News Release
FOR IMMEDIATE RELEASE Friday, Dec. 27, 2002 |
Contact: HHS Press Office (202)
690-6343 |
HHS -- Highlights of 2002
Following is a summary of significant news highlights at HHS during
2002:
- Bioterrorism preparedness
- Expanded access to health care
- Disease prevention initiative
- Improving quality of care
- Next steps for helping those in need
- Smoking, teen substance abuse decline
- Protecting patient privacy
- Regulatory reform
BIOTERRORISM PREPAREDNESS - America ended the year 2002
much better prepared to confront terrorism. Under HHS Secretary Tommy G.
Thompson's leadership, the department led the nation's efforts to be ready
in particular for possible incidents of bioterror:
- Spending increased ten-fold - HHS' budget for bioterrorism
preparedness increased ten-fold, from $305 million in FY 2001 to $2.98
billion in FY 2002.
- Support for states and major cities - Of the budget increase,
more than $1 billion was provided to states and major cities to support
increased preparedness by hospitals and public health systems. HHS
worked with states on preparedness plans, emphasizing coordination and
regional cooperation. The objective is local preparedness, with national
resources ready to be deployed immediately whenever and wherever needed.
- Smallpox and other vaccines - HHS took steps to provide
enough smallpox vaccine to be able to vaccinate every American, in the
possible event of a release of this disease. In December, President Bush
announced a careful policy of voluntary vaccination for front-line
health care and emergency personnel, to ensure effective response if the
disease were released. Vaccination of others is not recommended at this
time, in the absence of an emergency. In addition, production of the
current anthrax vaccine was resumed, and research into improved vaccines
for anthrax and other diseases was accelerated.
- Disease surveillance and communications - In order to detect
any possible release of disease agents by terrorists, the nation's
disease surveillance system is being expanded, with spending increased
from $67 million in FY 2001 to $940 million in FY 2002. This expansion
will also help to quickly identify outbreaks of naturally-occurring
diseases. HHS' Centers for Disease Control and Prevention's (CDC)
"Epidemic Information Exchange" (Epi-X) is being strengthened. The
nation's network of public health laboratories is being expanded. And
health communications systems overseen by CDC are being improved and
expanded.
- Pharmaceutical stockpile - The National Pharmaceutical
Stockpile completed purchase of more than a billion doses of antibiotics
and other materials to be ready on stand-by. The number of 50-ton "Push
Packs," ready to reach any part of the U.S. within 12 hours, was
increased from eight to 12.
- Research - Research into disease agents, diagnostic tools,
vaccines and treatments is being rapidly expanded, a key element of the
long-term strategy for countering bioterrorism. Research funding
increased from $53 million in FY 2001 to $151 million for FY 2002, with
much larger increases planned for FY 2003 to begin carrying out research
agendas developed this year. The President has proposed building new
laboratory facilities for research involving the most dangerous
pathogens. Over 700 new research proposals were funded this year. In
addition, new rules were issued for registering and controlling
potential bioterror disease agents by researchers.
- Food safety - With 80 percent of America's food supply
regulated by HHS' Food and Drug Administration (FDA), resources for food
inspections were increased. More than 700 new inspectors were hired,
making it possible for FDA to conduct 24,000 on-site import inspections,
nearly double the past capacity. FDA also developed new risk assessment
methods for targeting potential problem areas. Working with the
Agriculture Department, FDA also expanded the capacity of its systems
for identifying foodborne illness outbreaks.
- Personnel and leadership - Training for the nation's health
care professionals was increased. In addition, HHS created a new Office
of Public Health Emergency Preparedness to coordinate efforts within HHS
and with the new Department of Homeland Security. HHS also hardened its
own information systems, and created a new central command and
communications center for emergencies.
EXPANDED ACCESS TO HEALTH CARE -- In 2002, HHS
successfully expanded access to health care for Americans - both by
expanding the number and reach of community health centers nationwide and
by helping states to offer health coverage to more uninsured Americans
through the State Children's Health Insurance Program (SCHIP) and
Medicaid:
- Expanding coverage through SCHIP and Medicaid - In 2002, HHS
approved waiver and plan amendments for state SCHIP and Medicaid
programs that expanded access to health coverage to more than 600,000
additional Americans. These changes provided additional services to more
than 1 million other beneficiaries. Since the start of Bush
Administration, HHS has approved waivers and plan amendments that expand
access to coverage to nearly 1.8 million Americans and improved benefits
for more than 5 million other Americans. HHS provides matching funding
for coverage provided by states under Medicaid and SCHIP.
