NH

 

 
 

Draft Proposal for a

Health Resources Planning Organization

PURPOSE: The organization proposed is to be a .ureau level
Structure within the context of the Health Resources Administration
designed to carry out the intent of H.R. 16204 or substantially
Similar legislation. The current legislation clearly dictates
the ability to perform the following functions:

l. Develop, format, promulgate, coordinate, and revise as
necessary a sufficient body of policy, regulations, guidelines,
and operational procedures to facilitate the practice of the

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legislative intent. ;

2. Estabiish, charter, develop, and support health agencies
in designated areas to provide effective health planning, and to
promote the development of health systems, manpower and facilities
which meet identified needs and reduce known deficiencies within
the designated areas.

3. Monitor, assess, and regulate within the context of
existing law the progress and practice of the established agencies.

4. Provide for the research, synthesis, analysis, promulgs-

y

iing expertise and

tion, and effective utilization of health plan

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methodology.

ORGANTZATTOUAL PHILOSOPHY: To secompiish its wission the

 

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organization should be as flat es pessiblec to provide for vapia

vertical communication aud respense. 2b shonid incorporate tious

 
for promoting horizontal communication, cooperation, and interde-
pendence to avoid "turf" problems. Such an Organization must
provide the Capacity for its leadership both to delerate authority
and responsibility completely and also to become as Closely in- |
volved in any activity as circumstance May warrant. The organiza-
tion will be strongly centralized from the standpoint of policy
"voice", but its program operation will be largely decentralized.
The central office structure will be functionally oriented while
the concomitant regional structure will be generalistic and task

oriented.

STRUCTURE: See attached chart.

BASIC COMPONENT FUNCTIONS:

l. Office of the Bureau Director - Provides executive

 

leadership and direction for all facets of bureau activity. Co-
ordinates the functioning of the bureau: both internally and in
the context of other national health programs. Serves as princi-
pal contact and advisor to the Department, Health Resources Admin-
istration, the National Council for Health Policy and other in-
terested parties on matters related to planning and development
of health services and facilities.

2. Special Staff - Provides the Director with exccutive
level staff support to facilitate problem resolution through

planning, analysis, cvaluation, Synthesis, and coordination,
Provides the focal point for implementation and transitional
administration. May provide staff support to groups such as
the National Health Policy Council, subject to The Directors
needs and wishes.

3. Office of Management Resources and Planning - Serves

 

the bureau by providing all requisite management resources.
Administers "men, money, and materials". Incorporates within

its structure the functions of the Executive Secretariat. Is
responsible for, or coordinates, management planning and re-
porting systems such as OPS and The Forward Plan. Obtains or
provides systems analysis and programming expertise for the
development and maintenance of Management Information and
Monitoring Systems. Carries out a complete program of reports
management for the bureau. Provides other administrative functions
required to support the operating divisions such as budget formu-
lation and administration of funds set aside for evaluation projects.

4. Division of Planning Methods - Functions as the bureau

 

focal point for matters concerning the methodology of Health

Systems Planning. Provides guidance for the establishment,
evolution and accomplishments of the agencies through the deve-
lopment, synthesis, analysis, and promvigation of health planning
expertise and technology. Develops and maintains standards,
criteria and guidelines with regard to the effective use of planning
for health systems as well as for the development of agency plan-
ning capability. Incorporates in its structure the mechanism

for gathering, storing, cataloging, and retrieving health planning
-4-

data and reference resources. ‘Makes its resources available
directly to the agencies, or through central and regional office
channels, as need and activity dictate. Responsible for the
establishment and development of the Centers for Health Planning.

5. Division of Facilities Construction - Functions as the
bureau focal point for all matters pertaining to the construction,
modernization or expansion of health care facilities. Given con-
tinuity to the evolution of the facilities program in its transi-
tion from the current Hill-Burton program to that activity envisione:
in H.R. 16204. “Develops and maintains the criteria, standards and
models by which State Health Planning and Development Agencies
will be able to prepare and administer the State Facilities plans.
Serves as liaison and resource to the Federal Hospital Council
centrally, and through the regional staffs provides consultative
resources to the Statewide Health Coordinative Councils on faci-
lities matters.

6. Division of Operations, Liaison, and Monitoring - Functions
as the bureau focal point for operational and programmatic matters
dealt with through and by the regional staffs. Serves as the
"line" channel for day to day communication and transmission of
information. Carries out the preponderance of bureau liaison
activities. Incorporates within its structure the mechanism for
requisite monitoring and appraisal functions. Provides resources
for, assists in the development of a system to monitor the effective

ness of regional staff performance of bureau and program activities.
——

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i primary responsibility for the establishment and operation
©. the Management Information System and other management monitoring
and control mechanisms and operations.

7. Division of System Regulation - Functions «s the bureau
focal point for all currently envisioned and pros} ‘ve regulatory
activity. Creates and maintains standards, criteria, guidelines
and models for the establishment and maintenance of regulatory
activities. Designs and maintains within its structure the
necessary mechanisms and resources to aid in the development of
regulatory activities such as 1122 agreements and rate review, as

well as to oversee the imposition of, and compliance with, Federal

requirements.

8. Division of Agency Development - Functions as the bureau
focal point for health systems, and State agency establishment,

coordination, and continual development. Incorporates within its

structure the necessary mechanisms, resources and expertise to

‘develop and maintain a responsive and positively evolving body of

criteria, guidelines, and procedures to support the effective
operation of Health Systems and State Health Planning and Deve-
lopment Agencies. Directly, or through regional staff, provides
consultative fesources to the agencies to maintain the currency

and effectiveness of their activities.
 

Special
Staff

 

 

Office of

 

 

 

Director

 

 

 

 

 

 

 

 

Office of Management
Resources and Planning

 

 

 

 

 

 

Division of
Agency
Development

 

 

 

 

Division of
Facilities
Construction

 

 

 

 

 

 

 

 

 

 

Division of
Operations,
Liaison, and
Monitoring

 

 

Division of
System
Regulation

 

 

Division of
Planning
Methods