CH ER 25 Public Health System: Structure and Function The Executive Secretariat Secretary Deputy Secretary Office Office of Health Reform and Extemal Affairs (EA (OHR) Chief of staff Office on Disability Strategic Information (osSI Administration for Children Centers for medicare d Neighborhood (ASA) (ACF) (CFBNP) Program Support Office for Civil Rights Administration on Agin Food and Drug (FDA) fice of the Assistant Secretary for Financial ASFR gency for Healthcare Research and Quality Services Administration AHR (HRSA Office of the assistant Secretary for Health Office of the general nd Disease Registry ind an Health Office of the assistant ecretary for Legislation Office of Global Affairs Centers for Disease Control National Institutes of health* (OGA) and Prevention Secretary for Planning (ASPE) Health Services Office of the Assistant SAMHSA Preparedness and gs and Appeals (ASPR OMHA Office of the Assistant heesigpates a emp sent ce Secretary for Public (ASPA) Information Technology Figure25-iu.s.dEpartmentofhEalthandHumanServices(dhhs)organizatIonalchart.(fromhttp://www.hhs.gov/about/orgchart.) 7. The National Institutes of Health(NIH) consists of 2 8. The Substance Abuse and mental health institutes, which perform intramural (in-house)research Administration(SAMHSA) provides national l on their particular diseases, organ systems, or topics(e.g in preventing and treating addiction and othe National Cancer Institute; National Heart, Lung, and disorders based d Blood Institute: National human genome research insti has four major operating divisions: Center for Mental tute: National Center for Advancing Translational Health Services, Center for Substance Abuse Prevention Science). The institutes also review and sponsor extramu Center for Substance Abuse Treatment, and Center for ral research at universities and research organizations Behavioral Health Statistics and Quality. through competitive grant programs. Some of the inst tutes also undertake disease control programs and public The PHS is not the only important agency in public and professional education in their area(e.g, National health. The other major federal organization is the Office of Library of Medicine, National Institute for Neurological Public Health and Science(OPHS), which leads the Healthy People initiative through its Office of Disease Prevention and