This document provides an overview of the Office of Financial Resources' (OFR) activities and contributions to the Ebola response efforts in fiscal year 2015. It details how OFR staff processed over 800 emergency requests, obligated over $428 million in Ebola-related grants, and deployed over 50 staff domestically and internationally to help manage financial resources and support for the Ebola response. Key accomplishments included quickly purchasing personal protective equipment, issuing supplemental funding opportunities, and establishing financial tracking systems in West Africa.
HFG began working in Namibia in 2013, closely partnering with the Namibian Ministry of Health and Social Services and going on to collaborate with key government agencies, such as the Namibian Social Security Commission and the Universal Health
Coverage Advisory Committee of Namibia. The overarching aim of our technical assistance has been to support Namibia’s progress toward UHC to ensure all can access necessary, quality health care without financial struggle. We emphasized a government-led and -owned approach as we supported the Namibian government in addressing some of the key challenges it faced at the start of the project.
HFG’s support has helped strengthen the government’s capacity to mobilize and manage resources; improve efficiency, quality, and equity of health services; expand access to health care; sustain key health interventions, especially the HIV/AIDS prevention, care, and treatment program; and, ultimately, identify sustainable financing for UHC. We provided technical support to the Namibian government’s Health Accounts team, equipping them with tools and know-how to lead and implement four Health Accounts exercises and analyze and present data for better policy analysis and evidence-based decision making. Our support has helped institutionalize Health Accounts in Namibia and provided the country’s policymakers with evidence to examine health financing options for UHC, advocate for greater resources, and explore financial risk protection options.
Strengthening the larger health system and generating fiscal space through improved efficiency of health services was another important goal for HFG.
Findings of the health facility costing and district hospital efficiency study we undertook will enable the government to identify where it can save resources, how it can improve equity in service distribution, and what Namibia’s total financing requirement is for UHC.
This report highlights some of the major contributions HFG and its key partners have made toward more efficient use of limited health resources, improved sustainability of
health programs, and progress toward UHC in Namibia.
Increasing Domestic Investment in AIDS, Tuberculosis and Malaria: Global Fund...theglobalfight
Increasing Domestic Investment in AIDS, Tuberculosis and Malaria: Global Fund Resource Mobilization in Implementing Countries
Among other things, we discuss:
-New Global Fund policies that promote implementing country investments
-Financing leveraged to date and expectations for additional increases
-On-the-ground examples of domestic resource mobilization
HFG began working in Namibia in 2013, closely partnering with the Namibian Ministry of Health and Social Services and going on to collaborate with key government agencies, such as the Namibian Social Security Commission and the Universal Health
Coverage Advisory Committee of Namibia. The overarching aim of our technical assistance has been to support Namibia’s progress toward UHC to ensure all can access necessary, quality health care without financial struggle. We emphasized a government-led and -owned approach as we supported the Namibian government in addressing some of the key challenges it faced at the start of the project.
HFG’s support has helped strengthen the government’s capacity to mobilize and manage resources; improve efficiency, quality, and equity of health services; expand access to health care; sustain key health interventions, especially the HIV/AIDS prevention, care, and treatment program; and, ultimately, identify sustainable financing for UHC. We provided technical support to the Namibian government’s Health Accounts team, equipping them with tools and know-how to lead and implement four Health Accounts exercises and analyze and present data for better policy analysis and evidence-based decision making. Our support has helped institutionalize Health Accounts in Namibia and provided the country’s policymakers with evidence to examine health financing options for UHC, advocate for greater resources, and explore financial risk protection options.
Strengthening the larger health system and generating fiscal space through improved efficiency of health services was another important goal for HFG.
Findings of the health facility costing and district hospital efficiency study we undertook will enable the government to identify where it can save resources, how it can improve equity in service distribution, and what Namibia’s total financing requirement is for UHC.
This report highlights some of the major contributions HFG and its key partners have made toward more efficient use of limited health resources, improved sustainability of
health programs, and progress toward UHC in Namibia.
Increasing Domestic Investment in AIDS, Tuberculosis and Malaria: Global Fund...theglobalfight
Increasing Domestic Investment in AIDS, Tuberculosis and Malaria: Global Fund Resource Mobilization in Implementing Countries
Among other things, we discuss:
-New Global Fund policies that promote implementing country investments
-Financing leveraged to date and expectations for additional increases
-On-the-ground examples of domestic resource mobilization
Sustaining the HIV and AIDS Response in St. Vincent and the Grenadines: Inves...HFG Project
National surveillance reports estimate that there were about 649 persons living with HIV in St. Vincent and the Grenadines at the end of 2011, which translates to 1.2% of the adult population (15-49 years) or 0.7% of the total population. The epidemic is male-dominant, illustrated by the fact that the cumulative case reporting from 1984-2013 indicates that 60.6% of new cases are reported among males and 38.1% females (1.3% unknown). In response to the growing epidemic, the country quickly scaled up its national HIV/AIDS program in 2004. While care and treatment remains a high priority, St. Vincent and the Grenadines has devoted significant resources to preventative activities, including HIV counseling and rapid testing, education and workplace programs, and other behavioral interventions.
Despite a marked decline in HIV and AIDS cases, significant challenges for the country’s response remain. Close to 20% of persons with advanced HIV infection discontinue treatment within 12 months of initiation, suggesting the need to reinforce adherence and retention to care. The country also faces an imminent decline in donor funding and domestic reprioritization of chronic and non-communicable diseases; without renewed sources of external funding or greater domestic resources allocated to HIV/AIDS, progress made since 2004 could regress.
In response to these challenges, key priorities outlined in the country’s strategic framework (2014-2025) include: 1) institutionalizing HIV education through collaborative programs with different sectors, 2) targeting high risk groups, 3) strengthening HIV testing and counseling, including routine testing for pregnant women and, 4) ensuring access and retention to care and treatment for those with HIV and AIDS and TB. St. Vincent and the Grenadines has also taken steps to integrate HIV and AIDS services into the broader health system and included the HIV and AIDS program as part of the Ministry of Health, Environment and Wellness’ overall health framework. These actions are the beginning of efforts to improve access to care, reduce costs, and improve efficiencies.
HITECH Act explained. HITECH Act is part of stimulus package. The goal of the stimulus package is to incentize physicians and offset the costs of EHR adoption. Physicians must show meaningful use of EHR to be eligible. Product must also be eligible. Allscripts MyWay is eligible.
Public Financial Management, Health Governance, and Health SystemsHFG Project
While the importance of governance in a health system is well recognized, there is an overall lack of evidence and understanding of the dynamics of how improved governance can influence health system performance and health outcomes. There is still considerable debate on which governance interventions are appropriate for different contexts. This lack of evidence can result in avoidance of health governance efforts or an over-reliance on a limited set of governance interventions. As development partners and governments are increasing their emphasis on improving accountability and transparency of health systems and strengthening country policies and institutions to move towards universal health coverage (UHC), the need of this evidence is ever rising.
To address this evidence gap, the USAID’s Office of Health Systems (USAID/GH/OHS), the World Health Organization (WHO), and the Health Finance and Governance (HFG) Project launched an initiative in September 2016 to ‘Marshall the Evidence’ on how governance contributes to health system performance and improves health outcomes.
The overall objective of the initiative was to increase awareness and understanding of the evidence of what works and why in how governance contributes to health system performance, and how the field of health governance is evolving at the country level. This report provides a synthesis of the findings across the four themes. This report presents the findings of the Public Financial Management.
Budget matters for health: key formulation and classification issuesHFG Project
This policy brief aims to raise awareness on the role of public budgeting – specifically aspects of budget formulation – for non-PFM specialists working in health. As part of an overall WHO programme of work on Budgeting in Health, it will help clarify the characteristics and implications of various budgeting approaches for the health sector.
Capital Investment in Health Systems: What is the latest thinking?HFG Project
Capital investment in health typically refers to large expenditures in construction of hospitals and other facilities, investment in diagnostic and treatment technologies, and information technology platforms. These investments are characterized by their longevity and they are critical to efforts to improve healthcare quality and efficiency. Contrary to developed countries where there is well documented experience on capital investment in the health sector, including use of public private partnerships for the investment; there is little evidence on capital investment in health from low and middle income countries.
This work was undertaken to add to the HFG’s knowledge and learning strategy by clarifying what good practice guidance exists in capital benchmark in LMICs health sectors, as well as the HFG project’s experience in the area. This brief will be of value to all those interested in the planning and financing the capital investment in the health sector. This includes politicians, planners, managers, health professionals, architects, designers, and researchers in both the public and private sectors.
Health Trends in the Middle East and North AfricaHFG Project
In the past several decades, countries in the Middle East and North Africa have made significant improvements in developing their health systems and improving the health status of their populations. However, the region continues to face substantial and diverse political, economic, social, and health challenges: a rise in the burden of noncommunicable diseases, ongoing conflicts in several countries, and refugee crises. To inform future USAID health investments in the Middle East and North Africa, the Sustaining Health Outcomes through the Private Sector (SHOPS) Plus project and the Health Financing and Governance (HFG) project conducted an analysis of the private health sector and the health financing landscape from January 2017 to April 2018. The countries included in this analysis are Algeria, Egypt, Iraq, Jordan, Lebanon, Libya, Morocco, Syria, Tunisia, the West Bank and Gaza, and Yemen.
Landscape Analysis of Incentive Structures of Village and Mobile Malaria Work...HFG Project
This landscape analysis was commissioned by the United States Agency for International Development (USAID) to clarify the range of incentive mechanisms used, and identify ways to improve the program’s effectiveness, sustainability, and alignment with other community health worker (CHW) programs in Cambodia. To this end, the Health Finance and Governance (HFG) project conducted a literature review, complemented by qualitative data collection in three of Cambodia’s provinces where malaria workers are active.
