83_FR_19374 83 FR 19289 - Statement of Organization, Functions, and Delegations of Authority; Office of the National Coordinator for Health Information Technology

83 FR 19289 - Statement of Organization, Functions, and Delegations of Authority; Office of the National Coordinator for Health Information Technology

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary

Federal Register Volume 83, Issue 85 (May 2, 2018)

Page Range19289-19292
FR Document2018-09361

Federal Register, Volume 83 Issue 85 (Wednesday, May 2, 2018)
[Federal Register Volume 83, Number 85 (Wednesday, May 2, 2018)]
[Notices]
[Pages 19289-19292]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-09361]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Statement of Organization, Functions, and Delegations of 
Authority; Office of the National Coordinator for Health Information 
Technology

    Part A, Office of the Secretary, Statement of Organization, 
Functions, and Delegations of Authority for the Department of Health 
and Human Services, Chapter AR, Office of the National Coordinator for 
Health Information Technology (ONC), as last amended at 79 FR 31941 
(June 3, 2014), 77 FR 29349-50 (May 17, 2012), 76 FR 65196 (Oct. 20, 
2011), 76 FR 6795 (Feb. 8, 2011), 75 FR 49494 (Aug. 13, 2010), 74 FR 
62785-86 (Dec. 1, 2009), 70 FR 48718-20 (Aug. 19, 2005) is amended as 
follows:
    I. Under AR.10, Organization, delete all of components and replace 
with the following:

A. Immediate Office of the National Coordinator (ARA)
B. Office of Policy (ARI)
C. Office of Technology (ARC)
D. Office of the Chief Operating Officer (ARE)

    II. Delete AR.20, Functions, in its entirety and replace with the 
following:

    Section AR.20, Functions.
    A. Immediate Office of the National Coordinator: The Immediate 
Office of the National Coordinator (IO/ONC) is headed by the National 
Coordinator, who provides leadership and executive and strategic 
direction for the ONC organization. The National Coordinator is 
responsible for carrying out ONC's mission and implementing the 
functions of ONC. The IO/ONC (1) ensures the interoperability of health 
information, as central and foundational to the core mission of HHS to 
enhance and protect the health and well-being of all Americans; (2) 
ensures that health information technology initiatives are coordinated 
across HHS programs; (3) ensures that health information technology 
policy and programs of HHS are coordinated with those of relevant 
executive branch agencies (including Federal commissions and advisory 
committees) with a goal of avoiding duplication of effort and of 
helping to ensure that each agency undertakes activities primarily 
within the areas of its greatest expertise and technical capability; 
(4) reviews Federal health information technology investments to ensure 
Federal health information programs are meeting the objectives of the 
strategic plan required under Executive Order 13335, to create a 
national interoperable health information technology infrastructure; 
(4) provides comments and advice regarding specific Federal health 
information technology programs; and (5) develops, maintains, and 
reports on measurable outcome goals for health information technology 
to assess progress within HHS and other executive branch agencies.
    The Deputy National Coordinator, a part of the IO/ONC, works with 
and reports directly to the National Coordinator, and is responsible 
for supporting the National Coordinator in day-to-day operations and 
strategy for ONC, and for management of such ONC staff that report to 
the Deputy or as requested by the National Coordinator. The Deputy, in 
conjunction with the National Coordinator, provides executive oversight 
for the activities of ONC offices.
    The Deputy National Coordinator for Operations works with, and 
reports directly to, the National Coordinator and is responsible for 
day-to-day operations and strategy for ONC agency-wide support 
functions as well as providing executive oversight in conjunction with 
the National Coordinator.
    The Chief Privacy Officer, a part of the IO/ONC, advises the 
National Coordinator on privacy, security, and data stewardship of 
electronic health information and coordinates with other Federal 
agencies, with State and regional efforts, and with foreign countries 
with regard to the privacy, security, and data stewardship of 
electronic individually identifiable health information.
    B. Office of Policy: The Office of Policy is headed by an Executive 
Director. This office is responsible for: (1) Policy and rulemaking 
activities, including implementation of provisions included in the 
Health Information Technology for Economic and Clinical Health (HITECH) 
Act, the 21st Century Cures Act, and Executive Order 13335: Incentives 
for the Use of Health Information Technology and Establishing the 
Position of the National Health Information Technology Coordinator; (2) 
ONC's domestic policy initiatives; (3) coordination with executive 
branch agencies, Federal commissions, advisory committees, and

