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CDC Transition Briefing Book

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CDC Transition Briefing Book Centers for Disease Control and Prevention TRANSITIO\ BRIEFING BOOK October 28,2016 III III ,i Protecting America's 2/ AIV health, safety and security.- Contents Welcome Message 4 Briefing Schedule 5 Organizational Overview 6 Mission 6 History and the Agency Today 6 Agency for Toxic Substances and Disease Registry 7 The Organization 7 Strategic Plan and Performance Documentation 7 Authorizing Legislation 7 Order of Succession 13 Workforce Data and Trends 14 Organizational Culture 18 Public Opinion 19 Important Relationships with Other Federal Agencies 20 Top Issues for New Leadership 22 Quick Wins 22 Opportunities for Public Health Modernization 24 Calendar 29 Key Management Initiatives and Mandates 30 Budget Overview 33 Top Budget Opportunities and Challenges 33 Fiscal Year 2018 Current Services Budget 37 Budget History 40 Budget Trends 41 Funding Sources 42 Expenditures 43 Oversight 44 Office of the Inspector General and Government Accountability Office Engagements 44 Governance 46 Key Structures and Decision-Making Processes 46 Participation in Enterprise Government Activities 47 Policies and Regulations 48 Historical Overview (2009-Present) 48 Recently Adopted or Pending Policies and Regulations 48 Enforcement Issues 51 : Summary of Litigation 52 Relevant Committees 53 Membership and Key Issues 55 Members with Special Interest or Subject Matter Expertise 55 Implications of Continuing Resolutions 56 External Stakeholders 58 State, Tribal, Local and Territorial Health Departments 58 International Partners 59 Health Professionals 59 Non-Governmental Organizations 59 Private Sector Partners 60 Labor-Management Partnership Council 60 Crisis Management and Emergency Response 61 Emergency Response Plan 61 Continuity of Operations Information 61 Primary Points of Contact 61 Administrative Information 62 Division Transition Team Contacts 62 Map of Organization Facilities 62 Attachments 63 Attachment A: CDC's organizational chart 64 Attachment B: Fact sheets for CDC's centers, institute, and offices (C10s) 68 Attachment C: Biographies and photographs of key leaders 121 Attachment D: CDC Strategic Guidance Framework 151 Attachment E: CDC's performance overview from the FY 2017 Congressional Justification 156 Attachment F: CDC Winnable Battle Progress Report 165 Attachment G: CDC National Health Report 187 Attachment H: CDC personnel and non-personnel expenses by program 204 Attachment I: List of testimony since 2009 212 Attachment J: Maps of CDC Campuses 222 Page 3 Welcome Message The Centers for Disease Control and Prevention (CDC) is pleased to present the 2016-2017 Presidential Transition Owner's Manual. CDC is the nation's health protection agency. CDC works 24/7 to conduct critical science and provides health information that protects our nation against dangerous health threats, and responds when these arise. CDC promotes quality of life and prevents the leading causes of disease, injury, disability, and death. CDC is committed to maximizing the impact of every dollar entrusted to the agency and continuing critical work to increase public health capacity at local, state, national, and global levels. CDC's pledge to the American people is to: 1. Be a diligent steward of the funds entrusted to the agency 2. Provide an environment for intellectual and personal growth and integrity 3. Base all public health decisions on the highest quality scientific data that is derived openly and objectively 4. Place the benefits to society above the benefits to this institution 5. Treat all persons with dignity, honesty, and respect Briefing Schedule CDC staff are pleased to provide additional materials or briefings, as requested. All requests should be routed through Department of Health and Human Services Transition Director John Gentile. Page 5 Organizational Overview CDC is the nation's first line of defense to protect Americans from health threats. Mission CDC works 24/7 to protect America from health, safety, and security threats, originating within and outside the United States. Whether diseases start at home or abroad, are chronic or acute, curable or preventable, or the result of human error or deliberate attack, CDC fights disease—and supports communities and citizens to do the same. As the Nation's health protection agency, CDC increases the health security of the Nation, saves lives, and protects people from health threats. To accomplish this mission, CDC conducts critical science, provides health information, tools, and resources that protect our nation against expensive and dangerous health threats, and responds when these arise. History and the Agency Today On July 1, 1946, the originally-named Communicable Disease Center opened its