South Africa HIV and TB Expenditure Review 2014/15 - 2016/17. Executive SummaryHFG Project
The South African Government (SAG) and its development partners have mounted a formidable response to the world’s largest HIV epidemic and a persistent burden of tuberculosis (TB), the country’s leading killer. Nearly 4 million South Africans initiated antiretroviral therapy (ART) by the end of financial year 2016/17, helping to curtail new infections and reduce the number of annual HIV-related deaths. Mortality from TB has also declined thanks, in part, to improved treatment success.
Despite progress, challenges remain. Roughly 3 million people living with HIV (PLHIV) lack treatment, and each year more than a quarter million are newly infected. Moreover, nearly a half million South Africans contract TB every year, with an increasing share affected by drug-resistant strains.
To effectively plan and steward the health system, the SAG routinely monitors programmatic and financial performance of the response to HIV and TB, including by tracking expenditure. Analysis of spending, including trends in sources, levels, geographic and programmatic distribution and cost drivers can help policymakers to assess whether resources are reaching priority populations, interventions, and hotspot geographies; to identify potential opportunities to improve allocative and technical efficiency; and to stimulate more productive dialogue at multiple levels of the system.
This review of HIV and TB expenditure in South Africa is an input to policy, planning and management processes within and amongst spheres of government and between government and development partners. The data have been especially useful to national and provincial programme managers as they perform their oversight functions, leading to improved spending of available resources. With 52 annexes, it also serves as an authoritative reference document detailing levels and trends in HIV and TB spending by the three main funders of the disease responses: the SAG, the United States Government (USG), primarily via the President’s Emergency Plan for AIDS Relief (PEPFAR), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (the Global Fund). The findings have informed South Africa’s report to the UNAIDS Global AIDS Monitor and the country’s forthcoming funding request to the Global Fund.
Essential Package of Health Services Country Snapshot: RwandaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
South Africa HIV and TB Expenditure Review 2014/15 - 2016/17 Full ReportHFG Project
The South African Government (SAG) and its development partners have mounted a formidable response to the world’s largest HIV epidemic and a persistent burden of tuberculosis (TB), the country’s leading killer. Nearly 4 million South Africans initiated antiretroviral therapy (ART) by the end of financial year 2016/17, helping to curtail new infections and reduce the number of annual HIV-related deaths. Mortality from TB has also declined thanks, in part, to improved treatment success.
Despite progress, challenges remain. Roughly 3 million people living with HIV (PLHIV) lack treatment, and each year more than a quarter million are newly infected. Moreover, nearly a half million South Africans contract TB every year, with an increasing share affected by drug-resistant strains.
To effectively plan and steward the health system, the SAG routinely monitors programmatic and financial performance of the response to HIV and TB, including by tracking expenditure. Analysis of spending, including trends in sources, levels, geographic and programmatic distribution and cost drivers can help policymakers to assess whether resources are reaching priority populations, interventions, and hotspot geographies; to identify potential opportunities to improve allocative and technical efficiency; and to stimulate more productive dialogue at multiple levels of the system.
This review of HIV and TB expenditure in South Africa is an input to policy, planning and management processes within and amongst spheres of government and between government and development partners. The data have been especially useful to national and provincial programme managers as they perform their oversight functions, leading to improved spending of available resources. With 52 annexes, it also serves as an authoritative reference document detailing levels and trends in HIV and TB spending by the three main funders of the disease responses: the SAG, the United States Government (USG), primarily via the President’s Emergency Plan for AIDS Relief (PEPFAR), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (the Global Fund). The findings have informed South Africa’s report to the UNAIDS Global AIDS Monitor and the country’s forthcoming funding request to the Global Fund.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
Sustaining the HIV and AIDS Response in St. Vincent and the Grenadines: Inves...HFG Project
National surveillance reports estimate that there were about 649 persons living with HIV in St. Vincent and the Grenadines at the end of 2011, which translates to 1.2% of the adult population (15-49 years) or 0.7% of the total population. The epidemic is male-dominant, illustrated by the fact that the cumulative case reporting from 1984-2013 indicates that 60.6% of new cases are reported among males and 38.1% females (1.3% unknown). In response to the growing epidemic, the country quickly scaled up its national HIV/AIDS program in 2004. While care and treatment remains a high priority, St. Vincent and the Grenadines has devoted significant resources to preventative activities, including HIV counseling and rapid testing, education and workplace programs, and other behavioral interventions.
Despite a marked decline in HIV and AIDS cases, significant challenges for the country’s response remain. Close to 20% of persons with advanced HIV infection discontinue treatment within 12 months of initiation, suggesting the need to reinforce adherence and retention to care. The country also faces an imminent decline in donor funding and domestic reprioritization of chronic and non-communicable diseases; without renewed sources of external funding or greater domestic resources allocated to HIV/AIDS, progress made since 2004 could regress.
In response to these challenges, key priorities outlined in the country’s strategic framework (2014-2025) include: 1) institutionalizing HIV education through collaborative programs with different sectors, 2) targeting high risk groups, 3) strengthening HIV testing and counseling, including routine testing for pregnant women and, 4) ensuring access and retention to care and treatment for those with HIV and AIDS and TB. St. Vincent and the Grenadines has also taken steps to integrate HIV and AIDS services into the broader health system and included the HIV and AIDS program as part of the Ministry of Health, Environment and Wellness’ overall health framework. These actions are the beginning of efforts to improve access to care, reduce costs, and improve efficiencies.
HITECH Act explained. HITECH Act is part of stimulus package. The goal of the stimulus package is to incentize physicians and offset the costs of EHR adoption. Physicians must show meaningful use of EHR to be eligible. Product must also be eligible. Allscripts MyWay is eligible.
Public Financial Management, Health Governance, and Health SystemsHFG Project
While the importance of governance in a health system is well recognized, there is an overall lack of evidence and understanding of the dynamics of how improved governance can influence health system performance and health outcomes. There is still considerable debate on which governance interventions are appropriate for different contexts. This lack of evidence can result in avoidance of health governance efforts or an over-reliance on a limited set of governance interventions. As development partners and governments are increasing their emphasis on improving accountability and transparency of health systems and strengthening country policies and institutions to move towards universal health coverage (UHC), the need of this evidence is ever rising.
To address this evidence gap, the USAID’s Office of Health Systems (USAID/GH/OHS), the World Health Organization (WHO), and the Health Finance and Governance (HFG) Project launched an initiative in September 2016 to ‘Marshall the Evidence’ on how governance contributes to health system performance and improves health outcomes.
The overall objective of the initiative was to increase awareness and understanding of the evidence of what works and why in how governance contributes to health system performance, and how the field of health governance is evolving at the country level. This report provides a synthesis of the findings across the four themes. This report presents the findings of the Public Financial Management.
Budget matters for health: key formulation and classification issuesHFG Project
This policy brief aims to raise awareness on the role of public budgeting – specifically aspects of budget formulation – for non-PFM specialists working in health. As part of an overall WHO programme of work on Budgeting in Health, it will help clarify the characteristics and implications of various budgeting approaches for the health sector.
Capital Investment in Health Systems: What is the latest thinking?HFG Project
Capital investment in health typically refers to large expenditures in construction of hospitals and other facilities, investment in diagnostic and treatment technologies, and information technology platforms. These investments are characterized by their longevity and they are critical to efforts to improve healthcare quality and efficiency. Contrary to developed countries where there is well documented experience on capital investment in the health sector, including use of public private partnerships for the investment; there is little evidence on capital investment in health from low and middle income countries.
This work was undertaken to add to the HFG’s knowledge and learning strategy by clarifying what good practice guidance exists in capital benchmark in LMICs health sectors, as well as the HFG project’s experience in the area. This brief will be of value to all those interested in the planning and financing the capital investment in the health sector. This includes politicians, planners, managers, health professionals, architects, designers, and researchers in both the public and private sectors.
Health Trends in the Middle East and North AfricaHFG Project
In the past several decades, countries in the Middle East and North Africa have made significant improvements in developing their health systems and improving the health status of their populations. However, the region continues to face substantial and diverse political, economic, social, and health challenges: a rise in the burden of noncommunicable diseases, ongoing conflicts in several countries, and refugee crises. To inform future USAID health investments in the Middle East and North Africa, the Sustaining Health Outcomes through the Private Sector (SHOPS) Plus project and the Health Financing and Governance (HFG) project conducted an analysis of the private health sector and the health financing landscape from January 2017 to April 2018. The countries included in this analysis are Algeria, Egypt, Iraq, Jordan, Lebanon, Libya, Morocco, Syria, Tunisia, the West Bank and Gaza, and Yemen.
Landscape Analysis of Incentive Structures of Village and Mobile Malaria Work...HFG Project
This landscape analysis was commissioned by the United States Agency for International Development (USAID) to clarify the range of incentive mechanisms used, and identify ways to improve the program’s effectiveness, sustainability, and alignment with other community health worker (CHW) programs in Cambodia. To this end, the Health Finance and Governance (HFG) project conducted a literature review, complemented by qualitative data collection in three of Cambodia’s provinces where malaria workers are active.
South Africa HIV and TB Expenditure Review 2014/15 - 2016/17. Executive SummaryHFG Project
The South African Government (SAG) and its development partners have mounted a formidable response to the world’s largest HIV epidemic and a persistent burden of tuberculosis (TB), the country’s leading killer. Nearly 4 million South Africans initiated antiretroviral therapy (ART) by the end of financial year 2016/17, helping to curtail new infections and reduce the number of annual HIV-related deaths. Mortality from TB has also declined thanks, in part, to improved treatment success.
