Elizabeth Duke (administrator)

Last updated

Elizabeth M. Duke was the administrator for the Health Resources and Services Administration (HRSA) from March 6, 2002 to February 28, 2009.

Contents

HRSA is one of 11 operating divisions in the United States Department of Health and Human Services (HHS). The agency uses its $7 billion annual budget (FY 2007) to expand access to quality health care for all Americans through an array of grants to state and local governments, community-based health care providers, and health professions training programs. These HRSA-supported grantees provide direct health care services to 20 million people each year.

Duke led HRSA's implementation of President Bush's Health Center Initiative, which has created or expanded 1,100 service delivery sites since 2001 and boosted the number of patients served annually at health centers from about 10 million in 2001 to 15 million in 2006. HRSA-supported health centers deliver high-quality preventive and primary care to patients regardless of their ability to pay at 4,000 sites across the United States.

HRSA recently implemented another Presidential initiative meant to extend health center services to an estimated 300,000 residents in some of America's poorest counties. Eighty grants worth more than $40 million were awarded in August 2007 to bring the benefits of health centers to low-income counties that do not currently have access to health center care.

Duke also led federal efforts to boost organ donation. Since 2003, the HRSA-sponsored Organ Donation Breakthrough Collaborative has brought together donation professionals and hospital leaders to share ways to raise donation rates in their facilities to 75 percent of eligible organ donors. Since then, the number of hospitals achieving the 75 percent goal has increased from 55 to 301, and a record 29,000 transplant operations took place in 2006, up from 19,000 in 1995.

At HRSA, Duke also administered:

Inside HRSA, Duke worked hard to make the agency more cohesive. She created a single agency-wide process for handling grant applications and awards and she streamlined the way HRSA communicates with the public and Congress.

Additionally, Duke created the HRSA Scholars Program in 2001 to attract talented new employees in supporting the agency's mission of expanding access to quality health care for all Americans. Its cornerstone is a year-long training and development curriculum that rotates scholars among four program and administrative areas. Duke created the program after viewing staffing forecasts showing that many of HRSA's most experienced employees soon would be eligible for retirement. Another Scholar class entered HRSA in September 2007; the 250 graduates of the Scholar program now on staff at the agency represent more than a tenth of the agency's total workforce.

Professional background

Before coming to HRSA, Duke served as deputy assistant secretary for administration in another HHS operating division, the Administration for Children and Families (ACF) . In that post, she was in charge of grants policy, financial management, internal and state systems, human resources and administrative functions.

Duke also has more than 12 years of experience as both acting assistant secretary and principal deputy in HHS' Office of the Assistant Secretary for Management and Budget (OASMB) – currently called the Office of Resources and Technology, which includes HHS' chief financial officer, management control officer and chief information officer.

She oversaw major organizational changes carried out within the framework of the Department's Continuous Improvement Program, reinvention efforts to streamline HHS personnel, and an initiative focusing on regional restructuring. In the mid-1990s, she led the Department in implementing the Congressional mandate to separate the Social Security Administration from HHS –an effort that saw no personnel grievances filed.

In 2003, Duke was elected as a fellow of the National Academy of Public Administration. [1]

In 2006, Duke received a Presidential Rank Award of Distinguished Executive, the most prestigious award offered by a U.S. President to Federal senior executives and professionals. She was one of only six 2006 award recipients from the Department of Health and Human Services.

Duke entered Federal service at the Office of Personnel Management (OPM), where she rose to the rank of deputy assistant director and director of policy and systems in OPM's Office of Training and Development from 1984-86. From 1978-84, she was director of the Government Affairs Institute in OPM's Office of Executive and Management Development. The institute trains Federal executives in such responsibilities as testifying before Congress, developing budgets and managing large bureaucracies. Before joining the government, Duke was a professor of political science and spent two years as a research writer for Congressional Quarterly, a Washington, D.C.-based publication that covers Capitol Hill and Federal agencies.

In 2009 Duke joined the faculty of the University of Maryland School of Public Policy where she is currently the Florence Brody Family Foundation Public Policy Forum Professor. [2]

Education

Duke earned a bachelor's degree in political science from Douglass College of Rutgers University, a master's degree in political science and African studies from Northwestern University, and a doctorate in political science from George Washington University. She stays connected to academia by teaching political science and American government courses at Washington-area universities and by mentoring graduate students.

Related Research Articles

<span class="mw-page-title-main">United States Department of Health and Human Services</span> Department of the US federal government

The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of the U.S. people and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare (HEW).

<span class="mw-page-title-main">United States Public Health Service</span> Division of the U.S. Department of Health and Human Services concerned with public health

The United States Public Health Service is a collection of agencies of the Department of Health and Human Services concerned with public health, containing nine out of the department's twelve operating divisions. The Assistant Secretary for Health oversees the PHS. The Public Health Service Commissioned Corps (PHSCC) is the federal uniformed service of the PHS, and is one of the eight uniformed services of the United States.

The Bureau of Primary Health Care (BPHC) is a part of the Health Resources and Services Administration (HRSA), of the United States Department of Health and Human Services. HRSA helps fund, staff and support a national network of health clinics for people who otherwise would have little or no access to care. BPHC funds health centers in underserved communities, providing access to high quality, family oriented, comprehensive primary and preventive health care for people who are low-income, uninsured or face other obstacles to getting health care.

The excepted service is the part of the United States federal civil service that is not part of either the competitive service or the Senior Executive Service. It provides streamlined hiring processes to be used under certain circumstances.

