingsanitationfacilitiesfor14,775homes.Thissignificantincreaseinexistinghomeswastheresultofmoreprojectstoupgradeexistingcommunitysanitationfacilitiesinfrastructure.Compellingevidencesupportsthatreductionsintheratesforinfantmortality,gastroenteritismorbidity,andotherenvironmentallyrelateddiseasesofasmuchas80percentsince1973areattributabletoIHS'provisionofwatersupplies,sewagedisposalfacilities,developmentofsolidwastesites,andprovisionoftechnicalassistancetoIndianwaterandsewerutilityorganizations.Inaddition,satisfactoryenvironmentalconditions(e.g.,safepipedwaterandadequatesewagedisposal)placefewerdemandsonIHSprimaryhealthcaredeliverysystem.3xx݌ (#(# Ќ    iU5%!`z  `E`ttx 3 i (#(#     (#(#iU{5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 i6,X,hXX,X6XVlXXXVl T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl#@XVlXXXVl* d d SS ` SS ` 4SS 4(#(#,SS ,SSS ,SSS +  &\\\\G  <  &  PerformanceGoals 8\\\\A#!`  \\\\G 8  Targets 8\\\\A#!`  \\\\A 8  ActualPerformance =\\\\A(&L    \\\\A =#XVlXX@XVl#&FE%XXVlAllStatesmeetthe_TANF_Ԁworkparticipation   targets(thetargetsarestatutory)forFY2002._ACF_ԀPlan 0\\\\ \\\\A 0 AllFamilies    FY02:100%FY01:100%FY00:100%FY99:100% Twoparentfamilies  4 FY02:100%FY01:100%FY00:100%FY99:100% 0\\\\d\\\\ 0&FE%%&FEFY02:FY01:FY00:12/01FY99:100%FY98:100%#&FE%%&FE!# X" FY02:&FE%%&FEFY01: % FY00:12/01FY99:74%FY98:66%#&FE%%&FE# /\\\\A@(\\\\ /Maintaintheincreaseinthepercentageofadult_TANF_ԀrecipientsandformerrecipientsemployedinonequarteroftheyearwhocontinuetobeemployedinthenexttwoconsecutivequartersfromtheFY1998baselineyear._ACF_ԀPlan 0\\\\ `-\\\\A 0FY02:84%FY01:84%FY00:83%FY99:N/A 0\\\\D1\\\\ 0FY02:FY01:FY00:12/01FY99:76.8%FY98:80% /\\\\A `6\\\\ /Maintaintheincreaseinthepercentageofadult_TANF_ԀrecipientswhobecomenewlyemployedfromtheFY1998baselineyear._ACF_ԀPlan 0\\\\H!9\\\\A 0FY02:43%FY01:43%FY00:42%FY99:NA 0\\\\$"d=\\\\ 0FY02:FY01:FY00:12/01FY99:42.9%FY98:38.7% /\\\\A#@B\\\\ /Increasethenumberofrefugeesenteringemploymentthrough_ACF_Ԅfundedrefugeeemploymentservicesbyatleast5%annually._ACF_ (&h"E Plan 0\\\\'D#F\\\\A 0&FE%%&FEFY02:59,730 p$ G FY01:56,885FY00:54,176FY99:51,597#&FE%%&FED# 0\\\\'D#J\\\\ 0&FE%%&FEFY02: p$ K FY01:FY00:4/01FY99:50,208FY98:52,298FY9746,800(baseline)#&FE%%&FE# /\\\\A)%Q\\\\ /MaintainthenumberofchildrecipientsofdaycareservicesfundedwhollyorinpartbySocialServicesBlockGrantfundsattheFY1998baseline._ACF_ ,)T Plan 0\\\\-)U\\\\A 0FY02:2,399,827FY01:2,399,827FY00:NAFY99:NA 0\\\\-)Y\\\\ 0FY02:FY01:FY00:5/02FY99:5/01FY98:2,399,827 /\\\\Ax.*^\\\\ /Increasethenumberofchildrenservedby_CCDF_ subsidiesfromthe1998baselineaverageof1.5millionservedpermonth._ACF_ԀPlan 0\\\\H\\\\A 0FY02:2.6millionFY01:2.1FY00:1.92FY99:N/A 0\\\\$ \\\\ 0FY02:FY01:FY00:4/01FY99:1.76millionFY98:1.51 /\\\\A  \\\\ /Increasethenumberoffamiliesworkingand/orpursuingtraining/educationwithsupportof_CCDF_subsidiesfromtheFY1998baseline.(Targetnumberexpressedinmillions)._ACF_ԀPlan 0\\\\\\\\A 0FY02:1.2millionFY01:1.1FY00:NAFY99:NA 0\\\\\\\\ 0FY02:FY01:FY00:4/01FY99:975,000FY98:802,000 /\\\\A\\\\ /IncreasethenumberofMatchingGrantrefugeefamilies(cases)thatareselfsufficient(notdependentonanycashassistance)withinthefirst4monthsafterarrivalbyatleast4%annually._ACF_   Plan 0\\\\ \\\\A 0CY02:6,423CY01:6,176CY00:5,938CY99:5,710 0\\\\ "\\\\ 0CY02:CY01:CY00:5/01CY99:6,497CY98:5,194CY97:5,279baseline /\\\\Ap(\\\\ /IncreasecomplianceofStateandlocal_TANF_agenciesandserviceproviderswithTitleVI,Section504andADA.Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan 0\\\\X,.\\\\A 0FY02:139FY01:135 0\\\\t2\\\\ 0FY02:FY01:FY00:242(baseline) /\\\\A|P7\\\\ /IncreaseaccesstoHHSservicesforlimitedEnglishproficient(_LEP_)persons(compliancewithTitleVIbyrecipientsofFederalfinancialassistance).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan 0\\\\ >\\\\A 0FY02:423FY01:413 0\\\\TA\\\\ 0FY02:FY01:FY00:403(baseline)(TD \\\\ (#XVlX%&FE-# Seealso:  "E L & !"#$%dxx0 !"#$%L 3   - X,X,hX-3c2d3  0    Objective2.2,IncreasetheParentalInvolvementandFinancialSupportof_Noncustodial_ $G ParentsintheLivesofTheirChildren3c݌ %H(#(# Ќ  iU5%!`z  `E`ttx 3 i (#(#     (#(#iU}5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 i-,X,hXX-XVlXXXVl T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl# $ d *"# d dSS SSS SSSS S(#(#,SS ,SSS ,SSS +  &\\\\G  <  &&FE%XXVl  PerformanceGoals 8\\\\A#!`  \\\\G 8  Targets 8\\\\A#!`  \\\\A 8  ActualPerformance #XVlX%&FE# =\\\\A(&<|    \\\\A =&FE%XXVlIncreasethepaternityestablishmentpercentage   amongchildrenbornoutofwedlock.**_ACF_ԀPlan 0\\\\ \\\\A 0FY02:97%FY01:96.5%FY00:96%* ,X,hX*FY99:96% 0\\\\@\\\\ 0FY02:FY01:FY00:10/1FY99:106%* /\\\\A\\\\\ /IncreasefromtheFY1999baselinethepercentageofIVDcaseshavingsupportorders._ACF_ԀPlan 0\\\\h\\\\A 0&FE%%&FEFY02:64%  FY01:62%FY00:76%FY99:74%#&FE%%&FEH# 0\\\\ `\\\\ 0&FE%%&FEFY02:   FY01:FY00:10/1FY99:#&FE%%&FE#60%*  `#  /\\\\A<$\\\\ /IncreasefromtheFY1999basetheIVDcollectionrateforcurrentsupportdue._ACF_ԀPlan 0\\\\H&\\\\A 0&FE%%&FEFY02:55% l' FY01:54%FY00:71%FY99:70%#&FE%%&FEi# 0\\\\@*\\\\ 0FY02:FY01:FY00:10/1FY99:52%* /\\\\A/\\\\ /IncreasethepercentageofpayingcasesamongIVDarrearagecases._ACF_ԀPlan 0\\\\(h1\\\\A 0FY02:55%FY01:54.5%FY00:46%FY99:46% 0\\\\ 5\\\\ 0FY02:FY01:FY00:10/1FY99:54%* /\\\\A 9\\\\ /Increasethenumberofchildsupportenforcementtaskforcesinoperation(eachtaskforceseveralStates).OIGPlan 0\\\\$H <\\\\A 0FY02:6FY01:5 0\\\\$H ?\\\\ 0FY02:FY01:FY00:5FY99:2FY98:1FY97:0(baseline)(&"E  \\\\ (#XVlX%&FE͢#&FE%XXVl*_ACF_Ԁisrecalculatingitsbaselinebasedon1999performance. ($F **Thepercentagecalculatedincludescurrentcasesandcompletionofbacklogsofoldercases. Seealso:  (+h'I L & !"#$%dxx& !"#$%L 3   ! XX!32d3  0    Objective2.1,IncreasetheEconomicIndependenceofLowIncomeFamilies,IncludingThose , )K ReceivingWelfare#XVlX%&FE9#3݌ -)L(#(# Ќ  iU$5%!`z  `E`ttx 3 i (#(#     (#(#iU5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 i-,X,hXX-XVlXXXVl T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl# $ d *'( ddSS SSS SSSS S"#(#(#,SS ,4SS ,SSS +  &\\\\G  <  &&FE%XXVl  PerformanceGoals 8\\\\A#!`  \\\\G 8  Targets 8\\\\A#!`  \\\\A 8  ActualPerformance #XVlX%&FEdz# A\\\\,&<|    \\\\A A  &FE%XXVlLearningReadiness#XVlX%&FE# ;\\\\A&$  \\\\ ;&FE%XXVlIncreaseby1percentfromtheCY2000baseline \  thenumberofregulatedchildcarecentersandhomesaccreditedbyanationallyrecognizedearlychildhooddevelopmentprofessionalorganization._ACF_ԀPlan 0\\\\\\\\A 0CY02:9,725CY01:9,630CY00:NACY99:NA 0\\\\\\\\ 0CY02:CY01:9/01CY00:9,535CY99:NA /\\\\A\\\\ /Increaseby8percentoverthepreviousyearthenumberofChildDevelopmentAssociatecredentialsawardednationwide._ACF_ԀPlan 0\\\\ \\\\A 0CY02:149,175CY01:138,125CY00:NACY99:NA 0\\\\$\\\\ 0CY02:CY01:9/01CY00:127,893CY99:112,130#XVlX%&FE# /\\\\A(\\\\ /&FE%XXVlImproveemergentliteracy,numeracyand @) languageskillsofHeadStartchildren.*_ACF_ * Plan + MaintainattheFY1999baselineof10pointstheaveragegaininwordknowledge.MaintainattheFY1999baselineof3pointstheaveragegaininmathematicalskills.IncreaseovertheFY1999baselineof1.5pointstheaveragegaininletteridentification.Note:See_ACF_ԀPlanfordescriptionof pointscales.#XVlX%&FEs#pj&XXVl*DataforthesemeasuresisderivedfromtheFamilyandChild ($: ExperiencesSurvey(FACES)areplicatedlongitudinalstudywhichwillyieldthenextsetofdatainFY2002.#XVlX&pj޻#&FE%XXVl 0\\\\d*&=\\\\A 0  Vocabulary  A BFY01/02:10FY99/00:N/A  Math   DE FY01/02:3FY99/00:NA  Letteridentification  t#I FY01/02:3.4FY99/00:NA 0\\\\&H"L\\\\ 0FY01/02:FY99/00:10FY01/02:FY99/00:3FY01/02:FY99/00:1.5 /\\\\A&H"[\\\\ /Increaseto1.24pointstheaveragegaininfinemotorskillsforHeadStartchildren.*_ACF_ԀPlan l,(] К*#XVlX%&FE#pj&XXVlԀSeenoteonFACESSurveyabove#XVlX&pjѿ#&FE%XXVl 0\\\\$.d*_\\\\A 0FY01/02:1.24FY99/00:N/A 0\\\\l,(a\\\\ 0FY01/02:FY99/00:1.05 /\\\\Al,(c\\\\ /IncreasefromtheFY1999baselinethe percentageofHeadStartparentswhoreadtochildthreeormoretimesperweek.*_ACF_ԀPlan ( *#XVlX%&FE2#pj&XXVlԀSeenoteonFACESSurveyabove#XVlX&pj #&FE%XXVl 0\\\\ \\\\A 0FY01/02:70%FY99/00:NA 0\\\\L@\\\\ 0FY01/02:FY99/00:66% /\\\\AL@ \\\\ /MaintainattheFY1999baselineof1.4pointstheaveragegaininsocialskillsforHeadStartchildren.*_ACF_ԀPlan    #XVlX%&FEk#pj&XXVl*SeenoteonFACESSurveyabove..#XVlX&pj"#&FE%XXVl 0\\\\\\\\A 0dFY01/02:1.4dFY99/00:N/A 0\\\\, \\\\ 0FY01/02:FY99/00:1.4 3\\\\, \\\\ 3  HealthyDevelopment ;\\\\A&$  \\\\ ;IncreasethepercentageofHeadStartclassroomteacherswithacertificate,adegree,orappropriatetrainingrelatedtoearlychildhoodeducation._ACF_ԀPlan 0\\\\ \\\\A 0FY02:100%FY01:100%FY00:100%FY99:100% 0\\\\\\\\ 0FY02:FY01:FY00:94%FY99:93%FY98:95% /\\\\A!\\\\ /IncreasethepercentageofHeadStartchildren <0" whoreceivenecessarymedicaltreatmentafterbeingidentifiedasneedingmedicaltreatment._ACF_ԀPlan 0\\\\%\\\\A 0FY02:94%FY01:92%FY00:90%FY99:88% 0\\\\)\\\\ 0FY02:FY01:FY00:88%FY99:87%FY98:88% /\\\\A.\\\\ /IncreasethepercentageofHeadStartchildrenwhoreceivenecessarytreatmentforemotionalorbehavioralproblemsafterbeingidentifiedasneedingsuchtreatment._ACF_ԀPlan 0\\\\2\\\\A 0FY02:85%FY01:83%FY00:81%FY99:81% 0\\\\6\\\\ 0FY02:FY01:FY00:77%FY99:75%FY98:75%#XVlX%&FE#&FE%XXVl /\\\\Ah\<\\\\ /IncreasetheproportionofAmericanIndianandAlaskanNativechildrenreceivingaminimumoffourWellChildVisitsby27monthsofageandexpandcoverage.IHSPlan 0\\\\l#`@\\\\A 0FY02:2%overFY01FY01:2%overFY00FY00:2%overFY99FY99:establishbaseline 0\\\\l#`D\\\\ 0FY02:FY01:FY00:47.7%FY99:38.5% /\\\\Al#`H\\\\ /@&FE%%&FEIncreasethenumberofuninsuredand $I _underserved_ԀpersonsservedbyHealthCenters,withemphasisonareaswithhigh#&FE%%@&FE#@&FE%%&FEproportionsof & K uninsuredchildrentohelpimplementthe_SCHIP_program.#&FE%%@&FE#ԀHRSAPlan 0\\\\L(@"M\\\\A 0@&FE%%&FEFY02:11.5million $N FY01:10.5million#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl %O FY00:9.6million#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FEt#@&FE%%&FE & P FY99:8.9million#&FE%%@&FEb#@&FE%%&FE#@XVlX%@&FE #@&FE%X@XVlԀ p'd!Q Ѐ#&FE%%@&FE# 0\\\\L(@"R\\\\ 0@&FE%%&FEFY02: $S FY01:FY00:(8/01)FY99:9.0million#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl p'd!V FY98:8.7million#@XVlX%@&FEj#@&FE%X@XVl#&FE%%@&FE(#@&FE%%&FE L(@"W FY97:8.3million#&FE%%@&FE##XVlX%&FE#&FE%XXVl /\\\\A()#X\\\\ /DecreasethepercentageoflowbirthweightbabiesborntoHealthyStartclients.HRSAPlan 0\\\\t+h%Z\\\\A 0#XVlX%&FE#&FE%XXVlFY02:11.3% *$[ FY01:11.4% 0\\\\P,D&]\\\\ 0FY02:FY01:FY00:5/01FY99:11.58%FY98: 12.06%#XVlX%&FE# /\\\\A.'b\\\\ /&FE%XXVlAchieveorsustainthefollowingimmunization pd  coverageofatleast90%amongchildren19to35monthsofageforeachvaccine:L Ih(x& !"#$%L 3   32h  2  .3  0 /   4dosesofDiphtheriaTetanusPertussis   containingvaccine3݌ // Ќ   3   32h  3  .3  0 /   3dosesof_Haemophilus_Ԁ_influenzae_typeb   vaccine3݌ // Ќ   3   32h  4  .3  0 /   1doseofMeaslesMumpsRubellavaccine*3C݌t h// Ќ   3   32h  5  .3  0 /   3dosesofHepatitisBvaccine32݌P D // Ќ   3   32h  6  .3  0 /   3dosesofPoliovaccine3݌  ,  //  3   32h  7  .3  0 /   1doseofVaricellavaccine*3݌ // Ќ   3   32h  8  .3  0 /   4dosesof_Pneumococcal_ԀConjugate   vaccine*#XVlX%&FE#3݌ // Ќ  pj&XXVl**Performancetargetsfornewlyrecommendedvaccineswillbegin5 L@ yearsafterthe_ACIP_Ԁrecommendation.Thevaricellameasurewillbeginin2001,eventhoughcoverageisbeingreportedearlier.The_pneumococcal_Ԁconjugatemeasurewillbeginin2006,eventhoughcoveragewillbereportedearlier.CDCPlan#XVlX&pj#   0\\\\H<\\\\A 0&FE%XXVlFY02:90% pd FY01:90%FY00:90%FY99:90% 0\\\\ #\\\\ 0FY02:FY01:8/02FY00:Provisionaldata.Final08/011.83%2.94%3.91%4.90%5.90%6.63%*FY99:1.83%2.94%3.92%4.88%5.90%6.58%*FY98:1.0  84%8 " " L & !"#$%dx(IL2.93%3.92%4.87%5.91%6.43%*#XVlX%&FE # /\\\\A=\\\\ /&FE%XXVlIncreasethepercentageofMedicaidtwoyearold pd childrenwhoarefullyimmunized.(Tobeachievedin3phasesforStategroupings.)_HCFA_ԀPlan   0 / !0[//Group1States [[ 0 / 0[//(SetStatespecificmethodologyandbaseline:19992000;firstreport:2001) [[ 0 /  // !0 / Group2States//  0 / 0[//(SetStatespecificmethodologyandbaseline:20002001;firstreport:2002) [[ 0 /  // !0 / Group3States\P// 0 / 0[//(SetStatespecificmethodologyandbaseline:20012002;firstreport:2003)#XVlX%&FE# :\\\\'"! [[\\\\A :&FE%XXVlK+ 4 <DL!,X,hXK &FE%%&FE FY02: #&FE%%&FE#&FE%%&FESecondReport#&FE%%&FE@# &FE%%&FE  %  FY01:#&FE%%&FE#&FE%%&FEԀFirstReport#&FE%%&FE# &FE%%&FE  &  FY00:#&FE%%&FED#&FE%%&FEԀSet#&FE%%&FE#Statespecific  ' methodologyand&FE%%&FEbaseline#&FE%%&FE# &FE%%&FE x l(  FY99:#&FE%%&FEk#&FE%%&FEԀNotApplicable  . #&FE%%&FE#?+ 4 <DL!X? &FE%%&FE FY02: #&FE%%&FEx#&FE%%&FEFirstReport#&FE%%&FE# &FE%%&FE 4  FY01: #&FE%%&FE #&FE%%&FEԀSetbaseline#&FE%%&FE# &FE%%&FE 5  FY00:#&FE%%&FE#&FE%%&FEBegin#&FE%%&FE8#State x6 specificmethodologyand&FE%%&FEbaselineactivities <08 #&FE%%&FE# ?+ 4 <DL!X? &FE%%&FE FY02: #&FE%%&FEj#&FE%%&FESetbaseline#&FE%%&FE# &FE%%&FE |=  FY01:#&FE%%&FE # &)%%&FEԀ#&FE%)% &m#&FE%%&FEԀBegin#&FE%%&FE#State h\> specificmethodologyand&FE%%&FEbaselineactivities $!@ #&FE%%&FE-# &FE%%&FE FY00:#&FE%%&FE#&FE%%&FEԀN/A#&FE%%&FE# &FE%%&FE "A #&FE%%&FE/# #XVlX%&FE}# 0\\\\"B\\\\ 0&FE%XXVl ?+ 4 <DL!X?&FE%%&FE FY02:   G   FY01: #&FE%%&FEA#&FE%%&FE  H #&FE%%&FE#&FE%%&FE  FY00:#&FE%%&FE#&FE%%&FEԀ13GroupI  I StatesdevelopedStatespecificmethodology,targetsandmeasuredbaselines.3StateswillcompletetheseeffortsinFY2001 #&FE%%&FEk#&FE%%&FE FY99:#&FE%%&FEN#&FE%%&FEIdentified  P GroupIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FE#  T ?+ 4 <DL!X? &FE%%&FE FY02:  V   FY01:  W  FY00: #&FE%%&FE#&FE%%&FEIdentified tX GroupIIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FE?# &FE%%&FE \ #&FE%%&FE#  ?+ 4 <DL!X? &FE%%&FE FY02:  |_   FY01:  dX`  FY00: #&FE%%&FE#&FE%%&FEԀN/A#&FE%%&FE<# &FE%%&FE !c #&FE%%&FE#  &FE%%&FE FY99:#&FE%%&FE#&FE%%&FEԀN/A#&FE%%&FE3# &FE%%&FEԀ #&FE%%&FE}##XVlX%&FE# 4\\\\A"d\\\\ 4&FE%XXVlIncreasetheproportionofAmericanIndianand \$Pe AlaskanNativechildrenwhohavecompletedallrecommendedimmunizationsbytheagetwo.IHSPlan#XVlX%&FE# 0\\\\& h\\\\A 0&FE%XXVlFY02:1%overFY01 \$Pi FY01:1%overFY00FY00:2%overFY99FY99:91% 0\\\\& l\\\\ 0FY02:FY01:FY00:86%#XVlX%&FE7#pj&XXVl12/12Areas#XVlX&pj!#&FE%XXVl & o FY99:89%#XVlX%&FEn#pj&XXVl12/12Areas#XVlX&pj#&FE%XXVl & p Ѐ87%#XVlX%&FE#pj&XXVl11/12Areas#XVlX&pj# '!q &FE%XXVlFY98:88%#XVlX%&FE#Ԁpj&XXVl11/12Areas#XVlX&pj3# 4\\\\A("r  \\\\ 4@XVlXXXVl@&FE%X@XVlThenumberofchildrenwithelevatedbloodlead pd levelswillhavebeenreduced.CDCPlan#@XVlX%@&FE##XVlXX@XVl# 0\\\\L@\\\\A 0&FE%XXVl@&FE%%&FEFY03:35%reduction pd FY99:25%#&FE%%@&FE# L@ *@&FE%%&FENodataavailablein   1999_NHANES_.#&FE%%@&FE# 0\\\\ \\\\ 0@&FE%%&FEFY03: pd  FY99:*FY9194:890,000childrenwithbloodleadlevelsgreaterthan10microgramsper deciliter#&FE%%@&FEY##XVlX%&FE#(   \\\\ ( Seealso:     3   ''` XX'' X'` X'32d3  0    Objective1.1,ReduceTobaccoUse,EspeciallyAmongYouth3݌h\ (#(# Ќ  L & !"#$%dxx& !"#$%L 3   3;2d3  0    Objective3.3,IncreasetheAvailabilityofPrimaryHealthCareServicesfor_Underserved_ TH  Populations3;f݌ (#(# Ќ   3   32d3  0    Objective4.1EnhancetheAppropriateUseofEffectiveHealthServices3݌ , (#(# Ќ  ('` XX(iU)5%!`z  `E$tt<  i (#(#    (#(#iU5%!`z  `E$tt<  iiU 5%!`z  `E$tt<  iiU5%!`z  `E$tt<  i3,X,hX'` X3 T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff p divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.*/0 ddSS 4SS 4SSS S'((#(#,SS ,SS ,SSS +  &\\\\G  P  &&FE%XXVl  PerformanceGoals 8\\\\A#!t   \\\\G 8  Targets 8\\\\A#!t   \\\\A 8  ActualPerformance #XVlX%&FE # =\\\\A(&P    \\\\A =&FE%XXVlMakeprogresstowardsdoublingthenumberof   adoptionsforchildreninthepublicfostercaresystembetweenFY1997andFY2002._ACF_ԀPlan 0\\\\x \\\\A 0FY02:56,000FY01:51,000FY00:46,000FY99:24,000̀ 0\\\\ L\\\\ 0FY02:FY01:FY00:9/01FY99:46,000FY98:36,000FY97:31,000FY96:28,000FY95:26,000 /\\\\A\\\\ /Ofthechildrenwhoexitfostercarethroughreunification,increasethepercentageofchildrenwhoexitwithinoneyearofplacement._ACF_ԀPlan 0\\\\,!\\\\A 0FY02:67%FY01:67%FY00:67%FY99:NA 0\\\\%\\\\ 0FY02:FY01:FY00:6/01FY99:65%FY98:63% /\\\\A*\\\\ /Ofthechildrenwhoexitfostercarethroughadoption,increasethepercentageofchildrenwhoexitwithintwoyearsofplacement._ACF_ԀPlan 0\\\\ -\\\\A 0FY02:28%FY01:28%FY00:27%FY99:NA 0\\\\1\\\\ 0FY02:FY01:FY00:6/01FY99:19%FY98:23% /\\\\A6\\\\ /IncreasethenumberofHHSadoptionserviceproviderswhoprovidenondiscriminatoryplacementsforminoritychildren(SmallBusinessJobProtectionAct).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan 0\\\\%\!=\\\\A 0FY02:44FY01:42 0\\\\!@\\\\ 0FY02:FY01:FY00:40(baseline) /\\\\A"D\\\\ /EstablishanInfantAdoptionAwarenessTrainingProgramfordesignatedstaffofeligiblehealthcenters.(Developmental)HRSAPlan 0\\\\D($G\\\\A 0FY02:DevelopmentFY01:Development 0\\\\h'#I\\\\ 0FY02:FY01:FY00:N/A /\\\\AD($L\\\\ /Decreasethepercentageofchildrenwithsubstantiatedreportsofmaltreatmentwhohavearepeatsubstantiatedreportofmaltreatmentwithin6months._ACF_ԀPlan 0\\\\H,(P\\\\A 0CY02:7%CY01:7%CY00:NACY99:NA 0\\\\H,(T\\\\ 0CY02:CY01:CY00:9/01CY99:8%CY98:8% /\\\\A$-d)Y\\\\ /Maintaintheproportionofyouthlivinginsafeand appropriatesettingsafterreceiving_ACF_Ԅfundedservices._ACF_ԀPlan 0\\\\(\\\\A 0FY02:96%FY01:96%FY00:95%* ,X,hX*FY99:95% 0\\\\ \\\\ 0FY02:FY01:FY00:6/01FY99:86%FY98:81%FY97:82% /\\\\A  \\\\ /Maintainthenumberofrecipientsofchildprotectiveservicesfundedwhollyorinpartby_by_ԀSocialServicesBlockGrantfundsattheFY1998baseline._ACF_ԀPlan 0\\\\\\\\A 0FY02:1,302,895FY01:1,302,895FY00:NAFY99:NA 0\\\\\\\\ 0FY02:FY01:FY00:5/02FY99:5/01FY98:1.302,895FY97:1,037,860FY96:1,147,397 /\\\\ATH \\\\ /ForchildrenreceivingservicesthroughtheComprehensiveCommunityMentalHealthServicesforChildrenandTheirFamilies,SAMHSAPlan. |p b - !"#$%(@hx& !"#$%bIncreasethepercentofchildrenattendingschool75%ormoreofthetimeafter12months.Increasethepercentofchildrenwithlawenforcementcontactsatentrywhohavenolawenforcementcontactsafter12months.f & !"#$%(dxh- !"#$%fIncreasestabilityoflivingarrangementsbydecreasingthepercentofchildrenhavingmorethanonelivingarrangementafter12monthsinservices. 0\\\\$2\\\\A 0FY02:Maintain18%FY01:18%increaseFY00:Maintain10%FY99:10%increaseFY98:5%increaseFY02:Maintain43%FY01:43%FY00:Maintain57%FY99:57%FY98:52%FY02:Maintain65%FY01:65%decreaseFY00:25%decreaseFY99:20%decreaseFY98:10%decrease 0\\\\%I\\\\ 0FY02:FY01:FY00:82.0%(+17%)FY99:88.9%(+27%)FY98:78.8%(+12%)FY97:70%#XVlX%&FE #pj&XXVl(at6months)#XVlX&pj?#&FE%XXVl tS FY02:FY01:FY00:44%FY99:43%FY98:54.8%FY97:47%#XVlX%&FE#pj&XXVl(at6months)#XVlX&pj' #&FE%XXVl  xZ FY02:FY01:FY00:26%(65.8%)FY99:27%(64.5%)FY98:23.7%(68%)FY97:76%#XVlX%&FEv #pj&XXVl(at6months)#XVlX&pj)!#&FE%XXVl /\\\\A&| a\\\\ /#XVlX%&FEx!# XXVlIncreasethepercentageofIHS,Tribal,andUrban '!b medicalfacilitieswithUrgentCareorEmergencydepartmentsorservicesthathavewrittenpoliciesandproceduresforroutinelyidentifying,treatingand/orreferringvictimsoffamilyviolence,abuseorneglect(child,spouse,elderly)andtrainstaffintheiruse.IHS +%g Plan#XVlX !#&FE%XXVl 0\\\\,&h\\\\A 0FY02:80%FY01:75%FY00:70%FY99:60% 0\\\\*$l\\\\ 0FY02:FY01:FY00:72%FY99:64%FY98:47%(h+\%q \\\\ (#XVlX%&FE## &FE%XXVlSeealso: Objective1.2,ReducetheIncidenceandImpactofInjuriesandViolenceinAmericanSociety#XVlX%&FE$#  .(r iU15%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU"5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i-,X,hXX- T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.*67 d dSS SS SSS S/0(#(#,SS ,SSS ,SSS +  &\\\\G  <  &&FE%XXVl  PerformanceGoals 8\\\\A#!`  \\\\G 8  Targets 8\\\\A#!`  \\\\A 8  ActualPerformance #XVlX%&FE*# =\\\\A(&<|    \\\\A =&FE%XXVlIncreasethepercentageofMedicarebeneficiaries   aged65andolderwhoreceivea_mammogram_Ԁeverytwoyears._HCFA_ԀPlan 0\\\\d \\\\A 0K+ 4 <DL!,X,hXK&FE%%&FE#&FE%%&FEu-#B.4 <DL!!XB &FE%%&FE FY01: #&FE%%&FE-#&FE%%&FEԀSwitchedto   newdatasource(seebelow)#&FE%%&FEO.# &FE%%&FE FY00:#&FE%%&FE.#&FE%%&FEԀ60%  `   #&FE%%&FE/# &FE%%&FE FY99:#&FE%%&FE/#&FE%%&FEԀ59% <     #&FE%%&FE/# &FE%%&FE  FY02:#&FE%%&FEM0#&FE%%&FE52%#&FE%%&FE0# &FE%%&FE H  FY01: #&FE%%&FE0#&FE%%&FEԀ 51% $d #&FE%%&FER1#B+ 4 <DL!X!B &FE%%&FE FY00:#&FE%%&FE1#&FE%%&FEԀN/A#&FE%%&FEA2#&FE%%&FE D #&FE%%&FE2#B.4 <DL!!XB 0\\\\ \\\\ 0 E.4 <DL!!X!E&FE%%&FE FY01: #&FE%%&FE3#&FE%%&FEN/A#&FE%%&FE3# &FE%%&FE  !   FY00:#&FE%%&FE54#&FE%%&FEԀ#&FE%%&FE4#&FE%%&FEԀSummer2002  `$   #&FE%%&FE4# &FE%%&FE FY99#&FE%%&FEX5#&FE%%&FE:#&FE%%&FE5# &FE%%&FEԀSummer2001 <% #&FE%%&FE5# &FE%%&FE FY98#&FE%%&FER6#&FE%%&FE:63.8%#&FE%%&FE6# &FE%%&FEԀ &  FY94: 򀀀 #&FE%%&FE6#&FE%%&FE55%(_NHIS_)#&FE%%&FEU7# &FE%%&FEԀ #&FE%%&FE7#&FE%%&FE ' Ѐ#&FE%%&FE 8# &FE%%&FE (   0102:#&FE%%&FEe8#&FE%%&FEԀ8/03 P*   #&FE%%&FE8# &FE%%&FE 0001: #&FE%%&FE>9#&FE%%&FEԀ8/02 ,l+ #&FE%%&FE9# &FE%%&FE 9900: #&FE%%&FE9#&FE%%&FEԀ8/01(Interim)  L, #&FE%%&FEA:# &FE%%&FE 9899:#&FE%%&FE:#&FE%%&FEԀ49% ,- #&FE%%&FE:#B+ 4 <DL!X!B &FE%%&FE 9798: #&FE%%&FE;#&FE%%&FE45%(_MCBS_)#&FE%%&FE;# /\\\\A.\\\\ /Improvetherateofbiennialdiabeticeyeexams._HCFA_ԀPlan 0\\\\X0\\\\A 0B.4 <DL!!XB &FE%%&FE FY02:#&FE%%&FEa=#&FE%%&FEԀ69.5% <|1 #&FE%%&FE=# &FE%%&FE FY01:#&FE%%&FE >#&FE%%&FEԀ69.0% X2 #&FE%%&FEX>#B+ 4 <DL!X!B &FE%%&FE FY00:#&FE%%&FE>#&FE%%&FEԀNewin2001#&FE%%&FEF?# 0\\\\43\\\\ 0B.4 <DL!!XB &FE%%&FE 0002: #&FE%%&FE @#&FE%%&FEԀ12/02 <|4 #&FE%%&FE[@# &FE%%&FE 9901: #&FE%%&FE@#&FE%%&FEԀ12/01 X5 #&FE%%&FE A# &FE%%&FE 9800: #&FE%%&FElA#&FE%%&FEԀ3/01#&FE%%&FEA# &FE%%&FEԀ (Interim)  46 #&FE%%&FEB#B+ 4 <DL!X!B&FE%%&FE 9799:#&FE%%&FEB#&FE%%&FEԀ68.5%#&FE%%&FEB# #XVlX%&FE ,# /\\\\A7\\\\ /&FE%XXVlTherateofvaccinationamongpersons>65years D!8 willbeincreaseforinfluenzaand_pneumococcal_pneumonia.CDCPlan "<:  0\\\\%!=\\\\A 0 Influenza  D!> FY02:74%FY01:72%FY00:70%FY99:60% _Pneumococcal_ $(d$F Pneumonia  )@%G FY02:66%FY01:63%FY00:60%FY99:54% 0\\\\L-)L\\\\ 0FY02:FY01:FY00:09/02FY99:09/01FY98:63%FY97:63%FY95:58%FY02:FY01:FY00:09/02FY99:09/01FY98:46%FY97:42%FY95:34%#XVlX%&FEC# /\\\\A/D+]\\\\ /&FE%XXVlIncreasethepercentageofMedicarebeneficiaries pd age65yearsandolderwhoreceivevaccinations.?+ 4 <DL!X?&FE%%&FEIncreaserateofannualinfluenza(flu)vaccination.   (_NHIS_)#&FE%%&FEG#@&FE%%&FE   #&FE%%@&FE4H#B.4 <DL!!XB&FE%%&FEIncreaseannualinfluenza(flu)andlifetime   _pneumococcal_Ԁvaccinations.(_MCBS_)  рFlu/_Pneumococcal_#&FE%%&FEH#  B+ 4 <DL!X!B&FE%%&FE#&FE%%&FESJ#@&FE%%&FE_HCFA_ԀPlan 0\\\\\\\\A 0#&FE%%@&FEJ#B.4 <DL!!XB &FE%%&FE FY01: #&FE%%&FEK#&FE%%&FESwitchedto   newdatasource.(seebelow)#&FE%%&FEK# &FE%%&FE FY00:#&FE%%&FEXL#&FE%%&FEԀ60%  " #&FE%%&FEL#B+ 4 <DL!X!B &FE%%&FE FY99:#&FE%%&FEDM#&FE%%&FEԀ59%#&FE%%&FEM#@&FE%%&FE x l# #&FE%%@&FEM#B.4 <DL!!XB &FE%%&FE FY02: #&FE%%&FExN#&FE%%&FE 73%#&FE%%&FEN#&FE%%&FE / 65% #&FE%%&FEO#&FE%%&FE |p *  FY01: #&FE%%&FE^O#&FE%%&FE72%/63% \P + #&FE%%&FEO# &FE%%&FE FY00:#&FE%%&FE&P#&FE%%&FEԀNotApplicable <0,   #&FE%%&FEqP#    &FE%%&FE #&FE%%&FEQ#&FE%%&FE#&FE%%&FEGQ#  &FE%%&FE #&FE%%&FEQ#@&FE%%&FE 0\\\\4\\\\ 0#&FE%%@&FEQ#E.4 <DL!!X!E &FE%%&FE  FY00:#&FE%%&FER#&FE%%&FEԀSummer2002  ;   #&FE%%&FER# &FE%%&FE FY99:#&FE%%&FEjS#&FE%%&FEԀSummer2001#&FE%%&FES# &FE%%&FE t h<  FY98: #&FE%%&FET#&FE%%&FE64%#&FE%%&FEoT# &FE%%&FE P D=  FY97:#&FE%%&FET#&FE%%&FEԀ63% 0$> #&FE%%&FEU# &FE%%&FE FY95:#&FE%%&FEvU#&FE%%&FEԀ58%   ? #&FE%%&FEU#B+ 4 <DL!X!B &FE%%&FE FY94:#&FE%%&FEcV#&FE%%&FEԀ55%(_NHIS_)#&FE%%&FEV# @&FE%%&FE  @ #&FE%%@&FE#W#B.4 <DL!!XB &FE%%&FE FY02: #&FE%%&FEW#&FE%%&FEԀ12/03#&FE%%&FEX# &FE%%&FE |p C  FY01: #&FE%%&FE]X#&FE%%&FEԀ12/02 XL D #&FE%%&FEX# &FE%%&FE FY00:#&FE%%&FE#Y#&FE%%&FEԀ12/01(Interim) 4(E #&FE%%&FEnY# &FE%%&FE FY99: #&FE%%&FEY#&FE%%&FEԀ #&FE%%&FE'Z#&FE%%&FE69.1%/61.2% F (interim*)#&FE%%&FEmZ# &FE%%&FE FY98:#&FE%%&FEZ#&FE%%&FEԀ68.5%/56.1%*#&FE%%&FE([# &FE%%&FE H  FY97:#&FE%%&FE{[#&FE%%&FEԀ67.1%/50.9%*#&FE%%&FE[# &FE%%&FE I  FY96#&FE%%&FE.\#&FE%%&FE:65%/44.1% xJ #&FE%%&FE\# &FE%%&FE FY95: #&FE%%&FE\#&FE%%&FEԀ 61%#&FE%%&FEA]#&FE%%&FE/34.6%  `TK  FY94:#&FE%%&FE]#&FE%%&FEԀ59%#&FE%%&FE]#&FE%%&FE/24.6% @4L    #&FE%%&FE;^# B+ 4 <DL!X!B&FE%%&FE*includescommunity N dwellingbeneficiariesonly#&FE%%&FE^# /\\\\AP\\\\ /Increaseoverall_pneumococcal_Ԁandinfluenzavaccinationlevelsamongdiabeticsandadultsaged65yearsandolder.IHSPlan 0\\\\ S\\\\A 0 Influenza   T FY02:1%overFY01FY01:1%overFY00FY00:65% _Pneumococcal_  &\ FY02:1%overFY01FY01:secureelectronic̀baselineFY00:65% 0\\\\(+%b\\\\ 0FY02:FY01:FY00:30.7%(newbaselinefromautomatedprocess)FY98:63%(baselinefromdiabetesaudit)FY02:FY01:FY00:datasourcèinadequateFY98:63%(baselinefromdiabetesaudit) /\\\\A,&s\\\\ /ProvideOlderAmericansActTitleIIIservicestoasignificantpercentageofU.S.poorelderly individuals.(Developmental)_AoA_ԀPlan 0\\\\(\\\\A 0FY02:45%FY01:45%FY00:NA 0\\\\(\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:48.1%FY98:53.1%FY97:59.8% /\\\\A  \\\\ /MaintainahighratioofleveragedfundstoAdministrationonAgingprogramfunds.(Developmental)_AoA_ԀPlan 0\\\\ \\\\A 0FY02:$1.50to$1.00FY01:$1.50to$1.00FY00:NAFY99:NA 0\\\\\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:$1.90to$1.00FY98:$1.90to$1.00FY97:$1.80to$1.00 /\\\\Axl \\\\ /Ahighpercentageoffundingforpersonalcareservices,homedeliveredmealsandadultdaycarewillcomefromleveragedfunds.(Developmental)_AoA_ԀPlan 0\\\\|p\\\\A 0FY02:70%FY01:70%FY00:NA 0\\\\ \\\\ 0FY02:2/04FY01:2/03FY00:4/02FY99:75%FY98:75%FY97:74% /\\\\A4(&\\\\ /IncreasethenumberofridesprovidedtotheelderlybytheAgingNetwork.(Numbersinmillions)._AoA_ t( Plan 0\\\\\P)\\\\A 0FY02:50.7@&FE%%&FEԀmillion#&FE%%@&FEh##XVlX%&FEF#&FE%XXVl * FY01:50.7FY00:46.6FY99:39.5 0\\\\8,-\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:42.9@&FE%%&FEԀmillion#&FE%%@&FEi##XVlX%&FEi#&FE%XXVl 8,1 FY98:45.7FY97:46.6 /\\\\A3\\\\ /MaintainthenumberofridesprovidedtoNativeAmericanolderAmericans.(Numbersinthousands)_AoA_ԀPlan 0\\\\ 6\\\\A 0FY02:732FY01:732FY00:665FY99:763 0\\\\:\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:739FY98:719FY97:680 /\\\\A!@\\\\ /Increasethenumberofpublichealthnursingservices(primaryandsecondarytreatmentandpreventiveservices)providedtoinfantsandelders.IHSPlan 0\\\\%D\\\\A 0 TotalVisits  #E FY02:2%>FY01FY01:3%>FY00FY00:7%>FY97̀or363,033 HomeVisits   )#L FY02:2%>FY01FY01:3%>FY00FY00:7%>FY97̀or127,846 0\\\\,&P\\\\ 0FY:02:FY01:FY00:375,965(10.8%)FY99:336,134FY97:339,283FY02:FY01:FY00:130,933(+9.6%)FY99:111,836FY97:119,482 /\\\\AH.<(^\\\\ /IncreasethepercentageofIHS,Tribal,andUrban medicalfacilitieswithUrgentCareorEmergencydepartmentsorservicesthathavewrittenpoliciesandproceduresforroutinelyidentifying,treatingand/orreferringvictimsoffamilyviolence,abuseorneglect(child,spouse,elderly)andtrainstaffintheiruse.IHSPlan 0\\\\ \\\\A 0FY02:80%FY01:75%FY00:70%FY99:60% 0\\\\  \\\\ 0FY02:FY01:FY00:72%FY99:64%FY98:47%(  \\\\ (#XVlX%&FE9j# Seealso:    L & !"#$%dxx& !"#$%L 3   3q2d3  0    Objective3.6,ImprovetheHealthStatusofAmericanIndiansandAlaskaNatives3qr݌h\ (#(# Ќ   3   3r2d3  0    Objective4.1,EnhancetheAppropriateUseofEffectiveHealthServices3r s݌ TH (#(# Ќ  #q#P & !"#$%dxx& !"#$%pqPiU85%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU$5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i-,X,hXX- T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.@XVlXXXVl*CD d dSS SSS SSSS S67(#(#,SS ,SS ,SS +  &\\\\G  <  &  PerformanceGoals 8\\\\A#!`  \\\\G 8  Targets 8\\\\A#!`  \\\\A 8  ActualPerformance =\\\\A(&L    \\\\A =@&FE%X@XVlDecreasethensustainthereducedprevalenceof   theuseofphysicalrestraintsinnursinghomes.   _HCFA_ԀPlan,_AoA_ԀPlan 0\\\\ \\\\A 0#&FE%%@&FEx#K+ 4 <DL!,X,hXK &FE%%&FE FY02: #&FE%%&FEU|#&FE%%&FEԀ10%#&FE%%&FE|# &FE%%&FE    FY01:#&FE%%&FE|#&FE%%&FEԀ10%   #&FE%%&FEP}# &FE%%&FE FY00: #&FE%%&FE}#&FE%%&FEԀ 10%   #&FE%%&FE}# &FE%%&FE FY99: #&FE%%&FE_~#&FE%%&FEԀ14%#&FE%%&FE~#@&FE%%&FE 0\\\\h\\\\ 0#&FE%%@&FE~#?+ 4 <DL!X? &FE%%&FE FY02:     FY01:     FY00:#&FE%%&FE#&FE%%&FEԀ9.8%#&FE%%&FE9#&FE%%&FEԀ(Interim)      FY99:#&FE%%&FE#&FE%%&FEԀ11.9% ` #&FE%%&FE# &FE%%&FE FY96:#&FE%%&FE[#&FE%%&FEԀ17.2%#&FE%%&FE# @&FE%%&FEԀ <| (baseline) /\\\\AX\\\\ /Reducetheprevalenceofpressureulcers(bedsores)amongpatientsinnursinghomes. d _HCFA_ԀPlan,_AoA_ԀPlan 0\\\\@\\\\A 0#&FE%%@&FE#?+ 4 <DL!X? &FE%%&FE FY02: #&FE%%&FEʃ#&FE%%&FEԀ9.5%#&FE%%&FE# &FE%%&FE   FY01: #&FE%%&FEf#&FE%%&FEԀ9.6% h  #&FE%%&FË́# &FE%%&FE FY00:#&FE%%&FE-#&FE%%&FEԀEstablish H! baseline/targets#&FE%%&FEx# &FE%%&FE FY99:#&FE%%&FE#&FE%%&FEԀNewin2000#&FE%%&FE:#@&FE%%&FE 0\\\\@#\\\\ 0#&FE%%@&FE#?+ 4 <DL!X? &FE%%&FE FY02:  $  FY01:  d%   FY00: #&FE%%&FE<#&FE%%&FEԀ9.8%#&FE%%&FEۇ# &FE%%&FE (baseline)  @& #&FE%%&FE&#&FE%%&FE FY99: #&FE%%&FE#&FE%%&FEԀ N/A#&FE%%&FE܈# /\\\\A\'\\\\ /Increaseprovisionofhealthandhumanservicesinthemostintegratedsettingsforpersonswithdisabilities.Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan 0\\\\-\\\\A 0FY02:01/02FY01:@&FE%%&FESettingbaseline 0\\\\L/\\\\ 0#&FE%%@&FE#FY02 p0 FY01:FY00:NewinFY2001@&FE%%&FE,basedonJune D3 1999SupremeCourtdecision#&FE%%@&FEm#(5  \\\\ (#XVlX%&FEz#&FE%XXVl Seealso:   6  3   3~2d3  0    Objective3.1,IncreasethePercentageoftheNationsChildrenandAdultsWhoHaveHealth \"8 InsuranceCoverage3~݌ (#(# Ќ   3   32d3  0    Objective3.2,EliminateDisparitiesinHealthAccessandOutcomes#XVlX%&FE9#3ٍ݌ $T :(#(# Ќ  iUE5%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU&5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i-,X,hXX-XVlXXXVl T heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff H  divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl|#  P  @XVlXXXVl*PQ ddSS SS SS CD(#(#,SS ,4SS ,SS +  &\\\\G  (  &@&FE%X@XVl  PerformanceGoals 8\\\\A#!L  \\\\G 8  Targets 8\\\\A#!L  \\\\A 8  ActualPerformance #@XVlX%@&FE|# =\\\\A(&(h    \\\\A =#XVlXX@XVlW#&FE%XXVlIncreasethenumberofvolunteerhours   contributedby_CSBG_Ԁconsumersinoneormorecommunitygroupsbyonepercentoverthepreviousyear(expressedinmillionsofhours)._ACF_ԀPlan 0\\\\H\\\\A 0FY02:27.4@&FE%%&FEԀmillion#&FE%%@&FEL##XVlX%&FE#&FE%XXVl   FY01:27.13 FY00:28.93 P * ,X,hX*  &FE%%&FEFY99:28.64 ,l #&FE%%&FEW# 0\\\\$\\\\ 0&FE%%&FEFY02:   FY01:  FY00:7/02 P   FY99:7/01 ,l FY98:26.86#&FE%%&FE#@&FE%%&FEԀmillion#&FE%%@&FE#&FE%%&FE#XVlX%&FE#&FE%XXVl H   FY97:27(baseline) $    FY96:28.06#&FE%%&FE# /\\\\A!\\\\ /IncreasetheamountofnonFederalresourcesbroughtintolowincomecommunitiesbytheCommunityServicesNetwork(nonFederalfundsmobilizedexpressedinbillions)._ACF_ % Plan 0\\\\&\\\\A 0&FE%%&FEFY02:$1.68 0p' FY01:$1.66  FY00:$1.38 ()  X  #&FE%%&FE-#&FE%%&FEFY99:$1.36 * #&FE%%&FE# 0\\\\+\\\\ 0&FE%%&FEFY02: 0p, FY01:  FY00:7/02: (.   FY99:7/01 / FY98:$1.64FY97:$1.26(baseline)  FY96:$1.20#&FE%%&FE# /\\\\AX2\\\\ /Maintainahighpercentageofseniorcentersthatarecommunityfocalpoints.