Despite progress, challenges remain. Roughly 3 million people living with HIV (PLHIV) lack treatment, and each year more than a quarter million are newly infected. Moreover, nearly a half million South Africans contract TB every year, with an increasing share affected by drug-resistant strains.
To effectively plan and steward the health system, the SAG routinely monitors programmatic and financial performance of the response to HIV and TB, including by tracking expenditure. Analysis of spending, including trends in sources, levels, geographic and programmatic distribution and cost drivers can help policymakers to assess whether resources are reaching priority populations, interventions, and hotspot geographies; to identify potential opportunities to improve allocative and technical efficiency; and to stimulate more productive dialogue at multiple levels of the system.
This review of HIV and TB expenditure in South Africa is an input to policy, planning and management processes within and amongst spheres of government and between government and development partners. The data have been especially useful to national and provincial programme managers as they perform their oversight functions, leading to improved spending of available resources. With 52 annexes, it also serves as an authoritative reference document detailing levels and trends in HIV and TB spending by the three main funders of the disease responses: the SAG, the United States Government (USG), primarily via the President’s Emergency Plan for AIDS Relief (PEPFAR), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (the Global Fund). The findings have informed South Africa’s report to the UNAIDS Global AIDS Monitor and the country’s forthcoming funding request to the Global Fund.
Essential Package of Health Services Country Snapshot: RwandaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
South Africa HIV and TB Expenditure Review 2014/15 - 2016/17 Full ReportHFG Project
The South African Government (SAG) and its development partners have mounted a formidable response to the world’s largest HIV epidemic and a persistent burden of tuberculosis (TB), the country’s leading killer. Nearly 4 million South Africans initiated antiretroviral therapy (ART) by the end of financial year 2016/17, helping to curtail new infections and reduce the number of annual HIV-related deaths. Mortality from TB has also declined thanks, in part, to improved treatment success.
Despite progress, challenges remain. Roughly 3 million people living with HIV (PLHIV) lack treatment, and each year more than a quarter million are newly infected. Moreover, nearly a half million South Africans contract TB every year, with an increasing share affected by drug-resistant strains.
To effectively plan and steward the health system, the SAG routinely monitors programmatic and financial performance of the response to HIV and TB, including by tracking expenditure. Analysis of spending, including trends in sources, levels, geographic and programmatic distribution and cost drivers can help policymakers to assess whether resources are reaching priority populations, interventions, and hotspot geographies; to identify potential opportunities to improve allocative and technical efficiency; and to stimulate more productive dialogue at multiple levels of the system.
This review of HIV and TB expenditure in South Africa is an input to policy, planning and management processes within and amongst spheres of government and between government and development partners. The data have been especially useful to national and provincial programme managers as they perform their oversight functions, leading to improved spending of available resources. With 52 annexes, it also serves as an authoritative reference document detailing levels and trends in HIV and TB spending by the three main funders of the disease responses: the SAG, the United States Government (USG), primarily via the President’s Emergency Plan for AIDS Relief (PEPFAR), and the Global Fund to Fight AIDS, Tuberculosis, and Malaria (the Global Fund). The findings have informed South Africa’s report to the UNAIDS Global AIDS Monitor and the country’s forthcoming funding request to the Global Fund.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
PRESIDENT CYRIL RAMAPHOSA ON PROGRESS IN THE NATIONAL EFFORT TO CONTAIN THE C...SABC News
The first issue is the re-opening of schools and the second is the management of the
resources that we have dedicated towards the fight against COVID-19.
Mobilizing Domestic Resources for HealthHFG Project
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Sustaining the HIV/AIDS Response in Dominica: Investment CaseHFG Project
Dominica is an upper-middle-income country in the eastern Caribbean with a population of approximately 72,293. HIV prevalence is estimated at 0.75%. The epidemic is male-dominated, with 70% of those infected being male. While data indicates that the adults aged 25-49 are most affected by HIV and AIDS, incidence trends indicate a higher rate of infection among those over 50. HIV prevalence has shown to be much higher among key populations such as men who have sex with men (MSMs). Further studies are required to produce evidence regarding trends in HIV prevalence among other vulnerable groups such as commercial sex workers (CSW), migrants, and indigenous populations. To date, the following populations have been assigned priority for the HIV/AIDS Response: MSMs and their partners, young people, CSWs, the indigenous population, and prisoners.
The National HIV and AIDS Response Program has continued to reinforce prevention efforts through the scaling-up of HIV counseling and rapid testing sites in additional districts and with non-governmental organization (NGO) partners. Challenges related to retaining those with HIV and AIDS in care and treatment, stigma and discrimination of target groups, and surveillance have been addressed in Dominica’s National HIV and AIDS Strategic Plan 2015-2019. The Strategic Plan was developed during a series of participatory stakeholder workshops in 2014 and includes objectives related to prevention, treatment and care, policy and sustaining the HIV/AIDS response.
Additional Domestic Resources to Scale-up the HIV and TB Response in South Af...HFG Project
To tackle its substantial HIV and tuberculosis (TB) burdens, South Africa continues to rapidly scale up its response to both diseases. Over the past decade, the government of South Africa (GoSA) dramatically increased its financing for HIV and TB programs.
Rapid scale-up requires credible resource needs estimates to inform budget allocations. In the spring of 2015, South African officials and experts, in partnership with UNAIDS, finalized the detailed HIV and TB Investment Case that laid out the resource requirements for achieving the country’s coverage goals. Next came the complex task of translating the Investment Case’s findings into recommended budget allocations in South Africa’s Medium Term Expenditure Framework (MTEF), wherein the GoSA determines its budget plans for the next three financial years.
Through intensive engagement in July–September 2015, the USAID/PEPFAR-funded Health Finance and Governance Project (HFG) supported the GoSA National Treasury (NT) in its analysis of HIV and TB budget bids. Each year, NT solicits bids from other national departments for additional funding or to redistribute resources across departmental programs. In this case, the HFG team validated the National Department of Health (NDoH)’s bids against data from the HIV and TB Investment Case and advised both NT and NDoH on how to strengthen the submissions and prioritize investments given general fiscal constraints.
This breakout session at the CCIH 2015 Annual Conference explores SANRU, on of the first major health systems building projects funded following Alma Ata, and perhaps the only, or one of the few to be managed through a faith-based network. The project brings healthcare to millions in the Democratic Republic of the Congo.
1. Fiscal Year 2015 Annual Report 1
FISCAL YEAR
2015
CS257956-A
ANNUAL REPORT
OFFICE OF FINANCIAL RESOURCES
(Procurement and Grants Office + Office of the Chief Financial Officer)
Centers for Disease
Control and Prevention
Office of the Director
2. 2 OFR: Office of Financial Resources
Director’s Letter
I am pleased to introduce the Office of Financial Resources’ (OFR) Annual Report for
Fiscal Year 2015. As trusted stewards of public funds, the Centers for Disease Control
and Prevention and the Agency for Toxic Substances and Disease Registry (CDC/ATSDR)1
continue to strengthen our capacity to make a positive difference in public health for our
nation. OFR, formerly the Office of the Chief Financial Officer (OCFO) and the Procurement
and Grants Office (PGO), provide critical business services for managing the agency’s
acquisition, assistance, budgeting, and financial management responsibilities and
initiatives. This expertise in financial management, grants, and contracts helped us to
manage a record level of funding and to quickly and effectively provide funds to programs
and services. In addition, we continued to demonstrate financial excellence by meriting,
for the 16th consecutive year, a clean audit opinion on the overall HHS annual FY 2014
financial audit.
This past fiscal year, our office has grown and built a stronger workforce by realigning two offices within CDC. PGO
and OCFO merged in October 2015 to form the new Office of Financial Resources, to allow for greater coordination
and collaboration across CDC’s financial resources portfolio. During the transition we continued to provide intensive
support to the fight against Ebola. Our dedicated staff devoted their time and expertise and played a critical role in
helping CDC and the affected countries in West Africa with the goal of getting to zero new cases of Ebola.
We have a strong commitment to being efficient and effective while advancing our business practices and
developing solutions to critical business issues. These efforts are highlighted in this year’s Annual Report. The
report includes coverage that demonstrates we:
➤➤ Processed more than 20,000 contract and grant actions and provided more than $11 billion in funding to
public health programs and research around the world.
➤➤ Tripled (from 27 in 2013 to 79 in 2015) the number of briefings held to educate key appropriations offices
and Congressional staff on our activities.
➤➤ Trained over 1,500 international staff to improve the management of international program funds.
➤➤ Developed and redesigned a financial resource Internet site to provide enhanced customer service.
➤➤ Implemented a new grants system, GrantSolutions, to support more efficient and consistent business
processes and improve reporting.
➤➤ Launched a new CDC-wide travel system, Concur Government Edition.
➤➤ Deployed more than 50 staff, domestically and internationally, to strengthen financial resources support to
the agency’s Ebola response.
We hope this report demonstrates how OFR vigorously supports CDC’s public health mission. I am grateful every
day for the extraordinary teams of people who are dedicated to the agency’s success through fiscal accountability
and continuous improvement of assistance and acquisition services, budgeting, and financial management. I look
forward to working with this community in the coming year to continue to advance CDC’s important public health
mission of saving lives and protecting people from health and safety threats.
Sincerely,
Christa Capozzola
Chief Financial Officer
Director, Office of Financial Resources 1
CDC/ATSDR will be referred to as CDC throughout this document.
