[Federal Register Volume 79, Number 68 (Wednesday, April 9, 2014)]
[Notices]
[Pages 19626-19632]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-07877]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Organization, Functions, and Delegations of Authority

Part GFJ

Indian Health Service

Navajo Area Office

    Part GFJ, of the Statement of Organization, Functions, and 
Delegations of Authority of the Department of Health and Human Services 
(HHS), as amended at 52 FR 47053-67, December 11, 1987, as amended at 
60 FR 56606, November 9, 1995, as amended at 61 FR 67048, December 19, 
1996, as amended at 69 FR 41825, July 12, 2004, as amended at 70 FR 
24087, May 6, 2005 70 FR 60350, October 17, 2005, and most recently 
amended at 71 FR 69570, December 1, 2006, is hereby amended to reflect 
a reorganization of the Navajo Area Indian Health Service (IHS). The 
purpose of this re-organization proposal is to update the current 
approved Navajo Area IHS organization structure due to the decrease in 
Area shares from Federal facilities transitioning to Public Law 93-638 
Indian Self-Determination and Education Assistance Act facilities. 
Delete the functional statements for the Navajo Area IHS in their 
entirety and replace with the following:

Organizations and Functions

Department of Health and Human Services
Indian Health Service (G)
Navajo Area Indian Health Service (GFJ)

Office of the Area Director (GFJ1)

    (1) Plans, develops and directs the Area Program within the 
framework of Indian Health Service (IHS) policy in pursuit of the IHS 
mission; (2) delivers and ensures the delivery of high quality 
comprehensive health services; (3) coordinates the IHS activities and 
resources internally and externally with those of other governmental 
and nongovernmental programs; (4) promotes optimum utilization of 
health care services through management and delivery of services to 
American Indians and Alaska Natives; (5) encourages the full 
application of the principles of Indian preference and Equal Employment 
Opportunity (EEO); and (6) provides Indian Tribes and other Indian 
community groups with optional ways of participating in the Indian 
health programs including an opportunity to participate in developing 
the mission, values and goals for the Navajo Area Indian Health Service 
(NAIHS).

Branch of Planning (GFJ1A)

    Provides advice on program planning and evaluation activities to 
include:
    (1) Strategic planning coordination at the Area level, including 
planning, implementing, and monitoring progress on the achievement of 
the Area Strategic Plan; (2) facilities planning, including the 
development of program justification documents, program of 
requirements, quarters justifications, and other required facilities 
planning and construction documents; (3) staffing requirements and 
projections for Service Units, facilities projects, and other needs; 
(4) statistical and epidemiological reporting, analysis, and 
monitoring, reporting, and including monitoring health status, 
morbidity, mortality, patient care, health services, health systems, 
population, demographic, and other health related data for the Area, 
Service Units, Tribes, States, health programs, universities, 
researchers, and the general public; (5) developing and implementing 
data quality improvements and strategies; (6) ensuring resource 
allocation methodologies are current by updating and providing 
technical support for resource allocation to the Office of the Area 
Director (OAD) and the Navajo Area Management Council; (7) providing 
other program planning and health systems planning activities and 
technical support to the OAD by

[[Page 19627]]

preparing briefings, issue papers, and other analyses for the OAD and 
assisting local entities in health systems program development, 
implantation, and evaluation activities; (8) carrying out the functions 
of public affairs--by coordinating media affairs and IHS clearance on 
media and publications; (9) serving as coordinator for urban Indian 
health programs; (10) coordinating implementation and reporting of 
Government Performance Results Act performance measurements in the 
Area; and (11) coordinating research and evaluation activities 
including Institutional Review Board.

Branch of Indian Self-Determination (GFJ1B)