- Expanding Community Health Centers - In 2002, HHS completed
the first full year of President Bush's five-year initiative to add or
expand health centers in 1,200 communities by 2006 and to increase the
number of patients served annually to more than 16 million -- up from 10
million in 2001. During the fiscal year, HHS funded 171 new health
center sites and awarded 131 grants to existing centers to help them
build capacity and expand services. Together, these new and expanded
health centers will serve an additional 1.5 million patients each year,
including many without insurance.
- Bringing doctors and other clinicians to underserved areas -
To support the growth of the health centers, HHS also expanded its
National Health Service Corps, which offers scholarships and loan
repayment plans to students and fully trained clinicians who agree to
serve in health centers and other underserved communities.
- Promoting seniors' access to prescription drugs - While
Congress failed to enact a Medicare prescription drug benefit, HHS
developed a model waiver template in 2002 to encourage states to offer
low-income seniors access to prescription drugs through the Medicaid
program. By the end of the year, HHS approved Pharmacy Plus waivers in
five states - Florida, Illinois, Maryland, South Carolina and Wisconsin,
helping more than half a million seniors afford access to prescription
drugs.
- Encouraging high-risk insurance pools - In November 2002, HHS
launched a new program to help states create high-risk pools that will
provide health coverage to individuals who otherwise would have
difficulty obtaining coverage because of their health status. HHS'
Centers for Medicare and Medicaid Services (CMS) is offering seed grants
of up to $1 million to support state efforts to create high-risk pools,
typically non-profit associations. A total of $20 million is available
through this program. In addition, HHS expects to offer a total of $80
million in grants over two years to help cover losses incurred by states
with existing high-risk pools.
DISEASE PREVENTION INITIATIVE - Secretary Thompson
launched his comprehensive initiative on disease prevention in a National
Press Club speech April 30, outlining steps that individuals can take on
their own for good health. President Bush joined in the call for healthy
personal choices in events at the White House June 20, and a new Web site
"HealthierUS.gov" was created. Working through HHS agencies and in
partnership with many other organizations, new activities were launched
throughout the year to support healthy choices and behaviors:
- Physical Activity - HHS released a report April 7 showing
that seven in 10 American adults are not regularly active. In another
report June 21, HHS outlined the special benefits of physical activity
and moderate exercise for older Americans. CDC launched a $190 million
multicultural media campaign July 17 aimed at promoting a healthier
lifestyle for young people, especially those aged 9 to 13. HHS also
joined with the U.S. Department of Education to encourage communities
and businesses to find new ways to support physical activity among
children. And in May, Secretary Thompson marked Older Americans Month
with a new campaign, "USA on the Move: Steps to Healthier Aging," in
cooperation with the Center on Nutrition and Aging at Florida
International University.
- Healthy Diet - Secretary Thompson released a report June 20
showing that overweight and obesity cost America $117 billion annually
and account for at least 14 percent of deaths in the U.S., or some
300,000 premature deaths each year. Nearly one-third of U.S. adults now
classify as obese, and obesity among young people is growing rapidly. In
April, HHS joined with the U.S. Department of Agriculture in expanding a
campaign to promote consumption of fruits and vegetables. In October,
Secretary Thompson and USDA Secretary Ann M. Veneman met with officials
from the National Restaurant Association and the National Council of
Chain Restaurants to begin a cooperative effort to improve health
information and healthy foods, especially for young people. In December,
FDA launched a new effort to improve health labeling for nutritious
foods.
- Diabetes - Sedentary lifestyle and poor eating habits
increase the risk of diabetes, and the prevalence of diabetes and
pre-diabetes is increasing rapidly in the U.S. On November 20, Secretary
Thompson launched the first national diabetes prevention campaign,
"Small Steps - Big Rewards," which builds on new findings that modest
lifestyle changes can have a major impact on preventing the disease.
