<NOTICE>
DEPARTMENT OF HEALTH AND HUMAN SERVICES
<SUBAGY>Indian Health Service</SUBAGY>
<SUBJECT>Organization, Functions, and Delegations of Authority; Indian Health Service Headquarters, Office of Information Technology and the Office of Management Services, Part GAG, GAL</SUBJECT>
<HD SOURCE="HED">AGENCY:</HD>
Indian Health Service, Department of Health and Human Services.
<HD SOURCE="HED">ACTION:</HD>
Final notice.
<SUM>
<HD SOURCE="HED">SUMMARY:</HD>
This Notice advises the public that the Indian Health Service (IHS) proposes Part GAG, GAL, of the Statement of Organization, Functions, and Delegations of Authority of the Department of Health and Human Services (HHS), 47053-67, December 11, 1987, as amended, November 9, 1995, December 19, 1996, as amended July 12, 2004, as amended, May 6, 2005, as amended October 17, 2005, as amended, August 21, 2009, and most recently December 26, 2018, is hereby amended to reflect a reorganization of the Indian Health Service (IHS). The new organizational structure was approved by the Secretary of Health and Human Services on January 2, 2025. The purpose of this reorganization proposal is to update the current approved IHS, Office of Information Technology (GAG) and the Office Management Services (GAL) in their entirety and replace them with the following:
</SUM>
<SUPLINF>
<HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD>
The IHS is an Operating Division within the Department of Health and Human Services (HHS) and is under the leadership and direction of a Director who is directly responsible to the Secretary of Health and Human Services. The IHS Headquarters is reorganizing the following major component: Office of Information Technology (OIT) and the Office of Management Services (OMS).
<E T="03">Authority:</E>
44 U.S.C. 3101.
<HD SOURCE="HD1">Office of Information Technology (OIT) (GAG)</HD>
(1) Provides Chief Information Officer (CIO) services and advises the Director, Indian Health Service (IHS), on all aspects of information resource management, information technology (IT), and Health IT; (2) ensures Agency compliance with related Federal statutes, executive orders, regulations, and policies; (3) directs the development, implementation, and maintenance of policies, procedures, standards, and architecture for information resource management, IT, and Health IT activities and services in the IHS; (4) provides IHS Area Offices and Service Units with sufficient training and oversight to manage IT and Health IT responsibilities; (5) directs the IT enterprise architecture, governance, category management, and Artificial Intelligence (AI) programs for the Agency; (6) directs strategic planning and budgeting processes for information resources, IT, and Health IT; (7) oversees the development and implementation of information resource
management, IT, and Health IT initiatives in the IHS including the IHS Health IT Modernization Program; (8) directs the design, development, implementation, and support of robust information systems and services used in the IHS; (9) directs the activities of the IHS IT Investment Review Board (ITIRB) in assessing, implementing, and reviewing the Agency's investment in information systems; (10) manages contracts and associated chargebacks for information resource management, IT, and Health IT related software, equipment, and support services in collaboration with appropriate acquisition authorities; (11) through the Chief Information Security Officer, directs the development, implementation, and management of the IHS IT Cybersecurity program to protect the information resources, IT, and Health IT of the IHS; (12) oversees compliance with Federal cybersecurity laws, regulations, and policy and issuance of IHS information security policies, procedures, and guidelines; (13) oversees all aspects of the IHS cybersecurity program including audit compliance, risk and coordination, IHS security architecture and engineering design, and the security-related incident response program, IHS security awareness training programs, IHS information system disaster recovery, contingency planning and response, and cybersecurity vulnerability management; (14) leads the IHS Cybersecurity Operations Center to monitor IT/Health IT systems 24 hours a day, seven days a week; (15) oversees IT systems privacy; (16) provides IT services and support to the IHS, Tribal, and Urban Indian Health Programs (I/T/U), including the Resource and Patient Management System (RPMS), the Electronic Health Record (EHR), and the National Patient Information Reporting System (NPIRS); (17) provides informatics leadership through the Chief Medical Information Officer and Chief Health Informatics Officer to strategically align clinical and technical activities to improve healthcare services; (18) identifies opportunities for improvement of IHS healthcare and public health services through the adoption of new technologies; (19) manages the IHS Health Information Management (HIM) program; (20) oversees the development of IHS HIM policies and practice standardization including issuance of enterprise-wide HIM standard operating procedures; (21) ensures that IHS Area Offices and Service Units have sufficient HIM training and oversight to manage HIM responsibilities; (22) provides guidance on accreditation standards, legislative, and regulatory requirements concerning HIM to ensure IHS compliance; (23) oversees the analyses and management of enterprise data developed, acquired, or stored by the IHS; (24) ensures accessibility to IT services; (25) directs and leads all aspects of IHS IT and Health IT customer experience, OIT self-determination activities, OIT public affairs and communications needs, IT asset management, knowledge management, and service desk activities including the provision of IHS IT and Health IT systems end user support; (26) furnishes IHS-wide video conferencing solutions and services including telehealth support; (27) provides program and project management and related support for IHS-developed and acquired information resources and technology products and services; (28) provides contract management support for information resources, IT, and Health IT initiatives, including strategic sourcing efforts and enterprise wide IT procurements and chargebacks; (29) advises the IHS Director on all aspects of privacy and the IHS-wide privacy program including people, processes, and technologies; (30) ensures compliance with applicable privacy and system of records notice requirements, develops and evaluates privacy statutes, regulations, and policies, and manages privacy risks consistent with the Agency's mission; (31) manages, administers, implements and monitors the IHS's Paperwork Reduction Act and Office of Management and Budget (OMB) information collection/activities, including providing guidance, requirements and procedures for obtaining OMB approvals and/or extensions for IHS information collections; (32) provides leadership and guidance for the IHS Forms Management Program; (33) oversees the IHS Records Management Program through the IHS Records Management Officer; (34) advises the IHS Director on all aspects of records management and provides Agency-wide Records Management Program leadership, guidance and support; (35) ensures the accountability and integrity of records management and disposition of records including litigation holds; (36) develops and recommends policies and procedures for the protection and disposition of IHS records and oversees the evaluation of records management activities in the IHS; (37) develops and implements a management control system for evaluation of records management functions IHS-wide; (38) participates in cross-cutting issues and processes that involve information resources, IT, and Health IT including, but not limited to, emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations, and resolution of audit findings as may be needed and appropriate; and (39) represents the IHS and enters into IT and Health IT agreements with Federal, Tribal, State and other organizations.
<HD SOURCE="HD1">Division of Information Technology (GAGA)</HD>
(1) Provides IT services and advises the CIO on all aspects of Health IT; (2) develops and supports clinical and business practice healthcare applications such as the RPMS and the EHR; (3) develops healthcare data export applications to feed analytical processes; (4) obtains system and business requirements from stakeholders for system design; (5) provides quality assurance and risk management for software development; (6) develops, implements, and maintains policies, procedures, and standards for system development and technology products and services in the IHS; (7) develops and maintains Health IT strategic planning documents;
(8) develops and maintains the IHS enterprise architecture; (9) develops and implements Health IT management initiatives in the IHS; (10) ensures the IHS IT infrastructure resource consolidation and standardization efforts support the IHS healthcare delivery and program administration; (11) develops, maintains, and manages the centralized processes and systems that support interoperability between internal and external stakeholders for the transmission and receipt of health information; (12) provides training and documentation for IHS developed software implementation, maintenance, and best practices; (13) provides input into HIM policy and procedures and ensures development activity complies with regulations and policy; (14) ensures development and operation activity complies with applicable security guidance, regulations, and policy; (15) provides program and project management and related support for IHS developed and acquired information resources and technology products and services; (16) provides contract management support for Health IT initiatives; (17) participates in cross-cutting issu
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