    (1) Plans, coordinates and implements all tasks relative to 
contracting activities pursuant to the Indian Self-Determination and 
Education Assistance Act, Public Law 93-638; (2) coordinates and 
effectuates respectful and positive relations with Tribal, State and 
Federal Governments and agencies, and intra-agency departments at local 
and national offices; (3) develops supportive relationships with local 
Tribal Governments and Tribal organizations (contractors); (4) provides 
advice on the effect and impact of IHS policies, plans, programs and 
operations on Tribal operations and relationships; (5) advises on new 
methods and techniques for Indian community participation in, and 
management of their health programs; (6) provides technical assistance 
in such areas as financial resource management (inter/intra-agency), 
health board and staff training; (7) organizes, collaborates, promotes 
and maintains effective Tribal consultation with NAIHS health boards, 
Tribal Government programs, Tribal organizations and Tribal Leaders; 
(8) coordinates activities with IHS Headquarters (HQ) and NAIHS on 
relevant Tribal activities; (9) coordinates, assists and monitors 
inter-governmental and legislative activity and functions; (10) 
monitors and provides liaison for the maintenance of an effective 
financial management system on all aspects of contract funding; (11) 
responsible for Contracting Officer's functions as it relates to Public 
Law 93-638 contract functions for NAIHS including contract development, 
execution, administration, and maintenance of contract files; (12) 
assists, establishes and maintains effective contract administration 
service policies and procedures, regulations for all Tribal contracts 
and grants under Public Law 93-638; (13) advises and reports pertinent 
data/information to the Area Director, Executive Committee, Public Law 
93-638 Negotiation Team, Service Unit Chief Executive Officers, Tribal 
Governments, and Tribal organizations relative to contracting 
activities; (14) compiles Area Director Report to Navajo Nation 
legislature on a quarterly basis; (15) collaborates with Area program 
offices, Public Law 93-638 contractors and IHS HQ on budget and program 
issues; (16) provides technical support to the Office of the General 
Counsel on Public Law 93-638 issues; (17) provides technical assistance 
and conducts monthly meeting on reconciliation and related tasks; and 
(18) assists with all administrative tasks in the operation of all 
Office of Indian Self-Determination programs, functions, services and 
activities.

Equal Employment Opportunity Staff (GFJ1C)

    (1) Advises the Area Director and other key management officials in 
the execution of their EEO responsibilities; (2) provides program 
direction and leadership for the Area EEO program and procedures; and 
(3) ensures the elimination of discrimination practices in employment, 
promotion, training, treatment of applicants, and employees, because of 
race, color, religion, national origin, sex, age.

Office of Administration and Management (GFJ2)

    (1) Plans, directs, and coordinates NAIHS activities in the areas 
of policy, internal controls reviews, financial management, human 
resources management, third-party reimbursements, contracts management, 
procurement, personal property accountability/management, and 
administrative services; (2) serves as the Navajo Area principal 
advisor on all Area organization and management policy activities; and 
(3) provides guidance and assistance to Service Units in the overall 
development, planning and implementation of administrative functions.

Division of Financial Management (GFJ2A)

    (1) Provides direction for the organization, coordination, and 
execution of all budget and financial operations of the Area; (2) 
monitors fund control operations of Service Units and program offices; 
(3) develops and implements budget, fiscal, and accounting procedures; 
(4) conducts reviews and analyses to ensure compliance with Area 
policy; (5) interprets policies, guidelines, manual issuances, Office 
of Management and Budget (OMB) circulars, directives and other 
instructions issued by IHS, Public Health Service (PHS), Department of 
Health Human Services (HHS), OMB, and Congress as it relates to the 
formulation of Area and Service Units budgets and budget execution; (6) 
develops and makes recommendations of Area budget execution by Service 
Unit; (7) establishes and maintains memorandum accounts of obligations 
for allowances through use of commitment registers; and (8) monitors 
and ensure proper obligation of prior year funds.

Branch of Accounting (GFJ2A1)

    (1) Provides advice and guidance to Area and Service Unit staff in 
the areas of Accounts Payable, Cash Management, Federal/Inter-agency 
Transactions, and Travel; (2) advises Area and Service Unit staff on 
the interpretation of accounting data and reports received from IHS HQ; 
(3) assures that accounting transactions are entered properly and 
prepares periodic or special purpose reports and financial statements 
for Area Divisions and Service Units; (4) provides interpretation and 
ensures compliance with operating policies, procedures, guidelines via 
Federal Travel Regulations, Federal Property Management Regulations, 
Joint Travel Regulations, HHS Travel Manual, Indian Health Manual-
Travel Management; and (5) participates in reconciliations of all 
funding sources (Federal and Tribal) on a regular basis.

Branch of Budget (GFJ2A2)

    (1) Ensures that accurate and current information is available at 
all times for the Navajo Area Executive Staff, Division Directors, and 
Service Unit management teams; (2) ensures that funds are allotted 
properly and accounted for in line with acceptable Federal accounting 
practices; (3) analyzes obligation trends and prepares periodic 
reports; and (4) assures that reconciliations of all funding sources 
(Federal and Tribal) are accomplished on a regular basis.