(Developmental)_AoA_ԀPlan 0\\\\5\\\\A 0FY02:50%FY01:50%FY00:NAFY99:NA 0\\\\\ 9\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:59.8%FY98:58.8%FY97:57.9% /\\\\A"T?\\\\ /Maintainhighpercentageofvolunteerstaffamongareaagenciesonaging.(Developmental)_AoA_ԀPlan 0\\\\<%|!B\\\\A 0FY02:40%FY01:40%FY00:NAFY99:NA 0\\\\&X"F\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:45.8%FY98:43.8%FY97:50.7% /\\\\A'$L\\\\ /ProvidesanitationfacilitiestoneworlikenewhomesandexistingIndianhomes.IHSPlan L@  0\\\\(\\\\A 0FY02:2,528New/Likè12,727Existing L@ Ѐ15,255TotalFY01:3,800New/Likè10,930Existing    Ѐ14,730Total̀ FY00:3,740New/Likè11,035Existing ,   Ѐ14,775TotalFY99:5,900New/Likè9,330Existing   Ѐ15,230Total 0\\\\xl \\\\ 0FY02:FY01:FY00:3,886New/Likè14,490Existing ,  Ѐ18,376TotalFY99:3,557New/Likè13,014Existing   Ѐ16,571Total /\\\\Axl !\\\\ /Improveaccesstohealthcarebyconstructionoftheapprovednewhealthcarefacilities.IHS # Plan $  0\\\\|p%\\\\A 0FY9902:Completescheduledphaseofconstructionofappropriatedfacilities 0\\\\XL*\\\\ 0FY02:FY01:FY00:5of6projectscompletedonscheduleFY99:Accomplished(2  \\\\ (#XVlX%&FE?# <  2 <  2(3 ,X, XX3iU35%!`z  `Ett ki (#(#       (#(#iU5%!`z  `ETttl 'iiU)5%!`z  `ETttl 'iiU5%!`z  `ETttl 'i &XXVlI#XVlX&A# nadditiontochangingbehaviorandreducingenvironmentalhealthrisks,improvinghealthinthe  ` UnitedStatesinvolvesassuringthateveryonehasaccesstohealthcare.ThefocusofGoal3istopromoteincreasedaccesstohealthcare,especiallyforpersonswhoareuninsured,_underserved_,orotherwisehavehealthcareneedsthatarenotadequatelyaddressedbytheprivatehealthcaresystem.Theaccesschallengesaresubstantial,particularlyforsomegroups.Overall,approximately45millionAmericanslackhealthinsurance.AlthoughrecenteffortstocovertheNation'schildrenarebeginningtoshowsuccess,manychildrenstilllackcoverage.Over2,000countiesintheUnitedStatesaredesignatedhealthprofessionshortageareaswhereaccesstoprimaryhealthcarefor45millionresidentswouldbelimitedwithoutHHScommunityprograms.A1998HarvardSchoolofPublicHealth/CDCstudyfoundthatthelowestlifeexpectanciesinthecountry(includinginnercityghettos)forbothmenandwomenexistinAmericanIndiancommunities,andmortalitydisparitiesforAmericanIndian/NativeAmericanpeopleareworsening.AccesstotreatmentforpersonswithHIV/AIDS,estimatedtocostasmuchas$20,000peryear,wouldbeseverelylimitedwithoutsupportforthecostofdrugtherapiesandassociatedservices.Lessthanone-thirdoftheadultswithdiagnosablementaldisordersreceivetreatmentinagivenyear.Manyfamiliescannotaffordthecostofcareforchildrenwithspecialhealthcareneeds.Minoritieshaveparticularproblemswithaccessandtheyfacearangeofdisparitiesinhealthcare.Approximately38percentofHispanicand24percentofAfrican-Americanadultsarewithouthealthinsurance,comparedwith14percentofwhiteadults.Infantmortalityratesarehigherforminoritygroups,asaretheincidenceofillnessanddeathsassociatedwithcertainchronicdiseasessuchascancer,cardiovasculardisease,anddiabetes.ThemajorsourceofhealthinsurancecoverageforolderAmericansisMedicare.Ensuringthefiscalintegrityoftheprogramiscriticaltocontinuedaccesstocare.Significantaccomplishmentsinreducingthefinancialdrainfromfraud,waste,andabusehavebeenrecorded.Still,wecandomoretoreduceimproperpayments,whichinfiscalyear1999wereestimatedat$13.5billion.InadditiontoMedicare,theDepartmentaddressestheaccesschallengethroughavarietyofentitlementandsafetynetprograms,suchasMedicaid,theStateChildren'sHealthInsuranceProgram,andCommunityHealthCenters,thatprovideaccesstohealthcareforuninsuredandlowincomeindividuals.  *&* _  &XXVlv  SUMMARYPERFORMANCEREPORT N  HHSStrategicGoal3 #XVlX&[#  XVlXXXVl&XXVl T #XVlX&V#heseareselectedperformancestoriesfromtheperformanceplansoftheHHSoperatingand  staffcomponentsthatsupportkeyareasrelatedtotheachievementofthisstrategicgoal.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplan.#XVlXXXVl7#    ACCESSTOPRIMARYHEALTHCARESERVICES  p  L - !"#$%@hx& !"#$%LL 0 !"#$%xh- !"#$%L P - !"#$%@hx0 !"#$%̹PL 0 !"#$%xh- !"#$%L 3   323  0    XVlXXXVlAccessForMinority,LowIncome,andUninsuredAmericans. HRSAsHealthCenters H  andtheNationalHealthServiceCorpsformacosteffective,integratedsafetynetfor_underserved_Ԁanduninsuredchildren,adults,migrantworkers,homelessindividuals,publichousingandU.S./Mexicoborderresidentsinapproximately4000communitiesacrossthecountry.InFY2001theywillservenearly12millionpersonswhowouldotherwiselackaccesstoprimarycareclinicians.These12millionpersonsrepresentabout10percentoftheNationsuninsured;10percentofits33millionMedicaidrecipients;and20percentofthe43million_underserved_ԀpeopleinFederallydesignatedareaslackingaccesstoprimarycareproviders.3݌ (#(# Ќ  0  HealthCentersprovidepreventiveservicesandriskreductiontoapopulationthatislargelyminorityandlowincomeanddisproportionatelyuninsured#XVlXXXVl5#.XVlXXXVlThereismountingevidencethat p accesstoausualandregularsourceofcarecanreduceandeveneliminatehealthstatusdisparitiesamongsubsetsofthe#XVlXXXVl#XVlXXXVlԀpopulation,and#XVlXXXVlv#XVlXXXVlHealthCenterpatientsarefarmorelikelyto H haveausualandregularsourceofcarethanpoorpeopleofcolorintheNation.#XVlXXXVl#ԀThehigh 4t qualityprimaryhealthcarereceivedinHRSAsHealthCentershasbeenshowntoreducehospitalizationsandemergencyroomuse,reduceannualMedicaidcosts,andhelpspreventmoreexpensivechronicdiseaseanddisabilityforthesepopulations.Themostrecentdataindicates: (#(# Ѐ     L & !"#$%dxx0 !"#$%L 3     3w2d3  0    InFY1999HRSAsHealthCentersexceededtheirgoalofserving8.9millionpersonsby !  100,000.TheysubstantiallymettheirFY1999goalsbyserving86percentlowincomeindividuals,64percentminorityindividuals,and41percentuninsuredindividuals.About75percentofpatientsareeitheruninsuredoronMedicaid.3w݌ (#(# Ќ   3     32d3  0    TheNationalHealthServiceCorps(_NHSC_)mettheirFY1999goalofmaintainingfield X&"% strengthatover2500clinicians,withareductionofabout150inFY2000,andsubstantiallymettheirgoalofretaining_NHSC_Ԁcliniciansinservicetothe_underserved_Ԁat70.1percent.3݌ (#(# Ќ    L & !"#$%dxx& !"#$%L 3   0  3;2d3  0(#(#  InFY1997,HealthCenterMedicaidpatientswere22percentlesslikelytobehospitalized *4'* forpotentiallyavoidableconditionsthanMedicaidbeneficiarieswhoobtaincareelsewhere.Lowratesofavoidablehospitalizationsindicateaccesstoappropriateambulatoryservicesandareameasureofthehighqualityofcaredelivered.Lowratesalsoindicatefeweraccessbarriersthatcausepatientstopostponeneededservices,delay .*. neededservices,andfailtocomplywithtreatmentregimens.XVlXXXVlԀInpartbecauseoflower  ratesofhospitalization,reductionsinMedicaidcostsrangefrom30to34percent#XVlXXXVl#XVlXXXVl.HRSA  hassetambitiousgoalstoreducetherateofavoidablehospitalizationfurther,andexpecttohavefollowupdataavailableinApril2001.3;r݌ (#(# Ќ  0   (#(#    3   32d3  0    Monitoringperformanceinchronicdiseasemanagementservesasamarkerforthequality \ ofcaredeliveredatHealthCentersandultimatelymeasuretheirabilitytoeliminatehealthdisparitieswithinthepopulationserved.#XVlXXXVl#XVlXXXVlԀPatientsatHealthCentershaveratesof 4 t hypertensionanddiabetesthatfarexceednationalprevalenceratesforcomparableracial/ethnicandsocioeconomicgroups.Yet,HealthCenterdiabeticsarethreetimesaslikelytohavetheir_glycohemoglobin_Ԁtestsperformedatregularintervals(60percentFY1999)thanthenationalnorm,and_hypertensives_Ԁaremorethanthreetimesaslikely(90percentFY1995)toreportthattheirbloodpressureisundercontrol.  #XVlXXXVlN#XVlXXXVlHRSAwillrepeat   theUserSurveyinFY2002,andhasinitiatedamedicalstudywhichwillyieldinformationabouthypertensioncontrolearlyinCY2001.3݌ (#(# Ќ   3   0  32d3  0(#(#  Breastandcervicalcancerscreeningareeffectivemeasuresforreducingfuturemorbidity  andmortality#XVlXXXVl#XVlXXXVlԀandareindicativeoftheabilityoftheHealthCenterstoreduceoreliminate l disparitiesinearlydetectionofdisease.#XVlXXXVl#XVlXXXVlInFY1995femalepatientsatHealthCenters X receivedageappropriatebreastandcervicalcancerscreening!88.5percentuptodate0@d"(#(#0@d"(#(#Paptests;62.5percentuptodate_mammograms_;80.5percentuptodateclinicalbreastexams!atratesexceedingtheHealthyPeople2010goals.#XVlXXXVl#ԀDataforFY1999are \ expectedtobeavailableinJune2001.3݌ (#(# Ќ  XVlXXXVl0  #XVlXXXVl#XVlXXXVlWorkingtowardsHHSgoalofeliminatinghealthdisparities,theHealthCenterswillreport   onperformancemeasuresfocusingonchronicdiseasemanagement,preventivecare,andavoidablehospitalizationsforlowincome,minorityanduninsuredindividuals#XVlXXXVlP#XVlXXXVl.FY1999data  onthesemeasureswillbeavailableinFY2001. (#(# L 0 !"#$%xx& !"#$%L 3   323  0    #XVlXXXVl#4XVlXXXVlBreastExamsandPapTestforLowIncomeWomen. TheTitleXFamilyPlanning | Programprovidesabroadrangeofpreventivereproductivehealthservices,includingbreastexaminationsand_ap_Ԁtests,toapopulationthatispredominatelylowincomeandwhohavelessaccesstoappropriatehealthscreeningandpreventiveservices.#XVlXX4XVl3#4XVlXXXVlAccesstotheseservices D!  canhelpeliminatedisparitiesinhealthandpreventbreastandcervicalcancersinwomenofreproductiveage.Althoughallsexuallyactivewomenareatriskforcervicalcancer,thediseaseismorecommonamongwomenoflowsocioeconomicstatus,thosewithahistoryofmultiplepartnersorearlyonsetofsexualintercourse,andsmokers.#XVlXX4XVl#4XVlXXXVlԀIn1999,TitleXclinics $4!$ provided2.9millionaptestsand2.8millionbreastexaminationstofamilyplanningclients.TheProgramhasaddedaFY2002goaltoprovideapproximately7aptestsandover6breastexamsforevery10femalefamilyplanningusers.#XVlXX4XVl#4XVlXXXVlԀTheProgramisalsodevelopinggoalsthat '#' willmonitorthenumberofabnormaltestsandappropriatereferralsforfollowup.#XVlXX4XVl#4XVlXXXVl3݌($((#(# Ќ  #XVlXX4XVl#L 0 !"#$%xx0 !"#$%L 3   323  0    AccesstoDentalServicesforAmericanIndiansandAlaskanNatives. XVlXXXVlImprovingaccess |*&* andthusincreasingutilizationofdentalservicescanalsoresultinlesscostlycare,improvedoralhealthstatus,andqualityoflife.InFY2000,25.3percentoftheAmericanIndian/AlaskanNativepopulationreceiveddentalservices,exceedingIHStargetof23percent.Theapproximately18percentvacancyratefordentalprovidersisthekeydeterminantlimitingaccesstocare.Afulltimedentalrecruiterhasbeenhired;manynew /\+/ strategiestodecreasevacancyrateareintheprocessofbeingimplemented.TheseincluderecruitmentvisitstoeveryU.S.dentalschool,aprofessionallydesignedandproducedrecruitmentpackage,increasedremunerationforincomingdentists,increasedopportunitiesforloanrepayment,andotherstrategies.TheFY2001goalhasbeenraisedto27percenttoreflecttheFY2000accomplishment.#XVlXXXVl#3݌p(#(# Ќ   3   323  0    SyphilisElimination. XVlXXXVlCDCcollaborateswithNIH,SAMHSA,HRSA,theNationalInstitute H  ofJustice,theAssociationofPublicHealthLaboratories,andtheAmericanSocialHealthAssociationtoimplementsyphiliseliminationefforts.Thisdiseaseiscurrentlyatthelowestleveleverreported.(2.5per100,000in1999forprimaryandsecondarysyphilis).Nevertheless,syphilisisextremelyconcentratedgeographically(halfofallnewcasesarereportedfromonly25ofthe3,115U.S.countieslessthan1percentofcounties).Approximately79percentofU.S.countieshavealreadyeliminatedsyphilisand91percentofU.S.countieshaveaP&Ssyphilisrateoflessthanorequalto4per100,000.Ofthosecountiesthathavenoteliminatedsyphilis,thelargestnumbersofcasesofP&Ssyphiliswerereportedfrom22counties,andthethreeindependentcitiesofBaltimore,MD,Danville,VA,andSt.Louis,MO.These25areasaccountforhalfofthetotalnumberofP&SsyphiliscasesthatwerereportedintheU.S.in1999.3݌ (#(# Ќ  0  Syphilisremainsoneofthemostglaringexamplesofracialdisparitiesinhealth,with1999ratesamongAfricanAmericans30timesthoseamongwhiteAmericans.Thisracialdisparity(30:1)isextremecomparedtomostotherhealthoutcomesincludingAIDS(9:1),infantmortality(2.5:1),anddeathsattributabletoheartdisease(1.5:1).Communitiesburdenedbypoverty,racism,unemployment,lowratesofhealthinsurance,andinadequateaccesstohealthcareareoftendisproportionatelyaffectedbysyphilis.Theselargersocialissuesoftenimpactindividualbehavior,placingmembersofthesecommunitiesatincreasedrisk.FewprogramsintheU.S.haveasgreatapotentialtoaffectracialdisparitiesinhealthasCDCsefforttoeliminatedomestictransmissionofsyphilis. (#(# #XVlXXXVl-#0  AnexampleofacollaborativeeffortistheCommunityHealthOutreachEducationServices(CHORES)ledbyHRSAtodevelopacomprehensivehealthpromotion,healtheducationanddiseasepreventionprogramforuseinprimarycaresettings.Thesecollaborativeeffortshave X  resultedinthereductionofPrimaryandSecondarysyphilisfrom3.2/100,000in1997to2.2/100,000in2000.Inaddition,thepercentageofsyphilisfreecountieshasincreasedfrom75percentin1997to80percentin2000andthenumberofcountiesresponsiblefor50percentofnewcaseshasreducedfrom31in1997to22in2000. (#(#  3   323  0    XVlXXXVl ImprovingAccessforAmericanIndiansandAlaskanNativesThroughFacilities % "% Construction. Constructionofnewhealthcarefacilitiestoreplaceold,inadequatefacilitiesis &#& thefirststepinimprovingaccessfor_underserved_Ԁlocations.Efficientspaceforhealthcaredeliveryallowsformoreappointmentsandforpatientstoseemorehealthcareprovidersinonetrip.Likewise,modernfacilitieshelprecruitandretainhealthcareproviders,whichmeansmorecontinuityofhealthcaredelivery.Onceafacilityhasbeencompleted,IHShasexperiencedanaverageincreaseofapproximately60percentmorepatientvisitsthanintheoldfacility.Facilitiesareselectedthroughapriorityrankingsystemdeterminedbyworkload,age,isolationoralternativestoconstruction,andexistingspacedata.IHSmetitsFY2000goaltocontinueconstructionofthereplacementhospitalinFortDefiance,Arizona;startconstructionofthereplacementhospitalin_Winnebago_,Nebraska;continueconstructionof  /`+/ thereplacementhealthcenterinParker,Arizona;designthenewhealthcenterinRedMesa,Arizona;designandstartconstructionofthestaffquarterstosupportthehospitalin_Zuni_,NewMexico;andcontinuethedesignandconstructionofdentalunits.#XVlXXXVl#3݌(#(# Ќ  #m#P 0 !"#$%xx0 !"#$%P ACCESSTOCAREFORPERSONSWITHHIV/AIDS \  L 0 !"#$%xx0 !"#$%LL 0 !"#$%yx0 !"#$%L 3   323  0    AccesstoHIVCare. HRSAsHIV/AIDSBureauisthefocalpointfortheFederalresponse 4 t totheneedsofpersonslivingwithHIVdisease.TheBureausprogramsprovidedHIVhealthcareandrelatedservicestoanestimated500,000personsinFY2000.GoalsforthesixRyanWhiteCAREActprogramsfocusonincreasingaccesstohealthcareservicesandanti_retroviral_Ԁtherapyandreducingperinataltransmission.TheprogramshavealsoestablishedgoalstoservewomenandminoritiesinproportionsthatexceedtheirrepresentationinoverallAIDSprevalencebyaminimumoffivepercent.5XVlXXXVlԀ#XVlXX5XVl#@XVlXXXVlDespitethereductionseeninoverallAIDS   morbidity,theproportionofAIDScasesamongwomenandminoritiescontinuetoincrease,andthe#XVlXX@XVl#@XVlXXXVlԀbenefitsprovidedbynewcombinationdrugshavenotuniformlyreducedtheincidence   ofAIDSamongminorities.#XVlXX@XVl#Theperformancenotedbelowreflectssignificantlyincreased  effortsacrossalloftheprogramstotargetcommunitiesofcolor.3݌ (#(# Ќ  L 0 !"#$%xy0 !"#$%LL & !"#$%dxx0 !"#$%L 3   0  32d3  0(#(#  Accesstoprimarymedical,dental,mentalhealth,substanceabuse,rehabilitativeandhome H healthcare:TheHIVEmergencyReliefGrants(TitleI)whichprovidethecoreresponsetometropolitanareashardesthitbytheAIDSepidemicandHIVCareGrantstoStates(TitleII)haveidenticalperformancegoalsinincreasingthenumberofhealthcarerelatedvisitsandincreasingtheproportionofwomenandminoritiesserved.TitleIreported2.73millionvisitsinFY1999,40,000fewerthaninFY1998,andshortofthetargetof2.88millionvisits.TitleIIreported1.23millionvisitsinFY1999,220,000fewerthaninFY1998,andbutexceedingthetargetof1.22millionvisits.InMarch1999anewpolicypermittedtheuseoffundsfornecessaryandappropriatediagnosticandlaboratorytests,whichincreasedtheoverallcostandcomplexityofcareforeachpatient.3݌ (#(# Ќ   3   0  3*2d3  0(#(#  InFY1999,bothprogramsexceededtheirFY1999targetstoservewomenand l minorities.@XVlXXXVlTitleIserved32percentwomenand68.9percentminorities,exceeding X  targetsof30percentand64percent,respectively.TitleIIserved31.2percentwomenand66.4percentminorities,exceedingtargetsof27percentand59percentrespectively.#XVlXX@XVl#3*a݌0"p!(#(# Ќ   3   0  32d3  0(#(#  AccesstoPrimaryCare:InFY1999,theTitleIIIHIVEarlyInterventionprogram $H # providedprimarycareservicesto108,945persons,exceedingitsFY1999targetby20.5percent.TheFY2000goalhasbeensetsubstantiallyhigher,at110,398personsserved.Inaddition,theprogramprovidedservicesto73,456minoritiesinFY1999,exceedingitsFY1999targettoserve60,000minoritiesforthethirdyearinarow.3݌ (#(# Ќ   3   0  3.2d3  0(#(#  Accessto_Antiretroviral_ԀTherapy:XVlXXXVlԀInFY2000anaverageof65,387personsreceived )%) anti_retroviral_Ԁtherapies#XVlXXXVl#XVlXXXVlԀeachmonththroughtheAIDSDrugAssistanceProgram(_ADAP_), |*&* aslightincreaseoverFY1999,but#XVlXXXVl#XVlXXXVlԀtheprogramdidnotmeetitsFY2000#XVlXXXVl #targetof71,900 h+'+ servedpermonth.However,theprogramsoverallabilitytoprovidemedicationsto_underserved_ԀpopulationsincreasedassomeStateseliminatedwaitinglistsforpatientsto participateintheprogram,increasedthenumberofdrugsavailable,sethigherfinancial ,.l*. eligibilitycriteria,reducedmedicaleligibilitycriteriaandrecoveredincreasedsavingsthroughcostrecoverystrategiesincludingtheSection340BDrugDiscountProgram.3.e݌ (#(#    3   0  3W 2d3  0(#(#  AccesstoComprehensiveServicesforWomen:InFY1999,theTitleIVComprehensive  ServicestoWomen,ChildrenandFamiliesprogramcontinuedtoincreaseto18,948thenumberofwomenreceivingcomprehensiveservices,includingappropriateservicesbefore,duringorafterpregnancytoreduceperinataltransmissionifHIV,doublingthenumberofwomenenrolledoverFY1997.3W  ݌ (#(# Ќ  P 0 !"#$%xx& !"#$%PL 0 !"#$%xx0 !"#$%L 3   3^23  0    ReductioninPerinatalTransmissions. CDCandtheTitleIVprogramshareagoalto  L  ensurethatpregnantwomenhaveaccesstoservicestoreduceperinataltransmissionofHIVfrommothertochild.ThenumberofpediatricAIDScasesasaresultofperinataltransmissioncontinuestodecrease,demonstratingtheeffectivenessofthetheseperinatalHIVtransmissionreductionactivities.Theprogramreportsa27.2percentdeclineinPediatricAIDScasesasaresultofmothertochildHIVperinataltransmissionfrom235inFY1998to171inFY1999,continuinga24.2percentdeclineshowninFY1998,andexceedingitsFY1999targetof214perinataltransmissions.3^݌ (#(# Ќ            h      p     &  ACCESSTOMENTALHEALTHSERVICES  H  3   323  0    @XVlXXXVlCommunityMentalHealthServices.#XVlXX@XVl# SAMHSAsCommunityMentalHealthServices  ` BlockGrantProgramcontinuestoworkwith16Statestopilotasetof32keymentalhealthindicators._CMHS_ԀisworkingwiththeStatestoreachclosureonafinalcoredatasetfortheBlockGrantandtoimprovethenumberofStateswhichcanreportdataonthecurrentindicators.The16StatePilotrepresentssignificantprogressinpioneeringthecollectionofuniformStatementalhealthdataandhasproducedsignificantdatasuchashospitalutilization,hospital_readmissions_,communityserviceprogramutilization,andimportantconsumersurveyinformation.However,considerableworkremainsinassistingStatestoimprovedatasystemsandadaptexistingsystemstoreportuniformdata.3݌ (#(# Ќ  ' HJ 3   323  0    ComprehensiveCommunityMentalServicesforChildrenandTheirFamilies. @XVlXXXVlResults \  for#XVlXX@XVl#SAMHSAs@XVlXXXVlԀComprehensiveCommunityMentalHealthServicesforChildrenandTheir L!  FamiliesProgram#XVlXX@XVl&#@XVlXXXVl,aTargetedCapacityExpansionprogram,indicatethatchildreninservices 8"x! foratleasttwelvemonthsshowsignificantimprovementsafteroneyear:3#݌ (#(# Ќ  b & !"#$%(dxx0 !"#$%b 3   0  3W2d3  0(#(#  Inpatienttreatmentdaysdecreasedby44percentfrombaselinein1998;thisdecreasehas $# 3   3>23  0    MedicareSeniorPatrols. _AoA_Ԁand_HCFA_ԀhavepartneredwiththeOfficeoftheInspector $d Generaltocombatfraud,wasteandabusethroughMedicareSeniorPatrolprogram,formerlycalledOperationRestoreTrust.DuringFY2000,_AoA_Ԁanditsgranteestrained25,600volunteerstoserveasMedicareandMedicaideducatorsintheircommunities,bringthetotaloftrainedvolunteersto39,300.DuringFY2000,1241substantiatedcomplaintswhichresultedinsomeactiontakenweregeneratedthrough_AoA_sactivities.ThisrepresentedadramaticincreaseovertheFY1999baselineof133andtheFY2000targetof200substantiatedcomplaints,becauseofalargenumberofnewprojectsaddedduringtheyear.TherateofincreaseintrainedvolunteersandsubstantiatedcasesisexpectedtobesmallerinFY2001and2002sincealargepooloftrainedvolunteersexistsandthenumberofexistingprojectswillremainthesame.3>>݌ (#(# Ќ   L!  iU95%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU+5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i&XXVl T #XVlX&F#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff \ componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.*:; ddSS 4SS 4SS PQ(#(#,SS ,SSS ,SSS +  &\\\\G  `  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance &FE%XXVl =\\\\A(&p    \\\\A =Improveaccesstocareforelderly&disabledMedicarebeneficiarieswhodonothavepublicorprivatesupplementalinsurance._HCFA_ԀPlan 0\\\\ \\\\A 0#XVlX%&FEI#&FE%XXVlQ+ 4 <DL!,X, XQ &FE%%&FE FY02: #&FE%%&FE|K#&FE%%&FE_TBD_#&FE%%&FEK# &FE%%&FE 0  #XVlX%&FE K#&FE%XXVl FY01:#&FE%%&FE7L#&FE%%&FEԀExceed   nationalenrollmentgrowthratescollectivelyinareasunder_HCFA_Ԁoutreachandenrollmentgrant;Increaseenrollmentby4percentagepointsinStateswhereFY2000targetwasnotmet#&FE%%&FEL# &FE%%&FE h #XVlX%&FEL# &FE%XXVlFY00:#&FE%%&FEN#&FE%%&FEԀIncrease  L  enrollmentby4percentagepointsnationally#&FE%%&FEN# q=0&FE%%&FE q=0#&FE%%&FE]O#&FE%%&FE FY99:#&FE%%&FEO#&FE%%&FEԀEstablish d!& target#XVlX%&FEmN##XVlXXXVlP# 0\\\\@"'\\\\ 0XVlXXXVl?+ 4 <DL!X?&FE%XXVlFY#&FE%%&FEP#&FE%%&FEԀ02:  0 (  FY01:   * #XVlX%&FEQ#  &FE%XXVlFY00: #&FE%%&FE`Q#&FE%%&FEԀGoalmet, 5 5,499,349dualeligiblebeneficiaries,a4.4%enrollmentincrease#&FE%%&FEGR# &FE%%&FE P8     FY99:Goalmet,#&FE%%&FER#&FE%%&FEtargetestablished !< *5,270,000dualeligiblebeneficiaries#&FE%%&FErS#  q=0&FE%%&FE FY98:#&FE%%&FE(T#Ԁ*5,167,000 0%p!@ dualeligiblebeneficiaries(baseline)#XVlX%&FEQ# &(#B pj&XXVl*FY98&99dataapproximated '4$C basedontrendof2%increaseperyear#XVlX&pjT# /\\\\A$)d%E\\\\ /@XVlXXXVl@&FE%X@XVlIncreasethenumberofuninsuredand_underserved_ d personsservedbyHealthCenters,withemphasisonareaswithhigh#&FE%%@&FEU#@&FE%%&FEproportionsofuninsuredchildrento H helpimplementthe_SCHIP_Ԁprogram.#&FE%%@&FEV#ԀHRSAPlan#XVlX%&FEU# 0\\\\$ \\\\A 0@XVlXXXVl@&FE%X@XVlFY02:11.5million#@XVlX%@&FE X##XVlXX@XVlW#@XVlXXXVl@&FE%X@XVl d FY01:10.5FY00:9.6FY99:8.9#&FE%%@&FEX# 0\\\\ \\\\ 0@&FE%%&FEFY02: d  FY01:FY00:(8/01)FY99:9.0million#&FE%%@&FE_Y#@&FE%%&FE#@XVlX%@&FEX#@&FE%X@XVl    FY98:8.7 FY97:8.3#&FE%%@&FEY# /\\\\A \\\\ /IncreasethepercentofchildrenwithspecialhealthcareneedsintheStateprogramwithasourceofinsuranceforprimaryandspecialtycare.HRSA  Plan 0\\\\ \\\\A 0FY02:91%FY01:90% 0\\\\H\\\\ 0FY02:FY01:FY00:(1/02)FY99:87%  `4  FY98:85%FY97:83%#XVlX%&FE%Z#&FE%XXVl /\\\\AxL \\\\ /?+ 4 <DL!X?#XVlX%&FEl\#&FE%XXVl&FE%%&FEEnsureCompliancewith_HIPAA_ԀRequirementsby   i#XVlX%&FE]##XVlXXXVl;]#&FE%XXVl&FE%%&FEncreasingthepercentofinsurerswhichhavehad  theirpolicyformsreviewedindirectenforcementStates#XVlX%&FE^##XVlXXXVl!^#&FE%XXVl._HCFA_ԀPlan 0\\\\\\\\A 0#XVlX%&FE_#?+ 4 <DL!X? &FE%XXVl&FE%%&FE FY02: #XVlX%&FE_##XVlXXXVl`#&FE%XXVl&FE%%&FE80%#XVlX%&FE~`##XVlXXXVl`# &FE%XXVl&FE%%&FE    FY01: #XVlX%&FEa##XVlXXXVl'a#&FE%XXVl&FE%%&FE60%   #XVlX%&FEa##XVlXXXVla# &FE%XXVl&FE%%&FE FY00:#XVlX%&FEQb##XVlXXXVlpb#&FE%XXVl&FE%%&FEԀ30% ! #XVlX%&FEb##XVlXXXVlb# &FE%XXVl&FE%%&FE FY99: #XVlX%&FEc##XVlXXXVlc#&FE%XXVl&FE%%&FEԀNewin2000#XVlX%&FEd##XVlXXXVl2d#&FE%XXVl 0\\\\"\\\\ 0#XVlX%&FEd#?+ 4 <DL!X? &FE%XXVl&FE%%&FE FY02:   #  FY01:#XVlX%&FEWe##XVlXXXVlve#&FE%XXVl&FE%%&FE $ #XVlX%&FEf##XVlXXXVl$f# &FE%XXVl&FE%%&FE FY00:#XVlX%&FEf##XVlXXXVlf#&FE%XXVl&FE%%&FE30% % #XVlX%&FE0g##XVlXXXVlOg# &FE%XXVl&FE%%&FE FY99: #XVlX%&FEg##XVlXXXVlg#&FE%XXVl&FE%%&FEԀN/A  & #XVlX%&FEdh##XVlXXXVlh# &FE%XXVl&FE%%&FE FY98:#XVlX%&FEi##XVlXXXVl#i#&FE%XXVl&FE%%&FEԀ0#XVlX%&FEi##XVlXXXVli# &FE%XXVlԀ(baseline)('  \\\\ (#XVlX%&FEj#  D( iU<5%!`z  `E$tt< i (#(#   (#(#iU5%!`z  `E$tt< iiU-5%!`z  `E$tt< iiU5%!`z  `E$tt< i-,X,hXX-&XXVl T #XVlX&%m#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff T divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.&FE%XXVl  @ #XVlX%&FEn#@XVlXXXVl@&FE%X@XVl*=> ddSS SSS SSSS S:;(#(#,SS ,SS ,SS +  &\\\\G ( h &  PerformanceGoals 8\\\\A#!   \\\\G 8  Targets 8\\\\A#!   \\\\A 8  ActualPerformance A\\\\,&    \\\\A A  AccesstoCare ;\\\\A&$H  \\\\ ;Assureaccesstopreventiveandprimarycareforminorityindividuals(racialminoritiesorofHispanicorigin)intheHealthCenters.#@XVlX%@&FEao#@&FE%X@XVl#&FE%%@&FEBo#@&FE%%&FEԀ#@XVlX%@&FEr#@&FE%X@XVlԀ 0p HRSAPlan#&FE%%@&FEr#@&FE%%&FE#@XVlX%@&FEs#@&FE%X@XVl 0\\\\ L\\\\A 0 򀀀_HC_Ԁ x  _NHSC_  T  FY02:65%7.48M1.38MFY01:65%6.83M1.34MFY00:65%6.24M1.25MFY99:65%5.79M1.33M#&FE%%@&FE|s#@&FE%%&FE#@XVlX%@&FEs#@&FE%X@XVl 0\\\\\\\\ 0Ѐ  x  FY02:FY01:FY00:8/01FY99:64%*#@XVlX%@&FEfu#@pj&X@XVlԀ(_NHSC_Ԁ4/01)#@XVlX&@pj#v#@pj&X@XVl#pj&&@pj$u#@pj&&pjԀ  #@XVlX&@pjv#@&FE%X@XVlFY98:64%*  FY97:65%*#@XVlX%@&FE,w#@&FE%X@XVl#&FE%%@&FEv#@&FE%%&FE*_HC_ԀOnly /\\\\A\\\\ /qAssureaccesstopreventiveandprimarycareforlowincomeindividuals(i.e.,atorbelow200%ofpoverty)intheHealthCenters.#&FE%%@&FEw#@&FE%%&FE#@XVlX%@&FEw#@&FE%X@XVlԀ " HRSAPlan # #@XVlX%@&FEMy#@&FE%X@XVl 0\\\\%\\\\A 0 򀀀_HC_Ԁ_NHSC_   L& FY02:86%9.89M1.82MFY01:86%9.03M1.77MFY00:86%8.26M1.26MFY99:86%7.65M1.8M#@XVlX%@&FEy##XVlXX@XVl y#@XVlXXXVl@&FE%X@XVl 0\\\\X+\\\\ 0Ѐ 򀀀   L, FY02:FY01:FY00:8/01FY99:86%*#@XVlX%@&FE_{#@pj&X@XVl(_NHSC_Ԁ4/01)#@XVlX&@pj#|#@pj&X@XVl#pj&&@pj@{#@pj&&pjԀ @0 #@XVlX&@pj|##XVlXX@XVl|#@XVlXXXVl@&FE%X@XVlFY98:86%* \1 FY97:86%#&FE%%@&FEO}#@&FE%%&FE#@XVlX%@&FEn}#@&FE%X@XVl* (h2 *_HC_Ԁonly /\\\\A4 t3\\\\ /AssureaccesstopreventiveandprimarycareforuninsuredindividualsintheHealthCenters.#&FE%%@&FE}#@&FE%%&FE#@XVlX%@&FE~#@&FE%X@XVlԀ "5 #@XVlX%@&FEm#@&FE%X@XVlԀHRSAPlan#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FE+#@&FE%%&FE 0\\\\\#6\\\\A 0Ѐ _HC_Ԁ_NHSC_  !7 FY02:46%5.29M.98MFY01:45%4.73M.93MFY00:43%4.10M.83MFY99:42%3.74M.86M#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FEZ#@&FE%%&FE 0\\\\%";\\\\ 0FY02:FY01:FY00:8/01FY99:41%FY98:41%*FY97:39%#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl* ',$B *_HC_Ԁonly#&FE%%@&FE##XVlX%&FE#@XVlXXXVl@&FE%X@XVl /\\\\A(8%C\\\\ /IncreasethenumberofchildrenservedbyTitleV,MaternalandChildHealthBlockGrant.HRSAPlan#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl 0\\\\X\\\\A 0FY02:24.5million#@XVlX%@&FĒ#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE d FY01:24#@XVlX%@&FEQ#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE 0\\\\|\\\\ 0FY02:FY01:FY00:01/02FY99:#&FE%%@&FE6#Ԁ04/01    FY98:21.6@&FE%%&FEԀmillion#&FE%%@&FE##XVlX%&FE#&FE%XXVl     FY97:20.2#XVlX%&FE]#&FE%XXVl /\\\\A  \\\\ /Serveaproportionofwomenandracial/ethnicminoritieswithHIV/AIDSinTitleIfundedprogramsthatexceedtheirrepresentationinnationalAIDSprevalencedata,asreportedbytheCDC,byaminimumfivepercent(e.g.,if15percentofcurrentoverallAIDScasesareaamongwomen,serve20percentwomeninTitleIprograms).HRSAPlan P   0\\\\\\\\\A 0WomenFY02:33%FY01:32%FY00:30%FY99:30%MinoritiesFY02:70%FY01:69%FY00:64%FY99:64% 0\\\\)\\\\ 0WomenFY02:FY01:FY00:(1/02)FY99:32%FY98:30.7%FY97:30.3%FY96:30.7%MinoritiesFY02:FY01:FY00:(1/02)FY99:68.9%FY98:67.7%FY97:67.8%FY96:66.5% /\\\\A :\\\\ /@&FE%%&FEServewomenandracialandethnicminorities d withHIV/AIDSinTitleIandIIfundedprogramsinproportionsthatexceedtheirrepresentationinoverallAIDSprevalencebyaminimumfivepercentagepoints(i.e.,16percentofcurrentoverallAIDScasesareamongwomen,56%areminorities).#&FE%%@&FEF##XVlX%&FEʇ#&FE%XXVlԀHRSA   Plan 0\\\\ h\\\\A 0 5&FE%%&FEHIVEmergencyRelief d  Grants #&FE%%5&FEW#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl |@  #&FE%%@&FEˍ#@&FE%%&FE#@XVlX%@&FE #@&FE%X@XVlFY02:33%women L  FY01:33%FY00:30%#&FE%%@&FEd#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl  d  FY99:30%#&FE%%@&FE"#@&FE%%&FE#@XVlX%@&FEd#@&FE%X@XVl  p FY02:70%minoritiesFY01:69%FY00:64%FY99:64%#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FEŏ#@&FE%%&FE     #&FE%%@&FEݐ#5&FE%%&FE HIVCareGrantstoStates #5XVlX%5&FE##XVlXX5XVl8#&FE%XXVl@&FE%%&FEFY02:33%womenFY01:33%FY00:27%#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FEǑ#@&FE%X@XVl H  FY99:27%#&FE%%@&FEO#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl T  FY02:68%minoritiesFY01:68%FY00:59%FY99:59%#&FE%%@&FE##XVlX%&FE4#&FE%XXVl 0\\\\'!)\\\\ 0#XVlX%&FE#&FE%XXVl@&FE%%&FEFY02:FY01:FY00:#&FE%%@&FE}#@&FE%%&FE#@XVlX%@&FE]#@&FE%X@XVl1/02  . FY99:#&FE%%@&FE֔##XVlX%&FE#&FE%XXVl32%  / @&FE%%&FEFY98:30.7%#&FE%%@&FEԕ#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl  0 FY97:30.3%#@XVlX%@&FEd#@&FE%X@XVl#&FE%%@&FE"#@&FE%%&FE  1 FY96:#&FE%%@&FE ##XVlX%&FEǖ#&FE%XXVlԀ@&FE%%&FE30.7%#&FE%%@&FE##XVlX%&FE#&FE%XXVl 2 @&FE%%&FEFY02:  4 FY01:FY00:#&FE%%@&FEH#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl1/02 0 6 FY99:#&FE%%@&FE##XVlX%&FE#&FE%XXVl68.9% <7 @&FE%%&FEFY98:67.7%#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE|#@&FE%X@XVl H 8 FY97:67.8%#&FE%%@&FE##XVlX%&FEE#&FE%XXVl@&FE%%&FE T9 FY96:#&FE%%@&FE##XVlX%&FE˚#&FE%XXVlԀ@&FE%%&FE66.5%#&FE%%@&FE##XVlX%&FEj#&FE%XXVl `$: @&FE%%&FEFY02:FY01:FY00:1/02#&FE%%@&FE*#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl l@ FY99:#&FE%%@&FE##XVlX%&FE˜#&FE%XXVl31.2% xA FY98:@&FE%%&FEԀ29.4%#&FE%%@&FE##XVlX%&FEL#&FE%XXVl B FY97:@&FE%%&FE30.3%#&FE%%@&FE1##XVlX%&FE#&FE%XXVl  C FY96:@&FE%%&FE26.3%#&FE%%@&FE֞##XVlX%&FE#&FE%XXVlԀ !D @&FE%%&FEFY02: #F FY01:FY00:#&FE%%@&FEv#@&FE%%&FE#@XVlX%@&FE@#@&FE%X@XVl1/02 &H FY99:66.4%FY98:64.1%#@XVlX%@&FE$#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE  (!J FY97:63.1%#&FE%%@&FEڠ#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl ,)"K FY96:59.9%#@XVlX%@&FE##XVlXX@XVl=#@XVlXXXVlԀ@&FE%X@XVl#&FE%%@&FE#@&FE%%&FEԀ#&FE%%@&FEg##XVlX%&FE%#&FE%XXVl@&FE%%&FE /\\\\A8*#L\\\\ /ImproveAmericanIndianandAlaskanNativeconsumersatisfactionwiththeacceptabilityandaccessibilityofhealthcareasmeasuredbyIHSconsumersatisfactionsurvey.IHSPlan 0\\\\4 \\\\A 0FY02:securebaseline#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE͢#@&FE%X@XVl d FY01:secureOMBclearanceFY00:OMBclearanceand establishbaseline#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FEf#@&FE%%&FE p 4  FY99:developinstrumentandprotocol 0\\\\d ( \\\\ 0FY02:FY01:FY00:submittedbutclearancenotcompletedFY99:Completed#@XVlX%@&FEO# /\\\\A p\\\\ /@&FE%X@XVlIncreaseaccessforminoritiesandpersonswith  disabilitiestonondiscriminatoryservicesinmanagedcaresettings(managedcareplanscompliancewithTitleVI,Section504andtheAmericanswithDisabilitiesAct).Measure:#&FE%%@&FE#Increasednumberofcorrectiveactions,no    violationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships#XVlX%&FE#&FE%XXVl.OCRPlan#XVlX%&FE#&FE%XXVl@&FE%%&FEԀ 0\\\\x\\\\A 0FY02:89FY01:87 0\\\\ \\\\ 0FY02:FY01:FY00:85(baseline)̀#@XVlX%@&FE# /\\\\A "\\\\ /@&FE%X@XVl#&FE%%@&FE0#IncreaseaccesstoHHSservicesforlimited $# Englishproficient(_LEP_)persons(compliancewithTitleVIbyrecipientsofFederalfinancialassistance).