Earlier in the year, HHS had also launched new steps with the American
Diabetes Association (ADA) to better inform those with diabetes of the
most severe effects of the disease. HHS also worked with the ADA and the
National Association of Chain Drug Stores on a campaign to help women
recognize the danger signs of diabetes. The campaign also provided free
diabetes screening for women in cities with a high incidence of the
disease. In addition, beginning in October, $100 million was made
available to tribal organizations for prevention and treatment of
diabetes among American Indians and Alaska Natives, especially children
and teenagers. On average, American Indians and Alaska Natives are 2.6
times more likely to have diabetes than non-Hispanic whites of similar
age.
- HIV/AIDS - In addition to efforts to improve health for all
Americans through healthy diet and exercise, HHS maintained and expanded
its efforts to prevent HIV/AIDS and support treatment, both domestically
and internationally. Total HHS spending on HIV/AIDS increased from $11.4
billion in FY 2001 to $12.1 billion in FY 2002, with a further increase
of almost $1 billion proposed in the President's budget for FY 2003.
HHS' contribution to the global effort against HIV/AIDS increased from
$276 million in FY 2001 to $468 million in FY 2002.
- Racial and ethnic health disparities - HHS also undertook new
efforts toward closing the health gap between non-minority Americans and
racial and ethnic minorities. Total HHS spending especially directed at
minority health (not including the Indian Health Service) was $2.6
billion in FY 2002, up from $2.3 billion in FY 2001. Grants to support
elimination of disparities were made nationwide by the HHS Office of
Minority Health and the National Institute of Health's (NIH) institutes.
In addition, HHS convened the first National Leadership Summit on
Eliminating Racial and Ethnic Disparities in Health; and HHS launched a
two-year demonstration project in five states to test new ways of
improving flu vaccination rates in minority communities. HHS' Health
Resources and Services Administration (HRSA) expanded its Diabetes
Collaboratives to better reach minorities, who suffer disproportionately
from diabetes. And a new effort, "Take a Loved One to the Doctor Day,"
was launched in partnership with ABC broadcasting's Urban Radio Network
to encourage improved health screening and access to health care
facilities for minority Americans.
IMPROVING QUALITY OF CARE - In 2002, HHS moved ahead with
a far-reaching effort to promote higher-quality care among healthcare
organizations in part by measuring and reporting quality information to
consumers. CMS and HHS'Agency for Healthcare Research and Quality (AHRQ)
have worked to validate quality measures using available data and then
develop meaningful measures that can be used by health care providers to
improve quality and reported to the public to empower consumers to choose
quality healthcare providers.
- Publishing national nursing home quality measures - In
November 2002, HHS launched a national nursing home quality initiative
that combines comparative data about quality for consumers with
intensified efforts to assist nursing homes to improve the quality of
care that they provide to their residents. The consumer data for all
nursing homes serving Medicare and Medicaid patients is available at
http://www.medicare.gov or by calling 1-800-MEDICARE. Ten quality
measures, developed with private-sector help, are included in the data.
CMS pilot-tested the consumer data in six states before launching the
effort nationally.
- Developing hospital quality measures - In December 2002, HHS
joined the nation's major hospital trade associations in announcing a
new initiative to provide quality information about hospitals to the
public. Under the program, HHS will help validate and publish key
quality measures involving cardiac care and pneumonia that hospitals
voluntarily report. In addition, AHRQ will develop a standardized
patient survey that will provide comparative information about
hospitals.
- Developing new tools to measure quality - AHRQ continued
efforts toward building a national information structure to provide
sound measures of health care quality. During 2002, AHRQ introduced the
Prevention Quality Indicators, a software tool for detecting potentially
avoidable hospital admissions for illnesses which can be effectively
treated with high-quality, community-based primary care. AHRQ also
launched its Inpatient Quality Indicators, a software tool consisting of
29 measures that can be used to help hospitals identify potential
problem areas and provide an indirect measure of hospital quality of
care.