Branch of Third-Party (GFJ2A3)

    (1) Establishes liaison and coordinates Medicare/Medicaid 
activities with State agencies; (2) plans and coordinates the third-
party activities of NAIHS facilities; (3) develops policy pertaining to 
third-party activities, and coordinates and develops overall policy and 
plans for the implementation of, Indian Health Care Improvement Act, 25 
U.S.C. 1601 et seq.; (4) provides technical assistance and guidance to 
Service Unit third-party staff; (5) provides advice and guidance to 
Area and Service Unit staff in the

[[Page 19628]]

areas of collection, accounts receivable, debt management and internal 
audit; (6) develops and implements Area-wide internal controls and 
ensures compliance with established policies, procedures and 
regulations; and (7) develops and implements Area-wide internal 
controls and ensures compliance with established policies, procedures 
and regulations.

Division of Administrative Services (GAJ2B)

    (1) Plans, develops, coordinates, and provides internal audit 
activities, office services, records management and delegation/
directives control, personal property management, and other 
administrative services in support of Area programs; (2) provides 
guidance to Service Units in the operation and evaluation of 
procurement and acquisition of equipment, office services, 
telecommunications (voice), and transportation; (3) develops and 
executes administrative management systems, methods, and techniques 
designed to organize, maintain, monitor, evaluate, and report on the 
administrative aspects of the Area-wide supply management program in 
support of requirements and authorities of IHS, PHS, and HHS; (4) 
serves as the administrative authority on Federal personal property 
management laws, rules, regulations, policies, procedures, and 
practices; (5) organizes, maintains, monitors, evaluates, and reports 
on the acquisition, control, utilization, and disposition of personal 
property, (6) advises staff on the procedures for the development, 
revision, or cancellation of Area-issued directives and delegations; 
(7) ensures that Area and Service Unit personnel are afforded the 
opportunity to comment on draft IHS and NAIHS directives; (8) provides 
policy interpretation of Area-issued directives and delegations; and 
(9) maintains complete sets of IHS and NAIHS directives and 
delegations.

Branch of Property and Supply Management (GFJ2B1)

    (1) Provides leadership, direction and overall management of all 
personal property in key areas of accountability, utilization, control, 
and disposal; (2) provides guidance on Area property management 
procedures including property accounting and reporting instructions; 
(3) executes physical inventories including the reconciliation of 
inventory reports and standard general ledger accounts; (4) documents 
all transactions affecting personal property; (5) provides technical 
assistance Area-wide on property software packages, e.g. Sunflower 
Assets; (6) provides overall management of Area Office expendable 
supplies to include reliability, timeliness, quality, service and cost 
effectiveness; (7) directs administrative and general supply items; (8) 
plans, develops, and manages the supply budget, operational stores; and 
(9) provides technical and staff assistance to Area and Service Units 
on matters related to the acquisition, utilization, disposition, and 
accountability of equipment.

Gallup Regional Supply Service Center (GFJ2B2)

    (1) Responsible for the overall management of expendable supplies; 
(2) provides supply support directly to Service Units through 
management and operation of more than 2,000 pharmaceutical, laboratory, 
dental, medical, administrative, subsistence, and general supply items; 
(3) plans, develops, and manages supply budgets; and (4) provides 
technical and staff assistance to Service Units in matters related to 
the acquisition, utilization, disposition, and accountability of 
supplies.

Division of Acquisition Management and Contracts (GFJ2C)

    Division of Acquisition Management and Contracts employees are 
located at each of the five Service Units. Positions located at the 
Service Units are considered Service Unit staff; however, due to the 
nature of the work, the line authority is with the Navajo Area Office.
    (1) Plans, develops, and coordinates the execution of 
administrative systems, methods, and techniques for Area procurement 
activities; (2) provides guidance to Service Units on the 
administrative aspects of Federal contracting, procurement, and grant 
requirements; (3) serves as the principle focus for liaison activities 
regarding the administrative aspects of procurements, intra/inter-
agency agreements, collaborative agreements, Memorandum of Agreements 
(MOA) and Memorandum of Understanding (MOU), etc.; (4) determines and 
delegates procurement authority; and (5) administers the purchase card 
program.

Shared Services Center (GFJ2C1)

    (1) Coordinates the award and administration of all formally 
advertised and negotiated medical contracts; (2) provides planning, 
direction, monitoring, and evaluation assistance to Service Units on 
procurement functions; (3) ensures compliance with applicable Federal 
regulations and statutes; (4) prepares closeout documentation on all 
contracts, review and process claims, disputes, and termination 
actions; (5) evaluates and administers compliance and closeout of 
contracts; (6) plans, develops, and coordinates the execution of 
administrative systems, methods, and techniques for both Area Office 
and Service Unit procurement activities; (7) audits in-progress and 
completed work of Area Office and Service Units; (8) prepares and 
issues internal and field policies and guidance; (9) provides 
acquisition support through cost/price analysis and proposal and bid 
evaluation; (10) serves as NAIHS Ombudsman for development and 
fostering of contractual relationships; (11) reviews and processes 
other agreements, including intra/inter-agency agreements, 
collaborative agreements, MOAs, MOUs, etc.; and (12) provides technical 
assistance to non-acquisition personnel in the government and private 
sector.