[[Page 19290]]

external partners; (4) advanced analysis and evaluation of health 
information technology policies for ONC and the Department, including 
in the areas of interoperability, information blocking, care 
transformation, privacy and security, and quality improvement; and (5) 
operation of the Health Information Technology Advisory Committee 
established in the 21st Century Cures Act.
    C. Office of Technology: The Office of Technology is headed by an 
Executive Director. This office is responsible for (1) executing 
provisions of law including those in Title XXX of the Public Health 
Service Act as well as those mandated under the HITECH Act and the 21st 
Century Cures Act; (2) providing technical leadership and coordination 
within the health IT community to identify, evaluate, and influence the 
development of standards, implementation guidance, and best practices 
for representing and exchanging electronic health information; (3) 
coordinating with Federal agencies and other public and private 
partners to implement and advance interoperability nationwide; (4) 
leading the development of electronic testing tools, resources, and 
data to achieve interoperability, enhanced usability, and aid in the 
optimization of health IT; (5) administering the ONC Health IT 
Certification Program, including the Certified Health IT Product List 
(CHPL); and (6) leading ONC's technical interoperability interests and 
investments to advance the development of innovative solutions for 
interoperability.
    D. Office of the Chief Operating Officer: The Office of the Chief 
Operating Officer is headed by the Deputy National Coordinator for 
Operations/Chief Operating Officer and fulfills the administrative 
(i.e., executive secretariat) reporting, infrastructure, and budget 
support needs of the office. The Office of the Chief Operating Officer 
is responsible for:
    (1) Managing enterprise risk and formulating solutions to ensure 
ONC has the resources to achieve its mission and goals; (2) ensuring 
fiscal integrity and adherence to Federal laws and regulations; (3) 
providing centralized, agency-wide strategy and services including: 
Budget and financial management; full lifecycle grants management; 
procurement management; human capital; information technology; 
facilities management; ethics; and records management.
    III. Delegation of Authority.
    Pending further delegation, directives or orders by the Secretary 
or by the National Coordinator for Health Information Technology, all 
delegations and redelegations of authority made to officials and 
employees of affected organizational components will continue in them 
or their successors pending further redelegations, provided they are 
consistent with this reorganization.

Alex M. Azar II,
Secretary of Health and Human Services.
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[FR Doc. 2018-09361 Filed 4-30-18; 4:15 pm]
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                                                                             Federal Register / Vol. 83, No. 85 / Wednesday, May 2, 2018 / Notices                                            19289