doors and occupied one floor of a small building in Atlanta. Its primary mission was simple, yet highly challenging: to prevent malaria from spreading across the nation. Armed with a budget of $10 million and fewer than 400 employees, the agency's early challenges included obtaining enough trucks, sprayers, and shovels necessary to wage war on mosquitoes. Today, CDC is one of the major operating components of the Department of Health and Human Services (HHS), and is recognized as the nation's premier public health, health promotion, prevention, and preparedness agency. CDC is: • On the cutting edge of health security: Confronting global disease threats through advanced computing and lab analysis of huge amounts of data to quickly find solutions • Putting science into action: Tracking disease, finding out what is making people sick and the most effective ways to prevent it • Improving medical care: Bringing new knowledge to individual health care and community health to save more lives and reduce waste • Fighting diseases globally before they reach our borders: Detecting and confronting new germs and diseases around the globe to increase our national security • Nurturing public health: Building on CDC's significant contribution to have strong, well-resourced public health leaders and capabilities at national, state, and local levels to protect Americans from health threats CDC's role is: • Detecting and responding to new and emerging health threats • Tackling the biggest health problems causing death and disability for Americans • Putting science and advanced technology into action to prevent disease • Promoting healthy and safe behaviors, communities, and environments • Developing leaders and training the public health workforce Page 6 Agency for Toxic Substances and Disease Registry The director of CDC is also the Administrator of the Agency for Toxic Substances and Disease Registry (ATSDR). Superfund legislation created ATSDR in 1985 as an advisory, non-regulatory agency. Although ATSDR is an independent operating division within the Department of Health and Human Services, CDC performs its administrative functions. ATSDR has a joint Office of the Director with the National Center for Environmental Health (NCEH). ATSDR headquarters are in Atlanta, Georgia, at CDC's Chamblee Campus. Today, congressional mandate directs ATSDR to perform specific functions concerning the effect of hazardous substances in the environment on public health. These functions include public health assessments of waste sites, health consultations concerning specific hazardous substances, health surveillance and registries, response to emergency releases of hazardous substances, applied research in support of public health assessments, and education and training concerning hazardous substances. The Organization • CDC's organizational chart (Attachment A) • Fact sheets for CDC's centers, institute, and offices (Attachment B) • CDC's senior leadership team (Attachment C) Strategic Plan and Performance Documentation • CDC's strategic guidance framework (Attachment D) • CDC's performance overview from the FY 2017 Congressional Justification (Attachment E) • The CDC Winnable Battle Progress Report 2014 — published April 2015 (Attachment F) • The CDC National Health Report 2006-2012 (Attachment G) Authorizing Legislation CDC's authorizing legislation provided through Appropriations (H.R. 2029— Consolidated Appropriations Act, 2016) can be found in the following two tables. Legislative Citation (Public Health Service Act, unless Subdivision Function otherwise indicated) Immunization and Respiratory Diseases Title II Administration and Miscellaneous Provisions Title III General Powers and Duties of Public Health Service Title XVII Health Information and Health Promotion Title XXI Vaccines Title XXVIII Subtitle C, Sec. National All-Hazards Preparedness for Public Health 2821 Emergencies Strengthening Public Health Surveillance Systems Epidemiology-Laboratory Capacity Grants Immigration and Nationality Act Immigration Title II Immigration and Nationality Act Refugee Assistance and Miscellaneous Title IV Ie , Legislative Citation (Public Health Service Act, unless Subdivision Function otherwise indicated) Refugee Education Assistance Sec. 501 Provisions Relating to Cuban and Haitian Entrants, Authorities Act Title V for Other Programs and Activities HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Title II Administration and Miscellaneous Provisions Title III General Powers and Duties of Public Health Service Title XVII Health Information and Health Promotion Title XXIII Research with Respect to Acquired Immune Deficiency Syndrome Title II Administration and Miscellaneous Provisions Title III General Powers and Duties of Public Health Service Title XVII Health Information
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