Division of Information Technology (GFJ2D)

    (1) Provides direction, supervision and management of all 
activities related to data processing, word processing, networking, 
video-conferencing, digital imaging transmission, computer security, 
telecommunications and archiving; (2) provides direct services through 
operation and management of associated automated data processing 
hardware and software; (3) provides technical assistance in related 
activities involving systems design, development, implementation, 
testing and training throughout the NAIHS, including staff assistance 
to Area and Service Unit staff; (4) provides data processing services, 
including computer operations, and information retrieval and analysis 
for operational data systems within the NAIHS; and (5) performs systems 
analysis, computer programming, computer systems security, system 
implementation and user training for the Area's data systems.

Branch of Systems Administration (GFJ2D1)

    (1) Provides overall system administration support functions for 
the Navajo Area Office and Service Unit Resource and Patient Management 
System (RPMS), Microsoft[supreg] Windows(copyright), Unix and 
Commercial Off The Shelf operating systems; (2) plans, develops, and 
manages the NAIHS Web site; (3) monitors and ensures all security 
requirements are met or exceeded; (4) develops applications for 
administrative, financial and clinical reporting requirements; and (5) 
evaluates new technologies and internet services.

[[Page 19629]]

Clinical Systems Staff (GFJ2D2)

    (1) Plans, coordinates and assists in implementation of new 
software/hardware packages to support clinical care; (2) assists in 
deployment of electronic health records and associated Information 
Technology (IT) programs and systems as an essential function; (3) 
provides a liaison function to promote communication and coordination 
between clinical, IT staff and administrative staff; (4) analyzes and 
evaluates processes related to patient data flow, patient data quality 
and promotes changes for improved patient care; and (5) provides or 
acquires appropriate knowledge and training for both end users of 
clinical applications as well as IT and administrative staff.

Information Systems Security Staff (GFJ2D3)

    (1) Develops and monitors information systems security requirements 
for NAIHS; (2) plans, develops, and monitors security policies, 
procedures and requirements for the Area Office and Service Units; (3) 
installs, manages and monitors security systems to protect patient 
privacy and confidentiality; (4) plans, designs and implements network 
and telecommunications systems to provide optimum voice, video and data 
transmission; and (5) manages and monitors a wide area network and 
local area networks for optimum digital imaging/telehealth utilization 
and availability.

Policy, Planning, and Management Staff (GFJ2D4)

    (1) Coordinates and promotes the NAIHS IT strategic planning 
initiatives; (2) monitors, develops and manages the NAIHS information 
systems policies and procedures; (3) consults with administrative 
services and management regarding information systems initiatives and 
provides IT support; (4) maintains, monitors and coordinates the RPMS 
system-wide data elements requirements; and (5) assembles performance 
improvement measurements required by the Joint Commission (JC) or 
Centers for Medicare and Medicaid Services.

Office of Health Programs (GFJ3)

    (1) Provides consultation and technical assistance to all operating 
and management levels of the NAIHS and Indian Tribes in the design and 
implementation of a health management delivery system; (2) provides 
guidance and support to all field activities related to the day-to-day 
delivery of health care; (3) provides Area-wide leadership in health 
programs in relation to the IHS goals, objectives, policies, and 
priorities; (4) directs the development and implementation of health 
care administration, coordinates activities in Contract Health Services 
(CHS) funds, standards, quality control and quality assurance, 
operational planning activities and program reviews of health programs; 
and (5) provides leadership, guidance, and coordination of the health 
manpower and training programs.

Branch of Clinical Services (GFJ3A)

    (1) Provides direction for the operation of the health delivery 
activities of the NAIHS; (2) handles all logistics associated with the 
conduct of program reviews of Service Units; (3) advises on assessment 
findings for potential implications for NAIHS policy, plans, programs 
and operations; (4) develops quality of care evaluation criteria, 
standards of care, and guidance for the maintenance of the quality 
assurance programs of the NAIHS; and (5) conducts monitoring activities 
to assess the quality of care provided by the NAIHS.