- Hormone therapy - NIH stopped a major clinical trial early,
which was looking at risks and benefits of combined estrogen and
progestin therapy in healthy menopausal women. The study was stopped
when conclusive evidence was found of increased risk of invasive breast
cancer. The study also found increases in coronary heart disease, stroke
and pulmonary embolism. NIH convened a scientific workshop to review the
findings and help clinicians and patients understand the implications of
current knowledge for decisions regarding use of such therapy. The U.S.
Preventive Services Task Force published new recommendations on the use
of the therapy. And FDA undertook proceedings to consider appropriate
label changes for hormone therapy products.
NEXT STEPS FOR HELPING THOSE IN NEED - The number of
Americans on welfare continued to go down, despite a slower economy, and
more of those receiving welfare were taking part in work or training.
Secretary Thompson led the Administration's efforts toward reauthorization
of the 1996 welfare reform law, with stronger work requirements, more
supports for families to achieve self-sufficiency, and greater flexibility
for states. In addition, HHS led the administration's efforts to enable
more faith-based and community organizations to deliver
federally-supported services. HHS also led special initiatives for
Americans with disabilities, reading readiness in Head Start, and new
adoption efforts.
- Welfare caseload stays down - In November, HHS released the
latest data on the nation's welfare caseload. The number of Americans
receiving welfare assistance declined again, by about 4.5 percent,
between December 2001 and June 2002. Altogether, the number of
individuals receiving welfare has declined 58 percent since enactment of
welfare reform law in 1996. Census data released in September also
showed that in 2001 the poverty rate for African-American children
reached the lowest level ever reported. As governor of Wisconsin,
Secretary Thompson had created the national model for welfare reform,
and he led the administration's efforts this year to achieve the next
step in reform by reauthorizing and improving the 1996 law. While a
measure passed in the House of Representatives, the Senate failed to
take action. Reauthorization efforts will resume in 2003.
- Faith-based initiative - HHS provided $30 million in funding
for the President's Faith-Based and Community Initiative, to help level
the playing field for religious and other organizations seeking to use
HHS funds to help those in need. Faith- and community-based
organizations are often the most effective groups in helping confront
poverty, homelessness, substance abuse and other problems addressed by
HHS programs. Yet many do not have the expertise needed to apply for and
manage federal funds. The HHS funding from the new Compassion Capital
Fund provides for technical assistance, especially to smaller charities
and faith-based organizations, to use HHS funds to help them deliver
services to people in need. In December HHS also published proposed
regulations clarifying the rights and responsibilities of religious
organizations if they become HHS grantees.
- Americans with disabilities - Secretary Thompson led the
Administration's efforts under the President's "New Freedom Initiative,"
aimed at eliminating barriers to community living for Americans with
disabilities. In May, Secretary Thompson delivered to the President the
most comprehensive report ever compiled on legal and programmatic
barriers, and steps that could be taken across government to help
persons with disabilities. At the same time, HHS released a new waiver
template making it easier for states to make changes in their Medicaid
programs to serve people with disabilities in their own homes. The first
Independence Plus waiver was granted to New Hampshire in December. HHS
also created a new Secretarial-level Office on Disability to oversee
coordination, development and implementation of programs and special
initiatives across HHS. In addition, the President established his "New
Freedom Commission on Mental Health," and HHS is helping lead this
effort to improve mental health services, especially community-based
services.
- Early literacy skills for Head Start children - As part of
the President's "Good Start/Grow Smart" initiative, HHS took new steps
to assure early literacy skills throughout the Head Start program. New
training was provided for Head Start teachers, and development began for
a new system to measure early literacy. The new system will help ensure
for the first time that every Head Start child is assessed on
development of early literacy skills.
- Adoption - HHS' Administration for Children and Families
(ACF) launched a cooperative effort to make adoption information
available via the internet at AdoptUSKids, a database of children
awaiting adoption and families approved to adopt. In 2001, nearly 50,000
children were adopted with the involvement of the public child welfare
system, a 79 percent increase since 1996, when 28,000 adoptions were
finalized.
- National Youth Summit - ACF sponsored the first National
Youth Summit in June, bringing together about 2,000 professionals,
parents, advocates, researchers and young people to focus on successful
achievements and strategies for youth. The summit was designed to help
build state and regional partnerships to support America's youth.