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships#XVlX%&FEB#&FE%XXVl.OCRPlan#XVlX%&FE #&FE%XXVl@&FE%%&FE 0\\\\(*\\\\A 0#&FE%%@&FE|#FY02:423 $+ FY01:413#XVlX%&FE]#&FE%XXVl@&FE%%&FE 0,  0\\\\<-\\\\ 0#&FE%%@&FE^#FY02: $. FY01:FY00:403(baseline)#XVlX%&FE?#&FE%XXVl@&FE%%&FE <0 #@XVlX%@&FE?##XVlXX@XVl^#@XVlXXXVl@&FE%X@XVl  8\\\\A#!H 1 \\\\ 8Increasenondiscriminatory,qualityhealthcareforminorities.Measure:IncreasednumberofproviderscomplyingwithTitleVIandthenumberofstakeholdersworkingcoalitions.OCRPlan 0\\\\"6\\\\A 0FY02:01/02FY01:Settingbaseline 0\\\\h8\\\\ 0#&FE%%@&FEخ#FY02 \9 FY01:FY00:#XVlX%&FE# XXVlNewinFY2001#XVlX #&FE%XXVl@&FE%%&FE 3\\\\ t;\\\\ 3  HealthOutcomes ;\\\\A&$x#<< \\\\ ;#@XVlX%@&FE`#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FEDecreasetheratiooftheblackinfantmortality $= ratetothewhiteinfantmortalityrate.#&FE%%@&FE#HRSA %> Plan 0\\\\&d ?\\\\A 0@&FE%%&FEFY02:2.1to1 $@ FY01:2.1to1#&FE%%@&FE# 0\\\\' B\\\\ 0@&FE%%&FEFY02: $C FY01:FY00:9/02FY99:9/01FY98:2.4to1FY97:2.3to1FY96:2.4to1FY95:2.4to1#&FE%%@&FEL#  <,&J   /\\\\AH- 'K\\\\ /DecreaseproportionofHealthCenterusers whoarehospitalizedforpotentiallyavoidableconditions.@&FE%%&FE#@XVlX%@&FE`#@&FE%X@XVlԀHRSAPlan X #@XVlX%@&FE#@pj&X@XVlHealthCentersserveapopulationthatis:65%minority,86%lowincome,41%uninsured#@XVlX&@pj#@&FE%X@XVl 0\\\\ \\\\\A 0FY02:12.5/1000FY01:13FY00:13.5FY99:14#&FE%%@&FEڵ#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl 0\\\\  \\\\ 0FY02:FY01:FY00:4/03FY99:4/02FY98:4/01FY97:14.7/1000#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE    Norm: 18.9/1000#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl /\\\\A \\\\ /#&FE%%@&FEf##XVlX%&FE#&FE%XXVl@&FE%%&FEIncreaseproportionofHealthCenterwomen h,  receivingageappropriatescreeningforcervicalandbreastcancer.HRSAPlan    #&FE%%@&FE[##XVlX%&FE<#@XVlXXXVl@pj&X@XVlHealthCentersserveapopulationthatis:65%minority,86%lowincome,41%uninsured#@XVlX&@pj##XVlXX@XVli# 0\\\\\\\\\A 0&FE%XXVl@&FE%%&FE UptodatePapTests #&FE%%@&FE# h,  FY02:95%FY01:94%FY00:92%FY99:90%@&FE%%&FE Uptodate_Mammograms_ t"  FY02:75%#&FE%%@&FE2# # 92,B X,X,hX9FY01:70%FY00:67.5%FY99:65%@&FE%%&FE UptodateClinicalBreast #&FE%%@&FE@# ( FY02:86%FY01:85.5%FY00:84%FY99:82.5% 0\\\\( ,\\\\ 0@&FE%%&FEFY02:FY01:FY00:4/02FY99:6/01FY95:88.5%FY02:FY01:FY00:4/02FY99:6/01FY95:62.5%FY02:FY01:FY00:4/02FY99:6/01FY95:80.5%#&FE%%@&FE##XVlX%&FEt# /\\\\A4!>\\\\ /EnsurewomenreceivescreeningforcervicalandbreastcancerinFamilyPlanningclinics&FE%XXVl.HRSAPlan x< #XVlX%&FE#pj&XXVlTheseclinicsserveapopulationthatisapproximately40%  | minorityandnearlytwothirdshaveincomesbelow100%ofthepovertyleveland89%haveincomesbelow200%ofpovertylevel.#XVlX&pj#&FE%XXVl 0\\\\D \\\\A 0 Paptests  d  FY02:3million BreastExams   FY02:3million 0\\\\  \\\\ 0 Paptests  d FY02:FY01:FY00:11/01FY99: 2.970million   FY98:2.937FY97:3.130 BreastExams   FY02:FY01:FY00:11/01FY99:2.812million FY98:2774FY97:2.961 /\\\\AL#\\\\ /@&FE%%&FEIncreasepercentofHealthCenteruserswith $ diabeteswithuptodatetestingof_glycohemoglobin_Ԁ!%adultswithdiabetestestedatrecommendintervals.HRSAPlan󀀀#&FE%%@&FEN##XVlX%&FE)#&FE%XXVl 0\\\\P'\\\\A 0 @&FE%%&FE FY02:90% ( FY01:90%FY00:80%FY99:60%#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl + #&FE%%@&FEm##XVlX%&FE#&FE%XXVl 0\\\\,\\\\ 0@&FE%%&FEFY02: - FY01:FY00:3/01FY99:60%FY98:43%#&FE%%@&FEx##XVlX%&FE)#&FE%XXVl @&FE%%&FENorm :20%#&FE%%@&FEE##XVlX%&FE"#&FE%XXVl /\\\\A3\\\\ /@&FE%%&FEIncreaseproportionofHealthCenteradults x<4 withhypertensionwhoreporttheirbloodpressureisundercontrol.#&FE%%@&FE##XVlX%&FE#&FE%XXVlԀ@&FE%%&FEHRSAPlan#&FE%%@&FE##XVlX%&FE#&FE%XXVl 0 6 @&FE%%&FE#@XVlX%@&FE#@pj&X@XVlHealthCentersserveapopulationthatis:65%minority,86%lowincome,41%uninsured#@XVlX&@pj##XVlXX@XVl#&FE%XXVl 0\\\\"`9\\\\A 0@&FE%%&FEFY02:96% x<: FY01:96%FY00:93%FY99:92%#&FE%%@&FE##XVlX%&FE#&FE%XXVl 0\\\\!`=\\\\ 0@&FE%%&FEFY02: x<> FY01:FY00:4/02FY99:6/01FY95:90%#&FE%%@&FE##XVlX%&FE# /\\\\A"lB\\\\ /&FE%XXVl@&FE%%&FEIncreaseby5%peryearthenumberof $C minorityorgandonorsnationally#&FE%%@&FE#.HRSAPlan 0\\\\$D\\\\A 0@&FE%%&FEFY02:1,578 $E FY01:1,503FY00:1,638FY99:#&FE%%@&FE#ԀN/A 0\\\\<'!H\\\\ 0@&FE%%&FEFY02:5/03 $I FY01:5/02FY00:5/01FY99:1,344FY98:1,375#&FE%%@&FE##XVlX%&FE# /\\\\AH( "M\\\\ /&FE%XXVlIncreaseby10%thenumberofunrelated )|#N minoritybonemarrowdonors(nationalregistryofpotentialdonors)overpreviousyeartotals.HRSAPlan 0\\\\L,&Q\\\\A 0FY02:1.18MdonorsFY01:1.07MFY00:1.00MFY99:.90M 0\\\\-'V\\\\ 0FY02:FY01:10/01FY00:1.05MFY99:.92MFY98:.8MFY96:526,000#XVlX%&FEx# /\\\\A.(\\\\\ /_&FE%XXVlAspartofalargergoaltoeliminatesyphilisin d theU.S.,CDCwillreducetheracialdisparityinsyphilis.CDCPlan 0\\\\X\\\\A 0FY02:15%to17.8%.FY01:15%to20.9%FY00:15%to24.6%FY99:15%to28.9%#XVlX%&FE# 0\\\\ \\\\ 0&FE%XXVlFY02: d FY01:FY00:4/02FY99:4/01FY98:34.2%#XVlX%&FE#&FE%XXVl /\\\\A  \\\\ /Collectandestablishbaselineandcomparisondataforall_OPHS_ԀPlanPriorityArea3goals,includingrelevantracialandethnicsubgroupsforwhichnodataarecurrentlyavailable._OPHS_ԀPlan 0\\\\t \\\\A 0FY02:11of11FY01:11of11FY00:11of12FY99:9of12 0\\\\d( \\\\ 0FY02:FY01:FY00:6of11FY99:5of11FY98:5of11#XVlX%&FE# /\\\\Ap4 \\\\ /&FE%XXVlCDCwillfundselectedcommunitiesto   implementinterventionsbasedoncommunityplanningactivitiestoeliminateracialandethnichealthdisparitiesforthefollowingfocusareas:breastandcervicalcancerscreeningandmanagement,cardiovasculardisease,diabetes,childand/oradultimmunizations,HIV/AIDS,andinfantmortality.CDCPlan 0\\\\"\\\\A 0FY02:ProvidecontinuationfundingtoPhaseIIgrantees.Announcetheavailabilityoffundingfornewinterventionphasecoalitions.FY01:ProvidecontinuationfundingtoPhaseIIgrantees.Announcetheavailabilityoffundingfornewinterventionphasecoalitions.FY00:Fundselectedcommunitiestoimplementinterventions(PhaseII)basedoncommunityplanningactivities.Fundanadditional46PhaseIgrantees.FY99:Developacommunityplanning_RFA_andfundacommunitytoconductplanningactivities(PhaseI).#XVlX%&FE#&FE%XXVl 0\\\\(!;\\\\ 0FY02:FY01:FY00:14coalitionsfundedforPhaseI.25coalitionsfundedforPhaseII.FY99:32coalitionsfundedforPhaseI.#XVlX%&FE,#(X("R  \\\\ ( &FE%XXVlSeealso:  *D$S Objective3.6,ImprovetheHealthStatusofAmericanIndiansandAlaskanNatives#XVlX%&FE[#  ,\&U ?P5_iU@5%!`z  `E`ttx 3i (#(#    (#(#iU5%!`z  `E`ttx 3iiU/5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i_9,X,hX2,B X9&XXVl T #XVlX&#heseareselectedperformancegoalsfromtheperformanceplansofthe_HHS_Ԁoperatingandstaff 0p divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.&FE%XXVl  \ #XVlX%&FE#&FE%XXVl*AB ddSS SS SS =>(#(#,z SS ,SS ,SS +  &\\\\G T  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance A\\\\,&    \\\\A A  AccesstoCare ;\\\\A&$4t  \\\\ ;Assureaccesstopreventiveandprimarycareforlowincomeindividuals(i.e.,atorbelow200%ofpoverty)intheHealthCenters.@&FE%%&FE#@XVlX%@&FE6#@&FE%X@XVlԀ \ _HRSA_ԀPlan 8x #@XVlX%@&FE#@&FE%X@XVl 0\\\\P\\\\A 0 򀀀_HC_Ԁ_NHSC_    FY02:86%9.89M1.82MFY01:86%9.03M1.77MFY00:86%8.26M1.65MFY99:86%7.65M1.8M#@XVlX%@&FE##XVlXX@XVl>#@XVlXXXVl@&FE%X@XVl 0\\\\\\\\ 0FY02:FY01:FY00:8/01FY99:86%*#@XVlX%@&FE#@pj&X@XVl(_NHSC_Ԁ4/01)#@XVlX&@pjG#@pj&X@XVl#pj&&@pj#@pj&&pjԀ  #@XVlX&@pj##XVlXX@XVl#@XVlXXXVl@&FE%X@XVlFY98:86%*  FY97:86%**_HC_Ԁonly#&FE%%@&FEr#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl /\\\\A!\\\\ /Assureaccesstopreventiveandprimarycareforminorityindividuals(racialminoritiesorofHispanicorigin)intheHealthCenters.#@XVlX%@&FEi#@&FE%X@XVl#&FE%%@&FE'#@&FE%%&FEԀ#@XVlX%@&FE`#@&FE%X@XVlԀ 0$ HRSAPlan#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl 0\\\\ %\\\\A 0 򀀀_HC_Ԁ_NHSC_  8x& FY02:65%7.48M1.38MFY01:65%6.83M1.34MFY00:65%6.24M1.25MFY99:65%5.79M1.33M#&FE%%@&FEM#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl 0\\\\h*\\\\ 0FY02:FY01:FY00:8/01FY99:64%*#@XVlX%@&FE#@pj&X@XVl_NHSC_Ԁ4/01#@XVlX&@pj#@&FE%X@XVl h/ FY98:64%*FY97:65%**_HC_Ԁonly#@XVlX%@&FE!#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE /\\\\A!2\\\\ /AssureaccesstopreventiveandprimarycareforuninsuredindividualsintheHealthCenters.#&FE%%@&FE#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVlԀ#@XVlX%@&FE #@&FE%X@XVlԀHRSAPlan#@XVlX%@&FEN#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE 0\\\\$ 5\\\\A 0Ѐ _HC_Ԁ "<6 _NHSC_ FY02:46%5.29M.98M $(!8 FY01:45%4.73M.93MFY00:43%4.10M.83MFY99:42%3.74M.86M#@XVlX%@&FE#@&FE%X@XVl#&FE%%@&FE#@&FE%%&FE 0\\\\ (L$;\\\\ 0FY02:FY01:FY00:8/01FY99:41%#@XVlX%@&FEE#@pj&X@XVl(_NHSC_Ԁ4/01)#@XVlX&@pj#@pj&X@XVl#pj&&@pj#@pj&&pjԀ ,'l#@ #@XVlX&@pj#@&FE%X@XVlFY98:41%* (H$A FY97:39%#&FE%%@&FE##XVlX%&FE*#&FE%XXVl* )T%B *_HC_Ԁonly /\\\\A *`&C\\\\ /_IncreasethefieldstrengthoftheNationalHealthServiceCorpsthroughscholarshipsandloanrepaymentagreements. X HRSAPlan 0\\\\d (\\\\A 0Ѐ FieldUsers  d FY02:2,4682.12MFY01:2,3802.06MFY00:2,6972.30M FY99:2,5262.05M 0\\\\  \\\\ 0 򀀀  d  FY02:FY01:12/01FY00:2,376FY99:2,526FY98:2,4392.0M /\\\\A \\\\ /Increasethepercentof_NHSC_Ԁcliniciansretainedinservicetothe_underserved_. , HRSAPlan 0\\\\8\\\\A 0FY02:76%FY01:75%FY00:74%FY99:72% 0\\\\t8 \\\\ 0FY02:FY01:FY00:4/01FY99:70.1%FY98:70.9% /\\\\AD \\\\ /IncreasethenumberofpeoplereceivingHIVprimarycareservicesunderEarlyInterventionServicesprograms.HRSAPlan 0\\\\x \\\\A 0FY02:117,000clientsFY01:117,000FY00:110.000FY99:90,433 0\\\\$\\\\ 0FY02:FY01:FY00:(1/02)FY99:108,945FY98:96,451 /\\\\A )\\\\ /Increasethenumberofvisitsforhealthrelatedcare(primarymedical,dental,mentalhealth,substanceabuse,rehabilitativeandhomehealth)inTitleIandIIprogramstoalevelthatapproximatesinclusionofnewclients.HRSAPlan /  0\\\\0\\\\A 0 HIVEmergencyRelief T1 Grants  l02 FY02:3.05@&FE%%&FEԀmillion#&FE%%@&FEk##XVlX%&FE#&FE%XXVlԀvisits x<3 FY01:3.05FY00:2.92FY99:2.88 HIVCareGrantstoStates  #< FY02:1.45@&FE%%&FEԀmillion#&FE%%@&FE##XVlX%&FE#&FE%XXVlԀvisits $= FY01:1.45FY00:1.53FY99:1.22 0\\\\(!@\\\\ 0@&FE%%&FEFY02:FY01:FY00:1/02FY99:2.73million#&FE%%@&FE{#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVlԀ F ЀvisitsFY98:2.79FY97:2.77FY96:2.67#&FE%%@&FE# !J @&FE%%&FEFY02:FY01:FY00:1/02FY99:1.23million#&FE%%@&FE #@&FE%%&FE#@XVlX%@&FE0 #@&FE%X@XVlԀ (!P ЀvisitsFY98:1.45FY97:#&FE%%@&FEQ #Ԁ1.07 /\\\\A+$S\\\\ /Reducethepercentageofenrolledwomenwhoreceivelateornoprenatalcare.HRSAPlan 0\\\\L\\\\A 0FY02:9.75%FY01:10.75% 0\\\\p\\\\ 0FY02:FY01:FY00:5/01 FY99:11.1%FY98:17.2% /\\\\A  \\\\ /IncreaseannualaccesstodentalservicesfortheAmericanIndianandAlaskanNativepopulation.IHSPlan     0\\\\\\\\A 0FY02:1%>FY01FY01:29%FY00:27%FY99:21% 0\\\\d( \\\\ 0FY02:FY01:FY00:25.1%FY99:25.1%FY98:24.5%#XVlX%&FE #@XVlXXXVl@&FE%X@XVl p4  FY97:22.0%#&FE%%@&FE ##XVlX%&FE# #@XVlXXXVl@&FE%X@XVl /\\\\A|@ \\\\ /IncreasethenumberofchildrenservedbyTitleV,MaternalandChildHealthBlockGrant.HRSAPlan#&FE%%@&FE #@&FE%%&FE#@XVlX%@&FE #@&FE%X@XVl 0\\\\h\\\\A 0FY02:24.5million#@XVlX%@&FE #@&FE%X@XVl#&FE%%@&FE #@&FE%%&FE   FY01:24#@XVlX%@&FEl #@&FE%X@XVl#&FE%%@&FE #@&FE%%&FE 0\\\\\\\\ 0FY02:FY01:FY00:01/02FY99:#&FE%%@&FEQ #Ԁ2.30million " FY98:21.6#XVlX%&FE #&FE%XXVl # FY97:20.2#XVlX%&FE4 #&FE%XXVl /\\\\A($\\\\ /Increase#XVlX%&FE #&FE%XXVlԀthepercentageofHeadStart \% childrenwhoreceivenecessarymedicaltreatment._ACF_ԀPlan 0\\\\P'\\\\A 0FY02:94%FY01:92%FY00:90%FY99:88% 0\\\\+\\\\ 0FY02:FY01:FY00:88%FY99:87%FY98:88% /\\\\A0\\\\ /Increasethenumberofhealthcareproviderstrainedtomeetthehealthneedsofpeoplewithdevelopmentaldisabilities._ACF_ԀPlan 0\\\\ 3\\\\A 0FY02:5,200FY01:5,000FY00:4,825FY99:4,000 0\\\\\" 7\\\\ 0FY02:FY01:FY00:1/02FY99:4,100FY98:3,733 /\\\\Ah#,<\\\\ /&FE%%&FEDevelopandoperatecollaborativemodelsof $= healthcareservicesinruralareaswhichwillserve_underserved_Ԁpopulations.#&FE%%&FEF #@&FE%%&FE#@XVlX%@&FE #@&FE%X@XVlԀHRSAPlan &T ? #&FE%%@&FE5 ##XVlX%&FEw #&FE%XXVl@&FE%%&FE 0\\\\'`!@\\\\A 0#&FE%%@&FE! #&FE%%&FE PersonsServedPerYear  $A FY02:764,000FY01:764,000FY00:764,000FY99:680,000FY98:616,000  *#F #XVlX%&FE # #XVlXXXVl #&FE%XXVl@&FE%%&FE 0\\\\ +$G\\\\ 0#&FE%%@&FE #&FE%%&FEFY02:FY01:FY00:760,000FY99:681,000FY98:630,000#&FE%%&FE9 ##XVlX%&FE #&FE%XXVl /\\\\A*#M\\\\ /#XVlX%&FE #&FE%XXVlIncreaseaccessforminoritiesandpersons d withdisabilitiestonondiscriminatoryservicesinmanagedcaresettings(managedcareplanscompliancewithTitleVI,Section 504andtheAmericanswithDisabilitiesAct).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships#XVlX%&FEU #&FE%XXVl.OCRPlan#XVlX%&FE+ #&FE%XXVl@&FE%%&FEԀ 0\\\\\  \\\\A 0FY02:89FY01:87 0\\\\| \\\\ 0FY02:FY01:FY00:85(baseline)̀#@XVlX%@&FE~ # /\\\\A \\\\ /@&FE%X@XVl#&FE%%@&FE #IncreaseaccesstoHHSservicesforlimited   Englishproficient(_LEP_)persons(compliancewithTitleVIbyrecipientsofFederalfinancialassistance).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships#XVlX%&FE #&FE%XXVl.OCRPlan#XVlX%&FEz #&FE%XXVl@&FE%%&FE 0\\\\\\\\A 0#&FE%%@&FE #FY02:423   FY01:413#XVlX%&FE #&FE%XXVl@&FE%%&FE    0\\\\ \\\\ 0#&FE%%@&FE #FY02:   FY01:FY00:403(baseline)#XVlX%&FE #&FE%XXVl@&FE%%&FE   #@XVlX%@&FE ##XVlXX@XVl #@XVlXXXVl`@&FE%X@XVl  <\\\\'!  \\\\ <   HealthOutcomes ;\\\\A&$@! \\\\ ; DecreaseproportionofHealthCenteruserswhoarehospitalizedforpotentiallyavoidableconditions.#&FE%%@&FEE #@&FE%%&FE#@XVlX%@&FEt #@&FE%X@XVlԀHRSAPlan h,$ #@XVlX%@&FE! #@pj&X@XVlHealthCentersserveapopulationthatis:65%minority,86%lowincome,41%uninsured#@XVlX&@pj #@&FE%X@XVl 0\\\\l)\\\\A 0FY02:12.5/1000FY01:13FY00:13.5FY99:14#&FE%%@&FE #@&FE%%&FE#@XVlX%@&FE$ #@&FE%X@XVl 0\\\\-\\\\ 0FY02:FY01:FY00:4/03FY99:4/02FY98:4/01FY97:14.7/1000#@XVlX%@&FE #@&FE%X@XVl#&FE%%@&FE #@&FE%%&FE 3  Norm: 18.9/1000#&FE%%@&FE ##XVlX%&FE #&FE%XXVl /\\\\A 5\\\\ /#XVlX%&FE #&FE%XXVl@&FE%%&FEIncreaseproportionofHealthCenterwomen d receivingageappropriatescreeningforcervicalandbreastcancer.HRSAPlan#&FE%%@&FE( ##XVlX%&FE # 0\\\\X\\\\A 0@XVlXXXVl UptodatePapTests #XVlXX@XVlP! #&FE%XXVl d FY02:95%FY01:94%FY00:92%FY99:90%@&FE%%&FE Uptodate_Mammograms_     FY02:75%#&FE%%@&FE" ##XVlX%&FE! #&FE%XXVl   92,B X,X,hX9FY01:70%FY00:67.5%FY99:65%@&FE%%&FE UptodateClinicalBreast #&FE%%@&FE^# ##XVlX%&FE" #&FE%XXVl @  FY02:86% FY01:85.5%FY00:84%FY99:82.5%#XVlX%&FE# #&FE%XXVl 0\\\\p4\\\\ 0@&FE%%&FEFY02:FY01:FY00:4/02FY99:6/01FY95:88.5%FY02:FY01:FY00:4/02FY99:6/01FY95:62.5%FY02:FY01:FY00:4/02FY99:6/01FY95:80.5%#&FE%%@&FE$ ##XVlX%&FEu$ #&FE%XXVl /\\\\Al0&\\\\ /EnsurewomenreceivescreeningforcervicalandbreastcancerinFamilyPlanningclinics#XVlX%&FE% #&FE%XXVl. |( HRSAPlan X) #XVlX%&FE& #pj&XXVlTheseclinicsserveapopulationthatisapproximately40% - minorityandnearlytwothirdshaveincomesbelow100%ofthepovertyleveland89%haveincomesbelow200%ofpovertylevel.#XVlX&pj' #&FE%XXVl 0\\\\!P0\\\\A 0 Paptests  1 FY02:3@&FE%%&FEԀmillion#&FE%%@&FE( ##XVlX%&FE!( #&FE%XXVl 2  BreastExams  0!8 FY02:3@&FE%%&FEԀmillion#&FE%%@&FEq) ##XVlX%&FE ) #&FE%XXVl 0\\\\<"9\\\\ 0 Paptests  : FY02:FY01:FY00:11/01FY99:2.970millionFY98:2.937FY97:3.130 BreastExams  0!A FY02:FY01:FY00:11/01FY99:2.812millionFY98:2.774FY97:2.961 /\\\\Ax'> # &FE%%&FE 9900: #&FE%%&FE> #&FE%%&FEԀ8/01(Interim)   #&FE%%&FE> # &FE%%&FE 9899:#&FE%%&FEX? #&FE%%&FEԀ49% ,  #&FE%%&FE? #?+ 4 <DL!X? &FE%%&FE 9798: #&FE%%&FEA@ #&FE%%&FE45%(_MCBS_)#&FE%%&FE@ ##XVlX%&FEM8 #&FE%XXVl /\\\\A8 \\\\ /#XVlX%&FE$A #&FE%XXVl@&FE%%&FEIncreasethepercentageofMedicare p  beneficiariesage65yearsandolderwhoreceivevaccinations.#&FE%%@&FEA #?+ 4 <DL!X?&FE%%&FEIncreaserateofannualinfluenza(flu) |@# vaccination.(_NHIS_)#&FE%%&FEB #@&FE%%&FE X$ #&FE%%@&FE^C #B.4 <DL!!XB&FE%%&FEIncreaseannualinfluenza(flu)andlifetime p+ _pneumococcal_Ԁvaccinations.(_MCBS_)  рFlu/_Pneumococcal_#&FE%%&FEC ##XVlX%&FEA #&FE%XXVl_HCFA_ԀPlan#XVlX%&FEOE #&FE%XXVl 0\\\\+$6\\\\A 0#XVlX%&FEE #@XVlXXXVl@&FE%X@XVl#&FE%%@&FE6F # &FE%%&FE FY01: #&FE%%&FEF #&FE%%&FESwitchedtonew ; datasource.(seebelow)#&FE%%&FEF # &FE%%&FE FY00:#&FE%%&FEsG #&FE%%&FEԀ60% = #&FE%%&FEG #B+ 4 <DL!X!B &FE%%&FE FY99:#&FE%%&FE_H #&FE%%&FEԀ59%#&FE%%&FEH #@&FE%%&FE > #&FE%%@&FEH #@&FE%%&FEB.4 <DL!!XB #&FE%%@&FELI #&FE%%&FE FY02: #&FE%%&FEI #&FE%%&FE 73%#&FE%%&FE%J #&FE%%&FE / 65% #&FE%%&FEmJ #&FE%%&FE 4#F  FY01: #&FE%%&FEJ #&FE%%&FE72%/63% D$G #&FE%%&FE#K # &FE%%&FE FY00:#&FE%%&FEK #&FE%%&FEԀNotApplicable T%H #&FE%%&FEK ##XVlX%&FEUF # 0\\\\l'0!J\\\\ 0&FE%XXVl &FE%%&FE FY00:#&FE%%&FEL #&FE%%&FEԀSummer2002 Q   #&FE%%&FEL # &FE%%&FE FY99:#&FE%%&FEoM #&FE%%&FEԀSummer2001#&FE%%&FEM # &FE%%&FE R  FY98: #&FE%%&FE N #&FE%%&FE64%#&FE%%&FEtN # &FE%%&FE  S  FY97:#&FE%%&FEN #&FE%%&FEԀ63% T #&FE%%&FEO # &FE%%&FE FY95:#&FE%%&FE{O #&FE%%&FEԀ58% (U #&FE%%&FEO #B+ 4 <DL!X!B &FE%%&FE FY94:#&FE%%&FEhP #&FE%%&FEԀ55%(_NHIS_)#&FE%%&FEP # @&FE%%&FE 4V #&FE%%@&FE(Q #&FE%%&FEB.4 <DL!!XB #&FE%%&FEQ #&FE%%&FE FY02: #&FE%%&FE R #&FE%%&FEԀ12/03#&FE%%&FEZR # &FE%%&FE d#(Z  FY01: #&FE%%&FER #&FE%%&FEԀ12/02 p$4[ #&FE%%&FE S # &FE%%&FE FY00:#&FE%%&FEkS #&FE%%&FEԀ12/01(Interim) |%@\ #&FE%%&FES # &FE%%&FE FY99: #&FE%%&FE T #&FE%%&FEԀ #&FE%%&FEoT #&FE%%&FE69.1%/61.2% &L ] (interim)#&FE%%&FET # &FE%%&FE FY98:#&FE%%&FE$U #&FE%%&FEԀ68.5%/56.1%#&FE%%&FEoU # &FE%%&FE t(8"_  FY97:#&FE%%&FEU #&FE%%&FEԀ67.1%/50.9%#&FE%%&FE!V # &FE%%&FE )D#`  FY96#&FE%%&FEsV #&FE%%&FE:65%/44.1% *P$a #&FE%%&FEV # &FE%%&FE FY95: #&FE%%&FE8W #&FE%%&FEԀ 61%#&FE%%&FEW #&FE%%&FE/34.6%  +\%b  FY94:#&FE%%&FEW #&FE%%&FEԀ59%#&FE%%&FE9X #&FE%%&FE/24.6%#&FE%%&FEX ##XVlX%&FEL #&FE%XXVl /\\\\A,l&c\\\\ /?P5 ? ?  _Therateofvaccinationamongpersons>65yearswillbeincreasedforinfluenzaand _pneumococcal_Ԁpneumonia.CDCPlan X  0\\\\| @\\\\A 0 Influenza  d FY02:74%FY01:72%FY00:70%FY99:60% _Pneumococcal_ԀPneumonia   FY02:66%FY01:63%FY00:60%FY99:54%#XVlX%&FEX #&FE%XXVl 0\\\\<\\\\ 0FY02:FY01:FY00:09/02FY99:09/01#XVlX%&FEw[ #&FE%XXVlFY98:63%   FY97:63%FY95:58%FY02:FY01:FY00:09/02FY99:90/01FY98:46%FY97:42%FY95:34%#XVlX%&FE\ #&FE%XXVl /\\\\AT$\\\\ /@&FE%%&FEIncreaseproportionofHealthCenteradults % withhypertensionwhoreporttheirbloodpressureisundercontrol.#&FE%%@&FE"] ##XVlX%&FE\ #&FE%XXVlԀ@&FE%%&FEHRSAPlan#&FE%%@&FE+^ ##XVlX%&FE ^ #&FE%XXVl 0\\\\|@'\\\\A 0@&FE%%&FEFY02:96% ( FY01:96%FY00:93%FY99:92%#&FE%%@&FE^ ##XVlX%&FE^ #&FE%XXVl 0\\\\+\\\\ 0@&FE%%&FEFY02: , FY01:FY00:4/02FY99:6/01FY95:90%#&FE%%@&FE_ ##XVlX%&FE_ #&FE%XXVl /\\\\A0\\\\ /Continuetoassurethatpriorityisgiventofurnishingfamilyplanningservicestopersonsfromlowincome*families.HRSA 3 Plan#XVlX%&FE` #&FE%XXVl 4 ̀#XVlX%&FEa #pj&XXVl*Incomesatorbelow200percentoftheFederalpovertylevel#XVlX&pja #&FE%XXVl "6  0\\\\#7\\\\A 0 LowIncomeTotal d(8 UsersUsers  p49 FY02:90%4.79@&FE%%&FE2_milion_#&FE%%@&FEKc ##XVlX%&FEqb #&FE%XXVl |@: FY01:4.792FY00:5.25FY99:5.00 0\\\\"d=\\\\ 0 FY02:FY01:FY00:11/01FY99:90%4.442FY98:89%4.408#XVlX%&FEc #&FE%XXVl #pD FY97:90%4.477FY96:90%4.562 /\\\\A%F\\\\ /DecreasethepercentageoflowbirthweightbabiesborntoHealthyStartclients.HRSAPlan 0\\\\)"I\\\\A 0FY02:11%FY01:11.4% 0\\\\@("K\\\\ 0FY02:FY01:FY00:5/01FY99:11.58%FY98:12.06% /\\\\Ad+(%P\\\\ /IncreasethepercentageofMedicaidtwoyearoldchildrenwhoarefullyimmunized.(Tobeachievedin3phasesforState groupings.)0 [ !0 [[Group1StatesL    0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FEd #&FE%XXVlbaseline: 4  19992000;firstreport:2001)    0 [  [[ !0 [ Group2Statesd([[ 0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FEh #&FE%XXVlbaseline: L 20002001;firstreport:2002)    0 [  [[ !0 [ Group3States@"[[ 0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FE]i #&FE%XXVlbaseline: ($ 20012002;firstreport:2003)    _HCFA_ԀPlan 0\\\\'!#\\\\A 0 &FE%%&FE FY02: #&FE%%&FEnk #&FE%%&FESecondReport#&FE%%&FEk # &FE%%&FE  )  FY01:#&FE%%&FEl #&FE%%&FEԀFirstReport#&FE%%&FEwl # &FE%%&FE  *  FY00:#&FE%%&FEl #&FE%%&FEԀSet#&FE%%&FE)m #ԀStatespecific  + methodologyand&FE%%&FE#XVlX%&FEj #&FE%XXVlbaseline#&FE%%&FEm # &FE%%&FE ,  FY99:#&FE%%&FE2n #&FE%%&FEԀNotApplicable  0 #&FE%%&FEn #&FE%%&FEB+ 4 <DL!X!B#&FE%%&FEn #&FE%%&FEFY02: #&FE%%&FEo #&FE%%&FEFirstReport#&FE%%&FEo # &FE%%&FE d(8  FY01: #&FE%%&FE&p #&FE%%&FEԀSetbaseline#&FE%%&FEp # &FE%%&FE t89  FY00:#&FE%%&FEp #&FE%%&FEԀBeginS#&FE%%&FE>q #tatespecific D: methodologyand&FE%%&FE#XVlX%&FEm #&FE%XXVlbaseline \ ; activities#&FE%%&FEq # ?+ 4 <DL!X? &FE%%&FE FY02: #&FE%%&FEr #&FE%%&FESetbaseline#&FE%%&FEs # &FE%%&FE t$8A  FY01:#&FE%%&FEUs # &)%%&FEԀ#&FE%)% &s #&FE%%&FEBegin#&FE%%&FEs #Statespecific %HB methodologyand&FE%%&FE#XVlX%&FEq #&FE%XXVlbaseline d&( C activities#&FE%%&FEst # &FE%%&FE FY00:#&FE%%&FE"u #&FE%%&FEԀN/A#&FE%%&FEmu ##XVlX%&FEt #&FE%XXVl L("E #XVlX%&FEu #&FE%XXVl 0\\\\X)#F\\\\ 0#XVlX%&FE.v #&FE%XXVl&FE%%&FEFY02:   L   FY01: #&FE%%&FEv #&FE%%&FE  M #&FE%%&FE=w #&FE%%&FE  FY00:#&FE%%&FEw #&FE%%&FEԀ13GroupIStates  N developedStatespecificmethodology,targetsandmeasuredbaselines.3StateswillcompletetheseeffortsinFY2001 #&FE%%&FEw #&FE%%&FE FY99:#&FE%%&FEx #&FE%%&FEIdentifiedGroup L T IStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FEy #&FE%%&FE X ?+ 4 <DL!X? #&FE%%&FEy #&FE%%&FE FY02:  \   FY01:  ]  FY00: #&FE%%&FE`z #&FE%%&FEIdentifiedGroup ^ IIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FE{ # &FE%%&FE | @b #&FE%%&FE{ #&FE%%&FE  ?+ 4 <DL!X? #&FE%%&FE| #&FE%%&FE FY02:  $pf   FY01:  %|g  FY00: #&FE%%&FE| #&FE%%&FEԀN/A#&FE%%&FE?} # &FE%%&FE '!i #&FE%%&FE} #  &FE%%&FE FY99:#&FE%%&FE} #&FE%%&FEԀN/A#&FE%%&FE6~ # &FE%%&FEԀ #&FE%%&FE~ ##XVlX%&FEv #&FE%XXVl /\\\\A("j\\\\ /#XVlX%&FE~ #&FE%XXVlAchieveorsustainthefollowing d immunizationcoverageofatleast90%amongchildren19to35monthsofageforeachvaccine:CDCPlan#XVlX%&FEd #&FE%XXVl 4  L Ih(x0 !"#$%LL Ih((IL 3   34 2h  1  .3  0 [   4dosesofDiphtheriaTetanus @  Pertussiscontainingvaccine34 _ ݌ [[    3   3L 2h  2  .3  0 [   3dosesof_Haemophilus_Ԁ_influenzae_ (  typebvaccine3L w ݌ [[ Ќ   3   3 2h  3  .3  0 [   1doseofMeaslesMumpsRubella   vaccine*3 ݌ [[ Ќ   3   3 2h  4  .3  0 [   3dosesofHepatitisBvaccine3 ݌ [[ Ќ   3   3u 2h  5  .3  0 [   3dosesofPoliovaccine3u ݌ [[ Ќ   3   3T 2h  6  .3  0 [   1doseofVaricellavaccine*3T  ݌ [[ Ќ   3   37 2h  7  .3  0 [   4dosesof_Pneumococcal_ԀConjugate   vaccine*37 b ݌ [[ Ќ  # #P Ih((Iɀ P#XVlX%&FEI #pj&XXVl**Performancetargetsfornewlyrecommendedvaccineswill X begin5yearsafterthe_ACIP_Ԁrecommendation.Thevaricellameasurewillbeginin2001,eventhoughcoverageisbeingreportedearlier.The_pneumococcal_Ԁconjugatemeasurewillbeginin2006,eventhoughcoveragewillbereportedearlier.#XVlX&pj # |  0\\\\D\\\\A 0&FE%XXVlFY02:90% d FY01:90%FY00:90%FY99:90% 0\\\\<*\\\\ 0FY02:FY01:8/02FY00:Provisionaldata.Final08/011.83%2.94%3.91%4.90%5.90%6.63%*$GGXX$FY99:1.83%2.94%3.92%4.88%5.90%6.58%*FY98:1.84%L 8 !"#$%Yh(IL2.93%3.92%4.87%5.91%6.43%*("xF  \\\\ (#XVlX%&FE # &FE%XXVlSeealso:  $G Objective3.6,ImprovetheHealthStatusofAmericanIndiansandAlaskanNatives#XVlX%&FE^ #  & I __iUF5%!`z  `E`ttx 3i (#(#    (#(#iU5%!`z  `E`ttx 3iiU15%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i_0,X,hXGGX0&XXVl T #XVlX& #heseareselectedperformancegoalsfromtheperformanceplansofthe_HHS_Ԁoperatingandstaff 0p divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.&FE%XXVl  \ #XVlX%&FEג #@XVlXXXVl@&FE%X@XVl*GH ddz SS z SS SS AB(#(#,SS ,SSS ,SSS +  &\\\\G D  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance #&FE%%@&FE/ ##XVlX%&FEN #&FE%XXVl =\\\\A(&    \\\\A =#XVlX%&FE} #&FE%XXVl@&FE%%&FEIncreasethepercentageofMedicarebeneficiaries $d  age65yearsandolderwhoreceivevaccinations.#&FE%%@&FE! #K+ 4 <DL!,X,hXK&FE%%&FEIncrease_rate_Ԁofannualinfluenza(flu)vaccination. X (_NHIS_)#&FE%%&FE& #@&FE%%&FE 4 #&FE%%@&FE #B.4 <DL!!XB&FE%%&FEIncreaseannualinfluenza(flu)andlifetime_pneumococcal_Ԁvaccinations.(_MCBS_)  рFlu/_Pneumococcal_#&FE%%&FE ##XVlX%&FE #&FE%XXVl*!_HCFA_ԀPlan 0\\\\+()\\\\A 0&FE%%&FEFY01: #&FE%%&FE #&FE%%&FESwitchedto H- newdatasource.(seebelow)#&FE%%&FEӚ # &FE%%&FE FY00:#&FE%%&FEV #&FE%%&FEԀ60% P0 #&FE%%&FE #B+ 4 <DL!X!B &FE%%&FE FY99:#&FE%%&FEB #&FE%%&FEԀ59%#&FE%%&FE #@&FE%%&FE \1 #&FE%%@&FEԜ #&FE%%&FEB.4 <DL!!XB #&FE%%&FE/ #&FE%%&FE FY02: #&FE%%&FE #&FE%%&FE 73%#&FE%%&FE #&FE%%&FE / 65% #&FE%%&FEN #&FE%%&FE d7  FY01: #&FE%%&FE #&FE%%&FE72%/63% t8 #&FE%%&FE # &FE%%&FE FY00:#&FE%%&FEe #&FE%%&FEԀNotApplicable#&FE%%&FE ##XVlX%&FEә #&FE%XXVl 9 #XVlX%&FE$ # 0\\\\ :\\\\ 0&FE%XXVl&FE%%&FEFY00:#&FE%%&FE͠ #&FE%%&FEԀSummer2002 lA   #&FE%%&FE # &FE%%&FE FY99:#&FE%%&FE #&FE%%&FEԀSummer2001#&FE%%&FE֡ # &FE%%&FE xB  FY98: #&FE%%&FE( #&FE%%&FE64%#&FE%%&FE # &FE%%&FE C  FY97:#&FE%%&FEآ #&FE%%&FEԀ63% D #&FE%%&FE8 # &FE%%&FE FY95:#&FE%%&FE #&FE%%&FEԀ58% E #&FE%%&FE #B+ 4 <DL!X!B &FE%%&FE FY94:#&FE%%&FE #&FE%%&FEԀ55%(_NHIS_)#&FE%%&FEϤ # @&FE%%&FE F #&FE%%@&FED #B.4 <DL!!XB &FE%%&FE FY02: #&FE%%&FE #&FE%%&FEԀ12/03#&FE%%&FE2 # &FE%%&FE H  FY01: #&FE%%&FE} #&FE%%&FEԀ12/02 I #&FE%%&FE # &FE%%&FE FY00:#&FE%%&FEC #&FE%%&FEԀ12/01(Interim) J #&FE%%&FE # &FE%%&FE FY99: #&FE%%&FE #&FE%%&FEԀ #&FE%%&FEG #&FE%%&FE69.1%/61.2%  (K (interim*)#&FE%%&FE # &FE%%&FE FY98:#&FE%%&FE #&FE%%&FEԀ68.5%/56.1%*#&FE%%&FEH # &FE%%&FE "M  FY97:#&FE%%&FE #&FE%%&FEԀ67.1%/50.9%*#&FE%%&FE # &FE%%&FE # N  FY96#&FE%%&FEN #&FE%%&FE:65%/44.1% $,!O #&FE%%&FE # &FE%%&FE FY95: #&FE%%&FE #&FE%%&FEԀ 61%#&FE%%&FEa #&FE%%&FE/34.6%  %8"P  FY94:#&FE%%&FE #&FE%%&FEԀ59%#&FE%%&FE #&FE%%&FE/24.6% 'H#Q    #&FE%%&FE[ # B+ 4 <DL!X!B&FE%%&FE*includescommunity  )`%S dwellingbeneficiariesonly#&FE%%&FE ##XVlX%&FE #&FE%XXVl *'U #XVlX%&FE #&FE%XXVl /\\\\A+$(V\\\\ /IncreasethepercentageofMedicaid_twoyearold_childrenwhoarefullyimmunized.(Tobeachievedin3phasesforStategroupings.) 0 [ !0 [[Group1Statesp 4   0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FE #&FE%XXVlbaseline:19992000;_first_Ԁreport: X  2001)#XVlX%&FEϯ #&FE%XXVl4    0 [  [[ !0 [ Group2States[[ 0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FEn #&FE%XXVlbaseline:20002001;_first_Ԁreport: p 2002)    #XVlX%&FE~ #&FE%XXVl!0 [ Group3States"[[ 0 [ 0 [[(SetStatespecificmethodologyand#XVlX%&FE3 #&FE%XXVlbaseline:20012002;_first_Ԁreport: $| 2003)#XVlX%&FE #&FE%XXVl%X    #XVlX%&FE #&FE%XXVl_HCFA_ԀPlan 0\\\\'p!"\\\\A 0#XVlX%&FE #&FE%XXVl&FE%%&FEFY02: #&FE%%&FEŴ #&FE%%&FESecondReport#&FE%%&FE # &FE%%&FE  '  FY01:#&FE%%&FEf #&FE%%&FEԀFirstReport#&FE%%&FEƵ # &FE%%&FE  (  FY00:#&FE%%&FE #&FE%%&FEԀSetState  ) specificmethodologyandbaseline#&FE%%&FEx # &FE%%&FE h+  FY99:#&FE%%&FE #&FE%%&FEԀNotApplicable  0 #&FE%%&FEb #&FE%%&FE#&FE%%&FEȷ #&FE%%&FE  ?+ 4 <DL!X? #&FE%%&FE #&FE%%&FE FY02: #&FE%%&FE #&FE%%&FEFirstReport#&FE%%&FE # &FE%%&FE (6  FY01: #&FE%%&FEB #&FE%%&FEԀSetbaseline#&FE%%&FE # &FE%%&FE 87  FY00:#&FE%%&FE #&FE%%&FEԀBeginState D8 specificmethodologyandbaselineactivities#&FE%%&FEZ #&FE%%&FE ?+ 4 <DL!X? #&FE%%&FE #&FE%%&FE FY02: #&FE%%&FEx #&FE%%&FESetbaseline#&FE%%&FEʻ # &FE%%&FE ,">  FY01:#&FE%%&FE # &)%%&FEԀ#&FE%)% &{ #&FE%%&FEԀBeginState <#? specificmethodologyandbaselineactivities#&FE%%&FE #&FE%%&FE#XVlX%&FE #&FE%XXVl $A #&FE%%&FEN # &FE%%&FE FY00:#&FE%%&FE #&FE%%&FEԀN/A#&FE%%&FE5 ##XVlX%&FE #&FE%XXVl 0\\\\&B\\\\ 0#XVlX%&FE #&FE%XXVl ?+ 4 <DL!X?&FE%%&FE FY02:   G   FY01: #&FE%%&FEv #&FE%%&FE  H #&FE%%&FE #&FE%%&FE  FY00:#&FE%%&FEI #&FE%%&FEԀ13GroupI  I StatesdevelopedStatespecificmethodology,targetsandmeasuredbaselines.3StateswillcompletetheseeffortsinFY2001 #&FE%%&FE #&FE%%&FE FY99:#&FE%%&FE #&FE%%&FEIdentified  P GroupIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FE # PT ?+ 4 <DL!X? &FE%%&FE FY02:  tW   FY01:  X  FY00: #&FE%%&FE #&FE%%&FEIdentified Y GroupIIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FEu # &FE%%&FE @] #&FE%%&FE$ #  ?+ 4 <DL!X? &FE%%&FE FY02:  X!_   FY01:  d"(`  FY00: #&FE%%&FE #&FE%%&FEԀN/A#&FE%%&FEq # &FE%%&FE %Lc #&FE%%&FE #  &FE%%&FE FY99:#&FE%%&FE #&FE%%&FEԀN/A#&FE%%&FEh # &FE%%&FEԀ #&FE%%&FE ##XVlX%&FE #&FE%XXVl /\\\\A&\ d\\\\ /?+ 4 <DL!X?&FE%%&FEImprovetherateofbiennialdiabeticeyeexams. )"e _HCFA_ԀPlan#&FE%%&FE # 0\\\\)#f\\\\A 0B.4 <DL!!XB &FE%%&FE FY02:#&FE%%&FE #&FE%%&FEԀ69.5% )"g #&FE%%&FE% # &FE%%&FE FY01:#&FE%%&FE #&FE%%&FEԀ69.0% (*#h #&FE%%&FE #B+ 4 <DL!X!B &FE%%&FE FY00:#&FE%%&FEt #&FE%%&FEԀNewin2001#&FE%%&FE # 0\\\\4+$i\\\\ 0B.4 <DL!!XB &FE%%&FE 0002: #&FE%%&FE #&FE%%&FEԀ12/02 )"j #&FE%%&FE # &FE%%&FE 9901: #&FE%%&FE4 #&FE%%&FEԀ12/01 (*#k #&FE%%&FE # &FE%%&FE 9800: #&FE%%&FE #&FE%%&FEԀ3/01#&FE%%&FE6 # &FE%%&FEԀ (Interim)  4+$l #&FE%%&FE #B+ 4 <DL!X!B&FE%%&FE 9799:#&FE%%&FE* #&FE%%&FEԀ68.5%#&FE%%&FEu #  /\\\\AD,&m\\\\ /#XVlX%&FE #&FE%XXVlIncreasethepercentageofMedicareBeneficiaries d Age65andoverwhoreceivea_mammogram_Ԁevery twoyears.#XVlX%&FE #Ԁ_HCFA_ԀPlan 0\\\\X\\\\A 0&FE%XXVlB.4 <DL!!XB &FE%%&FE FY01: #&FE%%&FE #&FE%%&FEԀSwitchedto d newdatasource(seebelow)#&FE%%&FE # &FE%%&FE FY00:#&FE%%&FE #&FE%%&FEԀ60% h , #&FE%%&FE # &FE%%&FE FY99:#&FE%%&FEM #&FE%%&FEԀ59% t 8   #&FE%%&FE # &FE%%&FE  FY02:#&FE%%&FE #&FE%%&FE52%#&FE%%&FE_ # &FE%%&FE h   FY01: #&FE%%&FE #&FE%%&FEԀ 51% t  #&FE%%&FE #B+ 4 <DL!X!B &FE%%&FE FY00:#&FE%%&FE #&FE%%&FEԀN/A#&FE%%&FE #&FE%%&FE   #&FE%%&FE@ ##XVlX%&FEj #&FE%XXVl 0\\\\ \\\\ 0#XVlX%&FE #&FE%XXVl&FE%%&FEFY01: #&FE%%&FEK #&FE%%&FEN/A#&FE%%&FE # &FE%%&FE d   FY00:#&FE%%&FE #&FE%%&FEԀ#&FE%%&FEQ #&FE%%&FEԀSummer2002     #&FE%%&FE # &FE%%&FE FY99#&FE%%&FE #&FE%%&FE:#&FE%%&FEP # &FE%%&FEԀSummer2001   #&FE%%&FE # &FE%%&FE FY98#&FE%%&FE #&FE%%&FE:63.8%#&FE%%&FEJ # &FE%%&FEԀ    FY94: 򀀀 #&FE%%&FE #&FE%%&FE55%(_NHIS_)#&FE%%&FE # &FE%%&FEԀ #&FE%%&FEr #&FE%%&FE   Ѐ#&FE%%&FE # &FE%%&FE    0102:#&FE%%&FE #&FE%%&FEԀ8/03     #&FE%%&FE # &FE%%&FE 0001: #&FE%%&FE #&FE%%&FEԀ8/02   #&FE%%&FE= # &FE%%&FE 9900: #&FE%%&FE #&FE%%&FEԀ8/01(Interim) (  #&FE%%&FE # &FE%%&FE 9899:#&FE%%&FEW #&FE%%&FEԀ49% 8  #&FE%%&FE #?+ 4 <DL!X? &FE%%&FE 9798: #&FE%%&FE@ #&FE%%&FE45%(_MCBS_)#&FE%%&FE ##XVlX%&FE, #&FE%XXVl /\\\\AD \\\\ /DecreaseoneyearmortalityamongMedicarebeneficiarieshospitalizedforheartattack._HCFA_ԀPlan#XVlX%&FE# #&FE%XXVl 0\\\\p \\\\A 0FY02:27.4%FY01:#XVlX%&FE #&FE%XXVlԀ#XVlX%&FE #&FE%XXVl27.4%#XVlX%&FE # " FY00:&FE%XXVl27.4%#XVlX%&FEI #Ԁ # FY99:pj&XXVlԀ#XVlX&pj #&FE%XXVlNewinFY00#XVlX%&FE #&FE%XXVl 0\\\\$\\\\ 0#XVlX%&FE> #B.4 <DL!!XB XVlXXXVl &FE%XXVl0102: #&FE%%&FE #&FE%%&FEԀ6/04 |% #&FE%%&FEf # &FE%%&FE 0001: #&FE%%&FE #&FE%%&FEԀ6/03 & #&FE%%&FE # &FE%%&FE 9900: #&FE%%&FEv #&FE%%&FEԀ6/02 ' #&FE%%&FE # &FE%%&FE 9899#&FE%%&FE' #&FE%%&FE:6/01(Interim) ( #&FE%%&FEq # &FE%%&FE 9798: #&FE%%&FE #&FE%%&FEԀ31.7% ) #&FE%%&FE. # &FE%%&FE 9697:#&FE%%&FE #&FE%%&FEԀ31.1% * #&FE%%&FE # &FE%%&FE 9596: #&FE%%&FE: #&FE%%&FEԀ31.2%*#&FE%%&FE # &FE%%&FE (#XVlX%&FE #pj&XXVlBaseline) #XVlX&pj #&FE%XXVl +  q=0 #&FE%%&FE #B+ 4 <DL!X!B&FE%%&FE(*revisedfrom31.4)#XVlX%&FEl ##XVlXXXVl #&FE%XXVl /\\\\A,\\\\ /#XVlX%&FE #&FE%XXVlIncreaseaccessforminoritiesandpersonswith P- disabilitiestonondiscriminatoryservicesinmanagedcaresettings(managedcareplanscompliancewithTitleVI,Section504andtheAmericanswithDisabilitiesAct).