                                               submitting the collection to OMB for                       Dated: April 27, 2018.                             ensure that each agency undertakes
                                               approval. To comply with this                           William N. Parham, III,                               activities primarily within the areas of
                                               requirement, CMS is publishing this                     Director, Paperwork Reduction Staff, Office           its greatest expertise and technical
                                               notice.                                                 of Strategic Operations and Regulatory                capability; (4) reviews Federal health
                                                                                                       Affairs.                                              information technology investments to
                                               Information Collection                                  [FR Doc. 2018–09329 Filed 5–1–18; 8:45 am]            ensure Federal health information
                                                                                                       BILLING CODE 4120–01–P                                programs are meeting the objectives of
                                                 1. Type of Information Collection
                                                                                                                                                             the strategic plan required under
                                               Request: New collection (Request for a
                                                                                                                                                             Executive Order 13335, to create a
                                               new OMB control number); Title of                       DEPARTMENT OF HEALTH AND                              national interoperable health
                                               Information Collection: Health Equity                   HUMAN SERVICES                                        information technology infrastructure;
                                               Technical Assistance Monitoring and                                                                           (4) provides comments and advice
                                               Tracking; Use: The Centers for Medicare                 Office of the Secretary                               regarding specific Federal health
                                               & Medicaid Services (CMS) Office of                                                                           information technology programs; and
                                               Minority Health (OMH) developed the                     Statement of Organization, Functions,                 (5) develops, maintains, and reports on
                                               CMS Equity Plan for Improving Quality                   and Delegations of Authority; Office of               measurable outcome goals for health
                                               in Medicare (CMS Equity Plan for                        the National Coordinator for Health                   information technology to assess
                                               Medicare). The Plan outlines CMS’ path                  Information Technology                                progress within HHS and other
                                               to help advance health equity by                           Part A, Office of the Secretary,                   executive branch agencies.
                                               improving the quality of care provided                  Statement of Organization, Functions,                    The Deputy National Coordinator, a
                                               to minority and other underserved                       and Delegations of Authority for the                  part of the IO/ONC, works with and
                                               Medicare beneficiaries, particularly                    Department of Health and Human                        reports directly to the National
                                               those with disparities in chronic                       Services, Chapter AR, Office of the                   Coordinator, and is responsible for
                                               diseases. CMS identified six high-                      National Coordinator for Health                       supporting the National Coordinator in
                                               impact priority areas based on a review                 Information Technology (ONC), as last                 day-to-day operations and strategy for
                                                                                                       amended at 79 FR 31941 (June 3, 2014),                ONC, and for management of such ONC
                                               of the evidence base and stakeholder
                                                                                                       77 FR 29349–50 (May 17, 2012), 76 FR                  staff that report to the Deputy or as
                                               input. These priorities encompass both
                                                                                                       65196 (Oct. 20, 2011), 76 FR 6795 (Feb.               requested by the National Coordinator.
                                               system- and community-level                                                                                   The Deputy, in conjunction with the
                                               approaches to achieve equity in                         8, 2011), 75 FR 49494 (Aug. 13, 2010),
                                                                                                       74 FR 62785–86 (Dec. 1, 2009), 70 FR                  National Coordinator, provides
                                               Medicare. Priority 2: Evaluate                                                                                executive oversight for the activities of
                                               Disparities Impacts and Integrate Equity                48718–20 (Aug. 19, 2005) is amended as
                                                                                                                                                             ONC offices.
                                               Solutions Across CMS Programs,                          follows:
                                                                                                                                                                The Deputy National Coordinator for
                                               focuses on increasing understanding of                     I. Under AR.10, Organization, delete
                                                                                                                                                             Operations works with, and reports
                                                                                                       all of components and replace with the
                                               the impact CMS programs have on                                                                               directly to, the National Coordinator
                                                                                                       following:
                                               health disparities and on identifying,                                                                        and is responsible for day-to-day
                                               developing and integrating proven                       A. Immediate Office of the National                   operations and strategy for ONC agency-
                                               solutions to improve their impact on                       Coordinator (ARA)                                  wide support functions as well as
                                                                                                       B. Office of Policy (ARI)                             providing executive oversight in
                                               vulnerable populations.                                 C. Office of Technology (ARC)                         conjunction with the National
                                                 CMS created a Health Equity                           D. Office of the Chief Operating Officer
                                                                                                                                                             Coordinator.
                                               Technical Assistance (TA) email                            (ARE)                                                 The Chief Privacy Officer, a part of
                                               (HealthEquityTA@cms.hhs.gov) to                            II. Delete AR.20, Functions, in its                the IO/ONC, advises the National
                                               support CMS programs as they integrate                  entirety and replace with the following:              Coordinator on privacy, security, and
                                               health equity into their programs. This                    Section AR.20, Functions.                          data stewardship of electronic health
                                               TA offers guidance from health equity                      A. Immediate Office of the National                information and coordinates with other
                                               subject matter experts on a variety of                  Coordinator: The Immediate Office of                  Federal agencies, with State and
                                               topics including reviewing data to                      the National Coordinator (IO/ONC) is                  regional efforts, and with foreign
                                               identify health disparities, identifying                headed by the National Coordinator,                   countries with regard to the privacy,
                                               root causes of health disparities, gaining              who provides leadership and executive                 security, and data stewardship of
                                               an organizational champion, building                    and strategic direction for the ONC                   electronic individually identifiable
                                               organizational capacity to address                      organization. The National Coordinator                health information.
                                               health disparities, implementing                        is responsible for carrying out ONC’s                    B. Office of Policy: The Office of
                                               interventions, tracking success of                      mission and implementing the functions                Policy is headed by an Executive
                                               intervention, and serves as a portal to                 of ONC. The IO/ONC (1) ensures the                    Director. This office is responsible for:
                                               access health equity resources. Form                    interoperability of health information,               (1) Policy and rulemaking activities,
                                               Number: CMS–10669 (OMB control                          as central and foundational to the core               including implementation of provisions
                                               number: 0938–New); Frequency:                           mission of HHS to enhance and protect                 included in the Health Information
                                                                                                       the health and well-being of all                      Technology for Economic and Clinical
                                               Occasionally; Affected Public: Private
                                                                                                       Americans; (2) ensures that health                    Health (HITECH) Act, the 21st Century
                                               sector (Business or other For-profits);
                                                                                                       information technology initiatives are                Cures Act, and Executive Order 13335:
                                               Number of Respondents: 274; Total                       coordinated across HHS programs; (3)                  Incentives for the Use of Health
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                                               Annual Responses 274; Total Annual                      ensures that health information                       Information Technology and
                                               Hours: 23. (For policy questions                        technology policy and programs of HHS                 Establishing the Position of the National
                                               regarding this collection contact                       are coordinated with those of relevant                Health Information Technology
                                               Alexandra Bryden at 410–786–2076).                      executive branch agencies (including                  Coordinator; (2) ONC’s domestic policy
                                                                                                       Federal commissions and advisory                      initiatives; (3) coordination with
                                                                                                       committees) with a goal of avoiding                   executive branch agencies, Federal
                                                                                                       duplication of effort and of helping to               commissions, advisory committees, and