3. Fiscal Year 2015 Annual Report 3
Ebola Support
Getting to Zero: OFR Team Helps Make It Happen
More than 50 staff, from the former PGO and OCFO
offices, served directly in the Ebola response,
domestically in the Emergency Operations Center (EOC)
and internationally in Guinea, Sierra Leone, and Liberia.
Many staff performed financial assistance operations
in the EOC as part of their normal job duties, or were
deployed to West Africa as financial resource experts.
This represents only a fraction of the staff from the
grants, contracts, policy, appropriations, and budget
teams who have engaged in the Ebola response. Staff
continue to serve to participate in the Ebola response.
Contracts
During the past fiscal year, CDC quickly responded to
the escalating Ebola public health emergency. Staff
worked side by side with the EOC Logistics Team to
conduct emergency tasks and requirements. The result
of this team dynamic was development of a quicker
process for fulfilling emergency transactions. “Our
efforts dramatically improved the response,” said Jeff
Napier, director of Office of Acquisition Services (OAS).
“We were able to quickly take a resource need from the
field and make the needed purchase. What normally
took weeks or a month to process was done in hours
or days with everyone working together.”
In the EOC, OAS contract specialists processed
Emergency Logistic Requests (ELRs) from West Africa
and internal CDC programs. To date, more than 800
ELRs have been processed, surpassing any number of
ELRs from the H1N1 outbreak, currently the second
largest emergency response in CDC history.
As CDC’s response grew, the government ordered and
purchased significant amounts of personal protective
equipment (PPE) to use in West Africa and in the
United States. Ebola treatment units in West Africa
used PPE as well as five quarantine stations at airports
across the United States. Contract specialists faced
challenges of rapidly purchasing large quantities of
PPE while considering market availability. This involved
obtaining goods and services at the lowest possible
price while avoiding a potential disruption of worldwide
market availability. Contract specialists solved the
challenge by collaborating with subject matter experts,
vendors, manufacturers, and government officials
to purchase products from multiple vendors and
extend and stagger the delivery dates to receive the
shipments over a longer period of time. This alleviated
constraints on the PPE industry.
Monrovia Medical Unit in Liberia, a 25-bed
Ebola Treatment Unit for healthcare workers.
Did You Know?
Contract specialists helped to secure medical doctors
and social workers for five quarantine stations to screen
passengers and distribute thermometers and phones.
The team purchased nearly 40,000 each of phones and
thermometers for incoming passengers. In addition, computers
were purchased for use in contact tracing in West Africa.
Examples of essential goods and services
purchased for the Ebola response
➤➤ Additional support for medical clearance screenings at CDC
Clinics: $667,896
➤➤ Bug huts for deployed staff: $15,561
➤➤ Travel adapters: $14,500
➤➤ Stockpile personal protective gear to support US hospitals:
$9,843,609
➤➤ Vaccine trial study for Sierra Leone: more than
$12 million
➤➤ Getting new Ebola cases to zero: PRICELESS
4. 4 OFR: Office of Financial Resources
Ebola Support
Grants
Organizations and partners in the United States
and in West Africa received funds from the Office of
Grants Services (OGS). OGS engaged public health
stakeholders including ministries of health in West
Africa and local and state public health departments in
the United States.
International Response, Deployment and
Funding Opportunities
Grants management specialists were deployed to
West Africa to provide technical assistance for various
financial assistance mechanisms. They met with
staff of CDC in-country offices, helped define Ebola
requirements, and decided which financial assistance
mechanisms were necessary for the work in West
Africa. Grants management specialists also supported
the CDC planning team by guiding them through the
funding opportunity announcement (FOA) process to
ensure recipients received the necessary resources to
address Ebola response and preparedness activities.
“We made sure the grantees’ fiscal and administrative
systems were functioning properly and had the
capacity to manage the funds they received to carry
out CDC funded projects,” said Dionne Bounds, grants
management specialist in the Global Health Services
Branch. Many new grantees had not previously
partnered or received funding from CDC; therefore,
OGS provided technical assistance to each new
grantee to be able to effectively manage their financial
assistance awards.
Nine FOAs were issued by the Global Health Services
Branch in support of Ebola and the Global Health
Security Agenda as of September 30, 2015. In
addition, cooperative agreements under five existing
FOAs received Ebola/Global Health Security funding,
all of which resulted in the obligation of $120,000,000
during FY 2015. Under the nine FOAs, CDC awarded 67
cooperative agreements to 61 organizations working
in more than 24 countries to support the activities for
Ebola and Global Health Security.
Domestic Response
In January 2015, in support of the domestic Ebola
response, the National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID) issued a
supplemental FOA under its “Epidemiology and
Laboratory Capacity for Infectious Diseases (ELC)”
cooperative agreement.
The Infectious Diseases Services Branch (IDSB)
negotiated and processed the resulting 64
supplemental awards, obligating a total of $110
million to local, state, and territorial health department
grantees. Normally this process takes up to six months
to complete, but due to urgency and need, IDSB
completed the awards process in half that time. This
significant reduction in cycle time was attributed to
the successful collaboration between PGO, OCFO, and
NCEZID.
“Collaborating with NCEZID at the very early stages
was important to our success,” said Carla Harper,
IDSB branch chief. Ultimately, CDC successfully and
expeditiously provided financial resources to the
ELC grantees in the area of biosafety and laboratory
capacity during a time when health departments felt
they weren’t fully prepared for Ebola response.”
Sixty-two states and territories and partners in the
Public Health Emergency Program (PHEP) were awarded
$145 million dollars in supplemental Ebola funding.
Orange fencing marked the start of a “hot zone”
within the Monrovia Medical Unit. To enter you must wear
proper personal protective equipment.
Yoshinori Nakazawa uses his tablet’s GPS receiver to
navigate and record geographic information for parts of
Kambia District, Sierra Leone. The data are sent to CDC
headquarters and shared with other partners.
5. Fiscal Year 2015 Annual Report 5
Ebola Support
“Although it normally takes up to 90 days to issue a
supplemental award, during the Ebola response this
process was completed in two days,” said Tracey
Moore, branch chief of OD, Environmental, Occupation
Health and Injury Prevention Services Branch
(OEOHIPSB).
HHS provided CDC with $4.7 million in National Special
Security Events funding to support the Public Health
Emergency Program (PHEP) in December 2014. The
team reviewed 62 budgets and awarded the approved
funding to the recipients within two days. The purpose
of these funds was to strengthen active monitoring and
direct active monitoring. The second Ebola supplement
was $145 million to these 62 awardees for Ebola
Preparedness and Response activities. The Office for
State, Tribal, Local and Territorial Support (OSTLTS)
received $2 million dollars in Ebola funding in January
2015. These funds helped support and build the
capacity of local public health preparedness planning
and operational readiness for responding to Ebola.
In addition, OGS issued an award on behalf of the
Center for Surveillance, Epidemiology, and Laboratory
Services (CSELS) to the Association of Public Health
Laboratories in April 2015. This award provided funds
to grantees to develop a laboratory safety program for
public health and clinical laboratories that provides
access to subject matter experts on clinical and public
health laboratory safety for infectious agents.
Budget
Office of Budget Services (OBS) staff provided financial
support to EOC Logistics to assist in deploying and
procuring services and supplies to West Africa and the
United States. Staff spent long hours obtaining most
of the supplies and equipment for CDC deployers in-
country, including but not limited to PPE, thermometers,
hand sanitizers, and malaria drugs.
During the response, staff received Emergency
Logistics Request forms (ELRs) indicating items
or services needed for the response. For budget
purposes, staff recorded and reviewed every
procurement on an ELR, whether the action was to
purchase a mouse for one computer or an action to
buy 1,000 thermometers. After OBS certified the funds,
the ELR was sent to PGO for further processing. “We
kept the checkbook in line and made sure the money
was spent appropriately,” said Cathy Gilbert.
A representative deployed to Sierra Leone and Guinea
to provide general financial management oversight.
Financial tracking management systems established in-
country were used to improve and expedite processing
funds. “Sierra Leone is a cash-based economy,”
said Daniel Nunga, Ebola technical assistance
representative. “I assisted with disbursing funds and
made sure countries followed all rules to mitigate any
risk to the agency.”
Health screening at the Conakry Maritime Port in Guinea.
Ebola by the Numbers
19 Number of Ebola-related funding opportunity announcements
published in FY 2015
$428,066,328 Total dollars awarded for Ebola-related grant activities in FY 2015
304 Total number of Ebola-related grant actions completed in FY 2015
Ebola Active Monitoring and Direct Active Monitoring [AM/DAM]
$4.7 million, 62 awards
Ebola Response and Preparedness
$145 million, 62 awards
6. 6 OFR: Office of Financial Resources
34+33+23+9+1+A
Ebola Support
Policy
Policy and budget formulation staff and CIO policy
offices worked together to secure resources and
formulate CDC’s budget requests, including the
anomaly in the FY 2015 Continuing Resolution (CR)
and the emergency supplemental budget for Ebola-
related funding. Two pivotal successes for CDC during
the Ebola response was securing the $30 million
anomaly in the FY 2015 CR and $1.77 billion in 5-year
emergency funding. This was critical funding needed for
the domestic Ebola response, the International Ebola
response, and for the Global Health Security Agenda
and National Public Health Institutes.
Budget formulation staff worked across the agency to
determine how much money was needed to support
the response. They worked with subject matter experts
to review the literature on infectious disease outbreaks
and calculate estimates of the number of potential
Ebola cases to anticipate the resources CDC would
need to get new Ebola cases to zero. One example of
a budgetary estimate is that for every diagnosed Ebola
case, a certain number of hospital beds are needed.
Congress received the budgetary estimates for both
the request for the short-term anomaly and for longer-
term emergency funding.