A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their own. Health departments perform food inspections and other health related inspections, vaccination programs, free STD and HIV tests, tobacco enforcement and cessation programs, and other medical assistance programs. Health departments also compile statistics about health issues within their area. The role of a health department may vary from one country to the other, but their primary objective is always the same; safeguarding and promoting health. In 1986, several of the world's national health departments met to establish an international guideline by which health departments operate. The meeting was in Ottawa, Ontario, Canada, and hence the guidelines established are known as the Ottawa Charter. The Ottawa Charter was designed to 'achieve Health for All'.

The Administration for Children and Families (ACF) is a division of the United States Department of Health and Human Services (HHS). It is headed by the Assistant Secretary of Health and Human Services for Children and Families. It has a $49 billion budget for 60 programs that target children, youth and families. These programs include assistance with welfare, child support enforcement, adoption assistance, foster care, child care, and child abuse. The agency employs approximately 1,700 staff, including 1,200 federal employees and 500 contractors, where 60% are based in Washington, DC, with the remaining in regional offices located in Boston, New York City, Philadelphia, Atlanta, Chicago, Dallas, Kansas City, Denver, San Francisco, Missouri and Seattle.

<span class="mw-page-title-main">Agency for Healthcare Research and Quality</span> United States government agency

The Agency for Healthcare Research and Quality is one of twelve agencies within the United States Department of Health and Human Services (HHS). The agency is headquartered in North Bethesda, Maryland, a suburb of Washington, D.C.. It was established as the Agency for Health Care Policy and Research (AHCPR) in 1989 as a constituent unit of the Public Health Service (PHS) to enhance the quality, appropriateness, and effectiveness of health care services and access to care by conducting and supporting research, demonstration projects, and evaluations; developing guidelines; and disseminating information on health care services and delivery systems.

<span class="mw-page-title-main">Health Resources and Services Administration</span> United States government agency

The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services located in North Bethesda, Maryland. It is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.

<span class="mw-page-title-main">National Disaster Medical System</span>

The National Disaster Medical System (NDMS) is a federally coordinated disaster medical system and partnership of the United States Departments of Health and Human Services (HHS), Homeland Security (DHS), Defense (DOD), and Veterans Affairs (VA). The purpose of the NDMS is to support State, local, Tribal and Territorial authorities following disasters and emergencies by supplementing health and medical systems and response capabilities. NDMS would also support the military and the Department of Veterans Affairs health care systems in caring for combat casualties, should requirements exceed their capacity. The NDMS was established in 1984.

The Presidential Management Fellows (PMF) Program is a two-year training and leadership development program at a United States government agency, administered by the U.S. Office of Personnel Management (OPM), for advanced degree holders. After completing the program, agencies may convert PMFs to permanent federal civilian employees.

Executive Schedule is the system of salaries given to the highest-ranked appointed officials in the executive branch of the U.S. government. The president of the United States appoints individuals to these positions, most with the advice and consent of the United States Senate. They include members of the president's Cabinet, several top-ranking officials of each executive department, the directors of some of the more prominent departmental and independent agencies, and several members of the Executive Office of the President.

<span class="mw-page-title-main">Susan Orr</span> American government official

Susan Orr headed the United States Children's Bureau, a federal agency organized under the United States Department of Health and Human Services' Administration for Children and Families, Administration for Children and Families, as Associate Commissioner.

The Office of Rural Health Policy (ORHP) is a part of the Health Resources and Services Administration (HRSA), of the United States Department of Health and Human Services (HHS).

The Healthcare Systems Bureau is part of the Health Resources and Services Administration (HRSA), of the United States Department of Health and Human Services.

The Maternal and Child Health Bureau (MCHB), is one of six Bureaus within the Health Resources and Services Administration, an agency of the U.S. Department of Health and Human Services located in Rockville, Maryland.

<span class="mw-page-title-main">Administration for Strategic Preparedness and Response</span> US government agency

The Administration for Strategic Preparedness and Response (ASPR) is an operating agency of the U.S. Public Health Service within the Department of Health and Human Services that focuses preventing, preparing for, and responding to the adverse health effects of public health emergencies and disasters. Its functions include preparedness planning and response; building federal emergency medical operational capabilities; countermeasures research, advance development, and procurement; and grants to strengthen the capabilities of hospitals and health care systems in public health emergencies and medical disasters. The office provides federal support, including medical professionals through ASPR’s National Disaster Medical System, to augment state and local capabilities during an emergency or disaster.

<span class="mw-page-title-main">Mary Wakefield</span>

Mary Wakefield is an American nurse and health care administrator, who served in the Obama administration as acting United States Deputy Secretary of Health and Human Services from 2015 to 2017, and as head of the Health Resources and Services Administration from 2009 to 2015.

The community health center (CHC) in the United States is the dominant model for providing integrated primary care and public health services for the low-income and uninsured, and represents one use of federal grant funding as part of the country's health care safety net. The health care safety net can be defined as a group of health centers, hospitals, and providers willing to provide services to the nation's uninsured and underserved population, thus ensuring that comprehensive care is available to all, regardless of income or insurance status. According to the U.S. Census Bureau, 29 million people in the country were uninsured in 2015. Many more Americans lack adequate coverage or access to health care. These groups are sometimes called "underinsured". CHCs represent one method of accessing or receiving health and medical care for both underinsured and uninsured communities.

The Office of the Assistant Secretary for Planning and Evaluation (ASPE) is the principal advisory group to the United States Secretary of the Department of Health and Human Services (HHS) on policy development and provides coordination and support for HHS's strategic and policy planning, planning and development of legislation, program evaluation, data gathering, policy-related research, and regulatory program.

References

  1. Incorporated, Prime. "National Academy of Public Administration". National Academy of Public Administration. Retrieved 2023-02-07.
  2. "Elizabeth M. 'Betty' Duke". UMD School of Public Policy. Retrieved 2021-03-16.

HRSA Web Site