Branch of Contract Health (GFJ3B)

    (1) Establishes and provides organization, coordination, and 
implementation of policies and procedures for CHS operations, utilizing 
managed care concepts; (2) coordinates the development of an annual 
budget, with advice of allowance, for CHS fund control activities; (3) 
coordinates and evaluates medical, preventive, and hospital services 
provided through formal contractual procedures; (4) implements and 
administers a CHS quality assurance program that is data based and 
verifiable for monitoring the quality of CHS; (5) establishes strategic 
CHS plans that are developed to support organizations, issues, or work 
processes; (6) coordinates and implements information resource related 
processes that integrates selected techniques/methods with CHS systems 
to solve processes/problems; and (7) coordinates and analyzes appeal 
cases, high cost care cases, and deferred CHS services.

Branch of Health Promotion and Disease Prevention (GFJ3C)

    (1) Plans, coordinates, and integrates health promotion and disease 
prevention services with other NAIHS programs and services; (2) 
promotes community and preventive health services to improve the health 
and well-being of beneficiaries with optimal use of available 
resources; (3) provides Area-wide leadership in preventive health 
services in relation to IHS goals, objectives, policies, and 
priorities; and (4) coordinates the development and implementation of 
preventive health services, standards, quality control, quality 
assurance, operational planning activities and program reviews of 
preventive health programs.

Dental Health Staff (GFJ3D)

    (1) Develops, coordinates, and evaluates oral health programs; (2) 
establishes standards for staffing, technical procedures, use of 
facilities, and dental contracts; (3) coordinates professional 
recruitment, assignment and development for the Area; (4) improves 
quality and efficiency of the Dental Program; (5) assists in the 
promotion and maintenance of the quality of patient care and staff 
training to assure the application of appropriate standards for health 
care is provided; and (6) advises Service Units on matters pertaining 
to accreditation, quality assurance, and performance improvement 
programs.

Nursing Services Staff (GFJ3E)

    (1) Provides leadership, direction and consultation to Service 
Units in the overall development, planning, monitoring and evaluation 
of nursing care services; (2) works closely with the Service Unit Chief 
Nurse Executives to provide professional guidance in formulating 
policies, procedures and standards of care and practices; (3) 
coordinates nursing recruitment, assignments, retention and career 
development; (4) assesses NAIHS professional staffing needs, providing 
technical assistance and guidance in the initiation of Area training 
programs for ancillary nursing personnel and continuing education of 
paraprofessional and professional nursing staff; (5) provides advice 
and ensures Area-wide compliance with established policies, procedures 
and regulations; (6) establishes a liaison and provides guidance to 
Navajo Area Public Health Nursing programs; (7) collaborates and 
coordinates nursing activities with NAIHS and Headquarters; and (8) 
acts as a liaison with Tribal programs including the Community Health 
Program.

Professional Recruitment Staff (GFJ3G)

    (1) Develops the NAIHS program to recruit, assign and retain health 
care professionals; (2) assesses the professional staffing needs, 
coordinates the development of strategies to satisfy these needs, and 
increase the morale and retention of all professionals; (3) provides 
liaison with Commissioned Corps activities; (4) maintains contact with 
related professional societies, educational institutions, and other 
Federal, State and local agencies; (5)

[[Page 19630]]

coordinates professional recruitment, assignment and development of 
Dental Officers for the Area; and (6) enhances partnerships with Tribal 
healthcare organizations that are administered by the Navajo Nation and 
its contractors by providing recruitment and retention activities for 
the organizations that have left Tribal shares at the Area Office for 
this purpose.

Navajo Human Resources Region (GALG4)

    Navajo Human Resources Region employees are located at each of the 
five Service Units. Positions located at the Service Units are 
considered Service Unit staff; however, the line authority is with the 
Navajo Human Resources Region at Navajo Area Office.
    (1) Provides the full range of personnel management and personnel 
administrative services including manpower planning and utilization, 
staffing, recruitment, compensation and classification, training, 
career development, labor and employee relations, performance 
management, retirement, worker's compensation, and other Federal 
benefits services; (2) provides advice, consultation, and assistance to 
Navajo Area Office and Service Unit managers, and Tribal officials on 
personnel policy issues associated with the implementation of Public 
Law 93-638; (3) develops Area/Service Unit level training programs; (4) 
represents NAIHS in personnel management matters within and outside the 
Navajo Area; (5) implements personnel servicing responsibilities for 
the Public Law 93-638 human resources programs covered by the Area's 
appointing authority; (6) processes personnel actions and appointing of 
all civil service and Commissioned Corps employees; (7) implements the 
application of the principles, practices and techniques of personnel 
recruitment, examination, selection and/or placement; and (8) advises 
management regarding merit promotion principles and various Federal 
personnel regulations, as well as Indian preference law/policies, basic 
personnel management concepts in determining career patterns, 
identifying promotional and reassignment opportunities.