During the response, CDC received an overwhelming
number of inquiries about the Ebola epidemic.
Policy staff had to quickly produce responses for
these inquiries. They also provided strategies and
recommendations to the EOC and subject matter
experts on how to approach each inquiry and
improve efficiency in the responses. The Office of
Appropriations coordinated and conducted more than
100 Ebola-related meetings for members of Congress
and their staff, which aided in bolstering CDC’s
credibility. Policy staff established strong relationships
with members of Congress and critical partners, openly
and accurately communicating the status of the Ebola
response, the agency’s needs, and how the funds were
being used.
Ebola Response and Preparedness Funds
(Dollars in Millions)
In FY 2015, CDC received an appropriation of
$1.771 billion for Ebola Response and Preparedness
funds that will remain available to CDC for use through
September 30, 2019.
● International Ebola Response 34% ($603)
● Global Health Security 33% ($582)
● Other Domestic Ebola Response 23% ($406)
● Public Health Emergency Preparedness
Program 9% ($165)
● National Public Health Institutes 1% ($15)
CDC microbiologist James Graziano and virologist
Johanna Salazar test blood samples for Ebola
at CDC’s lab in Bo, Sierra Leone.
7. Fiscal Year 2015 Annual Report 7
Ebola Support
Functional Vests Provide Clear
Identification in the Field
CDC staff in Guinea, Sierra Leone, and Liberia needed
vests to identify themselves as agency employees.
These vests provided critical identification for efficient
coordination and communications at multi-agency
meetings and activities by helping partners connect
with CDC representatives quickly.
Six hundred mission support vests were successfully
designed and purchased by the Office of Acquisition
Services (OAS), the Division of Communication
Services (DCS), and the CDC Foundation. OAS saved
$2,640 on this purchase and processed the order less
than 24 hours after receiving the request.
CDC Director Tom Frieden wearing the Ebola vest as he
travels to Forécariah, Guinea to discuss the Ebola response.
Ebola Vaccine Trial Study
In January 2015, OAS received a sole source
requirement from CDC’s National Center for
Immunization and Respiratory Diseases to identify a
contractor to perform an Ebola vaccine trial study. OAS
awarded eHealth and The University of Sierra Leone’s
College of Medicine and Allied Health Sciences, a
subcontractor, the sole source government contract
for $13 million under the authorization of an urgent
and compelling requirement. “This was an extremely
visible and complex contract with many challenges
to overcome in a short timeframe,” said Teri Routh-
Murphy, lead contract specialist.
The contract provided funding for services to support
the implementation of the Sierra Leone Trial to
Introduce a Vaccine against Ebola (STRIVE) with
CDC and HHS’ Biomedical Advanced Research and
Development Authority (BARDA) office. The study
tested the efficacy of the vaccine. The study population
was mainly health care and other frontline workers
who might come into contact with Ebola patients.
The requirements of the contract were to enroll up to
8,000 individuals. A further proposal was to enroll an
additional 500 individuals in a sub-study to measure
the immune response to the vaccine and additional
2,000 in the vaccine trial study. In addition to the
cost of preparing the vaccines, the contract included
services and resources such as project management
and clinical resources, administration and logistics
staff, investigators, and transportation for the
participants to study sites.
CDC continues to work with the contractor to offer
support, guidance, and expertise in managing the
contract. “Coordination with the contractor, CDC, and
BARDA proved to be key in awarding, negotiating, and
managing the contract,” stated Teri Routh-Murphy.
“Although the technical aspects of the contract seemed
daunting, we were able to successfully navigate the
challenges and implement the critical vaccine study.”
An “Ebola is Real” campaign poster in a Liberian village.
8. 8 OFR: Office of Financial Resources
International Support
Supporting Global Health Services
in Over 80 Countries
The Global Health Services Branch (GHSB) within the
Office of Grants Services (OGS) works with governmental
organizations, ministries of health, and domestic
organizations that received the following CDC funding:
➤➤ Global Immunization Division (GID) ~ $2 million
➤➤ Division of Global HIV/AIDS (DGHA) ~ $1.4 billion
➤➤ Division of Global Health Protection (DGHP) Ebola
funds ~ $1.2 billion
➤➤ Division of Parasitic Diseases and Malaria (DPDM)
~ $200 million
This branch of 23 staff is responsible for visiting more
than 80 countries. In general, each country has a site
visit at least once every two years to conduct risk
management functions. The branch has worked hard to
assure grantees are accountable for the federal funds
they receive and adhere to regulations. GHSB has
also partnered with CDC’s Center for Global Health to
address risk assessments before funds are awarded.
These assessments determine if a country is capable of
effectively managing grant funds. This can involve site
visits to view accounting systems and other financial
management and business processes and procedures.
In collaboration with the grantee, a corrective action plan
is instituted for grants that are determined to be “high-
risk.” These steps ensure the grantee’s success.
Regional Training
During FY 2015,
the Office of
Budget Services
(OBS) supported
the Center for
Global Health
(CGH) to provide
regional training
in four areas—
two regions in
Africa, one in
Asia, and one
in the Americas/Caribbean. The office offered several
individual classes over a two or three week period, with
each class designed for a different target audience. For
example, the course, Management of CDC Funds in a
Global Environment, was mandatory for country directors
and deputy directors. Locally employed financial staff
and others who manage funds in CDC country offices
also attended the training. Training on internal controls
and travel also was offered. More than 350 individuals
received training this past fiscal year, representing the
majority of countries with a CDC presence.
Accountability Reviews
Accountability Reviews (formerly known as Country
Management Accountability System or CMAS) is a
process that reviews the financial activities of CDC’s
international field offices and funds awarded to CDC
partners in nearly 80 countries through cooperative
agreements. The reviews primarily focus on the internal
controls of financial activities occurring at CDC’s
international field offices and foreign grantees which
are performed by Budget and Grants staff (OBS and
OGS). The reviews are conducted at least once every
other year. They are accomplished through document
sampling, reviewing transaction level detail, and
interviewing key personnel who are responsible for
financial management activities and project management
of grantee awards. Findings and recommendations
from completed reviews are summarized in reports and
submitted to countries and CDC’s Center for Global
Health leadership.
Establishing the Foreign Audit
Process
As a result of implementing the Omni-circular, 2 CFR 200
on December 26, 2014, and HHS’ Interim Final Rule, 45
CFR 75, HHS has ended activities related to the receipt
and issuance of final decisions on audits conducted
on behalf of non-U.S. based recipients of CDC funds.
In response, CDC created a CDC Foreign Audit Process
Team with collaboration from OGS and CDC’s Center for
Global Health.
The team addressed the following specific issues related
to foreign audits:
➤➤ Audit process
➤➤ Risk management
➤➤ Data housing and sharing
➤➤ Training and communications
The team developed policies, processes, and procedures
on CDC’s foreign audit process, evaluated audit findings,
created strategies to mitigate risks associated with
common audit findings, and determined data housing
requirements.
Recipients of regional training
in South Africa.
9. Fiscal Year 2015 Annual Report 9
Customer Service
Innovative Solutions — Contracts
with Flexibility
The Office of Acquisition Services (OAS) worked in
close collaboration with the Management Information
Systems Office (MISO) on their CDC Application Portfolio
Support Services (CAPSS) requirement—estimated at
$200 million over 5 years.
Contract Specialist Nathan Amador and Contracting
Officer Vivian Hubbs partnered with MISO to use
a source select tool in processing the CAPSS
requirement. The tool leads to a more consistent, high
quality technical evaluation report.
Crafted with creativity to meet MISO’s needs, the
complex IT support services CAPSS requirement
includes a line-item structure that works in concert
with the written statement of work. The contract
schedule, designed to provide stability as well as
flexibility, includes line items for primary services,
surge line items, optional tasks, and a line-item for a
flexible ordering arrangement. This type of technological
support could have broad application for CDC’s larger,
more complex acquisitions.
Did You Know?
PGO and OCFO processed 117 Freedom of
Information Act requests in FY 2015.
Connecting with our Customers
The Pulse is
available to all
CDC staff and
provides news that you can use on financial resources.
The growth of subscribers has consistently increased,
since October 2014, from 755 subscribers to more
than 1,000 subscribers.
New Look for Website
A newly designed website,
www.cdc.gov/funding, was
launched in July 2015. The
new site includes information
on CDC’s financial resources
and the agency’s acquisition,
budget, grants, and accounting
initiatives. The site is easy to
use and navigate.
Working Capital Fund
The end of FY 2015 marks completion of the second
year of operations for the Working Capital Fund (WCF).
Staff worked closely with the Office of the Chief
Operating Officer (OCOO), Business Services Offices
(BSOs), and CIOs to bill customers and collect revenue
while also fostering a better understanding about
services provided within the WCF and the cost of those
services.
➤➤ The WCF successfully closed FY 2015 with more
than $545 million in revenue, with all obligations
to bring revenue into the Fund completed by
September 30 — meeting the fiscal year-end
deadlines.
➤➤ The WCF maintained solvency (BSO costs were
less than collected revenue).
➤➤ A CIO Cost Estimation Tool was deployed to
support calculation of WCF costs attributed to
Intra-Departmental Delegation of Authority (IDDAs)
and other indirect funding sources.
➤➤ Hyperion Profitability and Cost Management
(HPCM) performance issues were addressed,
which resulted in reduced processing time for
obligation and expense calculations from 4 hours
to 20 minutes.
➤➤ The data validation process was improved by
providing automated files, which resulted in a
more efficient monthly validation process.
➤➤ Division-level reports were created, meeting the
need to provide consumption and cost data at the
CIO Division level.