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships#XVlX%&FE #&FE%XXVl. #T4 OCRPlan#XVlX%&FE #&FE%XXVl@&FE%%&FEԀ 0\\\\l$05\\\\A 0FY02:89FY01:87 0\\\\D8\\\\ 0FY02:FY01:FY00:85(baseline)̀#@XVlX%@&FE; #@&FE%X@XVl /\\\\A <\\\\ /#@XVlX%@&FE= #@&FE%X@XVl#&FE%%@&FEZ #Increaseaccessto_HHS_ԀservicesforlimitedEnglish %= proficient(_LEP_)persons(compliancewithTitleVIbyrecipientsofFederalfinancialassistance).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships#XVlX%&FE #&FE%XXVl. (*#B OCRPlan#XVlX%&FE #&FE%XXVl@&FE%%&FE 0\\\\+$C\\\\A 0#&FE%%@&FE #FY02:423 %D FY01:413#XVlX%&FE #&FE%XXVl@&FE%%&FE &| E  0\\\\'X!F\\\\ 0#&FE%%@&FE #FY02: %G FY01:FY00:403(baseline)#XVlX%&FE #&FE%XXVl@&FE%%&FE 'X!I #@XVlX%@&FE ##XVlXX@XVl #@XVlXXXVl@&FE%X@XVl  1'%p(4"J   \\\\ 1#@XVlX%@&FE #@&FE%X@XVl Seealso:  ,&K L & !"#$%dxh8 !"#$%L 3   3 2d3  0    Objective4.2,IncreaseConsumerandPatientuseofHealthCareQualityInformation3 ݌.x(M(#(# Ќ   3   3 2d3  0    Objective4.3,improveConsumerandPatientProtection#@XVlX%@&FE #3 ݌ (#(# Ќ  _iUI5%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU35%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i_-,X,hXX-@&X@XVl T #@XVlX@& #heseareselectedperformancegoalsfromtheperformanceplansofthe_HHS_Ԁoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXX@XVlx #@XVlXXXVl@&FE%X@XVl*JK ddSS SSS SSSS SGH(#(#,SS ,SSS ,SSS +  &\\\\G  `  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&`    \\\\A =ReducetheerrorrateforallMedicarefeeforservicepayments.#&FE%%@&FE #_HCFA_ԀPlan@&FE%%&FE#@XVlX%@&FE #@&FE%X@XVl 0\\\\d\\\\A 0#&FE%%@&FE #FY02:5.0%   FY01:6.0%FY00:7.0%FY99:9.0%#XVlX%&FE #&FE%XXVl@&FE%%&FE 0\\\\d\\\\ 0#&FE%%@&FE #FY02:   FY01:FY00:6.8%FY99:7.97%FY98:7.1%FY97:11.0%FY96:14.0%@&FE%%&FE#@XVlX%@&FE #@&FE%X@XVl /\\\\A8\\\\ /#@XVlX%@&FE #@&FE%X@XVl#&FE%%@&FE #K+ 4 <DL!,X,hXKL&FE%%&FEDecreaseimproperpaymentrateforhomehealth h services#&FE%%L&FE #@&FE%%&FE. D _HCFA_ԀPlan 0\\\\<!\\\\A 0#&FE%%@&FEp #?+ 4 <DL!X? L&FE%%&FE FY01:#&FE%%L&FEj #L&FE%%&FEԀGoal h" discontinued#&FE%%L&FE # L&FE%%&FE FY00:#&FE%%L&FE" #L&FE%%&FEԀ10%#&FE%%L&FEm # L&FE%%&FE  `$ #&FE%%L&FE #L&FE%%&FE FY99: #&FE%%L&FE #L&FE%%&FEԀ35%#&FE%%L&FE` #@&FE%%&FE 0\\\\<%\\\\ 0#&FE%%@&FE #?+ 4 <DL!X? L&FE%%&FE FY01:  h&   FY00: #&FE%%L&FEZ #L&FE%%&FEԀCY2001  `(   #&FE%%L&FE # L&FE%%&FE FY99: #&FE%%L&FEH #L&FE%%&FEԀ 19% @) #&FE%%L&FE # L&FE%%&FE 19951996: #&FE%%L&FE #L&FE%%&FE40%#&FE%%L&FEO # L&FE%%&FE  * (Baseline) #&FE%%L&FE #@&FE%%&FE#@XVlX%@&FEV # /\\\\A+\\\\ /@&FE%X@XVlIncreasethenumberofvolunteerstrainedby_AoA_ 0p, granteesundertheSeniorMedicarePatrolProjectstoeducatebeneficiariestoprotecttheirhealthcarebenefits._AoA_ԀPlan 0\\\\/\\\\A 0FY02:100%FY01:100%FY00:125%FY99:NA 0\\\\3\\\\ 0FY02:2/03FY01:2/02FY00:187%FY99:13,700#@XVlX%@&FEl # 4\\\\A7\\\\ h4@&FE%X@XVlIncreasethenumberofsubstantiatedcomplaints 4 t8 generatedthrough_AoA_sSeniorMedicarePatrolactivities._AoA_ԀPlan 0\\\\!,:\\\\A 0FY02:75%FY01:60%FY00:200FY99:NA 0\\\\">\\\\ 0FY02:2/03FY01:2/02FY00:1241FY99:133#@XVlX%@&FE # 4\\\\A"B h \\\\ 4_#XVlXX@XVl #?+ 4 <DL!X?XVlXXXVl&FE%XXVlIncreaseMedicareSecondaryPayer(MSP)dollar pd recoveriesand/ordecreaserecoverytimeviatheMedicareCreditBalanceReport(HCFA838)#XVlX%&FEE # XXVl. (   #XVlX $ ##XVlXXXVl& #&FE%XXVl@&FE%%&FEHCFAPlan 0\\\\ \\\\A 0#@XVlX%@&FE #@&FE%X@XVl#&FE%%@&FE #  ?+ 4 <DL!X? &FE%%&FE FY02:#&FE%%&FE #&FE%%&FEԀDevelop pd improvedprocessesandcontrolstobeutilizedbycontractorstoensureconsistencyandtimelyrecoveries.#&FE%%&FE' # &FE%%&FE FY01: #&FE%%&FE #&FE%%&FEGather    informationon1) providercreditbalanceidentification,submissionandresolutionprocesses;and2)contractormonitoringandresolutionofcreditbalancesreportedbyproviders.#&FE%%&FEG # &FE%%&FE 4( #&FE%%&FEe #&FE%%&FE FY00:#&FE%%&FE #&FE%%&FEԀ#XVlX%&FEL # XXVlNewinFY01#XVlX L #&FE%XXVl#&FE%%&FE #@&FE%%&FE 0\\\\\\\\ 0#&FE%%@&FE #?+ 4 <DL!X? &FE%%&FE FY02:  pd   FY01: #&FE%%&FE #&FE%%&FEԀ#&FE%%&FE #&FE%%&FE       FY00: #&FE%%&FET #&FE%%&FEԀN/A#&FE%%&FE #  +   #XVlX%&FE #(,  \\\\ (  , _iUM5%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU55%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i_-,X,hXX-&XXVl T #XVlX& #heseareselectedperformancegoalsfromtheperformanceplansofthe_HHS_Ԁoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.*NO ddSS SSS SSSS SJK(#(#,/ SS ,` SS ,SS +  &\\\\G  `  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&p    \\\\A =&FE%XXVlIncreasetheproportionofI/T/Uclients 0  withdiagnoseddiabetesthathaveimprovedtheir_glycemic_Ԁcontrol._IHS_ԀPlan 0\\\\ \\\\A 0 Ideal_Glycemic_ԀControl  0  FY02:3#XVlX%&FEm #%1XXVlyearaverageimproved#XVlX1%  #&FE%XXVl   FY01:3#XVlX%&FE` #%1XXVlyearaverageimproved#XVlX1% #&FE%XXVl   FY00:3#XVlX%&FE #%1XXVlyearaverageimproved#XVlX1%w #  &FE%XXVlFY99:25% L  Good_Glycemic_ԀControl  D FY99:38%#XVlX%&FE # 0\\\\ \\\\ 0&FE%XXVlFY02:   FY01:FY00:7/01FY9799:24%#XVlX%&FE! #&FE%XXVlFY99:25% L  FY99:35%FY98:35%#XVlX%&FEO" # /\\\\A$\\\\ /&FE%XXVlIncreasetheproportionofI/T/Uclientswith ,l% diagnoseddiabetesandhypertensionthathaveachieveddiabeticbloodpressurecontrolstandards._IHS_ԀPlan#XVlX%&FE" # 0\\\\(\\\\A 0&FE%XXVl IdealHypertensionControl  ,l) FY02:3#XVlX%&FE<$ #%1XXVlyearaverageimproved#XVlX1%$ #&FE%XXVl H* FY01:3#XVlX%&FE% #%1XXVlyearaverageimproved#XVlX1%s% #&FE%XXVl $+ FY00:3#XVlX%&FE% #%1XXVlyearaverageimproved#XVlX1%*& #&FE%XXVl , #XVlX%&FE& #&FE%XXVlFY99:41% 0\\\\T/\\\\ 0FY02:FY01:FY00:7/01FY9799:37%FY99:36%#XVlX%&FE& #&FE%XXVl T6 FY98:38% /\\\\A0p7\\\\ /IncreasetheproportionoftheAmericanIndianandAlaskanNativefemalepopulationover40yearsofagewhoreceivescreeningmammography._IHS_ԀPlan 0\\\\4#t;\\\\A 0FY02:2%overFY01#XVlX%&FE' #&FE%XXVl  < FY01:3%overFY00FY00:3%overFY99FY99:_establish_Ԁbaseline 0\\\\4#t?\\\\ 0FY02:FY01:FY00:14.7%#XVlX%&FE) #pj&XXVlpasttwo X"B Ѐ_years_;provisional#XVlX&pj* #&FE%XXVl 4#tC FY99:baselinenot̀adequate /\\\\A$ E\\\\ /IncreasetheproportionofAmericanIndianandAlaskanNative#XVlX%&FE* #&FE%XXVlԀ(AI/AN)womenwho &4#G receivePapscreening._IHS_ԀPlan 0\\\\'$H\\\\A 0 PapScreening  &X"I FY02:2%overFY01FY01:3%overFY00FY00:3%overFY99FY99:establishbaseline CervicalCancer  ,8)Q FY99:determinèincidence 0\\\\.*S\\\\ 0FY02:FY01:FY00:11.9%#XVlX%&FE+ #pj&XXVlpastyear#XVlX&pj- #&FE%XXVl ($W Ѐ17.9%#XVlX%&FE- #pj&XXVlpast3years#XVlX&pjd. #&FE%XXVl )%X Ѐ#XVlX%&FE. #pj&XXVlprovisionaldata#XVlX&pj/ #&FE%XXVl d*&Y FY99:baselinenot̀adequateFY99:810/100,000basedon40%ofAI/AN#XVlX%&FEg/ #&FE%XXVl /\\\\A.*^\\\\ /#XVlX%&FE0 #&FE%XXVlIncreasetheproportionofAmericanIndian d andAlaskanNativechildrenreceivingaminimumoffourWellChildVisitsby27monthsofageandexpandcoverage._IHS_ $  Plan 0\\\\ \\\\A 0FY02:2%overFY01#XVlX%&FE0 #&FE%XXVl d FY01:2%overFY00FY00:2%overFY99FY99:establishbaseline 0\\\\$  \\\\ 0FY02:FY01:FY00:47.7%#XVlX%&FE1 #pj&XXVl(9.2%over H  ЀFY99)#XVlX&pj2 #&FE%XXVlԀ#XVlX%&FEZ3 #pj&XXVlprovisional#XVlX&pj3 #&FE%XXVl $   FY99:38.5%#XVlX%&FE3 #&FE%XXVl /\\\\A \\\\ /Increasethenumberofpublichealthnursingservices(primaryandsecondarytreatmentandpreventiveservices)providedtoinfantsandelders.#XVlX%&FEM4 #Ԁ_IHS_ԀPlan 0\\\\\\\\A 0&FE%XXVl TotalVisits  p D FY02:2%>FY01FY01:3%>FY00FY00:7%>FY97̀or363,033 HomeVisits  l  FY02:2%>FY01FY01:3%>FY00FY00:7%>FY97̀or127,846 0\\\\ \\\\ 0FY:02:FY01:FY00:371,548#XVlX%&FE5 #pj&XXVl(+9.5%)#XVlX&pj'7 #&FE%XXVlԀ* ! FY99:336,134FY97:339,283FY02:FY01:FY00:127,873#XVlX%&FEp7 #pj&XXVlԀ(+7%)#XVlX&pj8 #&FE%XXVlԀ* , ' FY99:111,836FY97:119,482#XVlX%&FEM8 # ) pj&XXVl*provisionaldata#XVlX&pj8 # /\\\\A*\\\\ /&FE%XXVl9ss,+(X,X,hX9IncreasethepercentageofAI/ANchildren + 68and1415yearswhohavereceivedprotectivedentalsealantsonpermanentmolarteeth._IHS_ԀPlan T.  0\\\\8 0\\\\A 0 68Years  1 FY02:1%overFY00#XVlX%&FE[9 #&FE%XXVl 2 FY01:3%overFY00FY00:3%overFY99FY99:50%(36.1%basedonrecalculatedFY91baseline) 1415Years  8 FY02:1%overFY01FY01:3%overFY00FY00:3%overFY99FY99:59%(58%basedonrecalculatedFY91baseline) 0\\\\ #pj&XXVl(15.9%)#XVlX&pj> #&FE%XXVlԀ* @H FY99:65.0%FY91:66.5%#XVlX%&FE? #Ԁpj&XXVlcorrected  J Ѐbaseline#XVlX&pjs? # !K pj&XXVl*Provisionaldata#XVlX&pj@ # /\\\\A|"PL\\\\ /&FE%XXVlIncreasetheproportionofAmericanIndian #|M andAlaskanNativechildrenwhohavecompletedallrecommendedimmunizationsbytheagetwo._IHS_ԀPlan#XVlX%&FE@ # 0\\\\<& P\\\\A 0&FE%XXVlFY02:1%overFY01 #|Q FY01:1%overFY00FY00:2%overFY99FY99:91% 0\\\\<& T\\\\ 0FY01:FY00:86#XVlX%&FEA #&FE%XXVl%#XVlX%&FEB #pj&XXVl12/12Areas $XV Ѐ(3%)#XVlX&pjB #&FE%XXVl `%4W FY99:89%#XVlX%&FEnC #pj&XXVl12/12Areas#XVlX&pjC #&FE%XXVl %X Ѐ87%#XVlX%&FED #pj&XXVl11/12Areas#XVlX&pjD # & Y &FE%XXVlFY98:88%#XVlX%&FED #pj&XXVl11/12Areas#XVlX&pj3E #:,X,hXss,+(Xz9 :&FE%XXVl /\\\\A'!Z\\\\ /Increaseoverall_pneumococcal_Ԁandinfluenzavaccinationlevelsamongdiabeticsandadultsaged65yearsandolder._IHS_ԀPlan#XVlX%&FEE #&FE%XXVl 0\\\\$ \\\\A 0 Influenza  d FY02:1%overFY01FY01:1%overFY00FY00:65%#XVlX%&FEF #pj&XXVl #XVlX&pjG #&FE%XXVl_Pneumococcal_      FY02:1%overFY01FY01:secureelectronic̀baselineFY00:65% 0\\\\4 \\\\ 0FY02:FY01:FY00:30.7%#XVlX%&FE H #pj&XXVl(newbaseline $  fromautomatedprocess)#XVlX&pj7I #&FE%XXVl   FY98:63%#XVlX%&FEI #pj&XXVl(baselinefrom  l diabetesaudit)#XVlX&pjJ # t H &FE%XXVlFY02:   FY01:FY00:datasourcèinadequateFY98:63%#XVlX%&FEJ #pj&XXVl(baselinefrom 0 ! diabetesaudit)#XVlX&pj9K # /\\\\A  "\\\\ /&FE%XXVlMaintainongoingbodymassindex(_BMI_) 8 # assessmentsinAI/ANchildren35yearsoldand/or810yearsold,forbothinterventionpilotsitesandnon_interventioncomparison_Ԁsites,aspartofanoverallassessmentoftheongoingchildhoodobesitypreventionproject'seffectiveness._IHS_ԀPlan 0\\\\<*\\\\A 0FY02:continueimplementationandaccesscommunityacceptanceFY01:implementprogramandmonitorpilotsandcomparisonssitesFY00:developfivepilotsitesFY99:developapproachandbaselines 0\\\\3\\\\ 0FY01:FY00:pilotsitesestablishedFY99:accomplished#XVlX%&FEK # /\\\\A<\\\\ /&FE%XXVlIncreasethenumberofhomedelivered \= mealsprovidedtoelderlyNativeAmericans.(Numbersinthousands)_AoA_ @? Plan#XVlX%&FENO # 0\\\\@\\\\A 0&FE%XXVlFY02:1,850 \A FY01:1,795FY00:1,632FY99:1,456 0\\\\E\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:1,698FY98:1,624FY97:1,525FY96:1,400#XVlX%&FEP # /\\\\A!L\\\\ /&FE%XXVlIncreasethenumberofcongregatemeals  #M providedtoelderlyNativeAmericans.(Numbersinthousands)_AoA_ԀPlan 0\\\\%P\\\\A 0FY02:1,650FY01:1,583FY00:1,439FY99:1,322 0\\\\%T\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:1,327FY98:1,354FY97:1,386FY96:1,313#XVlX%&FEQ # /\\\\AH("[\\\\ /&FE%XXVlMaintainthenumberofinhomeservices )#\ providedtoelderlyNativeAmericans.(Numbersinthousands)_AoA_ԀPlan 0\\\\L, &_\\\\A 0FY02:953FY01:953FY00:866FY99:742 0\\\\L, &c\\\\ 0FY02:2/04FY01:2/03FY00:2/02FY99:944FY98:1,032FY97:882FY96:507#XVlX%&FES # /\\\\A.(j\\\\ /&FE%XXVlCDCwillsupportAmericanIndianand d AlaskanNativeorganizationstoaddresshealthpriorities,gapsinprevention,andservicedeliveryinterventionsfortheirproposedcommunities.CDCPlan 0\\\\ \\\\A 0FY02:5organizationsFY01:5organizations 0\\\\$  \\\\ 0FY02:FY01:08/01FY99:0(   \\\\ (#XVlX%&FEU # &FE%XXVlSeealso:    <,XX4,hX,X,hX<L & !"#$%dxx& !"#$%L 3   3X 2d3  0    Objective3.2,EliminateDisparitiesinHealthAccessandOutcomes3X X ݌p(#(# Ќ   3   3Y 2d3  0    Objective3.3,IncreasetheAvailabilityofPrimaryHealthCareServicesfor_Underserved_ xL  Populations3Y Y ݌ (#(# Ќ   3   3Z 2d3  0    Objective4.1,EnhancetheAppropriateUseofEffectiveHealthServices#XVlX%&FEW #3Z Z ݌ 0 (#(# Ќ  iUR5%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU75%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i<,X,hX,XX4,hX<&XXVl T #XVlX&^ #heseareselectedperformancegoalsfromtheperformanceplansofthe_HHS_Ԁoperatingandstaff \ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.&FE%XXVl H  #XVlX%&FE` #*ST dd/ SS / ` SS ` SS NO(#(#,SS ,SSS ,SSS +  &\\\\G  `  &&FE%XXVl  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance #XVlX%&FEa # =\\\\A(&`    \\\\A =&FE%XXVlIncreasethenumberofvisitsforhealthrelatedcare   (primarymedical,dental,mentalhealth,substanceabuse,rehabilitativeandhomehealth)inTitleIandIIprogramstoalevelthatapproximatesinclusionofnewclients.HRSAPlan#XVlX%&FE:c # 0\\\\@\\\\A 0&FE%XXVl HIVEmergency   ReliefGrants    FY02:3.05millionFY01:3.05FY00:2.92FY99:2.88 HIVCareGrantstoStates  D FY02:1.45@&FE%%&FEԀmillion#&FE%%@&FEe #Ԁ <! ЀvisitsFY01:1.45FY00:1.53FY99:1.22#XVlX%&FEd #&FE%XXVl 0\\\\l%\\\\ 0@&FE%%&FEFY02:FY01:FY00:1/02FY99:2.73million#&FE%%@&FEf ##XVlX%&FEXf #&FE%XXVl 8, FY98:2.79FY97:2.77FY96:2.67@&FE%%&FEFY02:FY01:FY00:FY99:1.23million#&FE%%@&FEg #@&FE%%&FE#@XVlX%@&FE?g #@&FE%X@XVlԀ l7 ЀvisitsFY98:1.45FY97:#&FE%%@&FE h #Ԁ1.07 /\\\\A!@:\\\\ /IncreasethenumberofAIDSDrugAssistancePrograms(_ADAP_)clientsreceivingHIV/AIDSmedicationsthroughState_ADAPs_Ԁduringatleastonemonthoftheyear.HRSAPlan %D!>  0\\\\% "?\\\\A 0FY02:72,000clientsFY01:72,000FY00:71,000 0\\\\&"E\\\\ 0FY02:FY01:(11/01)FY00:65,387FY99:64,500FY98:55,000 /\\\\A&"K\\\\ /IncreasethenumberofpeoplereceivingHIVprimarycareservicesunderEarlyInterventionServicesprograms.HRSAPlan )$&N  0\\\\*'O\\\\A 0FY02:117,000clientsFY01:117,000FY00:110,000FY99:90,433 0\\\\x,(U\\\\ 0FY02:FY01:FY00:(1/02)FY99:108,945FY98:105,398FY97:96,451 /\\\\Ax,([\\\\ /IncreasenumberoffemaleclientswithHIV/AIDSprovidedcomprehensiveservices,including appropriateservicesbeforeorduringpregnancy,toreduceperinataltransmissionofHIV._HRSA_ԀPlan 0\\\\ \\\\A 0FY02:21,884femalesFY01:21,884FY00:14,470FY99:13,900 0\\\\ \\\\ 0FY02:FY01:FY00:(1/02)FY99:18,948FY98:12,690FY97:9,469 /\\\\A \\\\ /Decreaseby5percentannually,thenumberofnewlyreportedAIDScasesinchildrenasaresultofperinataltransmission._HRSA_ԀPlan 0\\\\ \\\\A 0FY02:141casesFY01:151FY00:161FY99:214 0\\\\\\\\ 0FY02:FY01:FY00:1/02FY99:171casesFY98:235FY97:310FY96:502 /\\\\ATH \\\\ /IncreaseproportionofAIDSEducationTrainingCenterstraininginterventionsprovidedtominorityhealthcareproviders._HRSA_ԀPlan 0\\\\XL \\\\A 0FY02:41%FY01:40% 0\\\\ "\\\\ 0#XVlX%&FEKh #&FE%XXVlFY02:  # FY01:11/02#XVlX%&FEq #  $ &FE%XXVlFY98:37% /\\\\A|p%\\\\ /IncreasethenumberofpersonswithHIV/AIDSforwhomaportionoftheir_unreimbursed_Ԁoralhealthcostswerereimbursed._HRSA_ԀPlan 0\\\\t(\\\\A 0FY02:29,800personsFY01:29,800FY00:46,000FY99:66,000 0\\\\\P,\\\\ 0FY02:FY01:FY00:29,000FY99:46,000 /\\\\A\P0\\\\ /AmongpersonswithHIV/AIDSattributedtoheterosexualbehavior,increasetheproportionofpersonsdiagnosedwithHIVpriortodiseaseprogressiontoAIDS.CDCPlan 0\\\\`T4\\\\A 0FY02:83%FY01:82% 0\\\\6\\\\ 0FY02:FY01:FY00:FY99:81%inareaswithHIVreporting /\\\\A<0;\\\\ /AmongpersonswithHIV/AIDSattributedtoinjectingdruguse,increasetheproportionofpersonsdiagnosedwithHIVpriortodiseaseprogressiontoAIDS.CDCPlan 0\\\\@"4?\\\\A 0FY02:77%FY01:76% 0\\\\ |A\\\\ 0FY02:FY01:FY00:FY99:75%inareaswithHIVreportingFY98:73%inareaswithHIVreporting /\\\\A$H\\\\ /AmongpersonswithHIV/AIDSattributedtomaletomalesexualcontact,increasetheproportionofpersonsdiagnosedwithHIVpriortodiseaseprogressiontoAIDS.CDCPlan 0\\\\("L\\\\A 0FY02:75%FY01:74% 0\\\\ '!N\\\\ 0FY02:FY01:FY00:FY99:73%inareaswithHIVreportingFY98:74%inareaswithHIVreporting /\\\\Al+`%U\\\\ /ExpandthenumberofStatesthatareabletomeasureaccesstocare;_adherence_Ԁtotreatment;andimpactof_antiretroviral_Ԁtherapy(ART)for HIV/AIDSonlongtermsurvival.CDCPlan 0\\\\ \\\\A 0FY0201:ContinuetoexpandthenumbersofStatesthatcollectdataandcanmeasurecareandtreatmentoutcomes. 0\\\\  \\\\ 0 AccesstoCare  pd  FY02:FY01:6FY00:5FY99:4 AdherencetoTreatment  P D FY02:FY01:16FY00:15FY99:12 ImpactofART  xl  FY02:FY01:11FY00:11FY99:11( \\\\ ( Seealso:   <,XX4,hX,X,hX<L & !"#$%dxx& !"#$%L 3   3} 2d3  0    Objective1.4,ReduceAlcoholAbuseandPreventUnderAgeDrinking3} ;} ݌|!(#(# Ќ   3   3~ 2d3  0    Objective1.5,ReducetheAbuseandIllicitUseofDrugs3~ 1~ ݌dX"(#(# Ќ   3   3~ 2d3  0    Objective1.6,ReduceUnsafeSexualBehaviors3~  ݌@4#(#(# Ќ   3   3 2d3  0    Objective4.1,EnhancetheAppropriateUseofEffectiveHealthServices3  ݌$(#(# Ќ   3   3΀ 2d3  0    Objective6.1,AdvancetheScientificUnderstandingofNormalandAbnormalBiological % FunctionsandBehaviors3΀ ݌ (#(# Ќ   3   3 2d3  0    Objective6.2,ImproveOurUnderstandingofHowtoPrevent,Diagnose,andTreatDiseaseand ' Disability3 & ݌ ((#(# Ќ  _iUU5 %!`z  `E`ttx 3i (#(#     (#(#iU5 %!`z  `E`ttx 3iiU95 %!`z  `E`ttx 3iiU5 %!`z  `E`ttx 3i_<,X,hX,XX4,hX<&%&FE T #&FE%& #XVlX%&FEheseareselectedperformancegoalsfromtheperformanceplansofthe_HHS_Ԁoperatingandstaff  L divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#&FE%XXVlV #  8 *VW d dSS SSS SSSS SST(#(#,SS ,SSS ,SSS +  &\\\\G   &  PerformanceGoals 8\\\\A#!$ d  \\\\G 8  Targets 8\\\\A#!$ d  \\\\A 8  ActualPerformance =\\\\A(&@    \\\\A =IntheCommunityMentalHealthServicesBlockGrant,Stateswillpilotperformanceindicators._SAMHSA_ԀPlan. 0\\\\(h \\\\A 0FY02:MaintainFY01:MaintainFY00:16States̀32indicatorsFY99:16States̀32indicators 0\\\\\\\\ 0FY02:FY01:FY00:16States̀32indicatorsFY99:16States̀32indicatorsFY98:5States̀28indicators /\\\\At\\\\ /ForchildrenreceivingservicesthroughtheChildrensOutcomes:ComprehensiveCommunityMentalHealthServicesforChildrenandTheirFamilies,_SAMHSA_ԀPlan x# b - !"#$%(@hx& !"#$%bIncreasethepercentofchildrenattendingschool75%ormoreofthetimeafter12months.Increasethepercentofchildrenwithlawenforcementcontactsatentrywhohavenolawenforcementcontactsafter12months.f & !"#$%(dxh- !"#$%J fIncreasestabilityoflivingarrangementsbydecreasingthepercentofchildrenhavingmorethanonelivingarrangementafter12monthsinservices. 0\\\\) &6\\\\A 0FY02:Maintain18%FY01:18%increaseFY00:Maintain10%FY99:10%increaseFY98:5%increaseFY02:Maintain43%FY01:43%FY00:Maintain57%FY99:57%FY98:52%FY02:Maintain65%FY01:65%decreaseFY00:25%decreaseFY99:20%decreaseFY98:10%decrease 0\\\\) &M\\\\ 0FY02:FY01:FY00:82.0%(+17%)FY99:88.9%(+27%)FY98:78.8%(+12%)FY97:70%pj&%&FE(at6months)#&FE%&pjh # W FY02:FY01:FY00:44%FY99:43%FY98:54.8%FY97:47%pj&%&FE(at6months)#&FE%&pj # $ ^ FY02:FY01:FY00:26%(65.8%)FY99:27%(64.5%)FY98:23.7%(68%)FY97:76%pj&%&FE(at6months)#&FE%&pjΒ # /\\\\A*&e\\\\ /IncreasethepercentageofHeadStartchildrenwhoreceivenecessarytreatmentforemotionalorbehavioralproblemsafterbeingidentifiedasneedingsuchtreatment._ACF_ԀPlan 0\\\\ \\\\A 0FY02:85%FY01:83%FY00:81%FY99:81% 0\\\\ \\\\ 0FY02:FY01:FY00:77%FY99:75% FY98:75% /\\\\A  \\\\ /IncreasethenumberofcomplaintsofabusethatareaddressedundertheProtectionandAdvocacyfor_Individuals_ԀwithMentalIllnessprogram._SAMHSA_   Plan 0\\\\ \\\\A 0FY02:19,300FY01:11,100FY00:9,650FY99:9,000 0\\\\\\\\ 0FY02:FY01:FY00:3/01FY99:8,147FY98:8,687FY97:8,360 /\\\\A \\\\ /FortheKnowledgeExchangeNetworkforinformationaboutmentalhealthtreatmentandservices,_SAMHSA_ԀPlan   IncreaseusefulnessofKENinformation.Increaseinformationrequests[(800)number].Increasepublications_distributed_.Increasewebsitecontacts. 0\\\\%5\\\\A 0FY02:10%increaseFY01:10%increaseFY00:EstablishBaselineFY02:10%increaseFY01:10%increaseFY00:10%increaseFY99:10%increaseFY98:10%increaseFY97:10%increaseFY02:10%increaseFY01:10%increaseFY00:10%increaseFY99:10%increaseFY98:10%increaseFY97:10%increaseFY02:10%increaseFY01:10%increaseFY00:10%increaseFY99:10%increaseFY98:10%increaseFY97:10%increase 0\\\\)#S\\\\ 0FY02:FY01:FY00:69%FY02:FY01:FY00:52,252pj&%&FE(2%)#&FE%&pjך # ^ FY99:52,303pj&%&FE(+89%)#&FE%&pjA # t_ FY98:27,642pj&%&FE(+3%)#&FE%&pj # \P` FY97:26,603pj&%&FEԀ(+158%)#&FE%&pj #Ԁ 8,a FY96:10,324FY02:FY01:FY00:549,955pj&%&FE(+87%)#&FE%&pj #  xf FY99:293,572pj&%&FE(+109%)#&FE%&pj # `!Tg FY98:139,912pj&%&FE(+30%)#&FE%&pj{ # <"0h FY97:107,087pj&%&FE(+98%)#&FE%&pj # # i FY96:53,932FY02:FY01:FY00:706,919pj&%&FE(+94%)#&FE%&pjr # d'X!n FY99:363,973pj&%&FE(+119%)#&FE%&pjޞ # @(4"o FY98:179,690pj&%&FE(+127%)#&FE%&pjK # )#p FY97:79,093pj&%&FE(+612%)#&FE%&pj # )#q FY96:11,108 /\\\\A*$r\\\\ /Increasethenumberofvisitsforhealthrelatedcare(primarymedical,dental, mentalhealth, substance L@ abuse,rehabilitativeandhomehealth)inTitleIandIIprogramstoalevelthatapproximatesinclusionof newclients._HRSA_ԀPlan    0\\\\ \\\\A 0 HIVEmergency pd ReliefGrants  L@  FY02:3.05@&FE%%&FEԀmillion#&FE%%@&FE0 #Ԁ (  FY01:3.05FY00:2.92FY99:2.88 HIV_ԀCareGrantstoStates   FY02:1.45MvisitsFY01:1.57MFY00:1.53MFY99:1.22M 0\\\\xl \\\\ 0FY02:FY01:FY00:1/02FY99:2.73FY98:2.79FY97:2.77FY96:2.67@&FE%%&FEFY02:FY01:FY00:1/02FY99:1.23MFY98:1.45MFY97:#&FE%%@&FE #Ԁ1.07M /\\\\A0$'\\\\ /Increasetheproportionofpeople18andoverreportingdepressioninthepast12monthswhoarereceivingtreatment._OPHS_ԀPlan 0\\\\XL*\\\\A 0FY02:29%FY01:26% 0\\\\XL-\\\\ 0FY02:FY01:FY00:12/01FY99:DNCFY98:DNCFY97:23% /\\\\A3\\\\ /ЀDecreasetheannualrateofsuicide._OPHS_ԀPlan 0\\\\\P4\\\\A 0FY02:9.5FY01:10FY00:10.5 0\\\\9\\\\ 0FY02:FY01:FY00:12/01FY99:12/01FY98:10.8FY96:11.7 /\\\\A?\\\\ /Decreaseproportionofinjurioussuicideattemptsamongyouthages1417._OPHS_ԀPlan 0\\\\!A\\\\A 0FY02:1.4FY01:1.6FY00:1.8FY99:2.0 0\\\\#E\\\\ 0FY02:FY01:FY00:DNCFY99:2.6%FY98:DNCFY97:2.6%FY95:2.8% /\\\\A@&4 L\\\\ /IncreasepercentageofIHS,TribalandUrbanprogramsthathaveimplementedasuicidesurveillancesystemtomonitortheincidenceandprevalenceratesofsuicidalacts(ideation,attempts,andcompletions)whichassuresthoseatriskreceiveservices,andthatappropriatepopulationbasedpreventioninterventionsareimplemented.IHSPlan 0\\\\,&S\\\\A 0FY02:10%>FY01FY01:50% 0\\\\("U\\\\ 0FY02:FY01:FY00:baseline3/01FY98:25%est.(D*8$Y \\\\ (_ Seealso:  .(Z Ї<,XX4,hX,X,hX<L & !"#$%dxx& !"#$%L 3   3ȫ 2d3  0    Objective1.2,ReducetheIncidenceandImpactofInjuriesandViolenceinAmericanSociety3ȫ ݌(#(# Ќ  ?,XX4,hX,XX4,hX?L & !"#$%dxx& !"#$%L 3   3 2d3  0    Objective1.4,ReduceAlcoholAbuseandPreventUnderAgeDrinking3 ݌(#(# Ќ   3   3w 2d3  0    Objective1.5,ReducetheAbuseandIllicitUseofDrugs3w ݌x(#(# Ќ   0p iUX5 %!`z  `E`ttx 3i (#(#     (#(#iU5 %!`z  `E`ttx 3iiU;5 %!`z  `E`ttx 3iiU5 %!`z  `E`ttx 3i<,X,hX,XX4,hX<&FE%%&FE&%&FE T #&FE%&[ #XVlX%&FEheseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff  L divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl< ##&FE%XXVl #  8 *]^ d dSS SSS SSSS SVW(#(#,SS ,SSS ,SSS +  &\\\\G   &  PerformanceGoals 8\\\\A#!$ d  \\\\G 8  Targets 8\\\\A#!$ d  \\\\A 8  ActualPerformance B\\\\A-&@    \\\\A JBIncreasethenumberofchildrenservedbyTitleV,MaternalandChildHealthBlockGrant.HRSA L  Plan@&FE%%&FE 0\\\\(h \\\\A 0FY02:24.5million#&FE%%@&FE' #@&FE%%&FE p  FY01:24#&FE%%@&FE #@&FE%%&FE 0\\\\(h \\\\ 0FY02:FY01:FY00:01/02FY99:#&FE%%@&FE #Ԁ01/01 D FY98:04/00FY97:20.2million 4\\\\A J \\\\ 4IncreasethepercentofChildrenwithspecialneedsintheStateprogramwithasourceofinsuranceforprimaryandspecialtycare.HRSAPlan 0\\\\r\\\\A 0FY02:91%FY01:90% 0\\\\\\\\ 0FY02:FY01:1/02FY00:1/01 /\\\\Ar"\\\\ /Increasethenumberofhealthcareproviderstrainedtomeetthehealthneedsofpeoplewithdevelopmentaldisabilities._ACF_ԀPlan 0\\\\%\\\\A 0FY02:5,200FY01:5,000FY00:4,825FY99:4,000 0\\\\v)\\\\ 0FY02:FY01:FY00:1/02FY99:4,100FY98:3,733XVlX%&FE(R.  \\\\ (     4  `    h   <  &"7 _<_i22=22<,X, X,X,hX<iUl5%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiU>5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i&XXVl I#XVlX&O # mprovingqualityoflifeandhealthintheUnitedStatesalsoinvolvesimprovingthequalityof H  humanservicesandhealthcarethatpersonsreceive.Thefocusofthisgoalandsupportingobjectivesisontheimplementationofavarietyofstrategiestoimproveservicequality.Inthisrespect,severaloftheobjectivesparallelthegoalsintheDepartment'shealthcarequalityinitiative.(Otherelementsoftheinitiativeareincludedelsewhereinthestrategicplan.)Onthehumanservicesside,qualityimprovementfocusesonthegenerationofknowledgethatcanbetranslatedintotheimprovementofhumanservices.WhilemanyAmericansreceivequalityhealthcare,thereisdisturbingevidencethatqualityisaprobleminanumberofareas.TheInstituteofMedicineoftheNationalAcademyofSciencesestimatesthatasmanyas98,000personsdieeachyearfrommedicalerrors(ToErrisHuman:BuildingaSaferHealthSystem.NationalAcademyPress.LindaT._Kohn_,JanetM.Corriganand_Molla_ԀS.Donaldson,editors.2000).Under-useofservicesisanongoingchallenge.Forexample,onestudyfoundthat30percentofwomenage52to69insurveyedmanagedcareplanshadnotreceiveda_mammogram_Ԁintheprevioustwoyears.Ontheotherhand,someservicesareusedunnecessarily.Onestudyindicatedthathalfofallpatientsdiagnosedwithacoldandtwo-thirdsofthepatientsdiagnosedwithacutebronchitisreceivedantibioticswhichofferlittleornobenefitfortheseconditions.Screeningtestsaresometimesmisread.Onestudyfoundthatanywherefrom10to30percentofPapsmeartestresultswereincorrectlyclassifiedasnormal.Finally,improvinghealthcarequalitymustinvolveconsumersandpurchasersofhealthcarewhoareknowledgeableaboutqualitychoices.Yetwhenconsideringandselectingtheirhealthcareoptions,themajorityofAmericansdonotusequality-relatedinformationcomparingthequalityofhealthcareplans,doctors,orhospitalstomaketheirchoices.Withrespecttothequalityofhumanservices,theDepartmenthasbeenengagedinthedevelopmentofaresearchstrategytobetterunderstandthetransformationsinhumanservicesprograms.Thisstrategyidentifiestherequisiteknowledgebase,data,performancemeasures,andprogramevaluationsandresearchneedsfornationalleadership.ThemovementtowarddevolutionofresponsibilityforhumanservicestoStateandlocalorganizationsandthePersonalResponsibilityandWorkOpportunityReconciliationActof1996offertremendousopportunitiesandunprecedentedchallengesintheredefinitionandimplementationofservicestofamilies.Documenting,understanding,interpreting,andfacilitatingtheexchangeofinformationandexperiencesamongStatesisessentialforencouragingsounddecisionsthatpromotethewell-beingoffamiliesandchildren.  '$'   &XXVl   SUMMARYPERFORMANCEREPORT j   HHSStrategicGoal4 #XVlX&w #   XVlXXXVl&XXVl T #XVlX&r #heseareselectedperformancestoriesfromtheperformanceplansoftheHHSoperatingand  staffcomponentsthatsupportkeyareasrelatedtotheachievementofthisstrategicgoal.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplan.#XVlXXXVlS #    APPROPRIATEUSEOFEFFECTIVEHEALTHCARESERVICES  p  L 0 !"#$%xx& !"#$%L 3   3 23  0    VaccinationsforSeniorCitizens. XVlXXXVlCDCplaysacriticalroleindevelopingimmunization H  policybyprovidingtechnicalandscientificsupporttogroupsthatrecommendimmunizationpolicyintheUnitedStatesandglobally.Dataindicatethattheincidenceofdeathsrelatedtoinfluenzaand_pneumoccoccal_Ԁdiseasecanbereducedbyensuringpersonsaged65andolderreceiveappropriatevaccinations.CDCsupportsimmunizationprogramstoincreasecommunityparticipation,education,andpartnershipsthroughpublicinformationcampaigns,educationandtrainingforproviders,assistancetocommunitiesonbuildingcoalitions,andpartnershipswithcommunitybasedorganizations,nationalminorityorganizations,volunteergroups,vaccinecompanies,professionalorganizationsandFederalagencies.CDChasdemonstratedanincreaseinthepercentageofpersons65yearsofageorolderreceivingvaccineagainstinfluenza(from33percentin1989to64percentin1998).Similarly,thecoverageratefor_pneumococcal_Ԁvaccineincreasedfrom15percentto46percentoverthesameperiod.#XVlXXXVl # 3  ݌\(#(# Ќ  0  XVlXXXVlCDChasdemonstratedanincreaseinthepercentageofpersons65yearsofageorolder 4t receivingvaccineagainstinfluenza(from33percentin1989to64percentin1998).Similarly,thecoverageratefor_pneumococcal_Ԁvaccineincreasedfrom15percentto46percentoverthesameperiod.#XVlXXXVl #ԀCDCwillreportdataonitsFY1999targetsof60percentand 8 54percent,respectively,inSeptemberof2001. (#(# 0  Althoughperformancedataon_HCFA_sgoaltoincreasetherateofinfluenzavaccinationto60percentwillnotbeavailableuntil2002,_NHIS_Ԁtrenddataindicatesthatvaccinationratesinthispopulationhaverisenfrom55percentinFY1994to64percentinFY1998.InFY2001,_HCFA_ԀwillbeginusingdatafromtheMedicareCurrentBeneficiarySurvey,whichwillsupportseparatetargetsforratesofinfluenzaand_pneumococcal_Ԁvaccinationsfornursinghomeresidentsaswellasbeneficiariesinthecommunity.AdultimmunizationsarebeingexaminedbythePeerReviewOrganizationsaspartof_HCFA_squalityimprovementefforts. (#(# 0  XVlXXXVlIHSestablishedaFY2000baselineof30.7percentofallAmericanIndiansandAlaskan )\%( Nativesover65vaccinatedagainstinfluenzabyextractingthisdatafromitselectronicmedicalrecords,andhassettargetsforaonepercentincreaseinbothFY2001andFY2002._Pneumococcal_Ԁimmunization,whichisonlyrecommendedonceeveryfiveyears,ismoredifficulttoascertainfromIHSelectronicmedicalrecords,andIHSwasnotabletodevelopa baseline.InFY2001,IHSwillpilotandvalidatemethodsusinginfluenzavaccination,and -)- basedontheoutcomeofthesestudies,willbeginmeasuring_pneumococcal_ԀvaccinationratestoestablishabaselineinFY2001.#XVlXXXVl #XVlXXXVl(#(#  #XVlXXXVle # 3   3 23  0    HeartAttacks. ThroughitsPeerReviewOrganizations,_HCFA_Ԁisinfluencingprovidersto  employknownsuccessfulinterventionsforproperlytreatingheartattacksandpreventingsecondheartattacks.Asanindicatorofhospitalperformanceinemployingtheseinterventions,_HCFA_ԀsetagoalforitsPeerReviewOrganizationstodecrease1yearmortalityamongMedicarebeneficiarieshospitalizedforheartattack.Duringthebaselineyearsof1995τ1996,31.2percentofMedicarebeneficiarieshospitalizedforheartattackdiedwithinayear._HCFA_Ԁseekstoreducethatrateto27.4percentbyFY2002.DatathroughFY1998showarelativelyconstant1yearmortalityrate,whichmayrepresentthegradualphaseinofthenationalprogram,increasingmedianageoftheMedicarepopulationwhichincreasesriskofmortality,andchangesintherateofconcomitantdiseasesorseverityofillness.3 ݌ (#(# Ќ   3   3u 23  0    _Mammograms_. Encouragingbreastcancerscreeningforwomenage65andover,including   regular_mammograms_,iscriticaltoreducingbreastcancerdeaths._HCFA_sPeerReviewOrganizationshavebeendirectedtomonitorandimprovethepercentageoffemaleMedicarebeneficiariesage65andolderwhoreceivea_mammogram_Ԁasanindicatorofthequalityofpreventivecare.InFY1998theNationalHealthInterviewSurvey(_NHIS_)indicatedthat63.8percentofwomenage65oroverreceiveda_mammogram_,aconsiderableincreasefromthebaselineof55percentin1994.Dataindicating_HCFA_sprogressinmeetingitsFY2000targetof60percentwillbeavailableinSummerof2000.BeginninginFY2001,_HCFA_ԀwilluseMedicareclaimsdataforthismeasureratherthanselfreported_NHIS_Ԁdata.Baselinereportsshowmammographyratesof45percentinFY1998and49percentinFY1999.XVlXXXVl < _HCFA_Ԁhasreviseditstargetsaccordingly.InFY2001,ithassetatargettoincreasemammographyratesto51percent.3u ݌ (#(# Ќ  #XVlXXXVl #  3   3 23  0    HospitalizationforPotentiallyAvoidableConditions. Hospitalizationsforpotentially  avoidableconditions,alsoknownasambulatorycaresensitiveconditions(_ACSC_)iswidelyrecognizedasameasureofaccesstoappropriateprimarycare.LowratesindicateaccesstoappropriateambulatoryservicesandisameasureofhighqualityofcaredeliveredatHRSAsCommunityHealthCenters.Anongoingevaluationcomparing_ACSC_ԀhospitalizationsamongHealthCenterusersandnonusersshowedarateof18.9_ACSC_Ԁper1000hospitalizationsfornonuserscomparedto14.7per1000hospitalizationsforHealthCenterusersinFY1997.HRSAhassettargetsof14,13.5and13per1000hospitalizationsforFY1999,2000and2001.HRSAwillhaveresultsfromafollowup_ACSC_ԀstudyinApril2001.3 ݌ (#(# Ќ          h      p &  CHRONICDISEASES  &#& L 0 !"