Division of Client Services

    (1) Implements personnel servicing responsibilities for the NAIHS 
human resources programs covered by the Area's appointing authority; 
(2) processes personnel actions and appointing of all civil service and 
Commissioned Corps employees; (3) implements the application of the 
principles, practices and techniques of personnel recruitment, 
examination, selection and/or placement; (4) advises management 
regarding merit promotion principles and various Federal personnel 
regulations, as well as Indian preference law/policies, basic personnel 
management concepts in determining career patterns, identifying 
promotional and reassignment opportunities; (5) establishes and 
maintains the Area Position Classification Program assuring positions 
are classified according to Office of Personnel Management 
classification standards, techniques, and guides; (6) conducts 
regulatory classification reviews and provides technical guidance and 
assistance on special position reviews for Service Unit managers; and 
(7) provides advice to managers on position management techniques and 
practices.

Division of Strategic Planning

    (1) Assesses organizational training needs; (2) conducts or 
coordinates training of Area/Service Unit staff; (3) manages clearances 
of training requests for the NAIHS and manages nominations for long-
term training; (4) coordinates applications for Public Law 93- 437 
scholarships and monitors student progress after scholarship award; and 
(5) evaluates training and career development activities throughout the 
Navajo Area.

Division of Workforce Relations

    (1) Provides guidance, consultation, and assistance to management 
on employee relations matters (i.e., employee discipline, adverse 
actions, and appeals); (2) provides guidance, consultation, and 
assistance to management on labor relations matters, represents 
management in meetings with labor organizations, and before third-party 
officials; (3) provides guidance, consultation, and assistance to 
management on performance matters (i.e. employee performance plans and 
incentive awards); (4) provides assistance to employees on Federal 
retirement estimates and processing of retirement applications; (5) 
provides assistance to management and employees in the worker's 
compensation process in regards to employee injuries; and (6) provides 
assistance to employees regarding their Federal benefits including 
medical and life insurances, leave, and the processing of death 
benefits claims.

Office of Environmental Health And Engineering (GFJ4)

    (1) Establishes policies related to NAIHS health care and 
sanitation facilities planning, construction, operations, and 
maintenance; (2) provides leadership, guidance and coordination to the 
overall Navajo facilities management programs; (3) develops and 
coordinates program requirements for planning, design and evaluation of 
health care and sanitation facilities; (4) develops, coordinates, and 
evaluates technical standards, guides, plans and requirements for 
health care and sanitation facilities construction requirements within 
the Navajo Area; (5) provides leadership, guidance, and coordination to 
the overall Area Biomedical Engineering Program and the Occupational 
Health and Safety Management Programs; (6) allocates appropriation 
funds to all Office of Environmental Health and Engineering (OEHE) 
programs and projects; and (7) advises the Area on Public Law 93-638 as 
it relates to OEHE services and activities.

Division of Environmental Health Services (GFJ4A)

    (1) Plans, develops and appraises Area-wide environmental health 
services programs; (2) provides technical assistance to the Service 
Units and the Tribes on the implementation of comprehensive 
environmental health programs and services among Indian families and 
communities; (3) provides technical assistance on environmental health 
including institutional environmental health and plan reviews, vector 
control, epidemiology, sanitary facilities, and food sanitation to the 
IHS, Tribes and Federal and State agencies; (4) plans and implements an 
integrated Area-wide injury prevention and control program designed to 
reduce injury deaths and hospitalizations; (5) coordinates 
environmental responses to emerging diseases with Tribes, States, and 
other Federal agencies; and (6) manages and administers a Web-based 
environmental health database that helps determine resource requirement 
allocations.