➤➤ Staff continued to provide training for BSOs and
CIOs regarding fund operations. This included
how rates are calculated and how WCF costs
are charged to funding lines. Numerous CIO-
specific briefings were held to provide additional
information on the WCF.
➤➤ A new governance structure was created
that included a WCF Workgroup focused on
operational and tactical issues as well as a
Steering Committee focused on developing a
strategic vision and framework for the WCF.
10. 10 OFR: Office of Financial Resources
Customer Service
GrantSolutions Paves the Way to
Easier Grants Management
CDC’s grants management practices have relied on
a patchwork of antiquated systems and processes
for many years. In 2012, the agency’s senior
leadership decided to adopt GrantSolutions to address
internal and external grants management problems.
GrantSolutions is a grants management service that
will help CDC and ATSDR offices administer grants by:
➤➤ Retiring aged, expensive, and inflexible
processes.
➤➤ Responding to customers’ repeated requests for
a better process and tool.
➤➤ Revitalizing CDC’s grants process with a tool that
will dynamically grow with the agency.
The Roll-Out is Underway
GrantSolutions provides tools for developing and
processing a Funding Opportunity Announcement
(FOA), making awards, closing out an existing grant,
and more. The Announcement Module, which is used
to draft, approve, and publish Funding Opportunity
Announcements, was launched in September 2014
and is in use agency-wide. Implementation of the
Grants Management Module for non-research grants
and cooperative agreements began in FY 2015 and will
conclude in FY 2016. The Grants Management Module
is used for pre-award, award, and post-award grants
management actions. It provides tools for making
program funding recommendations, Notices of Award,
receiving and reviewing prior approval requests, and
conducting carry-over requests.
The following four centers and their corresponding
Office of Grants Services and Office of Budget Services
teams are currently using the Grants Management
Module:
➤➤ National Center for Chronic Disease Prevention
and Health Promotion
➤➤ National Center on Birth Defects and
Developmental Disabilities
➤➤ National Center for Immunizations and
Respiratory Diseases
➤➤ National Center for Emerging and Zoonotic
Infectious Diseases
The remaining 11 Centers, Institutes, and Offices
(CIOs) are scheduled to begin using the Grants
Management Module no later than June 2016.
Providing grantees access to the system will likely
begin in late 2016 and follow the rolling schedule of
the CIO’s transition to the Grants Management Module.
Once grantees have access to the Grants Management
Module, they will use the system to perform many
grant management activities, including receiving
notices of award, entering non-competing continuation
applications, and requesting amendments.
GMM Adoption is Going Smoothly
Transitioning the agency to use of the Grants
Management Module is a large effort that includes
in-person training, printable job aids, user support,
and more. More than 600 staff are using Grants
Management Module, and there are approximately
2,000 additional staff who need to be trained.
“It’s great to move away from paper. It’s easier to share
information with colleagues and get the documents
signed because it’s all electronic,” said Stephanie
Latham, a grants management specialist. “I think it will
make me more productive in the long-term. And, it’s
great not to have to drag paper files home from work!
My old black rolling box is a thing of the past.”
“This is going to be a good system,” said Kelly Bishop,
acting deputy branch chief and public health advisor in
NCCDPHP’s Division of Community Health’s Program
Development and Implementation Branch. “I can see
the benefits it will bring when we’re all more familiar
with it, because everything will be automated and there
will be less chance for human error. I think we’ll be able
to process amendments much faster and hopefully
speed up the review and award processing once we’re
all used to how it works.”
Grantees will begin receiving more information about
GrantSolutions in 2016. Until then, questions can be
emailed to grantsolutions@cdc.gov.
Kelly Bishop
11. Fiscal Year 2015 Annual Report 11
Customer Service
GrantSolutions Grants Management Module FY 2016 Implementation Plan
Grants Management Module
demonstration videos are available
on the GrantSolutions Intranet.
12. 12 OFR: Office of Financial Resources
14+61+21+2+2+A
0+91+4+5+0+A
21+59+18+1+1+A
0+90+4+6+0+A
FY 2015 Grants At-A-Glance
Grants
In FY 2015, OGS supported 4,122 grant awards to 1,398 grantees. These 4,122 awards generated 11,106
actions OGS processed and put more than $5 billion into public health programs and research around the world.
Comparison of FY14 and FY15
total grant actions and obligations
processed by OGS
How CDC grant funds were obligated
through CDC’s Centers, Institutes,
and Offices (CIOs)
CIO Grants Actions Obligations
% of
Actions
% of
Obligations
ATSDR 49 81 $18,729,272 0.7% 0.3%
CGH 832 2,474 $1,752,014,808 22.3% 31.1%
CSELS 70 157 $64,849,757 1.4% 1.2%
NCBDDD 187 462 $58,651,160 4.2% 1.0%
NCCDPHP 877 2,359 $741,256,042 21.2% 13.2%
NCEH 187 359 $62,654,531 3.2% 1.1%
NCEZID 138 601 $328,985,346 5.4% 5.8%
NCHHSTP 869 1,959 $760,219,038 17.6% 13.5%
NCHS 1 10 $734,102 0.1% 0.0%
NCIPC 218 612 $95,610,453 5.5% 1.7%
NCIRD 208 676 $392,838,657 6.1% 7.0%
NIOSH 267 478 $119,748,399 4.3% 2.1%
OD 4 9 $2,926,491 0.1% 0.1%
OPHPR 120 529 $987,720,549 4.8% 17.5%
OSTLTS 95 340 $248,265,945 3.1% 4.4%
Total 4,122 11,106 $5,635,204,550 100.0% 100.0%
Grant and action counts are based on the organization that administers
the grant. Dollars are based on the organization providing funding,
regardless of which organization administers the grant.
CDC FY 2015 percentage of grants
awarded by grantee type
Grants
● Foreign 14% (484)
● Government 61% (2,171)
● Non Profit 21% (755)
● Profit 2% (76)
● Other and Indian Tribes 2% (59)
Total 3,545
Obligations
● Foreign 21% ($1,171,847,319)
● Government 59% ($3,342,304,757)
● Non Profit 18% ($1,005,629,166)
● Profit 1% ($70,809,057)
● Other and Indian Tribes 1%
($38,565,949)
Total $5,629,156,248
CDC FY 2015 percentage of grants awarded
by the type of government recipient
Grants
● Federal 1% (8)
● State 91% (1,985)
● County 4% (78)
● City 5% (98)
● Sponsored Organizations 1% (2)
Total 2,171
Obligations
● Federal 1% ($3,210,491)
● State 90% ($3,009,762,823)
● County 4% ($122,792,417)
● City 6% ($205,938,098)
● Sponsored Organizations 1%
($600,928)
Total $3,342,304,757
Data for this chart is from http://taggs.hhs.gov. This data is inclusive of
obligated and de-obligated information as well as administrative and close-
out actions. Thus, when reviewing funding totals in the aggregate, it does
not match FY 2015 amount in other charts on this page.
13. Fiscal Year 2015 Annual Report 13
Domestic grant programs with the largest total funding amounts
Forty-five percent of CDC’s grant spending supports these top ten domestic public health priorities.
Hospital Preparedness Program (HPP) and Public Health Emergency
Preparedness (PHEP) Cooperative Agreements
62
Grantees
$985,074,026
Obligations
Immunization and Vaccines for Children Program
64
Grantees
$323,200,805
Obligations
Comprehensive HIV Prevention Programs for Health Departments
61
Grantees
$306,777,795
Obligations
PPHF 2014: Epidemiology and Laboratory Capacity for Infectious
Diseases (ELC) – Building and Strengthening Epidemiology,
Laboratory and Health Information Systems, Capacity in State and
Local Health Departments
64
Grantees
$224,424,691
Obligations
Cancer Prevention and Control Programs for State, Territorial and
Tribal Organizations
79
Grantees
$213,456,299
Obligations
Preventive Health and Health Services Block Grant
61
Grantees
$143,164,958
Obligations
PPHF 2013: OSTLTS Partnerships Building Capacity of the Public
Health System to Improve Population Health Through National,
Non-Profit Organizations financed in part by 2013 Prevention and
Public Health Funds
26
Grantees
$103,603,920
Obligations
PPHF 2014: State Public Health Actions to Prevent and Control
Diabetes, Heart Disease, Obesity and Associated Risk Factors and
Promote School Health
51
Grantees
$96,152,474
Obligations
Improving Sexually Transmitted Disease Programs Through Assessment,
Assurance, Policy Development, and Prevention Strategies (STD AAPPS)
59
Grantees
$95,035,351
Obligations
Tuberculosis Elimination and Laboratory Cooperative Agreements
61
Grantees
$76,627,389
Obligations
14. 14 OFR: Office of Financial Resources
84+7+5+2+1+1+A
72+25+2+1+A
FY 2015 Contracts At-A-Glance
Contracts
In FY 2015, OAS processed 11,459 contract actions that totaled $5,718,341,199.
Comparison of FY14 and FY15
total contract actions and
obligations processed by OAS
CDC FY 2015 percentage of
contract obligations by type
● Fixed Price 85%
● Time and Material 8%
● Cost Plus Fee 5%
● Cost Only 2%
● Labor Hour 1%
● Unknown 1%
CDC FY 2015 percentage of
contract obligations by category
● Supplies and Vaccines 72%
● Services 25%*
● IT 3%
● Other 1%*
*Services includes some IT services; other includes equipment and
furniture, construction, and architect and engineering services.