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                                               19290                         Federal Register / Vol. 83, No. 85 / Wednesday, May 2, 2018 / Notices

                                               external partners; (4) advanced analysis                Federal agencies and other public and                 has the resources to achieve its mission
                                               and evaluation of health information                    private partners to implement and                     and goals; (2) ensuring fiscal integrity
                                               technology policies for ONC and the                     advance interoperability nationwide; (4)              and adherence to Federal laws and
                                               Department, including in the areas of                   leading the development of electronic                 regulations; (3) providing centralized,
                                               interoperability, information blocking,                 testing tools, resources, and data to                 agency-wide strategy and services
                                               care transformation, privacy and                        achieve interoperability, enhanced                    including: Budget and financial
                                               security, and quality improvement; and                  usability, and aid in the optimization of             management; full lifecycle grants
                                               (5) operation of the Health Information                 health IT; (5) administering the ONC                  management; procurement management;
                                               Technology Advisory Committee                           Health IT Certification Program,                      human capital; information technology;
                                               established in the 21st Century Cures                   including the Certified Health IT                     facilities management; ethics; and
                                               Act.                                                    Product List (CHPL); and (6) leading                  records management.
                                                 C. Office of Technology: The Office of                ONC’s technical interoperability                        III. Delegation of Authority.
                                               Technology is headed by an Executive                    interests and investments to advance the                Pending further delegation, directives
                                               Director. This office is responsible for                development of innovative solutions for               or orders by the Secretary or by the
                                               (1) executing provisions of law                         interoperability.                                     National Coordinator for Health
                                               including those in Title XXX of the                       D. Office of the Chief Operating                    Information Technology, all delegations
                                               Public Health Service Act as well as                    Officer: The Office of the Chief                      and redelegations of authority made to
                                               those mandated under the HITECH Act                     Operating Officer is headed by the                    officials and employees of affected
                                               and the 21st Century Cures Act; (2)                     Deputy National Coordinator for                       organizational components will
                                               providing technical leadership and                      Operations/Chief Operating Officer and                continue in them or their successors
                                               coordination within the health IT                       fulfills the administrative (i.e., executive          pending further redelegations, provided
                                               community to identify, evaluate, and                    secretariat) reporting, infrastructure, and           they are consistent with this
                                               influence the development of standards,                 budget support needs of the office. The               reorganization.
                                               implementation guidance, and best                       Office of the Chief Operating Officer is
                                               practices for representing and                          responsible for:                                      Alex M. Azar II,
                                               exchanging electronic health                              (1) Managing enterprise risk and                    Secretary of Health and Human Services.
                                               information; (3) coordinating with                      formulating solutions to ensure ONC                   BILLING CODE 4150–24–P
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Federal Register/Vol. 83, No. 85/Wednesday, May 2, 2018 /Notices   19291