Division of Sanitation Facilities Construction Services (GFJ4B)

    (1) Administers the Indian Sanitation Facilities Construction 
Program through Public Law 86-121; (2) plans, develops, coordinates, 
appraises and evaluates Area-wide sanitation facilities construction 
activities conducted in cooperation with Tribal groups and other 
agencies; (3) provides engineering consultation regarding 
environmentally related public health programs; (4) provides technical 
liaison with other Governmental agencies, foundations and groups 
relative to public health engineering and environmental health; (5) 
provides personnel staffing, training, orientation, and development; 
(6)

[[Page 19631]]

ensures professional/technical/environmental standards compliance and 
support; (7) provides National Environmental Policy Act (NEPA) 
compliance documentation, approval, and support; (8) provides right-of-
way easement documents, approval, and support; (9) provides specialty 
use/construction permits, approval, and support; (10) provides project 
funding document preparation, production, approval, and support; (11) 
coordinates multi-agency funded projects coordination, procurement, and 
task tracking; (12) provides procurement/warehousing/inventory of 
office and special order project materials/equipment/services; (13) 
provides project services, materials, equipment, and construction via 
Memorandum of Agreements and Public Law 93-638 contracts with Navajo 
Engineering Construction Authority and Navajo Tribal Utility Authority; 
(14) provides vehicle fleet maintenance, management, and support; (15) 
provides project electrical design, services, and support; (16) 
provides project accounting and payment services and/or support; (17) 
provides project final inspection/transfer process documentation, 
tracking, approval, and support; (18) provides technical support for 
writing, completion, and distribution of project final reports; and 
(19) coordinates feasibility studies related to Tribal, Tribal Chapter, 
and other outside agency requests.

Division of Facilities Management (GFJ4C)

    (1) Develops and coordinates program requirements for planning, 
design and evaluation of health care facilities in the Navajo Area; (2) 
develops, coordinates, and evaluates technical standards, guidelines, 
plans, and requirements for health care facilities construction 
requirements within IHS; (3) develops and coordinates facility 
construction programs; (4) provides technical assistance and monitors 
Navajo Area and Tribal facilities planning and construction programs; 
(5) coordinates inter-agency requirements for shared or cooperative 
projects with agencies such as Department of Defense, Department of 
Veterans Affairs, State, Tribal, and regional planning bodies; (6) 
provides technical assistance and consultation to the Tribal Government 
to assist and brief those organizations on the progress of planning, 
design and construction projects; (7) ensures compliance with NEPA and 
other environmental regulations in planning, design and construction of 
health care facilities, support buildings, major renovations/expansions 
to existing facilities and staff quarters; (8) responsible for real 
property asset accountability of all IHS government property; (9) 
responsible for budget accounting for all construction projects for all 
funding sources; and (10) advises the NAIHS on Public Law 93-638 as it 
relates to OEHE services and activities.

Division of Biomedical Engineering (GFJ4D)

    (1) Plans, develops, coordinates, appraises and evaluates Area-wide 
biomedical engineering programs; (2) assesses Service Unit biomedical 
engineering needs and develops appropriate action programs and 
modification to existing program functions; (3) coordinates staff 
assignments, designs medical equipment training and education programs 
for hospital and clinical staff and career development activities for 
the NAIHS; (4) provides engineering and technical assistance and 
consultation on biomedical engineering and telemedicine equipment, 
purchases, modifications, installation and hospital renovation and 
construction projects; (5) coordinates safety and emergency response 
planning activities; (6) ensures compliance with regulatory 
requirements and agencies imposed on IHS such as National Fire 
Protection Agency, Association for the Advancement of Medical 
Instrumentation, JC, Food and Drug Administration, etc.; (7) 
coordinates the modification, installation and design of medical, 
dental, and radiology equipment; (8) assesses and minimizes the 
clinical and physical risk of equipment use on patients and clinical 
staff through equipment maintenance, inspection, testing and quality 
assurance and risk management programs; (9) supports direct patient 
care programs by maintaining and certifying the operation and safety of 
all medical equipment; (10) provides specialized biomedical engineering 
equipment repair for all dental, medical, and radiology equipment; (11) 
coordinates and monitors complex medical and laboratory contracts Area-
wide; (12) provides design and engineering of Picture Archiving and 
Communications System for radiology functions and recommends 
telemedicine applications for the applications for the clinical need 
and mission of IHS; and (13) specifies and designs telecommunications 
requirements for telemedicine to ensure sufficient bandwidth is 
available for the telemedicine programs.