How CDC contracts were allocated
among CDC’s CIOs
CIO
# of
Actions
Sum of Contract
Dollars
% of
Actions % of Total
ATSDR 114 $13,041,518 1.0% 0.2%
CGH 707 $80,630,262 6.2% 1.4%
CSELS 271 $57,639,479 2.4% 1.0%
HRO 91 $6,813,899 0.8% 0.1%
ITSO 342 $95,636,400 3.0% 1.7%
MISO 80 $42,681,612 0.7% 0.7%
NCBDDD 85 $11,197,541 0.7% 0.2%
NCCDPHP 492 $185,244,086 4.3% 3.2%
NCEH 782 $46,125,166 6.8% 0.8%
NCEZID 1,554 $255,546,976 13.6% 4.5%
NCHHSTP 667 $100,052,698 5.8% 1.7%
NCHS 616 $87,291,498 5.4% 1.5%
NCIPC 121 $16,032,892 1.1% 0.3%
NCIRD 1,211 $3,909,457,173 10.6% 68.4%
NIOSH 2,476 $188,092,790 21.6% 3.3%
OCFO 17 $1,332,728 0.1% 0.0%
OCIO 63 $8,826,210 0.5% 0.2%
OCOO 92 $67,577,493 0.8% 1.2%
OD 525 $60,952,368 4.6% 1.1%
OID 121 $4,778,900 1.1% 0.1%
ONDIEH 17 $5,656,753 0.1% 0.1%
OPHPR 392 $357,847,113 3.4% 6.3%
OPHSS 36 $5,076,202 0.3% 0.1%
OSSAM 484 $88,636,877 4.2% 1.6%
OSTLTS 14 $7,677,283 0.1% 0.1%
PGO 89 $14,495,282 0.8% 0.3%
Grand Total 11,459 $5,718,341,199 100.0% 100.0%
*Contract dollars data in this table do not reflect auto-closeout
actions.
15. Fiscal Year 2015 Annual Report 15
Innovative Solutions and Systems
Travel Team Successfully Launches E-Gov Travel Service 2 (ETS2), Concur
Government Edition (CGE) for CDC Travelers
This year, CDC and 26 other federal
agencies began using a new, improved
travel system under General Services
Administration’s (GSA) E-Travel System 2
(ETS2) contract. In July, CDC was one of the last
HHS Operating Divisions to switch to the new system
— Concur Government Edition (CGE) — a system
designed to make traveling easier. Travel, Intra-
Governmental Payment and Collection (IPAC), and
International Payments Branch (TIIPB) was in charge
of the CDC-wide roll out. The CGE Implementation
Team, led by Kevin Smagh, former director, Office of
Finance and Accounting, launched pilot programs
across several Centers, Institutes and Offices
(CIOs). The team gathered data as a final test of the
system before implementation. Other team members
included Barry Taylor, TIIPB branch chief, Geoff Crider
TIIPB financial management specialist, and Maggie
Hughes, deputy associate director, Office of Financial
Information Systems (OFIS), as well as supporting
staff throughout CDC.
“It was a mammoth effort to test, pilot, train, and
field the new travel system across all of CDC. I was
extremely proud of our Travel team’s hard work,
partnering, and leadership to make the launch a
success,” said Smagh.
CGE expands on the successes of GovTrip (ETS1) to
provide greater ease of use and enhanced functionality.
Within CGE, increased automation simplifies the
reservation, voucher-processing and payment
experience. In addition, CGE has built-in notifications
designed to warn users when reservations might be in
violation of HHS travel policies.
“I am really excited about the reservations process and
the robust search engine of CGE,” stated Taylor. “The
system allows users to directly reserve most airline
and hotel arrangements. This results in a great deal of
savings for the agency by reducing our dependence on
interaction with external travel agents.”
In addition to the online training completed by more
than 2,700 CGE users, CDC trained more than 1,400
staff through 54 instructor-led classroom training
sessions, 20 roadshows, and Lync sessions. Brenda
Watson, a travel preparer from Office of the Associate
Director for Policy stated, “Great training! Glad it was
offered. Education is the key. I like this new CGE tool!”
CGE brings E-Receipt functionality, previously used only
by private sector travelers, to the government. This
feature provides participating hotels and rental vehicle
vendors the ability to electronically add receipts to CGE
documents, eliminating the need for travel preparers to
do this function manually.
Like any system implementation, the CGE
implementation did not come without challenges.
The implementation team met each challenge with
organized solutions, and continues to support the CDC
travel community with communication, training, and
user support.
16. 16 OFR: Office of Financial Resources
.Financial Accountability
Grants Closeouts
The Office of Grants Services’ Grants Closeout Team
(GCT) closed over 1,045 eligible grant awards in the
Payment Management System and de-obligated more
than $42 million dollars at the end of FY 2015. Their
efforts resulted in a 99% closure rate for the agency.
They made tremendous progress in reviewing CDC
grantees’ drawdowns, unobligated balances, and
other accounting information and performing financial
reconciliations to officially close a number of grants
in the Payment Management System. Eliminating
the backlog of grants eligible for closeout was a
management priority in FY 2015. Closing expired
grants and cooperative agreements is mandated by
the Department of Health and Human Services. CDC
now ensures grants are closed in a timely fashion and
assesses and measures progress in meeting yearly
goals and policy requirements for grants closeouts.
Contract Closeouts
The Office of Acquisition Services (OAS) used an
effective three-pronged approach to significantly reduce
the number of contracts and purchase orders awaiting
closeout and their financial impact on our budget. The
office expanded the use of automated (auto) closeouts,
and, in partnership with CDC’s program offices,
undertook several new initiatives to resolve unliquidated
obligations (ULO).
➤➤ OAS established the auto closeout functionality in
the CDC Integrated Contracts Expert (ICE) system
in FY 2014. In mid-FY 2015, the ICE auto closeout
function was expanded. Actions are automatically
closed when the ICE contracting system funded
dollar amount matched the Unified Financial
Management System (UFMS) expenditures. During
FY 2015, more than 3,100 contracting actions
were closed as a result of these changes.
➤➤ In FY 2015, the contract closeout initiative
resulted in more than $5.5 million in de-obligated
funds across the agency. Congress authorized
CDC to establish a Working Capital Fund (WCF)
in FY 2014. As a “no-year revolving fund,” money
within the WCF, once earned through the provision
of services, are not restricted for use within a
period of time. As a result, $1.3 million of the de-
obligated funds were returned to the WCF.
Activities to Reduce Prescription
Drug Overdose
CDC included a $16 million Prescription Drug Overdose
(PDO) initiative to address the burden of prescription
drug overdose in the United States in the FY 2015 CDC
budget submission. The initiative strengthened state-
level prevention by providing states with incentives
to adopt foundational overdose prevention practices.
The initiative also provided states with a menu of
interventions for implementation. Staff advanced the
proposal through the budget submission processes at
HHS and the Office of Management and Budget (OMB).
It was ultimately included in the FY 2015 Congressional
Justification (CJ). After the release of the FY 2015 CJ,
OCFO and program staff engaged in many partnership
activities and conducted outreach to educate key
members of Congress about the existing burden of PDO
and how CDC’s proposed activities as outlined in the CJ
would address this national problem. As a result, the
FY 2015 Omnibus bill included $20 million for CDC to
address PDO, which exceeded the original request by
$4 million.
Commercial Payment Branch sets
High Monthly Standards
The Commercial Payment Branch (CPB) enhances
customer service by setting high monthly standards
on accuracy and timeliness. The CPB staff processes
invoices and reviews contracts and purchase orders
for proper payments, reviews obligations, and
communicates with customers daily. CPB processed
nearly 230,000 invoices subject to Prompt Pay for over
$5.7 billion in FY 2015. This is a 3.48% increase from
FY 2014. In FY 2014, CPB paid more than 222,000
invoices totaling $5.4 billion. In addition, approximately
$30,000 in interest was paid in FY 2015, a significant
decrease from the FY 2012 amount of $65,000.
The federal mandate is for all agencies to process 98%
of invoices on a timely basis. CPB continues to strive
to ensure this goal is met each month. The CPB staff
continues to look for ways to improve the process and to
better coordinate with program staff, Contracting Officer
Representatives, and the Office of Acquisition Services.
Outreach and partnerships with CIOs on invoice
approvals and clarification of mission-related needs
greatly supports this effort. This increases productivity,
promotes consistency, and manages the volume of work.
The branch continues to meet and exceed customer
expectations and has a culture of continuous process
improvement that adds value to CDC, our customers,
and the economy.
17. Fiscal Year 2015 Annual Report 17
Financial Accountability
Purchase Cards
Beginning in FY 2015, to comply with the Government
Charge Card Abuse Prevention Act of 2012 (Charge
Card Act), PGO implemented a review of purchase card
records for CDC card holders. They reviewed more than
2,900 records from 232 cardholders between October
2014 and September 30, 2015.
Appendix B of OMB Circular A-123 prescribes policies
and procedures to agencies on how to maintain
internal controls that reduce the risk of fraud, waste,
and error in government charge card programs. On
October 5, 2012, the President signed into law the
Charge Card Act, Public Law 112-194, which reinforced
Administration efforts to prevent waste, fraud, and
abuse of Government-wide charge card programs. The
Charge Card Act requires all executive branch agencies
to establish and maintain safeguards and internal
controls for purchase cards, travel cards, integrated
cards, and centrally billed accounts.
To ensure compliance with the Charge Card Act,
staff conducted monthly risk assessments of CDC
purchase card activities to analyze the risks of
illegal, improper, or erroneous purchases, and will
use these risk assessments to determine the
necessary scope, frequency, and number of reviews
these programs required.
