[Federal Register Volume 79, Number 68 (Wednesday, April 9, 2014)]
[Notices]
[Pages 19626-19632]
From the Federal Register Online via the Government Publishing 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