Division of Occupational Health and Safety Management (GFJ4E)

    (1) Performs industrial hygiene activities including compliance 
surveys of radiographic equipment; (2) assesses radiation exposure to 
patients; (3) provides quality assurance assessment of medical imaging 
processing; (4) provides surveys of occupational exposure to nitrous 
oxide, ethylene oxide, anesthetic gases, mercury and other chemical 
hazards; (5) evaluates ventilation systems in negative pressure 
isolation rooms, operating rooms and dental operations; (6) provides 
ergonomic analyses of workstations and high risk occupations; (7) 
provides safety and infection control program development and 
evaluation including training and consultative assistance for safety 
officers and infection control practitioners; (8) provides compliance 
reviews of existing policies and procedures; (9) develops model 
policies and procedures; (10) provides safety and infection control 
program accreditation compliance reviews; (11) provides occupational 
safety and infection control training for Service Unit staff; (12) 
provides environmental sampling to include sample collection and 
analysis of suspected asbestos-containing materials, lead-based paint 
and quantification of indoor air contaminants; (13) performs 
environmental assessments which include surveys to determine Service 
Unit compliance with Federal, State and local environmental 
regulations; (14) coordinates facilities management to conducts life 
safety code (building fire safety component) surveys; (15) conducts 
construction plan reviews for new construction and renovation; (16) 
consults with and advocates for facility managers on life safety code 
compliance issues; (17) coordinates Navajo Area emergency management 
planning, exercises and response; and (18) provides management training 
and consultation.

Division of Administrative Support (GFJ4G)

    (1) Provides administrative direction and guidance to the 
operational Divisions within the NAIHS OEHE, including guidance 
provided to Area, District, and Field Offices located throughout the 
NAIHS; (2) performs accounting services for the OEHE Divisions, 
including planning and implementation of annual OEHE program budgets; 
(3) maintains annual OEHE budget commitment registers; (3) receives and 
approves vendor invoices; (4) provides certification of funds available 
within appropriate electronic

[[Page 19632]]

financial management and government travel systems; (5) ensures proper 
obligation and expenditure of program and project funds; (6) provides 
overall internal coordination with the NAIHS Divisions of Financial 
Management and the Division of Acquisition Management and Contracts, 
ensures appropriate financial transactions, documentation and 
reporting; (7) advises the OEHE Director on NAIHS OEHE IT needs and 
requirements, including computer equipment, computer networking, 
electronic mail, internet connectivity, new technologies, information 
system security awareness and compliance, and information system 
continuity of operations plans; (8) provides technical consultation and 
direct assistance to OEHE staff stationed at Area, District, and Field 
Offices concerning hardware and software installation, configuration, 
maintenance and repair; (9) assesses and monitors OEHE professional 
staffing needs; (10) coordinates with Division Directors to develop 
strategies to meet the needs and increase the morale and retention of 
OEHE staff; (11) works with Human Resources to prepare vacancy 
announcements and process personnel orders for civil servants and 
Commissioned Corps Officers; (12) encourages full program support and 
compliance concerning Indian preference and EEO requirements in hiring 
and managing staff; (13) oversees the OEHE staff professional 
development program; (14) receives, reviews, and processes OEHE 
training authorization documents to support continuing education and 
improved competencies among OEHE staff; (15) supports staff individual 
development plans (IDPs) and ensures training requests are consistent 
with established IDPs; (16) provides program management of OEHE 
personal property in terms of accountability, utilization, control, and 
disposal; (17) provides guidance on OEHE property management procedures 
including property accounting and reporting instructions; (18) 
documents all transactions affecting OEHE personal property; (19) 
assists the OEHE Director with Public Law 93-638 issues; (20) 
participates in formal Public Law 93-638 negotiations with the Navajo 
Nation and Tribal Organizations authorized by Navajo Nation to contract 
pursuant to Public Law 93-638; and (21) serves as members of the NAIHS 
Incident Response Team.

Navajo Area Service Units

    Navajo Area IHS continues to be the primary health care provider 
for the Navajo Nation and San Juan Southern Paiute Tribe. The goal of 
the NAIHS is to provide for, and improve upon, the efficient delivery 
of high quality, comprehensive health care to the Navajo Nation, San 
Juan Southern Paiutes and all IHS beneficiaries served at NAIHS 
facilities. Comprehensive health care is provided through inpatient, 
outpatient and community health (preventive) programs. The goal is to 
provide high quality, comprehensive preventive health care to the 
Navajo Nation, San Juan Southern Paiutes and all IHS beneficiaries 
served at NAIHS facilities, including prenatal care, immunizations, 
well-baby clinics, family planning, health education, and chronic 
disease follow-up. Service Units in the NAIHS are as follows:

 Chinle Service Unit (GFJA)
 Crownpoint Service Unit (GFJB)
 Gallup Service Unit (GFJD)
 Kayenta Service Unit (GFJE)
 Shiprock Service Unit (GFJJ)

    Dated: March 28, 2014.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2014-07877 Filed 4-8-14; 8:45 am]
BILLING CODE 4165-16-P