Budget Formulation
During FY 2015, OCFO increased in-person
congressional visits to the agency by members of
Congress and their staff so they could experience
CDC’s ground-breaking work first-hand. These included:
➤➤ Visits by Senate Labor, Health and Human
Services, and Education (LHHS) Subcommittee
Chairman Tom Cole, House LHHS Subcommittee
member Andy Harris, and Senate Subcommittee
staff to CDC headquarters.
➤➤ A visit to a program that reduces high rates
of obesity in rural Kentucky by staff from
Appropriations Chairman Harold Rogers’s office.
➤➤ A tour of a Strategic National Stockpile site for
Senate LHHS Subcommittee staff.
➤➤ An Ebola-related visit to CDC headquarters by
former House LHHS Subcommittee Chairman
Jack Kingston.
➤➤ An Ebola-related visit to the Dulles International
Airport Quarantine Station by House and Senate
LHHS Subcommittee staff.
Budget Appropriations
The FY 2015 Omnibus bill was signed into law in
December 2014. Under this bill, $6.1 billion in budget
authority was appropriated to CDC. CDC Program Level
Funding (including Prevention and Public Health Fund
and Public Health and Social Services Emergency
Fund transfers) was $7.0 billion, $70 million above
the funds appropriated for FY 2014. In addition, CDC
received $1.77 billion in budget authority for Ebola
Response and Preparedness. CDC also received
mandatory funding for Vaccines for Children, Energy
Employee Occupational Illness Compensation Program
Act (EEOICPA), World Trade Center Health Program, and
user fees.
CDC Program Level
Funding in past 5 years
Dollars in millions. FY 2013 reflects sequestration.
Budget Execution
In FY 2015, CDC’s operating plan totaled $8.8 billion,
which included enacted appropriations of $6.1 billion
for CDC, enacted Ebola Response and Preparedness
5-year appropriation of $1.77 billion, Prevention and
Public Health Fund transfers of $887 million, and a
transfer of $15 million for Pandemic Influenza program
activity. Authority to obligate $5.3 billion expired
on September 30, 2015. The agency successfully
obligated 99.8% of these expiring funds prior to the
completion of the fiscal year for the purposes reflected
in the figure below.
Obligations by Object Class
52+25+19+1+1+1+1+A
● Grants and Subsidies 52% (OC 41)
● Other Contractual Services 25% (OC 25)
● Salaries and Benefits 19% (OC 11, 12, 13)
● Supplies and Materials 1% (OC 31)
● Equipment 1% (OC 31)
● Travel and Transportation 1% (OC 21, 22)
● All Others 1% (OC 23, 24, 32, 42)
18. 18 OFR: Office of Financial Resources
.Awards
Employee Awards and Recognition
Individual staff and groups in the former OCFO and PGO offices received a variety of awards and honors in FY 2015.
HHS CDC Employees of the Month
Each month, CDC recognizes one employee for their
exceptional performance and exemplary actions
demonstrated by efficient and courteous service. In
FY 2015, three PGO employees were selected for the
award. Contract Specialists Tessa Buffington (October
2014), Germaine Mullins (May 2015), and Donna
Myler (August 2015) received distinction as CDC-wide
Employees of the Month.
Tessa Buffington Germaine Mullins Donna Myler
OCOO Honor Awards
Employee recognition remains a strong cultural focus within
each office, as shown by award nominations that captured
the accomplishments of 175 employees at the 2014 Office of
the Chief Operating Officer (OCOO) Honor Awards. The Awards
Ceremony recognized both nominees and the following winners
for their dedication and outstanding professional service:
Individual Award Winners
➤➤ Debbie Byrd, Customer Service
➤➤ Geoff Crider, Communications
➤➤ Robert Lewis, Motivator
➤➤ Ralph Robinson, Partnership
Group Award Winners
➤➤ Government Shutdown Contracts Suspension Team, Customer Service
➤➤ Grants Closeout Team, Motivator
➤➤ Grants Workload Tracker Super User Team, Creativity and Innovation
➤➤ OAS, Branch 1, Public Health Impact
➤➤ Past Performance Information Retrieval System Compliance Rate Improvement Team, Motivator
CDC and ATSDR Honor Awards
These individuals and teams were recognized for their dedication and accomplishments during the 2014 CDC and
ATSDR Honor Awards Ceremony:
➤➤ John Christ, Human Capital Management, Employee Development
➤➤ GrantSolutions Pilot Workgroup, Excellence in Procurement, Contracts, and Grants Management
➤➤ Jared Hegberg, Excellence in Leadership
➤➤ International Financial Support Team, Excellence in Finance
➤➤ Mary MacDonald, Excellence in Policy
➤➤ Carol McElroy, CGH Nominee for Excellence in Finance, Exemplary Leadership of CDC’s Overseas
Financial Affairs
➤➤ Office of Acquisition Services, Branch 1, CDC Director’s Award for Public Health Impact
Grants Closeout Team
19. Fiscal Year 2015 Annual Report 19
Awards
CEAR Award
For the second year in a row, HHS received the Certificate
of Excellence in Accountability Reporting (CEAR) Award
from the Association of Government Accountants (AGA)
for its work on the Agency Financial Report (AFR). The
HHS AFR reflects the hard work of those at CDC as well
as those of other HHS operating divisions. The financial
data contained in the reports represents all funding,
obligations, payments, and collections during the year as
well as the mission-related accomplishments achieved
with CDC’s financial resources.
Debbie Landers, lead accountant, and Kevin Smagh,
former director, Office of Finance and Accounting, accepted
the award on behalf of CDC from HHS Acting Deputy
Secretary Dr. Mary K. Wakefield.
The Office of Finance and Accounting Services
demonstrated its financial excellence by contributing to
a 16th consecutive clean audit opinion on the overall
HHS annual financial statement audit of FY 2014.
FY 2016 Preview: Looking Forward
➤➤ The Office of Financial Resources (OFR) is finalizing the implementation of the Unified Financial Management
System (UFMS)/R12 upgrade in FY 2016. OFR will continue to update CIOs on cutover plans and new
processes and develop strategies for financial management systems maintenance, interaction, and integration.
➤➤ In collaboration with the National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), OFR
developed an Antibiotic Resistance budget initiative for inclusion in the FY 2016 budget submission to
HHS and OMB, demonstrating a collective effort to move the agency’s public health mission forward. This
proposed funding will support all 50 states to work with healthcare facilities to detect and prevent antibiotic-
resistant organisms, including C. difficile. Funding will also continue to accelerate CDC’s efforts to improve
antibiotic stewardship in healthcare facilities, detect outbreaks, enhance laboratory testing and move toward
comprehensive antibiotic resistance tracking.
➤➤ OFR is working closely with the Office of Safety, Security and Asset Management to build a new freezer building
at CDC’s Fort Collins campus that will house specimens for emerging, zoonotic, and infectious diseases.
➤➤ OFR’s Office of Acquisition Services will work on the development of an acquisition strategy and plan to ensure
that the agency is in compliance with Federal Acquisition Regulations (HHS Acquisition Alert 2015-01).
➤➤ OFR will continue efforts to fully implement GrantSolutions across CDC by the end of FY 2016.
➤➤ OFR’s Office of Grants Services will continue to support CDC’s Global Health Security Agenda and the agency’s
Ebola response efforts by ensuring all HHS policies are adhered to and resources are dedicated to assist with
financial assessments and grants management activities.
➤➤ OFR will ensure compliance with the Digital Accountability and Transparency Act of 2014 (DATA Act) to provide
transparency on CDC’s contracts, grants, and other financial data to the public.
➤➤ OFR has launched the FY 2016 Planning for Execution Project (PEP) to strengthen CIO-specific budget and
procurement planning and joint problem-solving across OFR and CIOs.
Did You Know?
Atlanta and Athens areas raised nearly $4 million for the Combined Federal
Campaign. OCFO and PGO employees contributed $53,758.
20. Office of Financial Resources Organization Chart
Office of the Director
Christa Capozzola, CFO/OFR Director
Dave Baden, CFO/OFR Deputy Director
Office of Appropriations
Debra Lubar, Director
Alison Kelly, Deputy Director
Office of Financial Information Systems
Bobbi Beach, Director
Maggie Hughes, Deputy Director
Office of Management Services
Kathy Kirkland, Mgmt. Officer
Jerry Johnson, Deputy Logistics and Admin.
Racquel Nails, Deputy Human Capital Mgmt.
Office of Policy, Performance,
and Communication
Julie Armstrong, Director
CDR Yoon Miller, Deputy Director
Project Management Office
Lynn Gibbs Scharf, Director
Office of Budget Services
Sallie Morse, Director
Kathleen Dunlap, Deputy Director
Office of Acquisition Services
Jeff Napier, Director
Nancy Norton, Deputy Director
Office of Grants Services
Terrance Perry, Director
Gregory Crawford, Deputy Director
Office of Finance and
Accounting Services
VACANT, Director
Dana Redford, Deputy Director
Infectious Disease and International
Acquisition Branch
Ed Schultz, Branch Chief
Infectious Disease Services Branch
Carla Harper, Branch Chief
Chronic Disease, Preparedness,
Surveillance, and Environmental
Acquisition Branch
Carlos Smiley, Branch Chief
Chronic Disease and Birth Defects
Services Branch
Cheryl Maddux, Branch Chief
CDC-Wide, Business Services,
and Office of the Director
Acquisition Branch
Dale DeFilipps, Branch Chief
OD, Environmental, Occupational Health
and Injury Prevention Services Branch
Tracey Moore, Branch Chief
Occupational Safety and Health,
and Simplified Acquisition Branch
Robin Solow, Branch Chief
Global Health Services Branch
Jamie Legier, Branch Chief
Centers for Disease Control and Prevention | Office of Financial Resources | www.cdc.gov/funding