              Current ONC Organizational Structure


                                               19292                         Federal Register / Vol. 83, No. 85 / Wednesday, May 2, 2018 / Notices




                                               [FR Doc. 2018–09361 Filed 4–30–18; 4:15 pm]             public and U.S. Customs and Border                      In Revenue Ruling 2018–07, the IRS
                                               BILLING CODE 4150–24–C                                  Protection personnel.                                 determined the rates of interest for the
                                                                                                       DATES: The rates announced in this                    calendar quarter beginning April 1,
                                                                                                       notice are applicable as of April 1, 2018.            2018, and ending on June 30, 2018. The
                                                                                                       FOR FURTHER INFORMATION CONTACT:                      interest rate paid to the Treasury for
                                               DEPARTMENT OF HOMELAND                                  Bruce W. Ingalls, Revenue Division,                   underpayments will be the Federal
                                               SECURITY                                                Collection and Refunds Branch, 6650                   short-term rate (2%) plus three
                                                                                                       Telecom Drive, Suite #100,                            percentage points (3%) for a total of five
                                               U.S. Customs and Border Protection                                                                            percent (5%) for both corporations and
                                                                                                       Indianapolis, Indiana 46278; telephone
                                                                                                       (317) 298–1107.                                       non-corporations. For corporate
                                               Quarterly IRS Interest Rates Used in                                                                          overpayments, the rate is the Federal
                                               Calculating Interest on Overdue                         SUPPLEMENTARY INFORMATION:
                                                                                                                                                             short-term rate (2%) plus two
                                               Accounts and Refunds on Customs                         Background                                            percentage points (2%) for a total of four
                                               Duties                                                                                                        percent (4%). For overpayments made
                                                                                                          Pursuant to 19 U.S.C. 1505 and
                                               AGENCY:  U.S. Customs and Border                        Treasury Decision 85–93, published in                 by non-corporations, the rate is the
                                               Protection, Department of Homeland                      the Federal Register on May 29, 1985                  Federal short-term rate (2%) plus three
                                               Security.                                               (50 FR 21832), the interest rate paid on              percentage points (3%) for a total of five
                                               ACTION: General notice.                                 applicable overpayments or                            percent (5%). These interest rates used
                                                                                                       underpayments of customs duties must                  to calculate interest on overdue
                                               SUMMARY:   This notice advises the public               be in accordance with the Internal                    accounts (underpayments) and refunds
                                               that the quarterly Internal Revenue                     Revenue Code rate established under 26                (overpayments) of customs duties are
                                               Service interest rates used to calculate                U.S.C. 6621 and 6622. Section 6621                    the same from the previous quarter.
                                               interest on overdue accounts                            provides different interest rates                     These interest rates are subject to
                                               (underpayments) and refunds                             applicable to overpayments: One for                   change for the calendar quarter
                                               (overpayments) of customs duties will                   corporations and One for non-                         beginning July 1, 2018, and ending
                                               increase from the previous quarter. For                 corporations.                                         September 30, 2018.
                                               the calendar quarter beginning April 1,                    The interest rates are based on the                  For the convenience of the importing
                                               2018, the interest rates for overpayments               Federal short-term rate and determined                public and U.S. Customs and Border
                                               will be 4 percent for corporations and 5                by the Internal Revenue Service (IRS) on              Protection personnel the following list
                                               percent for non-corporations, and the                   behalf of the Secretary of the Treasury               of IRS interest rates used, covering the
                                               interest rate for underpayments will be                 on a quarterly basis. The rates effective             period from July of 1974 to date, to
                                               5 percent for both corporations and non-                for a quarter are determined during the               calculate interest on overdue accounts
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                                               corporations. This notice is published                  first-month period of the previous                    and refunds of customs duties, is
                                               for the convenience of the importing                    quarter.                                              published in summary format.
                                                                                                                                                                                                          EN02MY18.004</GPH>




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Document Created: 2018-05-02 00:49:13
Document Modified: 2018-05-02 00:49:13
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation83 FR 19289 

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