SMOKING AND TEEN SUBSTANCE ABUSE DECLINE - Smoking is the
leading preventable cause of death in America, responsible for some
440,000 premature deaths per year, including 87 percent of lung cancer
deaths. Early data for 2002 show a continuing decline for smoking in the
United States. Only about one in five Americans now smokes, compared with
almost one in four just five years earlier and more than 40 percent at the
highest measured point, in 1965. Teen smoking declined sharply in 2002, as
did teen alcohol abuse and illicit drug use.
- Teen smoking - Results from the "Monitoring the Future"
survey for 2002, released in December, showed a significant decrease in
smoking by teens, accelerating a trend that began after teen smoking
reached a high point in 1996. This year's survey also showed that teen
alcohol consumption was down, as was teens' use of illicit drugs.
- Sales of cigarettes to teens - HHS released data in September
showing that retailers are continuing to reduce sales of cigarettes to
those under 18. The retailer violation rate fell to 16.3 percent in
2001, from 40.1 percent in 1996.
- Anti-tobacco campaigns - In addition to ongoing public
information campaigns, CDC launched a new national campaign aimed at
reducing smoking among Hispanics. HHS launched a Tobacco-Free Sports
public education campaign at the 2002 Olympic and Paralympic Winter
Games.
PROTECTING PATIENT PRIVACY - In 2002, HHS completed the
first-ever comprehensive federal patient privacy regulations giving
patients sweeping protections over the privacy of their medical records.
The regulations empower patients by guaranteeing them access to their
medical records, giving them more control over how their protected health
information is used and disclosed, and providing a clear avenue of
recourse if their medical privacy is compromised. The privacy rule covers
medical records and other personal health information maintained by
certain health care providers, hospitals, health plans, health insurers
and health care clearinghouses. Most covered entities must comply with the
regulations by April 14, 2003:
- Protecting patients from non-routine use and disclosure -
Under the rule, patients must give specific authorization before covered
entities could use or disclose protected information in most non-routine
circumstances - such as releasing information to an employer or for use
in marketing activities.
- Ensuring patients' access to medical records - Patients
generally will be able to access their personal medical records and
request changes to correct any errors.
- Written privacy notice -- Covered entities generally will
need to provide patients with written notice of their privacy practices
and patients' privacy rights. Patients will generally be asked to sign
or otherwise acknowledge receipt of the privacy notice from direct
treatment providers.
- Restricting marketing based on protected health information -
Pharmacies, health plans and other covered entities must first obtain an
individual's specific authorization before sending them marketing
materials. At the same time, the rule permits doctors and other covered
entities to communicate freely with patients about treatment options and
other health-related information, including disease-management programs.
REGULATORY REFORM - In 2002, HHS moved to restore common
sense to its regulatory process in order to remove unnecessary barriers
between patients and their doctors, nurses and other health care
providers. During the year, Secretary Thompson's newly created Advisory
Committee on Regulatory Reform made hundreds of recommendations to remove
potential obstacles to patients' access to care, reduce the time doctors
and other health care professionals must spend on paperwork, improve
communication with consumers, and improve the use of technology to promote
quality care while ensuring patients have strong privacy protections. HHS
has already moved to implement dozens of those recommendations:
- Streamlining home health paperwork - In June, CMS launched a
new effort to streamline Medicare's paperwork requirements for home
health nurses and therapists so that they can focus more on providing
quality care to their patients. As a result, required assessments will
include only those elements needed to promote quality of care and to
ensure proper payment.
- Promoting appropriate emergency room care - In May, CMS
proposed common-sense improvements to clarify the requirements for
hospitals to screen and treat emergency room patients. The proposed
revisions would ensure that patients with possible emergency conditions
receive appropriate care as rapidly as possible.
- Eliminating repetitive insurance requests - CMS also reduced
the frequency that hospitals must gather detailed information from
Medicare beneficiaries about other insurance. This change means
hospitals will not have to ask patients repeatedly for the same data.
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Note: All HHS press releases, fact sheets and other press materials are
available at http://www.hhs.gov/news.
Last Revised: December 27, 2002 |