#$%xx0 !"#$%L 3   3& 23  0    CardiovascularDisease. Cardiovasculardisease(_CVD_)istheNationsnumberonekiller'&  ($( amongmenandwomenofallracialandethnicgroups,andassociatedannualcostsexceed$286billion.CDCisimplementingacrosscuttingapproachtoheartdiseaseandstrokepreventionbybuildingStatespecificcapacityforcardiovascularhealthpromotion,beginningwiththoseStateswiththegreatestheartdiseaseandstrokeburden.InFY1999,CDCfunded11Statestodevelopcorecapacitytoaddresscardiovasculardiseaseanditsriskfactors,andallStatesmettherequiredfiveofsevencorepreventioncapacities.InFY2000,CDCfunded25StatesandanticipatesreportingontheirachievementsinJune2001.Inaddition,CDC $/d+/ fundsfourStatesatthecomprehensiveleveltodevelopanddisseminatekeypolicyandenvironmentalinterventions.Aprimaryfocusofpolicyandenvironmentalinterventionsisreducingleadingriskfactorsforcardiovasculardiseaseslackofregularphysicalactivity,poornutrition,tobaccouse,highbloodpressure,andhighcholesterol.3& Q ݌ (#(# Ќ   3   3i 23  0    Diabetes. ThegoalofCDCsdiabetescontrolprogramistoeliminatepreventablediabetes \ relatedmorbidityanddisabilitywhileimprovingtheoverallqualityandlengthoflifeforallpersonswithdiabetes.CDCaccomplishesthisgoalthroughcollaborativeprogrammanagementwiththeNationalInstitutesofHealth(NIH)andtheHealthResourcesandServicesAdministration.Oneexampleofthiscollaborationisthedevelopment,coordinationandimplementationoftheNationalDiabetesEducationProgramandtheHealthStatusandPerformanceImprovementCollaborativeinCommunityHealthCenters.InFY1999,70percentofCDCfundedprogramsadoptedpatientcareguidelinesforimprovingthequalityofhealthcarereceivedbypersonswithdiabetes.CDCsetagoalof100percentcomplianceinFY2000andbeyond.Inadditiontothepatientcareguidelines,CDChasalsosetagoalforitsfundedStatestoincreasethepercentageofdiabeticswhoreceiveanannualeyeexamfrom67.3to72percent,andforannualfootexamstobeincreasedfrom57.8percentto62percent.3i ݌ (#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3 23  0    DiabetesandAmericanIndiansandAlaskanNatives(AI/AN). TheIHSplanincludes H fourgoalsthattargetimprovementsindiabeticcarethathaveastrongevidencebasedassociationwithareductionindiabeticmorbidityandmortality.IHSmetitsFY1999targetsforthreeofthesegoals.InFY1998,22percentofdiagnoseddiabetespatientshadimprovedtheir_glycemic_Ԁcontrol,andinFY1999thisincreasedto25percent,meetingIHStargetedthreepercentincrease.Screeningofdiagnoseddiabetespatientsfor_dyslipidemia_Ԁincreasedfrom29percentinFY1998to46percentinFY1999,exceedingthetargetedthreepercentincrease.Screeningfor_microalbuminuria_Ԁtoassessearlydiabetic_nephropathy_Ԁincreasedfrom33percentinFY1998to36percentinFY1999,meetingIHStarget.3  ݌ (#(# Ќ  0  However,IHShadtargetedathreepercentincreaseintheproportionofpatientswithdiagnoseddiabeteswhoachieveddiabeticbloodpressurecontrol,whiletherateactuallydecreasedfrom38percentinFY1998to35percentinFY1999.Inresponse,theIHSNationalDiabetesProgramisencouragingprogramstousethenewdiabetesfundingtoenhancetheirclinicalcareprograms,includingbetterbloodpressurescreeningandmoreaggressivetreatmentaswellasincreasedfundstothepharmacybudgettopurchasenewer,moreeffective_antihypertensive_Ԁagents. (#(# L 0 !"#$%xx0 !"#$%L 3   3* 23  0    DiabetesCareinCommunityHealthCenters. XVlXXXVlMonitoringperformanceinchronicdisease %$"% managementservesasamarkerforthequalityofcaredeliveredat#XVlXXXVl #HRSAsCommunityXVlXXXVl &#& HealthCentersandultimatelymeasuretheirabilitytoeliminatehealthdisparitieswithinthepopulationserved.#XVlXXXVl #XVlXXXVlԀPatientsatHealthCentershaveratesofdiabetesthatfarexceednational ($( prevalenceratesforcomparableracial/ethnicandsocioeconomicgroups.Yet,HealthCenterdiabeticsarethreetimesaslikelytohavetheir_glycohemoglobin_Ԁtestsperformedatregularintervalsthanthenationalnorm.#XVlXXXVlj #HRSAsCommunityHealthCentershaveestablishedtwo p+'+ goalsrelatingtodiabetescare.TheymettheirFY1999targetoftesting_glycohemoglobin_levelsin60percentofadultswithdiabetesatrecommendedintervals,upfromthebaselineof43percentinFY1998.Thetargetswillincreaseto80percentinFY2000and90percentin2001.HRSAestablishedanewgoalforFY2001forincreasingthepercentofuserswith  /`+/ diabeteswhohavehadanannualdilatedeyeexamwithanambitioustargetof90percent.Baselinetestingindicatedarateof49percentinFY1989and57percentinFY1994..3* U ݌ (#(# Ќ   3   3 23  0    DiabetesandMedicareBeneficiaries. _HCFA_ԀincludesaperformancegoalstartinginFY  2001toimprovetherateofbiennialdiabeticretinaleyeexamsforMedicarebeneficiaries.Baselinedatafrom19971999indicate68.5percentperformancerate,andtargetsof69percentand69.5percenthavebeenestablishedforFY2001and2002respectively.Thisareaisaqualityimprovementprojectfor_HCFA_sPeerReviewOrganizations.3  ݌ (#(# Ќ   3   3 23  0    Arthritis. Bytheyear2020,anestimated60millionpeoplewillbeaffectedandover11  P  millionwillhavesomedisabilitybecauseofarthritis.CDCisworkingwiththeDepartmentandotherpartnerstoimplementtheNationalArthritisActionPlan:APublicHealthStrategy  ,  (_NAAP_).ThegoalofCDCsarthritisprogramistoimprovethequalityoflifeamongpersonsaffectedbyarthritisbydecreasingpainanddisability,andimprovingphysical,_psychosocial_andworkfunction.InFY2000,twentynineStateswerefundedtodevelopbasicpublichealthcomponentstoaddressarthritis.EightStateswerefundedatacoreleveltoenhancemonitoringactivitiesandpartnerships,educatethepublicaboutarthritis,anddevelopandimplementpilotprogramstodecreasetheimpactofarthritisinselectpopulations.3 ݌ (#(# Ќ   3   3 23  0    BreastandCervicalCancerPrevention. CDCsNationalBreastandCervicalCancerEarly L DetectionProgram(_NBCCEDP_)isacrossdepartmentalprogram(NCI,IHS,FDA)thatprovidescancerscreeningforunderservedwomen,particularlylowincomewomen,olderwomen,andmembersofracial/ethnicminorities.Theprogramhasdiagnosedover6,543breastcancers,andcervicalcancerhasbeenpreventedinasmanyas31,000womenthroughthedetectionandtreatmentofprecancerouslesions.In1999,excludingbreastcancersdiagnosedonaninitialscreeninthe_NBCCEDP_,atleast70percentofwomenaged40andolderwerediagnosedatthelocalizedstage.In1999,excludinginvasivecervicalcancersdiagnosedonaninitialscreeninthe_NBCCEDP_,theageadjustedrateofinvasivecervicalcancerinwomenaged20andolderwas19per100,000Paptestsprovided.3  ݌ (#(# Ќ  0  HRSAsCommunityHealthCentershaveestablishedFY1999goalsforuptodatePaptests(90percentofwomen),_mammograms_Ԁ(65percentofwomen),andclinicalbreastexams(82.5percentofwomen).DataisexpectedtobeavailableinJune2001. (#(#  3   3 23  0    CancerRegistries. ThroughtheNationalProgramofCancerRegistries(_NPCR_),CDCfunds $#d" Statesandterritoriestoenhanceexistingcancerregistries._NPCR_-fundedcentralregistriestocomplementexistingregistries,suchastheNationalCancerInstitutes(NCI)Surveillance,Epidemiology,andEndResults(SEER)program,whichmonitorstrendsinincidence,treatment,survivaltime,andextentofdisease.InFY1999,CDCsetagoaltoincreasethepercentofStatesfundedbyCDCs_NPCR_Ԁthathaveatleast95percentofunduplicated,expectedmalignantcasesofreportablecanceroccurringinstateresidentinadiagnosisyearreportedtothestatecancerregistryto30percent.The1999data(cancercasesdiagnosedin1997)indicatedthat60percentof_NPCR_ԄfundedStateswerereportingtheirdatawereatleast95percentcompletewithin24monthsofthecloseofthediagnosisyear.3  ݌ (#(# Ќ   3   3 23  0    BehavioralRiskFactorSurveillanceSystem(_BRFSS_). The_BRFSS_Ԁisthefoundationupon L-)- whichmanysuccessfulStateandhealthagencyprogramsarebuiltandisbecomingrecognizedthroughoutthehealthcareanddiseasepreventioncommunitiesasanimportantandpowerful (/h+/ toolinthedevelopment,implementation,andevaluationofhealthcareprograms._BRFSS_dataiscollectedonawiderangeofhealthriskareas,toincludeareassuchashealthcareaccess,asthma,diabetes,exercise,tobaccouse,weightcontrol,womenshealth,sexualbehavior,oralhealth,hypertension,cholesterolawareness,_colorectal_Ԁcancer,immunizations,alcoholconsumption,cardiovasculardisease,arthritis,andskincancer.Although_BRFSS_ԀhasalwaysbeendesignedtoproduceStatelevelestimates,datahasbeenusedinresearchstudiesandcombinedacrossStates.Forexample,thesecrossstateanalyseshavebeenperformedtoestimatetheextentofalcoholandtobaccouseamongpregnantwomen.Toincreasethevalidityof_BRFSS_Ԁdata,CDChasdevelopedagoalthatwillincreasethenumberofStatesthatcomplete4,000telephoneinterviewsperyear.(Atpresent,thesamplesizebetweenStatesrangesfromapproximately1,700toapproximately7,500.)Thelargersamplesizewillpermitbetteridentificationofgeographicanddemographicvariationsinhealthriskbehaviors.Thisinformationcanthenbeusedtomoreeffectivelytargetpublichealthprogramstoappropriategeographicanddemographicgroups.3  ݌ (#(# Ќ          h     &  ORGANDONATIONSANDBONEMARROWTRANSPLANTS   L 0 !"#$%xx0 !"#$%L 3   3" 23  0    XVlXXXVl  OrganTransplants. Thenumberoforgantransplantshasincreasedby65percentinthe10 X 'W! yearperiodbetween1989and1999.However,thenumberoftransplantcandidateshascontinuedtoriseatasubstantiallyfasterratethanthenumberofdonors,whilethenumberofmedicallysuitablepotentialdonorshasnotincreasedbecauseofimprovedtraumacareandincreasedseatbeltandhelmetuse.In1998HRSAsOrganandTissueDonationprogramestablishedanetworkofpublicandprivatepartnershipswhichsetanambitiousgoaltoincreasethenumberoforgandonorsby20percentovertwoyears.Performanceshoweda6percentincreasein1998anda0.8percentincreasein1999,whichdidnotmeetthetarget.Thefirstninemonthsof2000haveshowna5percentincreaseinorgantransplants.Amoreprudentgoalofincreasingtransplantsby5percentperyearhasnowbeenestablished.Anationaleffortisunderwaytoincreaseconsenttodonationbyencouragingindividualdeclarationofintentanddiscussionofthedeclarationwithfamilymembers;ensuringthatfamilymembersareaskedaboutdonation;andlearningmoreaboutwhatworkstoincreasedonation.AnadditionalFY1999goalofincreasingthenumberofminorityorgandonorsby20percenthasalsonotbeenmet,withthenumberofdonorsdecreasingfrom1998to1999.Thisgoalhasalsobeenchangedtoa5percentincreaseperyear.Moreeffectivemethodsforreachingtheminoritycommunitiesarebeingdevelopedthroughtheorgandonationgrantprogram.#XVlXXXVl" #3" =" ݌$H #(#(# Ќ   3   3J) 23  0    BoneMarrowRegistry. HRSAsBoneMarrowRegistryProgramhasincreasedthenumber % "% ofunrelatedbonemarrowdonorsinthenationalregistryto4.15milliondonorsinFY2000,andtheprogramhasfacilitatedover11,000transplants(over1,500inCY2000).Thenumberofdonorsregisteredhasincreasedbymorethan8percentovereachofthelastthreeyears,exceedingannualtargetsofa7.5percentincrease.However,becauseofincreasedcostsoftypingnewpotentialdonors,increasedemphasisonretainingregisteredpotentialdonors,andincreasedemphasisonincreasingtheactualnumberofpatientsbroughttotransplant,thegoalforincreasingthenumbersonthebonemarrowregistryhasbeenchangedto5percentforFY2001andFY2002.Theprogramalsohasagoalofincreasingthenumberofunrelatedminoritybonemarrowdonorsintheregistryby10percentperyear.InFY2000,thenumberofnewdonorsincreasedfrom.92millionto1.05million,exceedingthetarget.3J) ) ݌/\+/(#(# Ќ  PROTECTIONFORPATIENTS,CONSUMERS,ANDPERSONSWITHDISABILITIES   XVlXXXVl 3   3. 23  0    NationalPractitionerDataBank/HealthcareIntegrityandProtectionDataBank.  p HRSAsNationalPractitionerDataBank(_NPDB_)tracksallsignificantadverseprofessionalactionsagainstphysiciansanddentistsaswellasmalpracticesettlementsandjudgmentsagainstalllicensedhealthcareprofessionals,andcanbequeriedbylicensing,privilegingandcredentialingauthoritiespriortogranting_licensure_Ԁorextendingclinicalprivileges.AsofDecember31,2000,the_NPDB_Ԁcontained264,066reportson164,320practitioners.DuringFY2000the_NPDB_Ԁprocessed3,258,918queries._Queriers_Ԁreceivedover400,000matchedresponsescontainingmalpracticepayment,adverseactionorexclusionreportinformation,andover2.8millionresponsesthatthenamedpractitionerhadacleanrecordinthedatabase.BasedonprevioususersurveysconductedbytheOIG,anestimated11,050_licensure_,credentialing,ormembershipdecisionswereaffectedbythesematchresponsesinFY2000.ThenumberofqueriesrepresentsasmallincreaseoverFY1999,anddidnotmeetthetargetof4millionqueries.Thetargetwassetinanticipationofregulationswhichhavenotbeenimplemented,andthelowerperformancemayalsoreflectconsolidationinthemanagedcareindustry.TheHealthcareIntegrityandProtectionDataBase(_HIPDB_)augmentsinformationavailableinthe_NPDP_Ԁandcontains_licensure_Ԁandclinicalprivileginginformationforpractitionersotherthanphysiciansanddentists,aswellasprovidersandsuppliers.The_HIPDB_ԀopenedforreportinginNovember1999andforqueriesinMarch2000.AsofDecember2000itcontained83,855reports.Itrespondedtoalmost675,000queriesinthe7monthsitwasopenforqueryinginFY2000,with81,833responsescontainingreportsonlistedpractitioners.AmbitiousFY2001targetsof4.3millionqueriesforthe_NPDB_Ԁand1.8millionqueriesforthe_HIPDB_Ԁaresetinanticipationofadoptionofregulations.3. . ݌ (#(# Ќ  #XVlXXXVll. #L 0 !"#$%xx0 !"#$%L 3   3 9 23  0    @XVlXXXVl ProtectionandAdvocacyforIndividualswithMentalIllness (_PAIMI_).#XVlXX@XVl{9 #XVlXXXVlԀ InFY1999,  SAMHSAs_PAIMI_Ԁprograminvestigated8,147abusecomplaints#XVlXXXVl+: #@XVlXXXVlinpublicandprivate  residentialcareortreatmentfacilities,shor#XVlXX@XVl: #XVlXXXVltofitsFY1999targetof9,000.#XVlXXXVl; #@XVlXXXVlStateP&A  programsareauthorizedtoinvestigateincidentsofabuse(includingfatalities)involvingindividualswithmentalillnessiftheincidentsarereportedtothesystemorifthereisprobablecausetobelievetheincidentsoccurred.However,notallincidentsofabuseinpublicandprivateresidentialfacilitiesarereportedtoP&Asystems.InFY1999,the_the_ԀGeneralAccountingOfficeandtheHHSOfficeofInspectorGeneralfoundthatincidentsofabuseinthesefacilities!especiallythoseinvolvingtheinappropriateorunauthorizeduseofseclusionandrestraintbyfacilitystaff!frequentlyresultedindeathsthatwerenotdocumentedorreportedtotheappropriateStateagency.Furthermore,themajorityofStatesdonothaveacentralreportingsystemforresidentialfacilities#XVlXX@XVl; #@XVlXXXVlԀtoreportabuseandfatalityincidentssoState &#& P&Asystemsareunabletoprovideaccurateestimatesofthem#XVlXX@XVl? #@XVlXXXVl.TheChildrensHealthAct '#' 2000#XVlXX@XVlS@ #@XVlXXXVlԀrequiredreportingofthisinformation;SAMHSAexpectsmorereliabledataforthisgoal ($( tobeavailableinFY2002,andhassetitsFY2002targetaccordingly.#XVlXX@XVl@ #XVlXXXVl3 9 59 ݌)%)(#(# Ќ   3   3&B 23  0    #XVlXXXVlA #NursingHomeCare. WhileHHSfocusessignificantattentiononavoidinginstitutionalcare, l+'+ theDepartmentisfullycommittedtoprotectingtherightsofnursinghomeresidentsandenhancingtheircare.Boththereduceduseofphysicalrestraintsonnursinghomepatientsandtheloweredprevalenceofpressureulcersinnursinghomesarewidelyacceptedasindicatorsofqualityofcare._HCFA_ԀhasreportedtheachievementofitsFY1999goaltoreducethe  /`+/ prevalenceoftheuseofphysicalrestraintsamongallnursinghomesfrom17.2percentin1996to14percentin1999.Withreportedprevalenceofunder12percentin1999,_HCFA_hasadoptedamorerigoroustargetof10percentforFY2000andFY2001.InterimdataforFY2000showareductionto9.8percent._HCFA_Ԁhasreportedbaselinedatafor9.8percentprevalenceofpressureulcersinnursinghomes,andhasestablishedtargetsof9.6percentand9.5percentforFY2001andFY2002respectively._AoA_ԀhasincorporatedthesegoalsforreductioninphysicalrestraintsandpressureulcersintoitsplanasindicatorsoftheresponsivenessoftheOmbudsmanProgramtothemostseriouscomplaintsraisedonbehalfofnursinghomeresidents.3&B QB ݌ (#(# Ќ   3   3SH 23  0    XVlXXXVl LongtermCareOmbudsmanProgram. 󀀀MajorgoalsoftheAdministrationonAgings  8  (_AoA_)LongtermCareOmbudsmanProgramaretoenableresidentsoflongtermcarefacilitiesandtheirfamiliestobeinformed longtermcareconsumersandtofacilitatetheresolutionofproblemsregardingcareandconditionsinlongtermcarefacilities.Overthepastseveralyears_AoA_Ԁhasmaintaineda70percentorgreaterresolution/partialresolutionrateforcomplaintsinvolvingnursinghomeswhichwillbemaintained.PerformanceforFY1999was74.3percent;exceedingthetargetof71.48percent.Toprovidesomeperspective,inFY1998,ombudsmennationwideopened136,424casesandclosed121,686casesinvolving201,053individualcomplaints.DataforFY2000willbeavailableinNovember,2001.3SH ~H ݌ (#(# Ќ  #XVlXXXVlH # 3   3L 23  0    DiscriminationinAccesstoHHSPrograms .XVlXXXVlԀTheOfficeforCivilRights(OCR)enforces  ` nondiscriminationinaccesstoHHSservicesbyresolvingdiscriminationcomplaints,conductingreviewsandinvestigations,providingtechnicalassistancetorecipientsofHHSfundingwhomustcomplywithcivilrightsrequirements,establishingjointprojectswithotheragenciesandstakeholders,andconductingotheroutreachactivities.Throughthesevariousmethods,OCRusesaflexibleapproachtoincreasingcompliancewithcivilrightsrequirementsandthereforeincreasingindividualsaccesstoHHSservicesandprograms.3L L ݌ (#(# Ќ  0  Forthefirsttime,OCRhascombinedFY2000dataforthedifferenttypesofactivitiesintoasinglemeasureforeachpriorityarea.OCRtracksitsoutputsineachofthosetypesofactivitieslistedabove,includingthenumberofcorrectiveactionsor noviolationfindingswhenarevieworinvestigationresultsintherecipientmakingchangestopoliciesorpractices,orwhenOCRdeterminestherecipientmadenoviolation.TheoutputsarenowcombinedintoasinglemeasureforapriorityareatoreflectOCRstotaleffortinthatareaforimprovingcomplianceandaccess.Examplesareasfollows: (#(# L & !"#$%dxx0 !"#$%L 3   0  3R 2d3  0(#(#  IncreasingthenumberofmanagedcareplansfoundtobeincompliancewithTitleVI, %$"% Section504andtheAmericanswithDisabilitiesAct,whileincreasingtheirawarenessandunderstandingofcivilrightsrequirements:OCRhad85correctiveactions,no '#' violationfindings,reviews,outreach,consultations/technicalassistanceandjointprojectsinthispriorityareainFY2000.OCRpreviouslyhadthreedifferentindicatorsinthisarea,measuring53outputswithacombinedtargetof69activities.However,ithadnotcountedOCRstechnicalassistanceandjointprojectactivities,whichcompriseagrowingpartofitsefforts.3R 'S ݌ (#(# Ќ   3   0  3^V 2d3  0(#(#  IncreasingthenumberofHHSprovidersandgranteesfoundtobeincompliancewith 0.p*. TitleVIinreviews/investigationsrelatedtolimitedEnglishproficiency,whileincreasing /\+/ knowledgeandunderstandingoflimitedEnglishproficiencypolicyguidance:OCRhad  403correctiveactions,noviolationfindings,reviews,outreach,consultations/technicalassistanceandjointprojectsinthispriorityareainFY2000.OCRpreviouslyhadfivedifferentindicatorsinthisareameasuringthe403outputswithacombinedtargetof487activities.Overhalftheactivities(245)wereoutreach,consultations/technicalassistanceandjointprojects.3^V V ݌ (#(# Ќ   3   0  3Y 2d3  0(#(#  Increasingthenumberofstateandlocal_TANF_Ԁagenciesandserviceprovidersfoundto 4 t beincompliancewithTitleVI,Section504andADAwhileincreasingknowledgeandunderstandingofcivilrightsrequirementsintheadministrationof_TANF_:OCRhad242  L  correctiveactions,noviolationfindings,reviews,outreach,consultations/technicalassistanceandjointprojectsinthispriorityareainFY2000.OCRpreviouslyhadfivedifferentindicatorsinthisareameasuringthe242outputswithacombinedtargetof122activities.3Y Z ݌ (#(# Ќ  L & !"#$%dxx& !"#$%L 3   0  3] 2d3  0(#(#  Increasingthenumberofstateagenciesandlocaladoptionagenciesfoundtobein   compliancewiththenondiscriminationprovisionsotheSmallBusinessJobProtectionAct,whileincreasingknowledgeandunderstandingofadoptionandfostercarenondiscriminationrequirements:OCRhad40correctiveactions,noviolationfindings, X reviews,outreach,consultations/technicalassistanceandjointprojectsinthispriorityareainFY2000.OCRpreviouslyhadtwodifferentindicatorsinthisarea,measuringeightoutputswithacombinedtargetof37activities.However,ithadnotcountedOCRstechnicalassistance,outreachandjointprojectactivities,whichcomprisethebulkofitseffortsinthisarea.#XVlXXXVlbM #3] ] ݌4(#(# Ќ  L 0 !"#$%xx& !"#$%L 3   XVlXXXVl 3a 23  0    ProtectionAgainstFraud,Waste,andAbuse. OIGconductsindependentandobjective   audits,evaluations,andinvestigations,whicharereportedtoDepartmentofficials,theAdministration,theCongress,andthepublic.OIGexaminesReturnOnInvestment(_ROI_)asameasureofitseffectivenessandincludesbothexpectedrecoveries(includingfines,penalties,restitution,forfeitures,andfinalaudit_disallowances_)andsavings(includingfundsnotexpendedasaresultofOIGrecommendationsandfundsputtobetteruse)initscalculations.TheactualFY2000totalexpectedrecoveriesandsavingsperOIGdollarinvestedwas$104,$29morethantheFY2000targetof$75perdollarinvested.Althoughthefinancialimplicationsofitsworkareimportant,OIGrecognizestheimportanceofitsqualitativeimpactonHHSprogramsandreporteddataontheseimpactsforthefirsttimeinFY2000.Theseincludelegislative,regulatory,policyandpracticechangesthataremadesubsequenttoanOIGrecommendationforsuchchanges.Overall,106instancesofqualitativeimpactweredocumented.BothqualitativeandquantitativeoutcomesinanygivenyeargenerallyaretheresultofOIGsaudits,evaluationsandinvestigationsfrompreviousyears.#XVlXXXVlb #3a 0b ݌& #&(#(# Ќ  IMPROVETHEQUALITYANDEFFECTIVENESSOF )%) HUMANSERVICESPRACTICE  |*&*  3   XVlXXXVl3h 23  0    Disseminationof_AHRQ_ԀResearch. _AHRQ_Ԁpursuesthedisseminationofresearchprimarily T,(, throughpartnershipsestablishedforthatpurpose._AHRQ_Ԁestablishedaperformancegoaltoform5disseminationpartnershipsinFY1999,andexceededthattargetbyforming30publicprivateandpublicpublicpartnershipsinFY1999. _AHRQ_sachievementsinresearch /\+/ disseminationarealsoreflectedinitsgoalstopromotethetranslationofresearchintopractice.Forexample,inFY1999,_AHRQ_Ԁfoundthat21purchasersand/orbusinessesused_AHRQ_Ԁresearchfindingstomakedecisions.#XVlXXXVlh #XVlXXXVlԀInFY2000,_AHRQ_Ԁpartneredwithover30  diversepublicandprivateorganizations,includingWebbasedgroups,todisseminateevidencebasedinformation.Further,thewidespreaduseof_AHRQ_Ԁfindingsisprovidingpurchaserswithvaluableinformationformakinghealthcaredecisions.Forexample,inFY2000morethan90millionAmericansuse_AHRQ_SConsumerAssessmentofHealthPlans(_CAHPS_)tohelpthemdecidewhichhealthplanbestmeetstheirhealthcareneeds._CAHPS_isnowusedbymorethan20States.TheHealthCareFinancingAdministrationhasbegunusing_CAHPS_ԀtosurveyMedicaremanagedcareenrollees,andtheUSOfficeofPersonnelManagementused_CAHPS_ԀtoreportconsumerassessmentsofhealthplansavailabletoFederalworkersandretireesforitsFY2000openseason.#XVlXXXVltl #XVlXXXVlInFY2001,_AHRQ_Ԁprojectsthat  $  itsevidencebasedpracticecenterswillproduceaminimumof12evidencereportsandtechnologyassessmentsthatcanserveasthebasisforinterventionstoenhancehealthoutcomesandquality.#XVlXXXVlp #3h h ݌  (#(# Ќ  iUn5%!`z  `E$tt< i (#(#    (#(#iU5%!`z  `E$tt< iiUA5%!`z  `E$tt< iiU5%!`z  `E$tt< i<,X,hX,X, X<XVlXXXVl&XXVl T #XVlX&'u #heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff p componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVlu #&FE%XXVl \  #XVlX%&FEw #*pq ddSS SSS SSSS S]^(#(#,[SS , SS ,SS +  &\\\\G $ d  &&FE%XXVl  PerformanceGoals 8\\\\A#!   \\\\G 8  Targets 8\\\\A#!   \\\\A 8  ActualPerformance #XVlX%&FEox # A\\\\,&d    \\\\A A  &FE%XXVlHeartAttack#XVlX%&FEy # ;\\\\A&$  \\\\ ;&FE%XXVlDecreaseoneyearmortalityamongMedicare D  beneficiarieshospitalizedforheartattack._HCFA_ԀPlan 0\\\\\\\\A 0#XVlX%&FEQz #&FE%XXVlFY02:27.4% D  FY01:27.4%FY00:27.4%FY99:NewinFY00#XVlX%&FE_{ # 0\\\\\\\\ 0&FE%XXVl&FE%%&FE0102: #&FE%%&FE?| #&FE%%&FEԀ6/04 D  #&FE%%&FE| # &FE%%&FE 0001: #&FE%%&FE| #&FE%%&FEԀ6/03 $d  #&FE%%&FE?} # &FE%%&FE 9900: #&FE%%&FE} #&FE%%&FEԀ6/02 D #&FE%%&FE} # &FE%%&FE 9899#&FE%%&FEO~ #&FE%%&FE:6/01(Interim) $ #&FE%%&FE~ # &FE%%&FE 9798: #&FE%%&FE #&FE%%&FEԀ31.7%  #&FE%%&FEV # &FE%%&FE 9697:#&FE%%&FE #&FE%%&FEԀ31.1%  #&FE%%&FE # q=0&FE%%&FE 9596: #&FE%%&FEx #&FE%%&FEԀ31.2%* | #&FE%%&FEʀ # &FE%%&FE (Baseline)  \  q=0 #&FE%%&FE+ #K+ 4 <DL!,X,hXK&FE%%&FE(*revisedfrom31.4)#&FE%%&FE ##XVlX%&FE | #&FE%XXVl /\\\\Ah\\\\ /CollaboratewithNIHandAmericanIndianandAlaskaNativesitesindevelopingandimplementingculturallysensitive,communitydirectedpilotcardiovasculardiseasepreventionprograms.IHSPlan 0\\\\H$\\\\A 0FY02:3sitesimplementinginterventionsFY01:3siteswithinterventionplan 0\\\\l(\\\\ 0FY02:FY01:y   8\\\\A#!l, \\\\ 8ThenumberofStateswith5ofthe7corecardiovasculardiseasepreventioncapacitiesasdelineatedin PreventingDeathandDisabilityfromCardiovascularDiseases:AStateBasedPlanforActionandinCDCProgramAnnouncement, CDCCardiovascularHealthPrograms,willbeincreased.CDCPlan 0\\\\" 3\\\\A 0FY02:15StatesFY01:15FY00:11FY99:8 0\\\\L 7\\\\ 0FY02:FY01:FY01:FY00:FY99:11StatesFY98:7States 3\\\\"D=\\\\ 3W   BreastandCervicalCancer ;\\\\A&$P$ > \\\\ ;@&FE%%&FEExcludingbreastcancersdiagnosedonand %"? initialscreeninthe_NBCCEDP_,atleast73%ofwomenaged40andolderwillbediagnosedatlocalizedstage.CDCPlan#&FE%%@&FEI ##XVlX%&FEp #&FE%XXVl T($B  0\\\\0)p%C\\\\A 0FY02:73%FY01:73%FY00:72%FY99:71%#XVlX%&FE #&FE%XXVl 0\\\\T($G\\\\ 0FY02:FY01:FY00:4/01FY99:70%FY98:70%FY95:70%#XVlX%&FE9 #&FE%XXVl /\\\\A *L&M\\\\ /@&FE%%&FEExcludinginvasivecervicalcancersdiagnosed pd onaninitialscreeninthe_NBCCEDP_,theageadjustedrateofinvasivecervicalcancerinwomenaged20andolderisnotmorethat22per100,000Paptestsprovided.CDCPlan#&FE%%@&FE= ##XVlX%&FE #&FE%XXVl 0\\\\ \\\\A 0@&FE%%&FEFY02FY99:Nomorethan pd 22/100,000#&FE%%@&FE ##XVlX%&FE #&FE%XXVl 0\\\\(\\\\ 0@&FE%%&FEFY01: pd  FY00:4/01FY99:19/100,000FY98:23/100,000FY95:26/100,000#&FE%%@&FE ##XVlX%&FE #&FE%XXVl        #XVlX%&FE #&FE%XXVl 8\\\\A#!  \\\\ 8&  IncreasethepercentageofMedicareBeneficiariesAge65andoverwhoreceivea_mammogram_Ԁeverytwoyears._HCFA_ԀPlan xl   0\\\\0$ \\\\A 0#XVlX%&FE3 #&FE%XXVl&FE%%&FEFY01: #&FE%%&FEڏ #&FE%%&FEԀSwitchedtonew ,  datasource(seebelow)#&FE%%&FE) # &FE%%&FE FY00:#&FE%%&FE #&FE%%&FEԀ60%     #&FE%%&FE # &FE%%&FE FY99:#&FE%%&FEb #&FE%%&FEԀ59%      #&FE%%&FE # &FE%%&FE  FY02:#&FE%%&FE' #&FE%%&FE52%#&FE%%&FE # &FE%%&FE    FY01: #&FE%%&FEɒ #&FE%%&FEԀ 51%   #&FE%%&FE, #?+ 4 <DL!X? &FE%%&FE FY00:#&FE%%&FE͓ #&FE%%&FEԀN/A#&FE%%&FE #&FE%%&FE ! #&FE%%&FE_ ##XVlX%&FE #&FE%XXVl 0\\\\"\\\\ 0#XVlX%&FEٔ #', XVlXXXVl&FE%XXVlFY01: #&FE%%&FE^ #&FE%%&FEN/A#&FE%%&FE͕ # &FE%%&FE , #   FY00:#&FE%%&FE #&FE%%&FEԀ#&FE%%&FE #&FE%%&FEԀ#XVlX%&FE} # ( XXVlSummer2002#XVlX(   #&FE%XXVl  %   #&FE%%&FEŖ # &FE%%&FE FY99#&FE%%&FE #&FE%%&FE:#&FE%%&FE # &FE%%&FEԀ#XVlX%&FEU # ( XXVlSummer2001#XVlX(   #&FE%XXVl & #&FE%%&FEO # &FE%%&FE FY98#&FE%%&FE9 #&FE%%&FE:63.8%#&FE%%&FE # &FE%%&FEԀ  '  FY94: 򀀀 #&FE%%&FEҙ #&FE%%&FE55%(_NHIS_)#&FE%%&FE< # &FE%%&FE t (  #&FE%%&FE #&FE%%&FÈ#&FE%%&FE # &FE%%&FE <0 *   0102:#&FE%%&FEL #&FE%%&FEԀ8/03  +   #&FE%%&FE # &FE%%&FE 0001: #&FE%%&FE$ #&FE%%&FEԀ8/02  , #&FE%%&FEv # &FE%%&FE 9900: #&FE%%&FE՜ #&FE%%&FEԀ8/01(Interim) - #&FE%%&FE' # &FE%%&FE 9899:#&FE%%&FE #&FE%%&FEԀ49% . #&FE%%&FE۝ #?+ 4 <DL!X? &FE%%&FE 9798: #&FE%%&FEy #&FE%%&FE45%(_MCBS_)#&FE%%&FE̞ ##XVlX%&FEߘ # /\\\\A/\\\\ /&FE%XXVl@&FE%%&FEIncreaseproportionofHealthCenterwomen 0 receivingageappropriatescreeningforcervicalandbreastcancer.HRSAPlan#&FE%%@&FE ##XVlX%&FE # 0\\\\2\\\\A 0@XVlXXXVl UptodatePapTests #XVlXX@XVlѠ #&FE%XXVl 3 FY02:95%FY01:94%FY00:92%FY99:90%@&FE%%&FE Uptodate_Mammograms_ <09  FY02:75%#&FE%%@&FE ##XVlX%&FE- #&FE%XXVl  : -2,B XX-FY01:70%FY00:67.5%FY99:65%@&FE%%&FE UptodateClinicalBreast #&FE%%@&FEӢ ##XVlX%&FEN #&FE%XXVl d"X? FY02:86%FY01:85.5%FY00:84%FY99:82.5%#XVlX%&FEX #&FE%XXVl 0\\\\%C\\\\ 0@&FE%%&FEFY02:FY01:FY00:4/02FY99:6/01FY95:88.5%FY02:FY01:FY00:4/02FY99:6/01FY95:62.5%FY02:FY01:FY00:4/02FY99:6/01FY95:80.5%#&FE%%@&FE/ ##XVlX%&FE #&FE%XXVl /\\\\A& U\\\\ /EnsurewomenreceivescreeningforcervicalandbreastcancerinFamilyPlanningclinics#XVlX%&FE5 #&FE%XXVl. L@ HRSAPlan ( #XVlX%&FE #pj&XXVlTheseclinicsserveapopulationthatisapproximately40%   minorityandnearlytwothirdshaveincomesbelow100%ofthepovertyleveland89%haveincomesbelow200%ofpovertylevel.#XVlX&pj #&FE%XXVl 0\\\\  \\\\A 0 Paptests  pd  FY02:3Million BreastExams  P D  FY02:3Million 0\\\\, \\\\ 0 Paptests  pd FY02:FY01:FY00:11/01FY99: 2.970million   FY98:2.937FY97:3.130 BreastExams  P D FY02:FY01:FY00:11/01FY99:2.812millionFY98:2.774FY97:2.961 /\\\\Axl "\\\\ /IncreasetheproportionoftheAmericanIndianandAlaskanNativefemalepopulationover40yearsofagewhoreceivemammographyscreening.IHSPlan 0\\\\|p&\\\\A 0FY02:2%overFY01#XVlX%&FE #&FE%XXVlԀFY  ' 01:3%overFY00FY00:3%overFY99FY99:establishbaseline 0\\\\XL+\\\\ 0FY02:FY01:FY00:14.73%#XVlX%&FE #pj&XXVlpasttwo . Ѐyears;provisional#XVlX&pj # |p/ FY99:baselinenot̀adequate /\\\\A1\\\\ /IncreasetheproportionofAmericanIndianandAlaskanNative&FE%XXVlԀ(AI/AN)womenwho l`3 receivePapscreening.IHSPlan 0\\\\XL4\\\\A 0 PapScreening  t5 FY02:2%overFY01FY01:3%overFY00FY00:3%overFY99FY99:establishbaseline CervicalCancer  ` T= FY99:determinèincidence 0\\\\" ?\\\\ 0FY02:FY01:FY00:11.9%#XVlX%&FE̬ #pj&XXVlpastyear#XVlX&pj #&FE%XXVl C Ѐ17.9%#XVlX%&FE #pj&XXVlpast3years#XVlX&pj] #&FE%XXVl D Ѐ#XVlX%&FE #pj&XXVlprovisionaldata#XVlX&pj #&FE%XXVl E FY99:baselinenot̀adequateFY99:810/100,000basedon40%ofAN/AN#XVlX%&FE` # "K    &FE%XXVl <\\\\'!