North Carolina Department of Health and Human Services
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1 North Carolina Department of Health and Human Services Lanier M. Cansler, Secretary February 9-10, 2011 TOUCHING THE LIFE OF EVERY NORTH CAROLINIAN
2 What is? Changing the culture of the largest state agency*, focusing on five primary values: Customer Focused Anticipatory Collaborative Transparent Results Oriented Goal: Best managed agency in state government *Largest State Agency based on Total Budget
3 DHHS Divisions and Offices HEALTH SERVICES Division of Medical Assistance (Medicaid) Division of Mental Health Division of Public Health Division of Health Service Regulation Division of State Operated Healthcare Facilities Office of Rural Health and Community Care
4 DHHS Divisions and Offices LONG-TERM CARE AND FAMILY SERVICES Division of Social Services Division of Child Development Division of Aging and Adult Services Division of Vocational Rehabilitation Division of Services for the Blind Division of Services for the Deaf and Hard of Hearing
5 DHHS Divisions and Offices BUSINESS AND FINANCIAL OPERATIONS Division of Budget and Analysis Office of the Controller Division of Human Resources Division of Information Resource Management Office of Procurement and Contracting Division of Property and Construction Office of Internal Auditor Office of MMIS Hearings and Appeals
6 The Complexity of DHHS BUDGET Total Continuation Budget of $17,918,321,019 Budget consists of approximately 73% Federal/Other Funds and 27% State Appropriations Approximately 79% of State Appropriations are used as MATCH or MAINTENANCE OF EFFORT to receive Federal Funds Approximately 70% of DHHS Total Budget (66% of DHHS State Appropriations) are for Medicaid
7 The Complexity of DHHS PERSONNEL* Total Full Time Equivalent Positions (FTE s): 17,126 Total Vacant FTE Positions: 1,318 (Approximately 7.7%) FTE Positions in State Facilities: 11,112 (65% of Total) Vacant FTE Positions in State Facilities: 798 (61% of Total) Approximate Percent of Personnel Costs paid with Federal/Other Funds: 61% *Based upon Beacon Personnel System Data at November 2, 2010 (excludes time limited)
8 The Complexity of DHHS PROGRAMS Approximately 268 Programs and Activities managed by DHHS Coordination of Programs and Activities across DHHS divisional lines is critical for efficiency and effectiveness Federal funding requires appropriate oversight and supervision of Programs and Activities Failures in management and oversight can result in repayments to Federal government
9 DHHS Open Window Increases Access to Information about DHHS Programs, Services, and Business Operations A Management Tool User-friendly, web-based system Comprehensive budget and other programmatic information Performance Goals and Measures Contract and Vendor Information
10 DHHS Open Window DHHS Open Window information includes: Program Title and Objective DHHS Division that manages program Description of Program Services Year Initiated and Legal Authority (Federal/State) Population Served and Income Eligibility Levels Budget Summary including Federal Funds and requirements
11 DHHS Executive Team Lanier M. Cansler, Secretary Michael Watson, Deputy Secretary for Health Services Maria Spaulding, Deputy Secretary for Long- Term Care and Family Services Dan Stewart, Assistant Secretary for Finance and Business Operations Dr. Beth Melcher, Assistant Secretary for Mental Health, Developmental Disabilities, and Substance Abuse Services Development Dr. Steve Cline, Assistant Secretary for Health Information Technology
12 DHHS Executive Team Jim Slate, Director of Division of Budget and Analysis Emery Miliken, General Counsel Governmental Relations Sharnese Ransome, Director Kris Horton
13 Division of Medical Assistance Medicaid / Health Choice Dr. Craigan Gray, Director
14 Medicaid The 12.5 Billion Pound Gorilla Mandatory Services (54%) Optional Services Children (17%) Optional Services Adults (29%) Funding approximately 2/3 Federal match and 1/3 State Appropriations Includes the DSH (Disproportionate Share Hospital) Program Program Changes Require Federal Approval (May take months or even years to gain approval for program changes)
15 Division of Mental Health, Developmental Disabilities, and Substance Abuse Services Steve Jordan, Director
16 Division of State Operated Healthcare Facilities Luckey Welsh, Director
17 Division of Public Health Dr. Jeff Engel, Director State Health Director
18 Division of Health Service Regulations Drexdal Pratt, Director
19 Office of Rural Health and Community Care John Price, Director
20 Division of Social Services Sherry Bradsher, Director
21 Division of Child Development Deb Cassidy, Director
22 Division of Aging and Adult Services Dennis Streets, Director
23 Division of Vocational Rehabilitation Linda Harrington, Director
24 Division of Services for the Blind Eddie Weaver, Director
25 Division of Services for the Deaf and Hard of Hearing Jan Withers, Director
26
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