#L \\\\ <0   Diabetes ;\\\\A&$@%4M \\\\ ;PercentageofCDCfundedStatediabetescontrolprogramsthatwilladopt,promote,andimplementpatientcareguidelinesforimprovingthequalityofcarereceivedbypersonswithdiabetes.CDCPlan 0\\\\ *$R\\\\A 0FY02:100%FY01:100%.FY00:100% 0\\\\h(\"U\\\\ 0FY02:FY01:FY00:6/01FY99:70%FY98:60% /\\\\A *$Z\\\\ /#XVlX%&FE< #&FE%XXVl@&FE%%&FEForallStatesthatreceiveCDCfundingfor pd comprehensivediabetescontrolprograms,increasethepercentageofdiabeticswhoreceiveanannualeyeexamandannualfootexam.CDCPlan#&FE%%@&FE ##XVlX%&FEس # 0\\\\ \\\\A 0&FE%XXVlFY02:72%Eye pd Ѐ62%Foot#XVlX%&FE^ #&FE%XXVl L@ FY01:72%Eyè62%FootFY00:#XVlX%&FEص #&FE%XXVlԀ72%Eye      62%Foot#XVlX%&FEZ #&FE%XXVl 0\\\\  \\\\ 0FY02:FY01:FY00:FY99:67.3%Eyè57.8%FootFY98:64.7%Eyè56.5%FootFY96:62.0%Eyè52.0%Foot#XVlX%&FEٶ # /\\\\A\\\\ /&FE%XXVlIncreasetheproportionofI/T/Uclientswith xl  diagnoseddiabetesthathaveimprovedtheir_glycemic_Ԁcontrol.IHSPlan 0\\\\0$ \\\\A 0 Ideal_Glycemic_ԀControl  xl  FY02:3#XVlX%&FE #%1XXVlyearaverageimproved#XVlX1%ℹ #&FE%XXVl TH  FY01:3#XVlX%&FE۹ #%1XXVlyearaverageimproved#XVlX1%; #&FE%XXVl 0$  FY00:3#XVlX%&FE #%1XXVlyearaverageimproved#XVlX1% #    &FE%XXVlFY99:25%   Good_Glycemic_ԀControl  ! FY99:38%#XVlX%&FE_ # 0\\\\h\"\\\\ 0&FE%XXVlFY02: dX $ FY01:FY00:7/01FY9799:24%#XVlX%&FEL #&FE%XXVlFY99:25% ( FY99:35%FY98:35%#XVlX%&FEʼ # /\\\\AD8,\\\\ /IncreasetheproportionofI/T/Uclientswithdiagnoseddiabetesandhypertensionthathaveachieveddiabeticbloodpressurecontrolstandards.IHSPlan 0\\\\xl0\\\\A 0&FE%XXVl IdealHypertensionControl  1 FY02:3#XVlX%&FEA #%1XXVlyearaverageimproved#XVlX1% #&FE%XXVl 2 FY01:3#XVlX%&FE #%1XXVlyearaverageimproved#XVlX1%x #&FE%XXVl l`3 FY00:3#XVlX%&FEϿ #%1XXVlyearaverageimproved#XVlX1%/ #&FE%XXVl H<4 #XVlX%&FE #&FE%XXVlFY99:41% 0\\\\7\\\\ 0FY02:FY01:FY00:7/01FY9799:37%FY99:36%#XVlX%&FE #&FE%XXVl ? 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FY97:#&FE%%&FE9 #&FE%%&FEԀ#XVlX%&FE # ( XXVl67.1%/50.9%*#XVlX(   #&FE%XXVl#&FE%%&FE # &FE%%&FE @  FY96#&FE%%&FEo #&FE%%&FE:65%/44.1% A #&FE%%&FE # &FE%%&FE FY95: #&FE%%&FE4 #&FE%%&FEԀ 61%#&FE%%&FE #&FE%%&FE/34.6%  thB  FY94:#&FE%%&FE #&FE%%&FEԀ59%#&FE%%&FE5 #&FE%%&FE/24.6% THC    #&FE%%&FE| # B+ 4 <DL!X!B&FE%%&FE*#XVlX%&FE* # XXVlincludescommunity  E dwellingbeneficiariesonly#XVlX r ##XVlXXXVl. # /\\\\A G\\\\ /&FE%XXVlTherateofvaccinationamongpersons>65  "H yearswillbeincreaseforinfluenzaand_pneumococcal_Ԁpneumonia.CDCPlan#XVlX%&FEH # #J  0\\\\x&l M\\\\A 0 &FE%XXVlInfluenza   "N FY02:74%FY01:72%FY00:70%FY99:60%#XVlX%&FE # |%pR  &FE%XXVl_Pneumococcal_ԀPneumonia  )#V FY02:66%FY01:63%FY00:60%FY99:54%#XVlX%&FE+ # ,&Z &FE%XXVl 0\\\\h-\'[\\\\ 0FY02:FY01:FY00:09/02FY99:09/01#XVlX%&FE #&FE%XXVlFY98:63% X&L a FY97:63%FY95:58%FY02:FY01:FY00:09/02FY99:90/01FY98:46%FY97:42%FY95:34%#XVlX%&FE #&FE%XXVl /\\\\A.(k\\\\ /Increaseoverall_pneumococcal_Ԁandinfluenzavaccinationlevelsamongdiabeticsandadultsaged65yearsandolder.IHSPlan#XVlX%&FEX #&FE%XXVl 0\\\\(\\\\A 0 Influenza  pd FY02:1%overFY01FY01:1%overFY00FY00:65%#XVlX%&FEk #pj&XXVl #XVlX&pj: #&FE%XXVl_Pneumococcal_     FY02:1%overFY01FY01:secureelectronic̀baselineFY00:65% 0\\\\ \\\\ 0FY02:FY01:FY00:30.7%#XVlX%&FE #pj&XXVl(new   baselinefromautomatedprocess)#XVlX&pj #&FE%XXVl x l FY98:63%#XVlX%&FE #pj&XXVl(baseline   fromdiabetesaudit)#XVlX&pj~ #   &FE%XXVlFY02: p d FY01:FY00:datasourcèinadequateFY98:63%#XVlX%&FE #pj&XXVl(baseline   fromdiabetesaudit)#XVlX&pj #&FE%XXVl /\\\\A !\\\\ /#XVlX%&FE #&FE%XXVlAchieveorsustainthefollowingimmunization  " coverageofatleast90%amongchildren19to35monthsofageforeachvaccine:L Ih(x0 !"#$%LL Ih((IL 3   3 2h  1  .3  0 [   4dosesofDiphtheriaTetanusPertussis XL% containingvaccine3  ݌ [[ Ќ   3   3 2h  2  .3  0 [   3dosesof_Haemophilus_Ԁ_influenzae_ ' typebvaccine3 ) ݌ [[ Ќ   3   3G 2h  3  .3  0 [   1doseofMeaslesMumpsRubella ) vaccine*3G r ݌ [[ Ќ   3   3B 2h  4  .3  0 [   3dosesofHepatitisBvaccine3B m ݌t+[[ Ќ   3   3' 2h  5  .3  0 [   3dosesofPoliovaccine3' R ݌\P,[[ Ќ   3   3 2h  6  .3  0 [   1doseofVaricellavaccine*3 1 ݌8,-[[ Ќ   3   3 2h  7  .3  0 [   &FE%%&FE4dosesof_Pneumococcal_ԀConjugate . vaccine*#&FE%%&FEm #3  ݌/[[ Ќ  # #P Ih((I P#XVlX%&FE #pj&XXVl**Performancetargetsfornewlyrecommendedvaccineswillbegin <#04 5yearsafterthe_ACIP_Ԁrecommendation.Thevaricellameasurewillbeginin2001,eventhoughcoverageisbeingreportedearlier.The_pneumococcal_Ԁconjugatemeasurewillbeginin2006,eventhoughcoveragewillbereportedearlier.#XVlX&pj #&FE%XXVlCDCPlan 0\\\\l+`%?\\\\A 0FY02:90%FY01:90%FY00:90%FY99:90% 0\\\\N\\\\ 0FY02:FY01:8/02FY00:Provisionaldata.Final08/011.83%2.94%3.91%4.90%5.90%6.63%*FY99:1.83%2.94%3.92%4.88%5.90%6.58%*FY98:1.84%L 8 !"#$%Yh(IL2.93%3.92%4.87%5.91%6.43%* /\\\\A+%k\\\\ /IncreasethepercentageofMedicaidtwoyearoldchildrenwhoarefullyimmunized.(Tobeachievedin3phasesforStategroupings.) 0 [ !0 [[Group1States    0 [ 0 [[(SetStatespecificmethodologyandbaseline:19992000;firstreport:2001)    0 [  [[ !0 [ Group2States[[ 0 [ 0 [[(SetStatespecificmethodologyandbaseline:20002001;firstreport:2002)    0 [  [[ !0 [ Group3States\P[[ 0 [ 0 [[(SetStatespecificmethodologyandbaseline:20012002;firstreport:2003)    _HCFA_ԀPlan 0\\\\##\\\\A 0&FE%%&FEFY02: #&FE%%&FE #&FE%%&FESecondReport#&FE%%&FE # &FE%%&FE  (  FY01:#&FE%%&FES #&FE%%&FEԀFirstReport#&FE%%&FE # &FE%%&FE  )  FY00:#&FE%%&FE #&FE%%&FEԀSet#&FE%%&FEe #Statespecific  * methodologyand&FE%%&FEbaseline#&FE%%&FE # &FE%%&FE x l+  FY99:#&FE%%&FE, #&FE%%&FEԀNotApplicable |p 2 #&FE%%&FE #&FE%%&FE#&FE%%&FE #  ?+ 4 <DL!X? &FE%%&FE FY02: #&FE%%&FE #&FE%%&FEFirstReport#&FE%%&FE # &FE%%&FE 8  FY01: #&FE%%&FE0 #&FE%%&FEԀSetbaseline#&FE%%&FE # &FE%%&FE x9  FY00:#&FE%%&FE #&FE%%&FEBegin#&FE%%&FEH #Statespecific `T: methodologyand&FE%%&FEbaseline <0; activities#&FE%%&FE #&FE%%&FE ?+ 4 <DL!X? #&FE%%&FE- #&FE%%&FE FY02: #&FE%%&FE #&FE%%&FESetbaseline#&FE%%&FE  # &FE%%&FE dXA  FY01:#&FE%%&FE^ # &)%%&FEԀ#&FE%)% & #&FE%%&FEԀBegin#&FE%%&FE #Statespecific D 8B methodologyand&FE%%&FEbaseline $!C activities#&FE%%&FE} # &FE%%&FE FY00:#&FE%%&FE #&FE%%&FEԀN/A#&FE%%&FE5 # &FE%%&FE "E  #&FE%%&FE # 0\\\\#F\\\\ 0&FE%%&FEFY02:   K   FY01: #&FE%%&FE  #&FE%%&FE  L #&FE%%&FE #&FE%%&FE  FY00:#&FE%%&FE #&FE%%&FEԀ13GroupI  M StatesdevelopedStatespecificmethodology,targetsandmeasuredbaselines.3StateswillcompletetheseeffortsinFY2001 #&FE%%&FE4 #&FE%%&FE FY99:#&FE%%&FE #&FE%%&FEIdentified xl U GroupIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FEc #&FE%%&FE Y ?+ 4 <DL!X? #&FE%%&FE #&FE%%&FE FY02:  [   FY01:  |p\  FY00: #&FE%%&FE #&FE%%&FEIdentified \P] GroupIIStates.BegandevelopingStatespecificmethodologyandbaselines#&FE%%&FEI # &FE%%&FE b #&FE%%&FE #&FE%%&FE  ?+ 4 <DL!X? #&FE%%&FEN! #&FE%%&FE FY02:  dXd   FY01:  @ 4e  FY00: #&FE%%&FE! #&FE%%&FEԀN/A#&FE%%&FE" # &FE%%&FE "h #&FE%%&FE" #  &FE%%&FE FY99:#&FE%%&FE2# #&FE%%&FEԀN/A#&FE%%&FE}# # &FE%%&FEԀ #&FE%%&FE# # /\\\\A#i\\\\ /IncreasetheproportionofAmericanIndianandAlaskanNativechildrenwhohavecompletedallrecommendedimmunizationsbytheagetwo.IHSPlan 0\\\\'!m\\\\A 0FY02:1%overFY01FY01:1%overFY00FY00:2%overFY99FY99:91% 0\\\\'!q\\\\ 0FY02:FY01:FY00:86%pj&%&FE12/12Areas#&FE%&pj% # & t FY99:89%pj&%&FEԀ12/12Areas#&FE%&pj& # '!u Ѐ87%pj&%&FE11/12#&FE%&pjv& #Ԁpj&%&FEAreas#&FE%&pj& # ("v FY98:88%pj&%&FE11/12Areas#&FE%&pj%' #3\\\\t)h#w\\\\ 3p   OrganDonations/BoneMarrowRegistry ;\\\\A&$pd \\\\ ;@&FE%%&FEIncreaseby5%peryearthenumberoforgan  donorsnationally#&FE%%@&FE&( #.HRSAPlan 0\\\\\\\\A 0@&FE%%&FEFY02:6,728  FY01:6,408FY00:6.589FY99:#&FE%%@&FE) #Ԁ5,990 0\\\\t h\\\\ 0@&FE%%&FEFY02:5/03  FY01:5/02FY00:5/01FY99:5,849FY98:5,801#&FE%%@&FE) # /\\\\A,  \\\\ /Increaseby5%thenumberofunrelatedbonemarrowdonors(nationalregistryofpotentialdonors)overpreviousyeartotals.HRSAPlan 0\\\\TH \\\\A 0FY02:4.45MdonorsFY01:4.24MFY00:4.04MFY99:2.84M 0\\\\0$ \\\\ 0FY02:10/02FY01:10/01FY00:4.15MdonorsFY99:3.76MFY98:3.36MFY96:2.58M'   <\\\\'!  \\\\ < ,   DisseminationofProtocols/Guidelines ;\\\\A&$4( \\\\ ;@&FE%%&FEBasedonestablishedcriteria,continueto  publishtheMorbidityandMortalityWeekly t Reports(_MMWR_)seriesofpublications \P includingReportsandRecommendations,SurveillanceSummaries,andtheAnnualSummarytocommunicatemajorpublichealtheventstothemedia,publicpolicymakersandhealthprofessionalsthroughmultiplemediachannelsprint,television,radio,interactiveWorldWideWeb.#&FE%%@&FE, #CDCPlan 0\\\\`T&\\\\A 0@&FE%%&FEFY02:86issues ' FY01:86issuesFY00:81issuesFY99:77issues#&FE%%@&FEL/ # 0\\\\8,*\\\\ 0@&FE%%&FEFY02: + FY01:FY00:81issuesFY99:77issuespublished.AlsoavailableonCDCInternetsite.#&FE%%@&FE0 #(1 , \\\\ (*rsd-d[SS [ SS  SS pq(#(#,-SS +  !\\\\ l`1 !a, (2 \\\\ ( Seealso:   3 L - !"#$%@hh8 !"#$%L 3   3o2 2@3  0    Objective1.7,ReducetheIncidenceandImpactofInfectiousDiseases3o2 2 ݌p"d5(#(# Ќ   3   3h3 2@3  0    Objective3.3,IncreasetheAvailabilityofPrimaryHealthCareServicesfor_Underserved_ L#@6 Populations3h3 3 ݌ (#(# Ќ   3   34 2@3  0    Objective3.4.ProtectandImprovetheHealthandSatisfactionofBeneficiariesinMedicareand %8 Medicaid34 4 ݌ (#(# Ќ   3   35 2@3  0    Objective3.6,ImprovetheHealthStatusofAmericanIndiansandAlaskanNatives35 5 ݌& :(#(# Ќ   3   36 2@3  0    Objective3.7,ImprovetheManagementandEffectivenessofServicesfortheTreatmentand '!; managementofHIV/AIDS36 7 ݌ (#(# Ќ  L - !"#$%@hh- !"#$%L  P)D#= iUt5%!`z  `E`ttx 3i (#(#     (#(#iU5%!`z  `E`ttx 3iiUC5%!`z  `E`ttx 3iiU5%!`z  `E`ttx 3i-,X,hXX-&FE%%&FE&%&FE T#&FE%&Z; #XVlX%&FE hese#&FE%XXVl; #XVlX%&FEԀareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff  L divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#&FE%XXVl; ##&FE%%&FE;; #  8 @&FE%%&FE*_uv dd-SS -rs(#(#_,[SS ,SSS ,SS +  &\\\\G   &   PerformanceGoals 8\\\\A#!$ d  \\\\G 8>   Targets 8\\\\A#!$ d  \\\\A 8  ActualPerformance =\\\\A(&@    \\\\A =ImproveaccesstocareforelderlyanddisabledMedicarebeneficiarieswhodonothavepublicorprivatesupplementalinsurance._HCFA_ԀPlan 0\\\\(h \\\\A 0K+ 4 <DL!,X,hXK #&FE%%@&FE= #&FE%%&FE FY02: #&FE%%&FE=A #&FE%%&FE_TBD_#&FE%%&FEA # &FE%%&FE p   FY01:#&FE%%&FEA #&FE%%&FEԀ ( %&FEExceed ,l  nationalenrollmentgrowthratescollectivelyinareasunder_HCFA_outreachandenrollmentgrant;Increaseenrollmentby4percentagepointsinStateswhereFY2000targetwasnotmet#&FE%(  zB ##&FE%%&FEYB # &FE%%&FE   FY00:#&FE%%&FEC #&FE%%&FEԀIncrease X enrollmentby4percentagepointsnationally#&FE%%&FE4D # q=0&FE%%&FE q=0#&FE%%&FED #&FE%%&FE FY99:#&FE%%&FE4E #&FE%%&FEԀEstablish $ target#&FE%%&FEE # 0\\\\%\\\\ 0&FE%%&FEFY#&FE%%&FEF #&FE%%&FEԀ02:  p &  FY01:  (h (   FY00:#&FE%%&FE\F #&FE%%&FEԀGoalmet,5,499,349 3 dualeligiblebeneficiaries,a4.4%enrollmentincrease#&FE%%&FEF # &FE%%&FE T5     FY99: #&FE%%&FEG #&FE%%&FEGoalmet,target (8 established*5,270,000dualeligiblebeneficiaries.#&FE%%&FE!H #  q=0&FE%%&FE FY98:#&FE%%&FEH #&FE%%&FEԀ5,167,000dual \"< eligiblebeneficiaries#&FE%%&FE-I # &FE%%&FE 8#x= (baseline)pj&%&FE*FY98&99dataapproximatedbased  %`!? ontrendof2%increaseperyear#pj&&pjI # /\\\\A%!@\\\\ /&FE%&pjFortheKnowledgeExchangeNetworkfor pd informationaboutmentalhealthtreatmentandservices:SAMHSAPlan ( IncreaseusefulnessofKENinformation.Increaseinformationrequests[(800)number]. Increasepublicationsdistributed.Increasewebsitecontacts. 0\\\\0$\\\\A 0FY02:10%increaseFY01:10%increaseFY00:EstablishBaselineFY02:10%increaseFY01:10%increaseFY00:10%increaseFY99:10%increaseFY98:10%increaseFY97:10%increaseFY02:10%increaseFY01:10%increaseFY00:10%increaseFY99:10%increaseFY98:10%increaseFY97:10%increaseFY02:10%increaseFY01:10%increaseFY00:10%increaseFY99:10%increaseFY98:10%increaseFY97:10%increase 0\\\\$7\\\\ 0FY02:FY01:FY00:69%FY02:FY01:FY00:52,252(2%)FY99:52,303(+89%)FY98:27,642(+3%)FY97:26,603(+158%)FY96:10,324FY02:FY01:FY00:549,955(+87%)FY99:293,572(+109%)FY98:139,912(+30%)FY97:107,087(+98%)FY96:53,932FY02:FY01:FY00:706,919(+94%)FY99:363,973(+119%)FY98:179,690(+127%)FY97:79,093(+612%)FY96:11,108 /\\\\A%V\\\\ /ImproveAmericanIndianandAlaskanNativeconsumersatisfactionwiththeacceptabilityandaccessibilityofhealthcareasmeasuredbyIHSconsumersatisfactionsurvey.IHSPlan 0\\\\)#Z\\\\A 0FY02:securebaseline@&FE%%&FEFY01:secureOMB $("\ clearanceFY00:OMBclearanceandestablishbaseline#&FE%%@&FEP #@&FE%%&FE *$_ FY99:developinstrumentandprotocol 0\\\\-'b\\\\ 0FY02:FY01:FY00:submittedbutclearancenotcompletedFY99:Completed#&FE%%@&FEQ # /\\\\A`-T'i\\\\ /IncreaseaccesstoHHSservicesforlimited Englishproficient(_LEP_)persons(compliancewithTitleVIbyrecipientsofFederalfinancialassistance).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan@&FE%%&FE 0\\\\t h\\\\A 0#&FE%%@&FE'T #FY02:423 pd  FY01:413@&FE%%&FE |p   0\\\\| \\\\ 0#&FE%%@&FET #FY02: pd  FY01:FY00:403(baseline)@&FE%%&FE | #&FE%%@&FEU #@&FE%%&FE  1'%    \\\\ 1 Seealso:   L & !"#$%dxh- !"#$%L 3   3V 2d3  0    Objective5.2,ImprovetheSafetyofFood,Drugs,MedicalDevices,andBiologicalProjects3V V ݌  (#(# Ќ  iUw5%!`z  `E$tt< i (#(#   (#(#iU5%!`z  `E$tt< iiUE5%!`z  `E$tt< iiU5%!`z  `E$tt< i-,X,hXX-#&FE%%@&FEU #&FE%%&FE XVlX%&FET heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff $ divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVlWZ ##&FE%XXVlyZ #   *xy dd[SS [SSS SSS uv(#(#,SS ,SSS ,SS +  &\\\\G   &  PerformanceGoals 8\\\\A#!8 x  \\\\G 8  Targets 8\\\\A#!8 x  \\\\A 8  ActualPerformance =\\\\A(&D    \\\\A =@&FE%%&FEDecreasethensustainthereducedprevalenceofthe   useofphysicalrestraintsinnursinghomes.   _HCFA_ԀPlan,_AoA_ԀPlan#&FE%%@&FE{^ #    0\\\\\\\\A 0&FE%%&FEFY02: #&FE%%&FE_ #&FE%%&FEԀ10%#&FE%%&FE;` # &FE%%&FE    FY01:#&FE%%&FE` #&FE%%&FEԀ10%   #&FE%%&FE` # &FE%%&FE FY00: #&FE%%&FECa #&FE%%&FEԀ 10%   #&FE%%&FEa # &FE%%&FE FY99: #&FE%%&FEa #&FE%%&FEԀ14%#&FE%%&FEEb #@&FE%%&FE 0\\\\ \\\\ 0#&FE%%@&FEb #&FE%%&FEFY02:     FY01:      FY00:#&FE%%&FEb #&FE%%&FEԀ9.8%#&FE%%&FEc #&FE%%&FEԀ(Interim)      FY99:#&FE%%&FEc #&FE%%&FEԀ11.9%  #&FE%%&FEUd # &FE%%&FE FY96:#&FE%%&FEd #&FE%%&FEԀ17.2%#&FE%%&FEe #Ԁ $ (baseline)@&FE%%&FE /\\\\A \\\\ /Reducetheprevalenceofpressureulcers(bedsores)amongpatientsinnursinghomes. X _HCFA_ԀPlan,_AoA_ԀPlan#&FE%%@&FEye #@&FE%%&FE 0\\\\$d\\\\A 0#&FE%%@&FEf #&FE%%&FEFY02: #&FE%%&FE!g #&FE%%&FEԀ9.5%#&FE%%&FEpg # &FE%%&FE <|   FY01: #&FE%%&FEg #&FE%%&FEԀ9.6% L! #&FE%%&FE!h # &FE%%&FE FY00:#&FE%%&FEh #&FE%%&FEԀEstablish \" baseline/targets#&FE%%&FEh # &FE%%&FE FY99:#&FE%%&FEBi #&FE%%&FEԀNewin2000#&FE%%&FEi # D$ @&FE%%&FE 0\\\\P%\\\\ 0#&FE%%@&FEi #&FE%%&FEFY02:  <|&  FY01:  H'   FY00: #&FE%%&FEcj #&FE%%&FEԀ9.8%#&FE%%&FEj # &FE%%&FE (baseline)  T( #&FE%%&FEJk #&FE%%&FE FY99: #&FE%%&FEk #&FE%%&FEԀ N/A#&FE%%&FEl # l* @&FE%%&FE /\\\\A|+\\\\ /FortheAdministrationonAgingsOmbudsmanprogram,maintaintheresolution/partialresolutionrateforcomplaintsinvolvingnursinghomes. . _AoA_ԀPlan 0\\\\/\\\\A 0FY02:70%FY01:70%FY00:70%FY99:71.48% 0\\\\ P3\\\\ 0FY02:FY01:FY00:11/01FY99:74.3%FY98:70.6%FY97:72.1%FY96:74% /\\\\A4#t:\\\\ /Sustainimprovedlaboratorytestingaccuracy.̀!0 / Percentagesfromlaboratoriesenrolledin | proficiencytesting(PT)withnofailures. // ̀!0 / Laboratoriesproperlyenrolledandparticipating   inPT. //  _HCFA_ԀPlan 0\\\\ \\\\A 0CY02:90%#&FE%%@&FE_l #CY01:90%   CY00:90%CY99:@&FE%%&FEԀ90%#&FE%%@&FEp #@&FE%%&FE   #&FE%%@&FEp #CY02:95%CY01:95%CY00:95%CY99:@&FE%%&FEԀ95%#&FE%%@&FEaq #@&FE%%&FE 0\\\\H \\\\ 0#&FE%%@&FEq #CY02: | CY01:CY00:91.7%CY99:@&FE%%&FEԀ91.3%  " CY98:88.1%CY97:88.6%CY96:87.4%CY95:69.4%0  #&FE%%@&FEPr #@&FE%%&FE ' " " #&FE%%@&FEs #CY02:  ( CY01:CY00:96.4%CY99:@&FE%%&FEԀ95.4% + CY98:94.8%CY97:94.4%CY96:93.2%CY95:89.6%#&FE%%@&FEs # /\\\\AH /\\\\ /Maintain100%accreditationofallIHShospitalsandoutpatientclinics.IHSPlan 0\\\\X1\\\\A 0FY02:100%FY01:100%FY00:100%FY99:100% 0\\\\5\\\\ 0FY02:FY01:FY00:100%FY99:100%FY98:100% /\\\\A:\\\\ /IncreasethenumberofcomplaintsofabusethatareaddressedundertheProtectionandAdvocacyforIndividualswithMentalIllnessprogram.SAMHSA "= Plan 0\\\\">\\\\A 0FY02:19,300FY01:11,100FY00:9,650FY99:9,000 0\\\\$LC\\\\ 0FY02:FY01:FY00:3/01FY99:8,147FY98:8,687FY97:8,360 /\\\\A%XI\\\\ /Increaseaccessforminoritiesandpersonswithdisabilitiestonondiscriminatoryservicesinmanagedcaresettings(managedcareplanscompliancewithTitleVI,Section504andtheAmericanswithDisabilitiesAct).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan@&FE%%&FEԀ 0\\\\-'R\\\\A 0FY02:89FY01:87 0\\\\)"U\\\\ 0FY02:FY01:FY00:85(baseline)̀ /\\\\A(*#Y\\\\ /#&FE%%@&FEx #IncreaseaccesstoHHSservicesforlimitedEnglish d  proficient(_LEP_)persons(compliancewithTitleVIbyrecipientsofFederalfinancialassistance).Measure:Increasednumberofcorrectiveactions,noviolationfindings,reviews,outreachactivities,consultations/technicalassistanceandpartnerships.OCRPlan@&FE%%&FE 0\\\\ \\\\A 0#&FE%%@&FE{ #FY02:423 d FY01:413@&FE%%&FE p   0\\\\| \\\\ 0#&FE%%@&FE#| #FY02: d  FY01:FY00:403(baseline)@&FE%%&FE |  #&FE%%@&FE| #@&FE%%&FEU   8\\\\A#!  \\\\ 8Increasenumberofcollaborativeactivities(workshops,publicationsandotherresourcematerialsproduced)thatassistinstitutionsto(1)promoteintegrityinthehealthscienceresearchenterprise,and(2)developadministrativeprocessesthateffectivelyrespondtoallegationsofscientificmisconduct._OPHS_ԀPlan 0\\\\`$ \\\\A 0FY02:4workshopsand2resources#&FE%%@&FE8} #@&FE%%&FEFY01:4workshops   and2resourcesFY00:4workshopsand2resources 0\\\\ \\\\ 0FY02:FY01:FY00:5workshops̀1resourceFY99:6workshops̀1resource /\\\\AP#\\\\ /#&FE%%@&FE #@&FE%%&FEIncreasepercentofinstitutionalpoliciesfor $ respondingtoallegationsofscientificmisconductthathavebeenreviewedforcompliancewiththeFederalregulation42_CFR_ԀPart50,SubpartA.#&FE%%@&FE # T' _OPHS_ԀPlan 0\\\\l0(\\\\A 0FY02:45%FY01:40%FY00:40% 0\\\\+\\\\ 0FY02:FY01:FY00:37%FY99:35%( / \\\\ (  x</ iUz5%!`z `E`ttx Fi (#(#     (#(#iU5%!`z `E`ttx FiiUG5%!`z `E`ttx FiiU5%!`z `E`ttx Fi9,X,hX,X,hX9&FE%%&FE XVlX%&FET heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff  < divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl ##&FE%XXVl. #   *{|d dSS SSS SSS xy(#(#, SS ,[SS ,'SS +  &\\\\G  ,  &  PerformanceGoals 8\\\\A#!_  \\\\G 8  Targets 8\\\\A#!_  \\\\A 8  ActualPerformance =\\\\A(&k    \\\\A =Establishfutureresearchagendabasedonusersneeds._AHRQ_ԀPlan. 0\\\\\\\\A 0Accomplishthefollowingbasedonconsultationwithvariousgroups:FY02:AgencyresearchagendacoveringstrategicgoalareasforFY2002prioritiesisdocumentedbasedonconsultationswithvariousgroups.FY01:AgencyresearchagendacoveringstrategicgoalareasforFY2001priorities(patientsafetyand_informatics_)isdocumented.FY00:Agencyresearchagendacoveringthe3strategicresearchgoalsandthenewFY2000closingthegapinitiativesaredocumented.FY99:Agencyresearchagendacoveringthe3strategicresearchgoalsisdevelopedanddocumented. 0\\\\!$\\\\ 0FY02:FY01:FY00:CompletedFY99:Completed /\\\\A!5\\\\ /Evaluatetheimpact_AHRQ_sponsoredproductsinadvancingmethodstomeasureandimprovehealthcare._AHRQ_ԀPlan     0\\\\\\\\A 0FY02:L ` !"#$%Vhx& !"#$%L? cu?,X,X,hX? 3   3 2V"3  0 <   Evaluateprivatesectoruseofatleast5 p _AHRQ_Ԁfindings.3 ݌ <c<c Ќ   3   3 2V"3  0 <   Useofevidencereportsandtechnology  X assessmentstocreatequalityimprovementtoolsinatleast10organizations.3 Đ ݌ <c<c Ќ  FY01:L a !"#$% hh` !"#$%L 3   3 2 "3  0 <   Useofevidencereportsandtechnology s (! assessmentstocreatequalityimprovementtoolsinatleast10organizations.3 K ݌ <c<c Ќ  FY00:L h !"#$% hha !"#$%L 3   3 2 "3  0 <   Useofevidencereportsandtechnology C % assessmentstocreatequalityimprovementtoolsinatleast10organizations.3 ғ ݌ <c<c Ќ   3   3۔ 2 "3  0 <   ConsumerAssessmentofHealthPlanStudy  ( (_CAHPS_)hasassistedtheHealthCareFinancingAdministrationininformingMedicarebeneficiariesabouttheirhealthcarechoices.3۔  ݌ <c<c Ќ   3   3g 2 "3  0 <   FY993g ݌8-<c<c Ќ   3   3 2 "3  0 <   Developandinitiateevaluationstudiesonthe D. qualityandusefulnessoftheevidencereportsandtechnologyassessmentsproducedbytheEvidencebasedPracticeCenters3 K ݌ <c<c Ќ   3   3 2 "3  0 <   Resultsoftheevaluationofthe_CAHPS_Ԁwill /2 beusedtoimprovetheusabilityandusefulnessofthetool.Findingsareexpectedtoshowwhetherinformationincreasesconsumerconfidencewhenchoices.3 ݌ :\\\\'" T6<c<c\\\\ :Ќ  L & !"#$%dxhh !"#$%LFY02:FY01:FY00:16exampleslistedCompleted.FY99:Finalreportreceivedin06/00XVlX%&FE cJ (o$K  \\\\ ( Seealso:  "|L B,XX4,hXcu?,XB 3   3Ǜ 2d3  0    Objective6.5StrengthenandDiversitytheBaseofWellQualifiedHealthResearchers< 3Ǜ ݌ $N(#(# Ќ  _<_  miiIiix<,X,X,XX4,hX<iUo5%!`z  `E`ttx 3 i (#(#    (#(#iU5%!`z  `E`ttx 3 iiUJ5%!`z  `E`ttx 3 iiU5%!`z  `E`ttx 3 i &XXVlI#XVlX& # nadditiontobehavior,access,andquality,thevitalityofthepublichealthsystemintheUnited L  StatesisessentialtoensuringandimprovingthehealthofAmericans.Therefore,Goal5isconcernedwithmakingsuretheinfrastructureofthepublichealthsystemissound.     4   Weaknessesinthepublichealthinfrastructurehavebeendocumentedsincethe1988reportfromtheInstituteofMedicine,TheFutureofPublicHealth(NationalAcademyofSciences,_IOM_,CommitteefortheStudyoftheFutureofPublicHealth;DivisionofHealthCareServices,1988).Mostrecently(February1999),aGeneralAccountingOfficestudyreportedthatoverhalfofstatepublichealthlaboratoriesdonotconducttestsforsurveillanceofhepatitisCandpenicillin-resistantS.pneumoniae.Accordingtothestudy,justoverhalfofthestatepublichealth  ` laboratorieshaveaccesstoadvancedmoleculartechnology.Thestudyreportedthatpublichealthdirectorsbelievethattherearenotenoughlaboratorystaffwhocanperformtestsandthatthereareinsufficientnumbersofepidemiologystaffwhocananalyzedataandtranslatesurveillanceinformationintodiseasepreventionandcontrolactivities.ThelaboratoriesattheCentersforDiseaseControlandPreventionandtheFoodandDrugAdministrationareovercrowded.OtherdataindicatethatStateandlocalpublichealthstaffhavelimitedaccesstotechnology.Forexample,only48percentoflocalhealthdepartmentdirectorshavecontinuoushighspeedInternetaccess.     4    h         &XXVlg}   SUMMARYPERFORMANCEREPORT    HHSStrategicGoal5 #XVlX&̧ # D  XVlXXXVl&XXVl T #XVlX&Ǩ #heseareselectedperformancestoriesfromtheperformanceplansoftheHHSoperatingand  staffcomponentsthatsupportkeyareasrelatedtotheachievementofthisstrategicgoal.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplan.#XVlXXXVl # l   SAFETYANDEFFECTIVENESSOFFOOD,DRUGS,ANDMEDICALPRODUCTS    L 0 !"#$%xx& !"#$%L 3   3U 23  0    PreventiveControlSystems!_HAACP_. FDAensuresthesafetyofthefoodsupplythrough 8  theimplementationoffoodsafetystandardsatallpointsalongthefoodproductionchain.Preventivecontrolsystemssuchasthe_HACCP_Ԁ(HazardAnalysisCriticalControlPoint)allowmanufacturersandfoodpreparerstoidentifypointsintheprocesswheresafetyproblemscanoccurandestablishmeasurestopreventthem.InFY1999,FDAsetatargettoensurethat50percentofthedomesticseafoodindustryhadfunctioning_HACCP_Ԁsystems.Althoughfewerthan50percentoftheseprocessorsmetallthecriteriaforoperatingafunctioning_HACCP_system,only4percentofthefirmsinspectedwarrantedregulatoryactionduetoproblemsthatraisesignificantpublichealthconcerns.Inevaluatingthepublichealthoutcomesof_HACCP_implementationinthisindustry,FDAhasmettheintentofusing_HACCP_ԀasastrategytopreventmicrobialcontaminationofseafoodproducedintheUnitedStates.3U ݌ (#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3 23  0    Surveillanceof_Foodborne_ԀIllness. Improvingtheabilityofpublichealthagenciestomonitor l _foodborne_ԀillnessisakeycomponentoftheFoodSafetyInitiative.CDChasmadesubstantialprogressinimprovingfoodsafetythroughcollaborationswithFederal,State,andlocalgovernmentpartnersandwithpublicandprivatesectorpartners.CDCledthedevelopmentandimplementationofimpressive_foodborne_Ԁdiseasesurveillancesystems.Thesedatawillhelpineffectivelytargetingresourcesandimprovingpreventionmethods.Forexample,the_PulseNet_ԀlaboratoryDNAfingerprintingnetwork(in48publichealthlaboratories)providesearlydetectionof_foodborne_ԀdiseaseoutbreakswithinandbetweenStates.CDCmetitsgoalofexpandingthenumberoflabsusing_PulseNet_Ԁto40andanticipatesthat45laboratorieswillbeparticipatinginFY2001.3 . ݌ (#(# Ќ   3   3޵ 23  0    _Premarket_ԀReview!Timeliness. XVlXXXVlԀFDAhasconsistentlymetorexceededitsgoalsfor &4## _premarket_ԀreviewestablishedbythePrescriptionDrugUserFeeAct.Forexample,FDAmetitsFY1999targettoreviewandcompletefirstactionon90percentofstandardoriginalNewDrugApplicationsubmissionsontime(within12monthsofreceipt),andexpectstomeetitsFY2000targetof90percent.CompletionofontimereviewswillallowFDAtobringagreaternumberofnewproductstomarketeachyear.In2000,FDAapprovedseveralnewdrugs,including:_FocalSeal_ԄLSurgicalSealantwasapprovedasasurgicalsealantforuseinlungstosealairleaksfollowingremovalofcancerouslungtumors;andthedrug_Kaletra_,whichisoneofaclassofAIDSdrugscalledproteaseinhibitorsforusebyadultsandbyHIVinfectedinfantsandchildrenwhoareolderthansixmonths.3޵ ݌D/+,(#(# Ќ  #XVlXXXVl # L 0 !"#$%xx0 !"#$%L 3   3( 23  0    _Premarket_ԀReview!Conformance. FDAhasestablishedperformancegoalsforconformance  withFDArequirementsasindicatorsoftheagencyssuccessinensuringthequalityandaccuracyof_mammograms_.FDAhasconsistencymetitsgoalforensuringthat97percentofmammographyfacilitiesmetwithinspectionstandards,withlessthan3percentoffacilitieswithseriousinspectionproblems.PerformancedataindicatethatFDAachievedaconformancerateof97percentinFY1997,FY1998,FY1999,and2000.Thiswasthethirdconsecutiveyearofachievingthishighstandard.Inspectiondatacontinuetoshowfacilitiescompliancewiththenationalstandardsandinthequalityofxrayimages.3( S ݌ (#(# Ќ  P 0 !"#$%xx0 !"#$%ܺ P 3   3> 23  0    _Postmarket_ԀSurveillanceAdverseEventReporting. Toensurethesafetyofdrugsthatare   alreadyonthemarket,FDAimplementedanadverseeventreportingsystem.FDAevaluatesspontaneousreportingdatafromtheAdverseEventReportingSystem(_AERS_)toidentifyanyserious,rare,orunexpectedadverseeventsoranincreasedincidenceofevents.Basedonitsevaluation,FDAmaydecidetodisseminateriskinformation,suchasDearHealthcareProfessionalletters,andmayinitiateregulatoryaction.The_AERS_Ԁhasbeenoperationalfornearlythreeyears.InCY1999,over275,000IndividualSafetyReports(_ISRs_)werereceivedforentryintothe_AERS_Ԁofwhichover82,000(30percent)representedseriousandunexpectedevents.InCY2000,261,000_ISRs_Ԁwerereceivedforentryinto_AERS_.InNovember1998,FDApublishedanAdvancedNoticeofProposed_Rulemaking_ԀforElectronic  Reportingof_Postmarketing_ԀAdverseDrugReactionsthatwouldrequiremanufacturersof  marketedhumandrugstosubmit_ISRs_Ԁtotheagencyelectronically.Inresponse,FDAsetaFY1999goaltoimplement_AERS_ԀfortheelectronicreceiptandreviewofvoluntaryandmandatoryAdverseDrugEvent(_ADE_)reports.InFY1999,FDAconductedapilotprogramforelectronicsubmissionofISRsinvolvingmanufacturerswithapprovedproducts.Inaddition,FDAdevelopedandpilotedanAERSdataretrievalsystemtoprovidereviewerswithquickaccesstotheAERSdataandreducetheirrelianceonhardcopyreports.InFY2000,thepilotprogramtoincreaseparticipationinelectronicexpeditedreportingisongoing.Regulationrequiringthatadverseeventreportsbecodedusingstandardizedinternationalterminology(i.e.,MedicalDictionaryforRegulatoryActivities(MedRA)),isontargettobereleasedthisyear.3> i ݌ (#(# Ќ  PUBLICHEALTHSYSTEMSANDSURVEILLANCE  T#! L 0 !"#$%xx0 !"#$%L XVlXXXVlb 0 !"#$%(xx0 !"#$%b 3   3 23  0    PublicHealthInfrastructure. InNovember2000,Congresspassedthelandmark,bipartisan  %!# FristKennedyPublicHealthImprovementAct ,mandatingimmediateactionstoremedy |&"$ deficienciesinpublichealthsystemsandinfrastructure.CDCsstrategytoimprovepublichealthisbuiltontheserecommendationsandencompassesfiveapproaches!acombinationof broadbased effortstobuildcorepublichealthcapacitiesand targeted programstoaddress D)%' areasofspecialneed.Throughthesestrategies!andinconcertwithourexternalpublichealthpartners!CDCiscommittedtoimprovingpublichealthatalllevels.#XVlXXXVlg #3  ݌ +`')(#(# Ќ  XVlXXXVlL & !"#$%dxx0 !"#$%L 3   0  3$ 2d3  0(#(#  Strengtheningpublichealthpractice bystrengtheningthemajorcomponentsofthe X-)+  publichealthinfrastructure thatundergirdspublichealth:thepublichealthworkforce; H.*, publichealthdepartmentsandlaboratories;andpublichealthsinformation,communications,andknowledgemanagementsystems;3$ [ ݌ (#(#    3   0  3Y 2d3  0(#(#  Stimulatingextramuralpreventionresearch todiscoverhowthelatestbiomedical  researchcanbeappliedinourlocalcommunitiesandtosupplythosewhoworkonthefrontlinesofpublichealthwithevidenceof whatworks;3Y ݌ (#(# Ќ   3   0  3' 2d3  0(#(#  Eliminatingracialandethnichealthdisparities tocloseseriousgapsinhealthstatusby   developingtargetedpublichealthinterventionsandtestingtheireffectivenessinracialand   ethnicminoritycommunitieswheretheywillhavethegreatestimpact;and3' ^ ݌ (#(# Ќ   3   0  3 2d3  0(#(#  Buildingthe NationalElectronicDiseaseSurveillanceSystem toeffectivelyintegrate   diseasedetectionandmonitoringandensurerapidreportingand_followup_;3 T ݌ (#(# Ќ   3   0  3 2d3  0(#(#  BuildingcrosscuttingcapacitiesandexpertiseatCDC tosupportkeycomponentsof    allcategoricalpreventionprograms.3 ݌ (#(# Ќ  # #P 0 !"#$%xx& !"#$% P#XVlXXXVl #b E !"#$%(px0 !"#$%b _BIOTERRORISM_  ,  L & !"#$%dxpE !"#$%L 3   3 2d3  0    Countering_Bioterrorism_. Inresponsetothegrowingthreatofbiologicalterrorism,CDC $d hasfocusedonstrengtheningthepublichealthcapacityattheFederal,Stateandlocalleveltorespondtoaterroristevent.InFY2000,CDCfunded11StatesorlocalitiesinPreparedness&Responseplanningactivities,expandedepidemiologyandsurveillancecapacityto55healthdepartments(exceedingatargetof40healthdepartments),andincreasedthenumberoflaboratoriesparticipatingintheNationalLaboratoryResponseNetwork(_NLRN_)to43.InFY2001,CDCstargetisfor80laboratoriestoparticipateinthe_NLRN_.Inaddition,CDCwillmaintaintheNationalPharmaceuticalStockpileforbiologicalorchemicalagents,includingtheabilitytomedicallytreat1millionciviliansfrombiologicalagentsofanthrax,plague,andtularemiaand/ormedicallytreat10,000civiliansfromchemicalattackusingnerveorblisteringagents.3 ݌ (#(# Ќ   3   3 2d3  0    XVlXXXVl NationalPharmaceuticalStockpile(_NPS_)Program. 󀀀Inresponsetotheneedfor  medication,antidotes,andmedicalsuppliesduringoraftera_bioterrorism_Ԁact,theDepartmenthasmadeacommitmenttodevelopandmaintainaNationalPharmaceuticalStockpileProgram.CDCs_NPS_ԀProgrammaintainsaphysicalstockpileofadequatemedicalandresponsesuppliesthatarestrategicallylocatednearpopulationcentersorataircargotransporthubs.Thisapproachfacilitatesdeploymentintheeventofa_bioterrorism_Ԁincidentorotherpublichealthemergencyin12hours.DuringFY2000thephysicalstockpilehasbecomefullyoperationalandreadyfordeployment,henceachievingCDCtargets.InFY2001andFY2002,CDCwillfocusitseffortsonthemaintenanceofthe_NPS_.3 ݌ (#(# Ќ   3   3 2d3  0    #XVlXXXVl # MetropolitanMedicalResponseSystem. _OPHS_ԀmanagesandcoordinatestheFederal 4(t$% health,medicalandhealthrelatedsocialserviceresponseandrecoverytomajoremergencies,Federallydeclareddisastersandterroristacts.Assuch,_OPHS_ԀdirectstheMetropolitanMedicalResponseSystem(_MMRS_)developmentprogram,whichprovidesamechanismtoforgealocalintegratedresponsewhichlinksmultiplelocal,StateandFederalagenciesaswellasprivatehealthcareinstitutionsthatwillserveastheinitialresponderstoanyweaponofmassdestruction(_WMD_)event._MMRS_Ԁthataddressthehealthconsequencesofthereleaseofaweaponofmassdestruction(_WMD_)wereinitiatedin20additionalareasin2000,bringingthetotalto72,meetingtheFY2000target.InFY1999,twentynew_MMRS_Ԁdevelopment /+- contractswereinitiatedincities.DuringFY2000,25contractmodificationsweremadetoaddfundingfor_bioterrorism_ԀcapabilitiestothesystemsbegunduringFY1999,bringingthetotalnumbertothetargetof47.3 J ݌ (#(# Ќ  iU}5%!`z  `Ett o!i (#(#     (#(#iU5%!`z  `Ett o!iiUL5%!`z  `Ett o!iiU5%!`z  `Ett o!i9,X,hX,X,X9XVlXXXVl&XXVl T #XVlX& #heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff L  componentsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl # 8 x *~ dd SS [SS ['SS '{|(#(#,/ SS , SS ,SS +  &\\\\G p  &  &FE%XXVlPerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&    \\\\A =&FE%%&FETheEmergingInfectionsProgram(_EIP_),a P  networkofregionalpopulationbasedprograms,willbeestablishedtoconductactivesurveillance,engageinappliedepidemiologicandlaboratoryresearchandpilotandevaluatepreventionandinterventionmeasures.#&FE%%&FE& ##XVlX%&FE #&FE%XXVlԀCDCPlan 0\\\\x\\\\A 0&FE%%&FEFY01:9_EIP_Ԁsites. P  FY00:9_EIP_Ԁsites.FY99:8_EIP_Ԁsites#&FE%%&FE ##XVlX%&FE #&FE%XXVl 0\\\\h\\\\ 0&FE%%&FEFY01: P  FY00:9_EIP_Ԁsites.FY99:7_EIP_Ԁsites.#&FE%%&FE ##XVlX%&FE1 #&FE%XXVl /\\\\Ah\\\\ /@&FE%%&FEAtleast85%oftotalrequireddatafromall ( programsfundedbythePreventiveHealthandHealthServicesBlockgrantwillbereportedtoCDCannually.#&FE%%@&FE #ԀCDCPlan 0\\\\|\\\\A 0FY02:Atleast85%#XVlX%&FEg #&FE%XXVl (  FY01:Atleast85%FY00:Atleast85%FY99:Atleast80% 0\\\\ L#\\\\ 0FY02:FY01:FY00:3/01FY99:82%FY95:77% /\\\\AX(\\\\ /@&FE%%&FEEnsuresafeandhealthfulworking ) conditionsbydevelopingasystemforsurveillanceformajoroccupationalillnesses,injuries,exposures,andhealthhazards.#&FE%%@&FE #ԀCDCPlan  8-  0\\\\"D.\\\\A 0 @&FE%%&FE FY00:Finalizesurveillance / strategicplanandbeginimplementingtherecommendationsFY99:Undertakeacomprehensivesurveillanceplanningprocesswith_NIOSH_ԀpartnersattheStateandFederallevelstoestablishsurveillanceprioritiesanddefinerolesforagencies.#&FE%%@&FEk # 0\\\\P*&=\\\\ 0@&FE%%&FEFY00:Achieved. >  TrackingOccupationalInjuries,Illnesses,andHazards:The_NIOSH_SurveillanceStrategicPlanpublished FY99:Planningprocess #, E completed;draftsurveillancestrategicplandeveloped.#&FE%%@&FE% # /\\\\A&"H\\\\ /@&FE%%&FEBy2002,anationalnetworkwillexistthat d willprovideallStateswithbetteraccesstodataondisabilitiesfortheiruseinanalyzingtheneedsofpeoplewithdisablingconditions#&FE%%@&FE #Ԁasmeasuredbythenumberof    StatesusingtheBehavioralRiskFactorSurveillanceSurvey(_BRFSS_)DisabilityModule.#XVlX%&FE #&FE%XXVlԀ#XVlX%&FE #&FE%XXVlCDCPlan 0\\\\ h\\\\A 0#XVlX%&FE #&FE%XXVlFY02:20States d  FY01:14FY00:14FY99:15 0\\\\  \\\\ 0FY02:FY01:FY00:16FY99:16FY97:0#XVlX%&FEf #&FE%XXVl /\\\\A \\\\ /Implementthe_MedSun_Ԁ(MedicalDeviceSurveillanceNetwork)System#XVlX%&FEE #&FE%XXVl.FDAPlan 0\\\\\\\\A 0FY02:Recruit75to100newfacilitiesFY01:Recruit75to100hospitalstoreportadverseeventsassociatedwithmedicaldevices.FY00:Develop_MedSun_Systembasedonapproximately75to90userfacilities.FY99:N/A 0\\\\`$!\\\\ 0FY02FY01:FY00:ImplementPhaseIIPilotwith25hospitalsFY99:Pilot̀completedFY98:Recruited24̀pilotfacilities. /\\\\At3\\\\ /StreamlinetheAdverseEventReporting d System(_AERS_).FDAPlan 0\\\\|@\\\\A 0FY02:IssuefinalrulesonadversedrugeventreportingandelectronicsubmissionsFY01:IssueProposedRuleonadverseeventreportingrequirements.IssueGuidanceonelectronicsubmissionofadverseeventreports.Grantwaiverstocompanieswishingtosubmitadverseeventreportselectronically.Continue_AERS_Ԁdevelopment.Rolloutof_AERS_Ԁdatamarttomedicalofficerinnewdrugreviewdivisionsmodule. FY00:Developnextgenerationofthe_AERS_Ԁtoenhancefunctionality.FY99:Implement_AERS_Ԁfortheelectronicreceiptandreviewofvoluntaryandmandatory_ADE_Ԁreports. 0\\\\)#(\\\\ 0FY02:FY01:FY00:Developmentandrolloutof_AERS_Ԁ2.0wascompleted.Pilotprogramtoincreaseparticipationinelectronicexpeditedreportingisongoing.Regulationrequiringthatadverseeventreportsbe_precoded_usingtheMedicalDictionaryforRegulatoryActivities(_MedRA_)isontargetforreleaseforpubliccommentthisFY.FY99:The_AERS_Ԁwassuccessfullyimplementedandhasbeenoperationalfornearlythreeyears. /\\\\A8+$O\\\\ /Developenvironmentalhealthsurveillancesystem,andcompletecommunityenvironmentalassessmentsin90%AI/ANcommunities.IHSPlan 0\\\\4 \\\\A 0FY02:10%overFY01FY01:15%ofcommunities̀assessed FY00:developsurveillanceprotocolandplan 0\\\\ d \\\\ 0FY02:FY01:FY00:protocolandplanpartiallycompletedFY99:noreliablebaseline( L  \\\\ (#XVlX%&FE #*dd/ SS /  SS  SS ~(#(#,/ SS , SS ,SS +  %\\\\  X %  XVlXXXVl_Bioterrorism_#XVlXXXVl #&FE%XXVl ;\\\\A&$  \\\\ ;@&FE%%&FEIncreasethenumberofstateandmajorcity x<  healthdepartmentswithexpandedepidemiologyandsurveillancecapacitytoinvestigateandmitigatehealththreatsby_bioterrorism_.#&FE%%@&FE #ԀCDCPlan 0\\\\ \\\\A 0FY02:55#XVlX%&FEp # XXVlԀhealthdepartments#XVlX ] #&FE%XXVl x<  FY01:55FY00:40FY99:40 0\\\\` \\\\ 0FY02:FY01:FY00:55#XVlX%&FE #&FE%XXVl T  FY99:34FY98:0 /\\\\Al \\\\ /ThenumberoflaboratoriesparticipatingintheNationalLaboratoryResponseNetworktoproviderapidand/orreferencesupportforbiologicagents.CDCPlan 0\\\\p#\\\\A 0FY02:80laboratoriesFY01:80FY00:43 0\\\\0&\\\\ 0FY02:FY01:FY00:43FY99:43 /\\\\A<*\\\\ /Increasecapacityofstateandmajorcitylaboratoriestoprovideoraccessrapidtestingorpotential_bioterrorism_Ԁagents.CDCPlan#XVlX%&FEn #&FE%XXVl 0\\\\@.\\\\A 0FY02:5055laboratoriesFY01:5055FY00:40FY99:2 0\\\\2\\\\ 0FY02:FY01:  |4 FY00:43FY99:43FY98:0 /\\\\A7\\\\ / Thenumberoflaboratoriesqualifiedto L8 providesurgecapacityforanalysisofchemicalagents.CDCPlan#XVlX%&FEG #&FE%XXVl 0\\\\!:\\\\A 0FY02:5laboratoriesFY01:5FY00:4 0\\\\d!(=\\\\ 0FY02:FY01:FY00:5FY99:4 /\\\\Ap"4A\\\\ /Rapidlymeasure,inbloodandurine,toxicsubstanceslikelytobeusedinchemicalterrorism.CDCPlan#XVlX%&FE! #&FE%XXVl 0\\\\%\D\\\\A 0FY02:160substancesFY01:120FY00:100FY99:50 0\\\\' H\\\\ 0FY02:FY01:FY00:90FY99:50FY98:0 /\\\\A(!M\\\\ /ThenumberofStatesandmajormetropolitanareaswithhealthsectordedicatedcommunicationssystemstofacilitateorexpeditedetectionandresponsetoterroristeventswillbeincreased.CDC ,&R Plan#XVlX%&FE #&FE%XXVl 0\\\\-'S\\\\A 0 States/MetropolitanAreas#XVlX%&FE #&FE%XXVl  )D#T FY02:54FY01:54FY00:40 0\\\\,h&W\\\\ 0FY02:FY01:FY00:40FY99:36FY98:0 /\\\\A.(]\\\\ /Maintainanationalpharmaceutical stockpilefordeploymenttorespondtoterroristuseofpotentialbiologicalorchemicalagents,includingtheabilitytomedicallytreat1millionciviliansfrombiologicalagentsofanthrax,plagueandtularemiaand/ortomedicallytreat10,000civiliansfromchemicalattackusingnerveorblisteringagents.CDCPlan 0\\\\ D \\\\A 0 FY02:Maintainoperational $d  andreadystatusfordeployment.FY01: Stockpileis 4 operationalandreadyfordeployment.FY00:Maintainanationalpharmaceutical stockpilefordeploymenttorespondtoterroristuseofpotentialbiologicalorchemicalagents,includingtheabilitytomedicallytreat1millionciviliansfrombiologicalagentsofanthrax,plagueandtularemiaand/ortomedicallytreat10,000civiliansfromchemicalattackusingnerveorblisteringagents#XVlX%&FEL #&FE%XXVl X FY99:Createanationalpharmaceutical stockpileavailablefordeploymenttorespondtoterroristuseofpotentialbiologicalorchemicalagents,includingtheabilitytoprotect14millionciviliansfromanthraxattacks. 0\\\\P(\\\\ 0 @&FE%%&FE FY02: $d) FY01:FY00:Stockpilenowcapableoftreating6.64millionforbiologicalagentsincludinganthrax,plagueandtularemia,and16,000forexposuretochemicalweaponssuchasnerveorblisteringagents.FY99:CreatedstockpileFY98:noplan#&FE%%@&FEk # /\\\\A "LG\\\\ /IncreasenumberofMetropolitanMedicalResponseSystemswith_bioterrorism_capabilities._OPHS_ԀPlan 0\\\\4%t!J\\\\A 0FY02:97FY01:72FY00:47 0\\\\%!M\\\\ 0FY02:FY01:FY00:47FY99:27FY98:0('#R  \\\\ ( Seealso:  )&S  3   <,XX4,hX,X,hX<3 2d3  0    Objective1.8,ReducetheImpactofEnvironmentalFactorsonHumanHealth3 ! ݌ +(U(#(# Ќ  iU5%!`z  `E`ttx 3"i (#(#     (#(#iU5%!`z  `E`ttx 3"iiUN5%!`z  `E`ttx 3"iiU5%!`z  `E`ttx 3"i<,X,hX,XX4,hX<&FE%%&FE#XVlX%&FE #&XXVl T #XVlX&$ #heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff < divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl$ #  ( @XVlXXXVl* d d/ SS /  SS  SS (#(#, SS ,SS ,SS +  &\\\\G  `  &  @&FE%X@XVlPerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance #&FE%%@&FE& # A\\\\,&    \\\\A A   &FE%%&FEFoodSafety#&FE%%&FEg) ##XVlX%&FE( #&FE%XXVl ;\\\\A&$@  \\\\ ;Increasethepercentageofhighriskdomesticfoodestablishmentsinspectedonceeveryyear.FDAPlan (h  0\\\\4t\\\\A 0FY02:90%onceeveryyearFY01:90100%onceeveryyearFY00:90100%onceeveryonetotwoyears 0\\\\\\\\\ 0FY02:FY01:FY00:91% /\\\\A\\\\ /Maintainbiennialinspectioncoveragebyinspecting50%ofregisteredanimaldrugandfeedestablishments.FDAPlan 0\\\\"\\\\A 0FY02:50%FY01:46%FY00:27%FY99:27% 0\\\\@&\\\\ 0FY02FY01:FY00:39%FY99:25% /\\\\A@*\\\\ /Assure100%compliancewiththeBovine_Spongiform_Ԁ_Encephalopathy_Ԁ(_BSE_)feedregulationthroughinspectionsandcomplianceactions.`FDAPlan 0\\\\D .\\\\A 0FY02:100%FY01:N/AFY00:N/AFY99:Ensurecompliancewithgoodmanufacturingpracticesincludingthenewlyimplemented_BSE_regulationthroughavarietyofmethods. 0\\\\ %`!7\\\\ 0FY02:FY01:FY00:N/AFY99:7200inspectionstodate.Computerbasetrainingmodulefor_BSE_inspectionsdeveloped. /\\\\Ah#>\\\\ /Completefirstactionon65%offoodandcoloradditivepetitionswithin360daysofreceipt.FDAPlan 0\\\\H($A\\\\A 0FY02:65%FY01:50%FY00:40%FY99:30% 0\\\\)%E\\\\ 0FY02:FY01:FY00:10/01FY99:77% /\\\\A)%I\\\\ /Respondto95%ofnotificationsfordietarysupplementscontaining newdietaryingredientswithin75days.FDAPlan 0\\\\,)L\\\\A 0FY02:95%FY01:90%FY00:90%FY99:N/A#XVlX%&FE) #&FE%XXVl 0\\\\H.*P\\\\ 0FY02:FY01:FY00:100%FY99:100%FY98:100%#XVlX%&FED2 #&FE%XXVl /\\\\AT/+U\\\\ /@&FE%%&FETheproportionofreported_foodborne_ d outbreakinvestigationsinwhichthecausativeorganismortoxinisidentified.#&FE%%@&FE73 #ԀCDCPlan 0\\\\X\\\\A 0FY02:57%FY01:55%FY00:50%FY99:45% 0\\\\ \\\\ 0FY02:FY01:FY00:04/01FY99:45%FY98:40% /\\\\A  \\\\ /Theproportionofreported_foodborne_outbreaksinwhichthefoodthatcausedtheoutbreakisidentified.CDCPlan 0\\\\ \\\\A 0#XVlX%&FE2 #&FE%XXVlFY02:57% @  FY01:55%FY00:>50%FY99:50% 0\\\\d( \\\\ 0FY02:FY01:FY00:4/01FY99:48%FY98:40% /\\\\Ap4 \\\\ /Expandthenumberofpublichealthlabscapableofaccessing_PulseNet_Ԁtobuild_subtyping_Ԁcapacityandrapidexchangeof_foodborne_ԀillnessdataforearlyidentificationofandresponsetooutbreakswithinandbetweenStates.CDCPlan , #XVlX%&FE6 #pj&XXVlOverallTarget:56publichealthdepartments(numberof \ # pathogensthatareaddedmayincreaseasnewemergingpathogensareidentified.#XVlX&pj8 #&FE%XXVl 0\\\\P%\\\\A 0FY02:45Labsfor_E.coli_  & 0157:H7andSalmonella  ' _Typhimurium_;30labsfor \ ( Listeria_monocytogenes_; t8) 15labsforShigella P* _sonnei_. ,+ FY01:45labsfor_E.coli_ D- 0157:H7andSalmonella  . _Typhimurium_,30labsfor / Listeria_monocytogenes_, 0 FY00:40labsfor_E.coli_0157:H7andSalmonella 4 _Typhimurium_and20labs x5 forListeria  T6 _monocytogenes_. l!07 FY99:Enhancedsurveillanceandcontrolin29Statelabsfor_E.coli_ `($"> 0157:H7andexpandedtoincludeSalmonellaandListeriain7Statelabs. 0\\\\ -&C\\\\ 0FY02:FY01:4/01FY00:Expandedcapacityto40labsfor_E.coli_Ԁ0157:H7and 4!S Salmonella "T _Typhimurium_,and u20  "U labsforListeria #V _monocytogenes_,and7 $lW labsforShigella_sonnei_. %HX FY99:Enhancedsurveillanceandcontrolin29statelabsfor_E.coli_ T)#\ 0157:H7andexpandedtoincludeSalmonellaandListeriain7statelabs.FY97:0States /\\\\A.(b\\\\ /Enhance_FoodNet_,a_foodborne_Ԁdiseasesactivesurveillancenetwork,byincreasingthenumberofpathogensandsyndromesunderactivesurveillancetoidentifytrendsin_foodborne_Ԁillness.CDCPlan   #XVlX%&FE^9 #pj&XXVlOverallTarget:ongoing.Dependantonidentificationofnew (  pathogensandsyndromes.#XVlX&pjB #&FE%XXVl 0\\\\ \\\\A 0 Pathogens/Syndromes#XVlX%&FEhC #&FE%XXVl  d  FY02:11FY01:11FY00:10FY99:8pathogens. 0\\\\ \\\\ 0FY02:FY01:4/01FY00:10FY99:8FY97:7pathogens 3\\\\ \\\\ 3X)  &FE%%&FE  Drugs,BiologicalProducts,andMedicalDeviceSafety#&FE%%&FE E ##XVlX%&FEC #&FE%XXVl ;\\\\A&$  \\\\ ;#XVlX%&FEE #&FE%XXVl*E @&FE%%&FETherateofcentrallineassociated \  bloodstreaminfectionsinadultintensivecareunitpatientswillbereducedasmeasuredthroughtheNational_Nosocomial_ԀInfectionsSurveillance(_NNIS_)System.CDCPlan#&FE%%@&FE`F # 0\\\\ \\\\A 0FY02:3.80FY01:3.86FY00:4.4FY99:5.2Overalltarget3.80 0\\\\\ \\\\ 0FY02:FY01:FY00:3.92FY99:4.4FY98:5.3 /\\\\AP %\\\\ /Inspectregisteredhumandrugmanufacturers,_repackers_,_relabelers_Ԁandmedicalgas_repackers_.FDAPlan 0\\\\(\\\\A 0FY02:20%FY01:20%FY00:22%FY99:22% 0\\\\,,\\\\ 0FY02:FY01:FY00:22%FY99:26%FY98:24%FY97:26% /\\\\AD2\\\\ /Ensurethatatleast97%ofmammographyfacilitiesmeetinspectionstandards,withlessthan3%offacilitieswithLevel1(serious)inspectionproblemsinFY2002.FDAPlan 0\\\\H 6\\\\A 0FY02:97%FY01:97%FY00:97%FY99:97% 0\\\\:\\\\ 0FY02:FY01:FY00:97%FY99:97%FY98:97%FY97:97%FY96:95% /\\\\A"A\\\\ /MaintaininspectioncoverageforClassIIandClassIIIdomesticmedicaldevicemanufacturersat25%inFY2002.FDAPlan 0\\\\$&D\\\\A 0FY02:22%FY01:22%FY00:22%FY99:26% 0\\\\'T!H\\\\ 0FY02:FY01:FY00:18%FY99:30%FY98:33%FY97:40%#XVlX%&FE1F #&FE%XXVl /\\\\A)l#N\\\\ /MakeavailabletoconsumersandhealthprofessionalsmoreeasilyunderstandableinformationonchoosingandtakingprescriptionandOvertheCounter(OTC)drugstopreventandreducetheirmisuse,takemoreofanactivistroleinhowconsumersuse thesedrugs,andimprovedrugriskmanagement,analysis,andcommunicationprocedures.FDAPlan 0\\\\ D \\\\A 0FY02:GiveconsumersandhealthprofessionsmoreeasilyunderstandableOTCdruginformation.FY01:GiveconsumersandhealthprofessionalsmoreeasilyunderstandableOTCdruginformation.FY00:MakenewdrugapprovalinformationincreasinglyavailableviatheInternet.Developpartnershipswithnationalorganizationstodisseminateeducationalinformationtoconsumers 0\\\\ \\\\ 0FY02:FY01:FY00:OTClabeleducationcampaignsweretargetedtograssrootsconsumersandkeyhealthprofessionalorganizations. /\\\\AX1\\\\ /Meetthebiennialinspectionstatutoryrequirementbyinspecting50percentofregisteredbloodbanks,sourceplasmaoperationsand_biologics_Ԁmanufacturingestablishments.FDAPlan 0\\\\6\\\\A 0FY02:50%FY01:50%FY00:50%FY99:43%#XVlX%&FEM #&FE%XXVl 0\\\\x:\\\\ 0FY02:FY01:FY00:57%FY99:64%FY98:46%FY97:46%#XVlX%&FEZS #(@  \\\\ ( Seealso:  !A <,XX4,hX,X,hX< 3   3T 2d3  0    Objective4.2IncreaseConsumerandPatientUseofHealthCareQualityInformation< 3T T ݌ ,$C(#(# Ќ  _ <_B ,X X,XX4,hXBmmPmmiU5%!`z  `Ett o#i (#(#     (#(#iU5%!`z  `Ett o#iiUQ5%!`z  `Ett o#iiU5%!`z  `Ett o#i&XXVl T #XVlX&SY #he"healthresearch"goalrecognizestheprominenceofhealthresearchinHHSandits h  importanceinfurtheringtheoverallmissionofimprovingtheNation'shealth.Manystrategiesunderothergoalsandobjectivesarealsoresearchbased,sothereisoverlapamongthegoalsandobjectives.TheobjectivesunderGoal6dealwithcreatingknowledgethatultimatelyisusefulinaddressinghealthchallenges.Inthisrespect,theobjectivesaddresstheneedtomaintainandimprovetheresearchinfrastructurethatproducesscientificadvances.  ,l    &XXVl  SUMMARYPERFORMANCEREPORT [   HHSStrategicGoal6 #XVlX&[ # D \ XVlXXXVl&XXVl T #XVlX&\ #heseareselectedperformancestoriesfromtheperformanceplansoftheHHSoperatingand  staffcomponentsthatsupportkeyareasrelatedtotheachievementofthisstrategicgoal.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplan.#XVlXXXVl\ # l   PREVENTION,DIAGNOSIS,ANDTREATMENTOFDISEASEANDDISABILITY    L 0 !"#$%xx& !"#$%LL 0 !"#$%xx0 !"#$%L 3   XVlXXXVl3_ 23  0    NormalandAbnormalBiologicalFunctionsandBehavior. Understandinghowdisease, 8  geneticalterations,andenvironmentalfactorsaffectthefunctionofmolecules,cells,tissues,organsandorganismsandtheirconsequencesforhumanhealtharecriticaltoimprovingourunderstandingofdiseaseanddevelopingmethodsforpreventing,diagnosingandtreatingit.Thenonlinearnatureofbasicresearchposesuniquechallengesformeasuringresearchoutcomes.InFY2000theNIHGPRAAssessmentWorkingGroup,composedofexpertsinthefieldofbiomedicalresearch,addressedthequestionofhowNIHresearchaddedtothebodyofknowledgeaboutnormalandabnormalbiologicalfunctionsandbehavior,andconcludedthatNIHhadsubstantiallyexceededitsgoalsinthisarea.Theresearchevaluatedbythegroupresultedinsignificantnewunderstandingsofbiologicalandbehavioralprocesses,yieldedanswerstolongstanding,importantbiologicalandbehavioralquestions,andhadthepotentialfortranslationintoneworimprovedtechnologies,diagnostics,treatments,andpreventivestrategies.Theoutcomescitedspannedaspectrumfrom_genomics_Ԁandmolecularbiologytostudiesofhumanpopulationsandhealthcaredelivery,andincludedbasicresearchthatcontributedtoallareasofclinicalmedicineandbehavior.#XVlXXXVl_ #3_ ` ݌$(#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3f 23  0    BiomedicalResearchinPrevention,DiagnosisandTreatment.XVlXXXVl NIHfundedapplied  \ researchhasyieldedsignificantadvancesintheprevention,diagnosisandtreatmentofdiseaseanddisability.OutcomegoalsforeachoftheseareaswereassessedbytheGPRAAssessmentWorkingGroupwhichconcludedthatinFY2000goalsweresubstantiallyexceededineacharea.Inprevention,theWorkingGroupcitedasnoteworthyresearchinprevention of #  transmissionofHIVandotherinfectiousdiseases;preventionofalcohol,drugabuseandotherabusivebehaviors;preventionof_Alzheimers_disease,obesity,diabetes,cardiovasculardiseaseandcancer;andpreventionofdiseasesanddisabilitiesacquiredduringpregnancyandchildhood.Indiagnosis,theWorkingGroupcitedthedevelopmentofneworimprovedmethodsfordiagnosingdiseaseanddisability.Intreatment,thegroupcitedadvanceswhichrangedfromnovelgeneorcellbasedtechniquestoalternativeorlowtechnologyapproachesthatweresimpleandcosteffective.Theneworpotentialtreatmentswereoftenmoreeffective,hadfewersideeffects,andrelievedpainandsuffering,withthepotentialtoreducecostsandimprovethequalityoftreatment.#XVlXXXVl4g #3f f ݌ ,`()(#(# Ќ   3   3l 23  0    XVlXXXVlPublicHealthResearchinPrevention,DiagnosisandTreatment. CDCprevention X.*+ researchhasledtosignificantimprovementintheprevention,diagnosis,andtreatmentof H/+, diseasesofpublichealthinterest.CDCusesareliable,proven,flexiblefourstepprocessthatadaptstothewidevarietyofproblemsthataresubjectsofCDCprograms:infectiousdiseases,environmentalandoccupationalhealth,injuries,andchronicdiseases.Thispublichealthapproachconsistsofdetectinganddefiningaproblemthroughsurveillance,determiningthecauses,developingandtestingpotentialstrategiesforhandlingtheproblem,andimplementingnationwidepreventionprograms.Theapproachissupportedbyscience,andisreflectedinCDCsprograms,aswellasitsevaluationofprograms.PreventioneffectivenesshasbeeninstitutionalizedasapublichealthscienceatCDC.Since1992,CDChassubstantiallyincreaseditsabilitytoscientificallyassessthepreventioneffectivenessofitsprogramsandstrategies.Morethanever,CDCisabletoprovethatpreventionisasoundandsolidinvestment.#XVlXXXVlm #3l l ݌ 8 (#(# Ќ   3   3 r 23  0    XVlXXXVlHumanGenomeProject. TheHumanGenomeProjectwasstartedin1990andhas,fromits 0p  beginning,enjoyedsignificantsuccess.AmajorgoaloftheHumanGenomeProjectistosequence,orread,eachoftheapproximatelythreebillionbasesinthehumangeneticinstructionbook.Determiningthecompletegeneticblueprintofhumanswillgreatlyacceleratetheidentificationofthegenesembeddedinthisgeneticcodethatunderliemanyhumandiseases,includingcomplexdiseasesthatrepresentthegreatesthealthburdentotheU.S.population.Identifyingthosegenesisthefirststeptoamoreprofoundunderstandingofthebiologicalbasisofdiseaseandthis,inturn,willleadtonew,moreeffective,andinexpensivewaystodiagnose,treatandpreventdisease.Towardsthisend,aseriesofmomentousscientificachievementswereaccomplishedinFY2000.InDecember1999thecompletesequenceofchromosome22waspublishedinNature,andinMay2000the l completesequenceofchromosome21waspublishedinNature.Thegenomesequenceofthe X mostcomplexmodelorganismtodate,thefruitfly,Drosophilamelanogaster,waspublished D inMarch2000inScience.Cappingaremarkableyear,theinternationalconsortiumintendsto 0p publishitsresultsoftheworkingdraftofthehumangenomeinearly2001.This workingdraftrepresents90percentcoverageofthehumangenomewithatleast99percentaccuracy.Thiscombineddatasetofmapsandsequencehasalreadyacceleratedtheidentificationofoverahundredgenesthatareassociatedwithdiseaseandwillserveasavaluableresourceforthegeneticscommunity.#XVlXXXVl~r #3 r 5r ݌ (#(# Ќ   3   3y 23  0    AIDSVaccineDevelopment. AsafeandeffectiveAIDSvaccineisaglobalpublichealth "D  imperative.AIDSisnowthefourthleadingcauseofdeathandistheleadingcauseofdiseaseburdeninthedevelopingworld.Anestimated36millionpeopleworldwidearelivingwithAIDS.Insub_Sarahan_ԀAfrica,theworstaffectedarea,therearecountrieswheremorethan20percentofadultsareinfected.Programmatically,perhapsthemostimportanteventinFY2000regardingthedevelopmentofHIVvaccineswastheformationofanewinternationalHIVVaccineTrialsNetwork(_HVTN_).The_HVTN_Ԁwillprovideacomprehensive,clinicallybasednetworktodevelopandtestpreventiveHIVvaccines.InadditiontotheunitsbasedintheUnitedStates,participatingsiteswillbelocatedinsubSaharanAfrica,Asia,LatinAmericaandtheCaribbean.TheNetworkprovidesacoordinated,globalframeworkinwhichtoconductclinicalHIVvaccineresearchandthuswillstrengthenandexpandNIHsHIVvaccinestudiesbothdomesticallyandincountriesdevastatedbytheAIDSpandemic.InFY2000,NIHlaunchedfournovelpublicprivatepartnershipstoacceleratethedevelopmentofpromisingHIV/AIDSvaccinesforusearoundtheworld.Thenewpartnerships,calledHIVVaccineDesignandDevelopmentTeams(_HVDDTs_),tapthedifferentskillsandtalentsof .0+. privateindustryandacademicresearchcenters,andprovideincentivetomovestrongHIV/AIDSvaccinecandidatesoutofthelaboratoryandintohumantesting.3y z ݌ (#(# Ќ  HEALTHCAREQUALITY,FINANCING,COSTANDCOSTEFFECTIVENESS  @ L 0 !"#$%xx0 !"#$%L 3   3 23  0    _AHRQ_ԀResearchAgenda. ConsistentwiththeprincipaloftheAgencyforHealthcare 8 x ResearchandQuality(_AHRQ_)thatitsresearchshouldbeginandendwithitscustomers,_AHRQ_ԀmetitsFY1999performancegoaltodevelopanAgencyresearchagendareflectingconsultationswithitscustomers._AHRQ_Ԁreceivedinputfrom:1)responsestomailingstoover100stakeholdersandcustomers;2)responsestoitsFederalRegisternotice: Request  ,  forPlanningIdeas;3)over20 expertandusergroupmeetings;and4)consultationswithpeerreviewstudysectionmembersandtheNationalAdvisoryCouncilXVlXXXVl.InFY2000,   _AHRQ_sabilitytosustainahighlevelofperformanceisevidencedbyhowitsresearchhasbeenusedtoprovidebetterhealthcareandtheimpactithashadonthedeliveryofhealthcareservices.Forexample,inFY2000_AHRQ_:1)established19primarycarepracticebasedresearchnetworks;2)documentedover38,961,574hitsontheNationalGuidelineClearinghouse(_NGC_)Website;and3)sawcontinuedgrowthinthenumberofhealthplans(nowover400)usingConsumerAssessmentHealthPlan(_CAHPS_),asurveyandreportingprogramthathelpsemployeeschooseamongsurveyhealthplans.3  ݌ (#(# Ќ  #XVlXXXVlp # 3   3 23  0    RelevanceofFindingsof_AHRQ_ԀResearch. InFY1999,findingsfromatleast10_AHRQ_ p researchactivitieswerepublishedinmajorpeerreviewedprofessionalpublications._AHRQ_documentedover50citationsofresearchsponsoredbytheAgency.Conservatively,therewere3,146newspaper,tradepress,andmagazinearticlescitingtheagency.Mostimportantly,_AHRQ_Ԁdocumentedthirteencasesofresearchfindingsbeingimplementedinthehealthcaresystem. XVlXXXVlInFY2000,therewere250publicationsinoutstandingpeerreviewed P publicationsof_AHRQ_Ԅsponsoredandfundedresearch,aswellas32examplesoffeaturedcoverageinmajormedia.Further,_AHRQ_Ԅsponsoredresearchfindingshavebeenfeaturedincoveragebyanextensivenumberofmajormediarepresentatives,suchas_CNN_,FoxNews,WashingtonPost,BostonGlobeandUSAToday.3  ݌ (#(# Ќ  #XVlXXXVlʋ #XVlXXXVl 3   3W 23  0    Disseminationof_AHRQ_ԀResearch. _AHRQ_Ԁpursuesthedisseminationofresearchprimarily "8  throughpartnershipsestablishedforthatpurpose._AHRQ_Ԁestablishedaperformancegoaltoform5disseminationpartnershipsinFY1999,andexceededthattargetbyforming30publicprivateandpublicpublicpartnershipsinFY1999. _AHRQ_sachievementsinresearch %"# disseminationarealsoreflectedinitsgoalstopromotethetranslationofresearchintopractice.Forexample,inFY1999,_AHRQ_Ԁfoundthat21purchasersand/orbusinessesused_AHRQ_Ԁresearchfindingstomakedecisions.#XVlXXXVl7 #XVlXXXVlԀInFY2000,_AHRQ_Ԁpartneredwithover30 ($& diversepublicandprivateorganizations,includingWebbasedgroups,todisseminateevidencebasedinformation.Further,thewidespreaduseof_AHRQ_Ԁfindingsisprovidingpurchaserswithvaluableinformationformakinghealthcaredecisions.Forexample,inFY2000morethan90millionAmericansuse_AHRQ_SConsumerAssessmentofHealthPlans(_CAHPS_)tohelpthemdecidewhichhealthplanbestmeetstheirhealthcareneeds._CAHPS_isnowusedbymorethan20States.TheHealthCareFinancingAdministrationhasbegunusing_CAHPS_ԀtosurveyMedicaremanagedcareenrollees,andtheUSOfficeofPersonnel .8+- Managementused_CAHPS_ԀtoreportconsumerassessmentsofhealthplansavailabletoFederalworkersandretireesforitsFY2000openseason.#XVlXXXVl #XVlXXXVlInFY2001,_AHRQ_Ԁprojectsthat  itsevidencebasedpracticecenterswillproduceaminimumof12evidencereportsandtechnologyassessmentsthatcanserveasthebasisforinterventionstoenhancehealthoutcomesandquality.#XVlXXXVl #XVlXXXVl 3W ݌p(#(# Ќ  #XVlXXXVlݗ # 3   3i 23  0    DisparitiesinHealthCareResearch. XVlXXXVl_AHRQ_Ԁplanstocontinuetoaddressracialdisparities   byfundingprojectswhichidentifyeffectivestrategiesforeliminatingdisparitiesinhealthcare,particularlyforracialandethnicminorities.InFY2000_AHRQ_Ԁfundedover30projectsonhealthdisparities.IncollaborationpartnershipwiththeNationalInstitutesofHealth,_AHRQ_fundedtheExcellenceCenterstoEliminateEthnic/RacialDisparities(EXCEED#XVlXXXVl #XVlXXXVl)initiative, \  whichisamajornewresearchinitiativethatwillimproveknowledgeofthefactorsunderlyingethnicandracialinequitiesinhealthcare.3i ݌ (#(# Ќ  #XVlXXXVl] # RESEARCHCAPACITY   L 0 !"#$%xx0 !"#$%L 3   3! 23  0    PreandPostDoctoralTrainees. InFY1999,_AHRQ_Ԁsupportedd167dpreandpostdoctoral  trainees,exceedingitsFY1999goalofsupporting150suchtrainees._AHRQ_Ԁwillstrengthenitsinvestmentinfutureyearsbyincreasingthenumberofpreandpostdoctoraltraineesitsupports.XVlXXXVl InFY2000,_AHRQ_Ԁfundssupported218scholars,a25percentincreaseoverFY  1999.TheAgencyalsolaunchedtwocareerdevelopmentprograms(theIndependentScientistAwardandthe_Mentored_ԀClinicalScientistDevelopment)thatsupportedanadditional16scholars.#XVlXXXVl #Ԁ_AHRQ_ԀplanstocontinuetoaddressracialdisparitiesbyfundingprojectsinFY2001 L toaddresseliminatingdisparitiesinhealthcare,particularlyforracialandethnicminorities._AHRQ_ԀplanstosupportatleastfifteenminorityinvestigatorsthroughindividualandcentergrantsinFY2001.3! L ݌ (#(# Ќ   3   3m 23  0    XVlXXXVl ResearchTrainingandCareer#XVlXXXVlޢ #ԀDevelopmentOutreach. NIHiscommittedtotrainingan H supportingaresearchcommunitythatreflectstheNationssocialdiversity.Accordingly,NIHsupportsanumberoftrainingprogramsspecificallydesignedtoprovidesupporttominoritygraduateandpostdoctoralstudentsandtorecruitthemintoresearchatallcareerlevels.NIHalsosupportsprogramsdesignedtoenhancetheretentionofwomeninbiomedicalresearchcareersandprovidesupportforindividualswithdisabilities.Alloftheseeffortsaddressinpartthedisparitiesinmorbidityandmortalityacrossracial/ethnicandotherdemographicgroups.Whileprogressremainsslow,NIHcontinuestoattractwomen,minoritiesandindividualswithdisabilityintohealthrelatedresearch.3m ݌ (#(# Ќ   3   3 23  0    XVlXXXVlResearchTrainingandCareerDevelopmentSupport. ThroughitsResearchTrainingand ($%& CareerDevelopmentProgram,NIHsupportsacriticalaspectofscientificresearch:thedevelopmentofatalentbasecapableofproducingadvancesinscience.Toevaluateitssuccessinattracting,developingandretainingadiversegroupofscientists,NIHhasestablishedseveralperformancegoalstoassesstheagencyssuccessinattractingqualifiedapplicants. InFY2000,NIHsubstantiallymetitsgoaltomaintainanapplicationflow -)+ consistentwithsuccessratesclosetohistoricallevelsof40percentforfellowshipsandcareerawardsforbasicscientistsand60percentforresearchtraininggrantsandentrylevelcareer `/+- awards.Theseawardsremainpopularwiththepoolofpotentialapplicantsandthequalityofapplicationsremainsstable. h 3 ݌(#(# Ќ   3   3 23  0    Facilities(NIH). NIHsupportsconstructionoffacilitiesontheNIHcampus,aswellasgrants $ tofundfacilityimprovementsatinstitutionsoutsideofNIH.ForFY2000,NIHsetgoalstoevaluatetheprogressofintramuralconstructionprojects.ThegoaltoimprovetheoperatingconditionsandenvironmentofintramuralfacilitiesandtheavailabilityandreliabilityofNIHutilitydistributionsystemstosupportIntramuralResearchProgramwassubstantiallymetwith93percentofintendedFY2000repairscompletedand100percentofsiteutilitiescompleted.ConstructionoftheDaleandBettyBumpersVaccineResearchCenterwascompletedasscheduled,andtheLouisStokesLaboratoriesbuildingconstructionwas90percentcompleted.Additionalbuildingsareunderinitialstagesofconstructionorinplanning.ForevaluatingtheprogressoffacilityimprovementsoutsideoffacilityimprovementsatinstitutionsoutsideofNIH(extramural),NIHhassettargetsforrequiredapprovalofconstructiondesignswith25percentofconstructiondesignsapprovedoneyearafterthegrantwasawarded,50percentapprovedwithintwoyearsand100percentwithinthreeyears.ForFY2000,thefirstandthirdyeartargetsweresubstantiallymetandthesecondyeartargetwassignificantlyexceeded.#XVlXXXVl #3 * ݌(#(# Ќ  DISSEMINATIONOFHEALTHRESEARCHRESULTS  $d L 0 !"#$%xx0 !"#$%L 3   XVlXXXVl3 23  0    TechnologyTransfer. ThebroadpurposeofNIHstechnologytransferactivitiesisto \ promotetheefficienttransferofnewtechnologyforthcomingfromNIHresearchtotheprivatesector,tofacilitateandenhancethedevelopmentofnewdrugs,otherprojects,andmethodsoftreatmentthatbenefithumanhealth.Beyondthepromisetoadvancepublichealth,technologytransfercontributestoglobalcompetitivenessoftheNationsbusinessesandultimatelytotheU.S.seconomicprosperity.Atpresent,NIHhasoneofthemostactivetechnologytransferprogramsingovernment.Throughtheseactivities,NIHhasforgedpartnershipswithindustry,andotherexternalresearchorganizationsthathaveenhancedandaugmentedthecapacityofNIHtoconductlaboratoryandclinicalresearch.InFY2000NIHdeterminedthatcurrentlyusedmeasureshaveprovedtobeunsatisfactoryingaugingthesuccessoftechnologytransferprogramperformance.Toalargeextent,thepresenceof externalinfluenceshavemadeitdifficulttoseparatetheeffectsofNIHmanagementfromtheinfluenceofuncontrolled,outsidefactors.NIHhasdeterminedthatthevalueandeffectofNIHactivitiesintechnologytransferrequiresthedevelopmentofnewperformancemeasuresofthesocialandeconomicdownstreameffectoftechnologiesdevelopedthroughNIHscientistseffortsthatarebroughttomarketbylicensees.Potentialmeasuresincludedosagesprescribedorused,reductioninmortality/morbidity,reductioninnumberofsickdaysused,andextensionoflife.3  ݌ (#(# Ќ  #XVlXXXVl #L 0 !"#$%xx0 !"#$%L 3   3U 23  0    DisseminationofPublicHealthInformation. CDCcommunicatespublichealthnewsabout D+') diseaseoutbreaksandtrendsinhealthandhealthbehaviorthroughtheMorbidityand 4,t(* MortalityWeeklyReport.CDCmetitsFY2000targettopublish81issuesofthe_MMWR_,  -`)+ andexpectstoincreasethatnumberto86issuesinFY2001.Inadditiontoitsworkwiththe_MMWR_,CDCisactivelyworkingtoincreasethenumberofStateswithaplanfora .8+- comprehensiveinformationnetwork.InFY1999,CDCtargeted18Statestoparticipateinplanningandattainedthecooperationof33States.InFY2001CDCwillworkwithanadditional9Statestoimplementcommunicationsnetworks.3U ݌ (#(# Ќ  0  ThenearlyexplosivegrowthinuseofInternetaccesstoinformationledtoareductionintheuseoftheCDCVoice/FAXInformationService(VIS).WhiletheVISnumbersarelowerthanthepreviousyear,thenumberswerestillsignificant!averagemonthlycallsreceivedwereover46,000andover14,000requestsfordocumentstobefaxed.InternetvisitorsforFY2000increasedover88percentoverthatforFY1999;accessestoinformationforFY2000increasedby82percentoverFY1999aswell.LongtermprojectionsindicateareduceduseofbothaudioandwritteninformationinfavoroftheInternet;therefore,startinginFY2001,CDCmergedthesetwogoalsintoasinglegoaltocontinuallyenhanceCDCsInformationTechnologyinfrastructuresothatthepublicaccesstoCDCinformationresourcesusingtheInternet,voice,andfaxincreases25percentperyearX XXXVl.\ (#(# #XVlXXX # PROTECTINGHUMANSUBJECTSINRESEARCH/RESEARCHINTEGRITY  t  L 0 !"#$%xx0 !"#$%L 3   3 23  0    EducationalPrograminResponsibleConduct. XVlXXXVlTheOnlineResourceforInstructioninthe  ResponsibleConductofResearch,developedwithsupportfrom_OPHS_OfficeofResearchIntegrity(_ORI_),becameavailableonNovember1,2000.Thissiteprovidesindividualsandinstitutionswiththetoolsandresourcestorefineexistingprogramsordevelopnewprogramstofostertheresponsibleconductofresearch.The_website_Ԁislocatedat[4 6O  5  http://rcr.ucsd.edu].6 6O   7 " Ԁ#XVlXXXVl #@XVlXXXVl ` Inaddition,ORIhascontractedforaselfinstructionbookletthatcoversthepertinentsubjects.#XVlXX@XVl #3  ݌8x(#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3 23  0    @XVlXXXVlOversightofMisconductCases. InFY2000,theOPHSOfficeofResearchIntegrity(ORI) p exceededthetarget #XVlXX@XVld #XVlXXXVl ratesetforcompletingoversightofscientificmisconductcaseswithin ` eightmonthsofreceivingfinaldecisionfrominstitution,whichwas70percent.Of26casesclosedbyORIduringFY2000,85percentwereclosedwithin8monthsofreceivingtheinstitutionaldocumentationandfinaldecision.TheaverageORIprocessingtimeforsuchcaseswas6.2months(themediantimewas4months).Twentysixofthe30casesopenatthebeginningofthefiscalyearwereclosedbytheendoftheyear.Oftheoversightcasesopenedpriorto1999,onlythreeremainopen.#XVlXXXVl, #ԀSixofthe27closedcasesresultedin #( ! misconductfindingsandtheimpositionofadministrativeactions.Inanothercase,asettlementresultedintheimpositionofadministrativeactionsbutnofindingofmisconduct.3  ݌ (#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3W 23  0    PolicyReviews. TheOPHSOfficeofResearchIntegrity(ORI)hasnowreviewedthepolicy '8$% of37percentoftheinstitutionsthathaveanassuranceonfilewithit.Theexpected40percentgoalwasnotreachedbecauseoftheeffortrequiredtoswitchtheassuranceprogramtoelectronicadministrationandthegrowingnumberofassurancesinthedatabase.Theanalysisofinstitutionalpoliciesonresearchmisconductdescribestherangeofapproachesinstitutionshavetakentothe18issuesgenerallycoveredinsuchpolicies.Thestudywillbedevelopedintoawebbasedmoduletohelpinstitutionscreateorrevisetheirpolicies.3W ݌ (#(#    .*, L 0 !"#$%xx0 !"#$%L 3   3# 23  0    ComplianceOversightActivities. InFY2000,theDivisionofComplianceOversight   (_DCO_)ofthe_OPHS_ԀOfficeforHumanResearchProtections(_OHRP_)conductedfourcomplianceoversightsitevisits(DukeUniversityHealthcareSystem,CharlesR.DrewUniversityofMedicineandScience/KingDrewMedicalCenter,UniversityofWisconsinMadison,andUniversityofTexasMedicalBranchatGalveston).Additionally,_OHRP_opened91newcomplianceoversightcasesandclosed60casesinFY2000.Thenumberofopencaseshasbeenreducedfromitspeakof182inJuly2000to144asofJanuary2001.Approximately30additionalcaseshaveundergoneextensiveevaluationandareapproachingclosure.3# Q ݌ (#(# Ќ  L 0 !"#$%xx0 !"#$%L 3   3 23  0    NationalHumanResearchProtectionsAdvisoryCommittee. TheNationalHuman \  ResearchProtectionsAdvisoryCommitteehelditsfirstmeetinginDecember2000.Thisnewlyestablishedcommitteewillprovideexpertadviceandrecommendationstoseniordepartmentalofficialsonabroadrangeofissuesandtopicspertainingtoorassociatedwiththeprotectionofhumanresearchsubjects.3 ݌ (#(# Ќ   ,l iU5%!`z  `E`ttx 3$i (#(#    (#(#iU5%!`z  `E`ttx 3$iiUS5%!`z  `E`ttx 3$iiU5%!`z  `E`ttx 3$i?,X,hX,X X?XVlXXXVl&XXVl T #XVlX& #heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff 0p divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVl #  \ * dd SS SS SS (#(#,SS ,SS ,SS +  &\\\\G T  &  &FE%XXVlPerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&    \\\\A = @&FE%%&FE Addtothebodyof 4t  knowledgeaboutnormalandabnormalbiologicalfunctionsandbehaviors.NIHPlan#&FE%%@&FE #&FE%%&FEԀ#&FE%%&FE # 0\\\\\\\\A 0#XVlX%&FE #&FE%XXVlAnnualTarget#XVlX%&FE8 # 4t  Progressinadvancingscientificunderstandinginkeyfieldsbearingonourknowledgeofbiologicalfunctionsandbehaviorintheirnormalandabnormalstates 0\\\\D\\\\ 0 ( XXVlFY02: 4t  FY01:FY00:SubstantiallyexceededFY99:Substantiallyexceeded#XVlX(  p # /\\\\A\\\\ / Developnewor 8  improvedinstrumentsandtechnologiesforuseinresearchandmedicine.NIHPlanXVlXXXVlԀ#XVlXXXVl # 0\\\\$\\\\A 0&FE%XXVlAnnualTarget#XVlX%&FE3 # ( XXVl 8% ЀProgressindevelopingnewinstrumentationortechnologiesthatenhancecapabilitiesforinvestigatingbiologicalfunctionsanddiagnosingandtreatingdiseasesanddisorders#XVlX(   # 0\\\\)\\\\ 0 ( XXVlFY02: 8* FY01:FY00:SubstantiallyexceededFY99:Substantiallyexceeded#XVlX(   # /\\\\AT1\\\\ / &FE%XXVlDevelopcritical_genomic_ d resources,includingtheDNAsequencesofthehumangenomeandofthe_genomes_Ԁofimportantmodelorganismsanddiseasecausingmicroorganisms.#XVlX%&FE #&FE%XXVlNIHPlan #XVlX%&FE # 0\\\\ h\\\\A 0 XXVlFY02#XVlX ^ # d   XXVl1.Finish2/3ofthehumangenome.NIHgranteeswillbe \  responsibleforhalfofthistarget(1/3oftotal).2.Completeworkingdraftofthemousegenome.3.Obtainfulllengthclonesandsequencedatafor20,000mammalian_cDNAs_.4.Establishamechanismtofacilitateaccesstoresources,services,andtechnologiesneededtoinvestigategenefunction.5.Developtechnologiesthatassess,display,andqueryhumangenomesequencedatatofacilitateinvestigationofhowtheimmunesystemrespondsduringdifferentdiseaseconditions.6.InitiatepathogengenomesequencingprojectsforadditionalNIHpriorityareas.FY011.Worldwideeffortcompletes fullshotgunofhumangenomesequence. 2.Finish1/3ofhumangenome.3.Identify750,000singlenucleotide_polymorphisms_Ԁ(_SNPs_)4.Completesequencingof5additionalbacterialpathogensand5chromosomesofprotozoanparasites.5.Initiatesequencingprojectsforatleast6additional_genomes_Ԁ(bacterial,fungal,parasitic).6.Completesequencingofgenomeof_P.falciparum_.FY001.Worldwideeffortcompletesworkingdraftofhumangenome.UScontributes2/3ofsequence,NIHcontributes85%ofUStotal.2.Finishsequenceofatleastonehumanchromosome.2.CompletesequenceofDrosophilamelanogaster.FY991.USannualproductionof90millionbasepairs2.Worldwideannualproductionof220millionbasepairs.3.Totalsequencecompleteworldwide400millionbasepairs.4.CompletesequenceofC.elegansgenome. 0\\\\*$1\\\\ 0FY02:FY01(2/02)FY00:MetExceededMetFY99:ExceededExceededMetMet /\\\\Ax*<$W\\\\ /&FE% DevelopanAIDSvaccine d by2007# %&FE@ # 0\\\\|@\\\\A 0FY02FY01 d 1.Progressinthedesignanddevelopmentofneworimprovedvaccinestrategiesanddelivery/productiontechnologies.2.Progressincharacterization,standardization,and utilizationofanimalmodelsforevaluatingcandidatevaccines.3.Progressincollaboratingwithscientistsindevelopingcompaniesandwithindustry.4.Progressincompletionofongoingtrialsandinitiationofadditionaldomesticand/orinternationaltrialsofneworimprovedconceptsanddesigns,includingtheprogressionofpromisingcandidatestolargertrialstestingvaccinecandidates.FY001.Progressinthedesignanddevelopmentofneworimprovedvaccinestrategiesanddelivery/productiontechnologies.2.Progressincharacterization,standardization,andutilizationofanimalmodelsforevaluatingcandidatevaccines.3.Progressincollaboratingwithscientistsindevelopingcompaniesandwithindustry.4.Progressincompletionofongoingtrialsandinitiationofadditionaldomesticand/orinternationaltrialsofneworimprovedconceptsanddesigns,includingtheprogressionofpromisingcandidatestolargertrialstestingvaccinecandidates.FY991.Increasesintheresearchportfoliosupportinginnovativevaccinediscovery.2.Increasedinteractionsbetweenacademicinvestigatorsandindustry,toenhanceopportunitiesforvaccinediscoveryandproductdevelopment.3.Progressincompletionofongoingtrialsofnewvaccineconceptsanddesigns. 0\\\\X& (\\\\ 0FY02FY01FY00:MetMetMetMetFY99:MetMetMet(%dI  \\\\ (  P'!I iU5%!`z  `E`ttx 3%i (#(#     (#(#iU5%!`z  `E`ttx 3%iiUU5%!`z  `E`ttx 3%iiU5%!`z  `E`ttx 3%i9,X,hX,X,hX9  &  T # &\ #heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaffdivisionsthat  supporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#  = # < | * ddSS SS SS (#(#,SS ,SS ,SS +  &\\\\G , l  &  &FE% PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&    \\\\A = @&FE%%&FE Developneworimprovedapproachesfor  L  preventingordelayingtheonsetorprogressionofdiseaseanddisability#&FE%%@&FE #@&FE%%&FE.#&FE%%@&FEL #@&FE%%&FE#@ %@&FEo #@&FE% @ԀNIHPlan#&FE%%@&FE #&FE%%&FEԀ#&FE%%&FE# # 0\\\\\\\\A 0# %&FE #&FE% AnnualTarget# %&FE #&FE%   L  Progressindeveloping(or X  facilitatingtheprivatesectorsdevelopmentof)neworimprovedapproachesforpreventingordelayingtheonsetofdiseasesanddisabilities!andwhichreflectNIHresponsivenesstoemerginghealthneeds,scientificopportunities,andnewtechnologies 0\\\\\\\\ 0FY02:FY01:# %&FE # (  FY00:Substantially $d! exceeded# (  #&FE%  8" FY99:Successfullymet /\\\\A<#\\\\ / @&FE%%&FE Developneworimprovedmethodsfor <$ diagnosingdiseaseanddisability#&FE%%@&FE#@&FE%%&FE.#&FE%%@&FEi#@&FE%%&FE#@ %@&FEN#@&FE% @ԀNIHPlan#&FE%%@&FE#&FE%%&FEԀ#&FE%%&FE@# 0\\\\%\\\\A 0# %&FE#&FE% AnnualTarget <& Progressindeveloping(orfacilitatingtheprivatesectorsdevelopmentof)neworimproveddiagnosticmethodsthataremoreaccurate,lessinvasive,and/ormorecosteffective!andwhichreflectNIHresponsivenesstoemerginghealthneeds,scientificopportunities,andnewtechnologies# %&FE#&FE%  0\\\\|&"2\\\\ 0FY02:FY01:# %&FE`# (  FY00:Substantially T5 exceededFY99:Substantiallyexceeded# (  #&FE%  /\\\\A 8\\\\ /_ @&FE%%&FE Developneworimprovedapproachesfor d treatingdiseaseanddisability.#&FE%%@&FE#@&FE%%&FE#@ %@&FEq#@&FE% @ԀNIHPlan#&FE%%@&FE}#&FE%%&FEԀ#&FE%%&FE# 0\\\\|@\\\\A 0# %&FE#&FE% AnnualTarget# %&FE#&FE%  d Progressindeveloping(orfacilitatingtheprivatesectorsdevelopmentof)neworimproved# %&FE#&FE%  @  treatmentsthatexpandtherapyoptions;improvethelengthandqualityoflife;and/oraremorecost effective!andwhichreflectNIHresponsivenesstoemerginghealthneeds,scientificopportunities,andnewtechnologies# %&FE #&FE%  0\\\\ \\\\ 0FY02:FY01:# %&FE # (  FY00:Substantially | exceededFY99:Substantiallyexceeded# (  l #&FE%  /\\\\Ad (\\\\ / @&FE%%&FE Developneworimprovedinstrumentsand l0  technologiesforuseinresearchandmedicine.#&FE%%@&FEN #@&FE%%&FE#@ %@&FE #@&FE% @NIHPlan#&FE%%@&FE #&FE%%&FEԀ#&FE%%&FE # 0\\\\T\\\\A 0# %&FE@ #&FE% AnnualTarget# %&FE&#&FE%  l0  Progressindevelopingnewinstrumentationortechnologiesthatenhancecapabilitiesforinvestigatingbiologicalfunctionsanddiagnosingandtreatingdiseasesanddisorders. 0\\\\|@"\\\\ 0FY02:FY01:# %&FEu# (  FY00:Substantially H% exceededFY99:Substantiallyexceeded# (  #&FE%  /\\\\A0(\\\\ /@&FE%%&FEReducemorbidityandmortalityattributableto ) behavioralriskfactorsbybuildingnationwideprogramsinchronicdiseasepreventionandhealthpromotionandinterveninginselecteddiseasesandriskfactors.Measure:#&FE%%@&FE#@&FE%%&FEԀReducethepercentageofteenagers t!8/ (ingrades912)whosmokebyconductinganeducationalcampaign,providingfundingandtechnicalassistancetoStateprograms,andworkingwithnongovernmentalentities.#&FE%%@&FE#ԀCDC $3 Plan 0\\\\%4\\\\A 0@&FE%%&FEFY03:32.3%FY01:34.2%#&FE%%@&FEF## %&FEJ#&FE%  L$= FY99:36.4% 0\\\\X%>\\\\ 0FY03:FY01:7/01FY99:34.8%# %&FE#&FE%  X%H FY97:36.4%FY95:34.8%FY93:30.5%FY91:27.5% /\\\\A)L#L\\\\ /@&FE%%&FEDevelopandstrengthenepidemiologicand d laboratorymethodsfordetecting,controlling,andpreventinginfectiousdiseases.#&FE%%@&FE'# X Measure:@&FE%%&FEExtramuralawardswillbeprovided p 4 toconductenhancedresearchinvestigationsto assistindevelopmentandimprovementofdiagnostictestsforuseinareassuchasantimicrobialresistance,sexuallytransmitteddiseases,malaria,Lymedisease,healthcareassociatedinfections,andbloodsafety.CDC \  Plan#&FE%%@&FE# 0\\\\t8 \\\\A 0FY02:n/aFY01:45awardsFY00:22awardsFY99:22awards 0\\\\ \\\\ 0FY01:FY00:04/01FY99:22awardsFY97:17awards /\\\\A\\\\ /@&FE%%&FEStrengthendomesticandglobalepidemiologic   andlaboratorycapacityforsurveillanceandresponsetoinfectiousdisease.#&FE%%@&FE# `  Measure:@&FE%%&FEԀEstablishasurveillancesystemto x" collectdataonantimalarialdrugresistanceinsubSaharanAfricancountries.#&FE%%@&FE#CDCPlan 0\\\\l0$\\\\A 0FY02:n/aFY01:54CountriesFY00:25# %&FE#pj& Overalltarget54countries# &pj#&FE%  0\\\\,+\\\\ 0FY01:FY00:54FY99:0 /\\\\A,2\\\\ /IncreasethetoxicsubstancesthatcanbemeasuredbyCDCsenvironmentalhealthlaboratorysostateoftheartlaboratorymethodscanbeemployedtopreventavoidableenvironmentaldisease.CDCPlan# %&FEt#&FE%  0\\\\ 7\\\\A 0FY02:12newsubstances# %&FE#&FE%  `8 FY01:12FY00:8FY99:8 0\\\\;\\\\ 0FY02:FY01:FY00:8FY99:9FY97:200 /\\\\A@\\\\ /@&FE%%&FEIncreaseearlydetectionofbreastandcervical d cancerbybuildingnationwideprogramsinbreastandcervicalcancerprevention.#&FE%%@&FE# X Measure:@&FE%%&FEExcludingbreastcancersdiagnosed p 4 onandinitialscreeninthe_NBCCEDP_,atleast73%ofwomenaged40andolderwillbediagnosedatlocalizedstage.#&FE%%@&FE{#   Measure:@&FE%%&FEExcludinginvasivecervicalcancers (  diagnosedonaninitialscreeninthe_NBCCEDP_,theageadjustedrateofinvasivecervicalcancerinwomenaged20andolderisnotmorethat22per100,000Paptestsprovided.#&FE%%@&FE #CDCPlan 0\\\\t8\\\\A 0FY02:73%FY01:73%FY00:72%FY99:71%@&FE%%&FEFY02FY99:Nomore $  than22/100,000#&FE%%@&FEb"## %&FE#&FE%  0\\\\ \\\\ 0FY02:FY01:FY00:4/01FY99:70%FY98:70%FY95:70%FY02:FY01:FY00:4/01FY99:@&FE%%&FE9/100,000#&FE%%@&FE### %&FE"#&FE%  H , FY98:23/100,000 FY95:26/100,000 /\\\\A`$.\\\\ /Developwithotherorganizations,genechipandgenearraytechnology.!SupportatleasttwomultidisciplinedDNAandRNAbased_microarray_Ԁtechnologies.!Develop riskchiptechnologytoscreenlargenumbersofpeoplefor_biomarkers_simultaneously.!Conductmolecularepidemiologystudiestoidentify_biomarkers_Ԁofthemostfrequentlyoccurringcancersinhighlysusceptible_subpopulations_.!Completebiochemicalandepidemiologystudiestodefinethebasisofsusceptibilityof humanstothetoxicityofregulatedcompounds.FDAPlan 0\\\\\\\\A 0FY02:Support_microarray_technologiesFY01:DeveloptechnologyFY00:ConductstudiesFY99:Completestudies 0\\\\l00\\\\ 0FY02:FY01:FY00:Establishedandvalidatedconventional_genotyping_Ԁmethodsfor28genetargetsand_polymorphisms_;686_colonoscopy_Ԁindividualswere_genotyped_ԀforallcommonNAT2alleles;analysisongoingoncompletedcasecontrol_colorectal_Ԁcancerstudy.FY99:Biochemicalstudiesonpancreaticand_colorectal_Ԁcancerwerecompletedandepidemiologystudiesoncancerareintheenrollmentphase.FY98:ConductedcasecontrolmolecularepidemiologystudiestoassessbreastandprostatecancerinAfricanAmericanwomen/men.($' T \\\\ (# %&FE!$#Seealso:<,XX4,hX,X,hX<L ~ !"#$%hx0 !"#$%L 3   3_,23  0    Objective4.1,EnhancetheAppropriateUseofEffectiveHealthServices3_,,݌+$W(#(# Ќ   3   3Z-23  0    Objective4.4,DevelopKnowledgethatImprovestheQualityandEffectivenessofHumanServices ,%X Practice3Z--݌ ,&Y(#(# Ќ  iU5%!`z  `Ett o&i (#(#      (#(#iU5%!`z  `Ett o&iiUW5%!`z  `Ett o&iiU5%!`z  `Ett o&i<,X,hX,XX4,hX<  &  T # &1#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaffcomponentsthat   supporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#  h1# 4 t  @  * d dSS SS SS (#(#, SS ,N SS ,SS +  &\\\\G $d  &  @&FE% @PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&    \\\\A =#&FE%%@&FE3#Establishfutureresearchagendabased D  onusersneeds._AHRQ_ԀPlan. 0\\\\ \\\\A 0Accomplishthefollowingbasedonconsultationwithvariousgroups:FY02:AgencyresearchagendacoveringstrategicgoalareasforFY2002prioritiesisdocumentedbasedonconsultationswithvariousgroups.FY01:AgencyresearchagendacoveringstrategicgoalareasforFY2001priorities(patientsafetyand_informatics_)isdocumented.FY00:Agencyresearchagendacoveringthe3strategicresearchgoalsandthenewFY2000closingthegapinitiativesaredocumented.FY99:Agencyresearchagendacoveringthe3strategicresearchgoalsisdevelopedanddocumented. 0\\\\#&\\\\ 0FY02:FY01:FY00:CompletedFY99:Completed /\\\\A$ :\\\\ /MakesignificantcontributionstotheeffectivefunctioningoftheU.S.healthcaresystemthroughthecreationofnewknowledge._AHRQ_ԀPlan. 0\\\\4 \\\\A 0FY02:Fundingofaminimumof100projects;30%oftheseprojectsaddressprioritypopulations.FY01:Fundingaminimumof60projectstoimprovehealthcarequality,safetyandefficiency.FY00:Fundingaminimumof10projectsthataddressgapsinknowledgeaboutthepriorityproblemsfacedby MedicareandMedicaid.Fundingofaminimumof10projectstoaddresseliminatingdisparitiesinhealthcare,particularlythoseforracialandethnicminorities.FY99:Fundingofaminimumof21projectsinconsumersuseofinformationonquality;strengtheningvaluebasedpurchasing;measuringnationalhealthcarequality;vulnerablepopulations;andtranslatingresearchintopractice.FY99:Fundingofaminimumof17projectsinoutcomesfortheelderlyandchronicallyill;clinicalpreventiveservices;andchildrenshealth. 0\\\\ T!\\\\ 0FY02FY01:FY00:43projectsfundedMorethan30projectsfundedFY99:56projectsfundedFY99:51projectsfunded($"=  \\\\ (# %&FE4#  ($> iU5%!`z  `E`ttx 3'i (#(#     (#(#iU5%!`z  `E`ttx 3'iiUY5%!`z  `E`ttx 3'iiU5%!`z  `E`ttx 3'i9,X,hX,X,hX9  &  T # &A#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaffdivisionsthat  supporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#  A# < | @  * dd SS  N SS N SS (#(#,SS ,SS ,SS +  &\\\\G , l  &@&FE% @  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&    \\\\A =Reviewandacton90%ofstandardoriginalNewDrugApplication(_NDA_),ProductLicenseApplication(PLA)andBiologicLicenseApplication(BLA)submissionswithin10monthsofreceipt;andreviewandacton90%ofpriorityoriginal_NDA_/PLA/BLAsubmissionswithin6monthsofreceipt.FDAPlan 0\\\\X\\\\A 0 StandardApplications  L  within12months#&FE%%@&FEC#@&FE%%&FE#@ %@&FED#@&FE% @ (   FY02:N/A 4 FY01:90%FY00:90%FY99:90% StandardApplicationswithin10months #@ %@&FEZH#@&FE% @#&FE%%@&FEH#@&FE%%&FE 0p  FY02:90%FY01:70%FY00:50%FY99:30% PriorityApplicationswithin6months #&FE%%@&FEfI#@&FE%%&FE#@ %@&FE$I#@&FE% @ `#( FY02:90%FY01:90%FY00:90%FY99:90% 0\\\\'#,\\\\ 0FY02:FY01:FY00:01/02FY99:100%#@ %@&FEXJ#@%1 @Drugs&_Biologics_#@ 1@%3K#@&FE% @ $d3 FY98:100%FY97:100%FY96:100%FY02:FY01:FY00:09/01FY99:66%#@ %@&FEK#@pj& @Drugs#@ &@pjJL#@&FE% @ h< FY99:80%_Biologics_FY02:FY01:FY00:07/01FY99:100%#@ %@&FEL#@%1 @Drugs&_Biologics_#@ 1@%FM#@&FE% @#&FE%%@&FEJ#@&FE%%&FE ($E FY98:100%FY97:100% /\\\\A*&G\\\\ /Maintainthepercentageof_Premarket_ԀApprovalApplication(_PMA_)firstactionscompletedontime(within180days).FDAPlan 0\\\\X\\\\A 0FY02:90%FY01:90%FY00:85%FY99:65% 0\\\\  \\\\ 0FY02:FY01:FY00:96%FY99:74%FY98:79%FY97:65%FY96:51% /\\\\A \\\\ /Reviewandacton80%of_NADAs_/AbbreviatedNewAnimalDrugApplications(_ANADAs_)within180daysofreceipt.FDAPlan 0\\\\ \\\\A 0FY02:80%FY01:80%FY00:73%FY99:N/A 0\\\\|@ \\\\ 0FY02:FY01:FY00:75%FY99:73% /\\\\A|@ \\\\ /Protecthumanresearchsubjectsparticipationindrugstudiesandassessthequalityofdatafromthesestudiesbyconductingapproximately700onsiteinspectionsanddataauditsannually.FDAPlan 0\\\\D \\\\A 0FY02:780FY01:N/AFY00:N/AFY99:N/A Note :Thenumberof 4' inspectionscompletedeachyearisdependentonthenumberofapplicationsreceived,hasaveragedapproximately100120peryear. 0\\\\<.\\\\ 0FY02:01/03FY01:FY00:679inspectionscompletedFY99:683inspectionscompleted. /\\\\AD6\\\\ /DevelopasystemtoidentifyandmeasurethehealthoutcomesoftechnologieslicensedbytheNIH.NIHPlan 0\\\\ X\\\\A 0#&FE%%@&FEM#@&FE%%&FE#@ %@&FEM#@ (  @FY02:Developtwocase d studiestotesttheproposedmethodology;finalizetheapproach;andapplyitto10%ofallexclusivelylicensedtechnologieswhichareapartofcommerciallyavailableproducts.FY01:Establishaworkinggroupandobtainrecommendationsonpotentialoutcomemeasuresandsourcesforobtainingreliabledataforthosemeasurementsontherapeuticdrugs, vaccinesanddevices.#@ ( @ U#@&FE% @   0\\\\\\\\ 0#&FE%%@&FEFU## %&FExW# (  FY02: d FY01:# (  #X#&FE%  /\\\\A $\\\\ /@&FE%%&FEExtramuralawardswillbeprovidedtoconduct h,% enhancedresearchinvestigationstoassistindevelopmentandimprovementofdiagnostictestsforuseinareassuchasantimicrobialresistance,sexuallytransmitteddiseases,malaria,Lymedisease,healthcareassociatedinfections,andbloodsafety.#&FE%%@&FEX#ԀCDCPlan 0\\\\x*\\\\A 0FY02:n/aFY01:45FY00:22FY99:22 0\\\\P.\\\\ 0FY01:FY00:04/01FY99:22awardsFY97:17awards# %&FEX#(\3  \\\\ (  3 iU5%!`z  `E`ttx 3(i (#(#     (#(#iU5%!`z  `E`ttx 3(iiU[5%!`z  `E`ttx 3(iiU5%!`z  `E`ttx 3(i9,X,hX,X,hX9  &  T # &h^#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaffdivisionsthat  supporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#  I^# < | @  * ddSS SS SS (#(#,SS , SS ,rSS +  &\\\\G , l  &  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance =\\\\A(&    \\\\A =@&FE% @#&FE%%@&FEe`#@&FE%%&FEStrengthenthescopeandnatureofextramural $  publichealthresearchprograms.#&FE%%@&FEb#   Measure:@&FE%%&FECDCwillincreasethenumberof  younginvestigatorandpublichealthresearchtrainingopportunities.#&FE%%@&FEc#ԀCDCPlan 0\\\\\\\\A 0FY01:n/aFY00:5%increaseincareerdevelopmentawardsfundedby_PRI_. 0\\\\\\\\ 0FY00:Continuedfunding2careerdevelopmentawardsFY99:Twoextramuralprojectsandone infrastructureprojectfundedtosupportexpandedtrainingactivities# %&FEb#&FE%  /\\\\A#\\\\ /@&FE%%&FETheannualnumberofhealthservices L$ providersparticipatingindistancelearningactivitieswillbeincreased.#&FE%%@&FEAf#ԀCDCPlan 0\\\\D&\\\\A 0FY02:125,000FY01:120,000FY00:115,000FY99:105,000 0\\\\p*\\\\ 0FY02:FY01:FY00:FY99:135,000FY97:100,000 /\\\\A|/\\\\ /@&FE%%&FEPublichealthmicrobiologyfellowswillbe ,0 trainedandavailableforemploymentinlocal,state,andFederalpublichealthlaboratories.#&FE%%@&FEh# !2 CDCPlan 0\\\\"3\\\\A 0FY02:125fellowstrainedFY01:100FY00:70FY99:40 0\\\\#P7\\\\ 0FY02:FY01:FY00:73FY99:40FY97:13 /\\\\A$\ <\\\\ /Asameasureofanacceptablesupplyofwelltrainedmedicalresearchers,maintainhistoricalapplicationsuccessratesfor:0 / !fellowships(F32). /m/m 0 / !researchtraininggrants(T32). /m/m  ̀!careerawardsforbasicscientists(K01).0 /  /m/m ̀!entrylevelcareerawards(K08).NIHPlan   0\\\\  \\\\A 0FY02:40%FY01:40%FY00:40%FY99:40%̀FY02:60%FY01:60%FY00:60%FY99:60%FY02:40%FY01:40%FY00:60%FY99:60%FY02:50%FY01:50%FY00:60%FY99:60% 0\\\\l.\\\\ 0FY02:FY01:FY00:48%FY99:44%FY02:FY01:FY00:67%FY99:64%FY02:FY01:FY00:36%FY99:37%FY02:FY01:FY00:50%FY99:52% /\\\\AlE\\\\ /Toincreasethepoolofclinicalresearcherswhocanconductpatientorientedresearch,increaseawardsin:0 / !0[/m/m_Mentored_Ԁ(K23)andMidCareer "J Investigator(K24),PatientOrientedResearchAwards. [m[m 0 /  /m/m NIHPlan 0\\\\'!O\\\\A 0FY02:80FY01:80FY00:80FY99:80 0\\\\\(H"Y\\\\ 0FY02:FY01:FY00:189(K23)̀75(K24)FY99:85(K23)̀81(K24) /\\\\Ah)T#d\\\\ /Developandfacilitatetheuseofnewtools,talent,products,andimplementationmethodologiesstemmingfromresearchportfolio._AHRQ_ԀPlan 0\\\\ \\\\A 0FY02:L > !"#$%٘hh~ !"#$%L 3   3|q2٘"3  0 ?   Produceaminimumof18 p evidencereportsandtechnologyassessmentsthatcanserveasthebasisforinterventionstoenhance healthoutcomesandqualitybyimprovingpractice3|qq݌ ?? Ќ   3   3r2٘"3  0 ?   Fundatleast10projectsin  toolanddatadevelopment# %&FEe#&FE% 3r s݌p\ ?? Ќ  FY01:L 7 !"#$%Fhh> !"#$%L 3   ݀3t2F"3  0 ?   Supportaminimumof165   preandpostdoctoraltrainees.3tt݌ ?? Ќ   3   ݀3u2F"3  0 ?   Supportaminimumof15 XD minorityinvestigatorsthroughindividualandcentergrants.3uu݌ ?? Ќ  FY00:Supportafivepercentincrease,ataminimum,innumberofpreandpostdoctoraltrainees.FY99:Supportaminimumof150preandpostdoctoraltrainees. 0\\\\h T!\\\\ 0FY02:FY01:FY00:25%increaseFY99:167trainees(!l<  \\\\ (# %&FEs#XVlX   "x< iU5%!`z  `E`ttx 3)i (#(#    (#(#iU5%!`z  `E`ttx 3)iiU]5%!`z  `E`ttx 3)iiU5%!`z  `E`ttx 3)i9,X,hX,X,hX9XVlXXXVl&XXVl T #XVlX&z#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff 0p divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVlz#  \ * ddSS  SS rSS r(#(#, SS , SS ,4SS +  &\\\\G T  &  &FE%XXVlPerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance @&FE%%&FE =\\\\A(&    \\\\A =#&FE%%@&FE~#@&FE%%&FEBasedonestablishedcriteria,continueto R  publishtheMorbidityandMortality .n  WeeklyReports(_MMWR_)seriesof  J publicationsincludingReportsandRecommendations,SurveillanceSummaries,andtheAnnualSummarytocommunicatemajorpublichealtheventstothemedia,publicpolicymakersandhealthprofessionalsthroughmultiplemediachannelsprint,television,radio,interactiveWorldWideWeb.CDCPlan#&FE%%@&FEh# 0\\\\*\\\\A 0FY02:86issues#XVlX%&FE~#&FE%XXVl R  FY01:86issuesFY00:81issuesFY99:77issues 0\\\\\\\\ 0FY02:FY01:FY00:81issuesFY99:77issuespublished.Also,availableonCDCwebsite /\\\\A:z$\\\\ /@&FE%%&FEMakedatamorereadilyaccessibleto d decisionmakersandresearchersbyreleasingstatisticsinnewformatstospeedthereleaseofdataonhighprioritytopics.CDCPlan#&FE%%@&FE@# 0\\\\. \\\\A 0FY02:MaintainformatsFY01:Releasetworeportsinsuchformat.FY00:Releaseonereport. 0\\\\ X \\\\ 0FY02:FY01:FY00:&FE%%&FE_NCHS_Ԁhas    releasedVariationsinTeenageBirthRates,19911198:NationalandStateTrends;expectstoreleaseAmericas . Children:KeyNationalIndicatorsofWellbeing   inJuly,andthe2000 h  AdolescentHealth_Chartbook_inthefall z  #&FE%%&FE##XVlX%&FE#&FE%XXVlFY99:1999Healthand 8 AgingChartbook n projectedpublicationSeptember1999.FY98:TeenageBirthsin > theUnitedStates:NationalandStateTrends199096was x!  published. /\\\\AT"\\\\ /@&FE%%&FEResearchfindingswillbedisseminatedby # investigatorsreceiving_PRI_Ԁfunds.#&FE%%@&FE#ԀCDC $ Plan |%  0\\\\6(!-\\\\A 0 @&FE%%&FE FY01:Implement . disseminationtrackingsystem.FY00:#&FE%%@&FE#&FE%%&FEEstablish !2 disseminationgoalsfor_PRI_Ԅfundedprojectsandmethodsforcollectionofdata,includingthenumberofpublishedpeerreviewedstudiesandthenumberofproductsdevelopedanddistributedtoconsumers.#&FE%%&FEL#@&FE%%&FE#@XVlX%@&FE#@&FE%X@XVl (t": #&FE%%@&FE# 0\\\\*$<\\\\ 0FY01:FY00:&FE%%&FEDevelopedinitial N"A designandplanforimplementinga_website_.Disseminationgoalsfor_PRI_Ԁfundedprojects:80%ofawardswillhavesubmittedresultsforpublicationwithin1yearofstudycompletion.FY99:Developedinitialdesignandplanfora_website_.#&FE%%&FEq##XVlX%&FEً#&FE%XXVl  /\\\\A,&M\\\\ /Maximizedisseminationofinformation,tools,andproductsdevelopedfrom researchresultsforuseinpracticesettings._AHRQ_ԀPlan 0\\\\R \\\\A 0FY02:L ` !"#$%Vhh7 !"#$%L 3   ? cu?,X,X,hX?32V"3  0 u   NumberofStateandlocal p governmentstrainedandorreceivingtechnicalassistancethroughUserLiaisonProgram(_ULP_).3J݌ uVuV Ќ   3   3v2V"3  0 u   Formatleast20 F   partnershipstodisseminateandimplementresearchfindingswithpublicandprivatesectororganizations.3v݌ uVuV Ќ  FY01:L ~ !"#$%hh` !"#$%LL > !"#$%٘hh~ !"#$%L 3   3s2٘"3  0 u   Formationofaminimumof P  10partnershipstosupportdisseminationof_AHRQ_productsthroughintermediaryorganizations,suchashealthplansandprofessionalorganizations.3s݌ uVuV Ќ   3   32٘"3  0 u   Evidencebasedpractice  centers(_EPCs_)willproduceaminimumof12evidencereportsandtechnologyassessmentsthatcanserveasthebasisforinterventionstoenhancehealthoutcomesandquality.3*݌ uVuV Ќ  P ~ !"#$%hh> !"#$%'PFY00:Atleast10purchasers/businessesuse_AHRQ_Ԁfindingstomakedecisions.FY99:Atleast5purchasers/businessesuse_AHRQ_findingstomakedecisions. 0\\\\F)"+\\\\ 0FY02:FY01:FY00:_AHRQ_Ԁpartneredwithmorethan30diversepublicandprivateorganizationstodisseminateevidencebasedinformation.FY99:Over30partnershipsusedtodisseminatematerials. /\\\\AB.'S\\\\ /ContinuallyenhanceCDCsinformation technologyinfrastructuresothatthepublicaccesstoCDCinformationresourcesusingtheInternet,voice,andfaxgrowsby25percentperyear.CDCPlan 0\\\\. \\\\A 0FY02:+25%FY01:+25% 0\\\\p\\\\ 0FY02:FY01:FY00:AveragemonthlyvisitorstoCDCs_website_was2.8Mwithanaverageof7accessesofinformationcontentpervisit.AveragemonthlycallstotheCDCVISwas46,000and14,000requestsfordocumentstobefaxedtothecallers.(8   \\\\ (_#XVlX%&FEK#  D  iU5%!`z  `Ett o*i (#(#     (#(#iU5%!`z  `Ett o*iiU_5%!`z  `Ett o*iiU5%!`z  `Ett o*i?,X,hXcu?,X?XVlXXXVl&XXVl T #XVlX&#heseareselectedperformancegoalsfromtheperformanceplansoftheHHSoperatingandstaff L  divisionsthatsupporttheachievementofthisstrategicobjective.Forindepthperformanceinformation,programstrategiesthatsupportthegoal,anddataverificationandvalidation,pleaserefertotheoriginatingplannotedinitalicsattheendofeachgoal.#XVlXXXVlٞ# 8 x *dd SS  SS  4SS 4(#(#, SS , SS ,4SS +  &\\\\G p  &&FE%XXVl  PerformanceGoals 8\\\\A#!  \\\\G 8  Targets 8\\\\A#!  \\\\A 8  ActualPerformance @&FE%%&FE =\\\\A(&    \\\\A =Sustainthenumberofcollaborativeactivities(workshops,publicationsandotherresourcematerialsproduced)thatassistinstitutionsto(1)promoteintegrityinthehealthscienceresearchenterprise,and(2)developadministrativeprocessesthateffectivelyrespondtoallegationsofscientificmisconduct._OPHS_ԀPlan 0\\\\T\\\\A 0#@XVlX%@&FE#@&FE%X@XVlFY02:4workshopsand2 P  resources#&FE%%@&FE#@&FE%%&FEFY01:4workshopsand2 8x resourcesFY00:4workshopsand2resources 0\\\\<\\\\ 0FY02:FY01:FY00:5workshops̀1resourceFY99:6workshops̀1resource#@XVlX%@&FE# /\\\\A$\\\\ /@&FE%X@XVl#&FE%%@&FEs#@&FE%%&FEIncreasepercentofinstitutionalpolicies T% forrespondingtoallegationsofscientificmisconductthathavebeenreviewedforcompliancewiththeFederalregulation42_CFR_ԀPart50,SubpartA.#&FE%%@&FE#_OPHS_ԀPlan 0\\\\)\\\\A 0FY02:45%FY01:40%FY00:40% 0\\\\,l,\\\\ 0FY02:FY01:FY00:37%FY99:35% /\\\\A8x0\\\\ /Increaserateofcompletingoversightof 41 scientificmisconductcaseswithineightmonthsofreceivingfinaldecisionfrominstitution._OPHS_ԀPlan 0\\\\!4\\\\A 0FY02:80%FY01:75%FY00:70% 0\\\\"X8\\\\ 0FY02:FY01:FY00:81%completedin8months  !(< FY99:79%completedin1year /\\\\A# >\\\\ /IncreasenumberofcomplianceoversightsitevisitstoevaluateallegationsofnoncompliancewiththeFederalregulationsat45_CFR_ԀPart46._OPHS_ԀPlan 0\\\\'$B\\\\A 0FY02:10FY01:6 0\\\\L&"D\\\\ 0FY02:FY01:FY00:4#XVlX%&FEҦ#(X'#G  \\\\ ( <hB   ( %G __