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T r a n s f o r m i n g H H S t o b e t t e r s e r v et h e A m e r i c a n p e o p l e b y a d v a n c i n gi n n o v a t i v e s o l u t i o n s , c o n t i n u o u simprovement, and strategic collaboration

ABO U T TH IS DO C U MENT

This ReImagine HHS External Engagement document includes information about an internal effort led by the U.S. Department of Health and Human Services to improve its operations in the service of the American people. Information provided in this document is intended to provide a representation of general concepts and is not intended to be exhaustive, nor the latest information.

Version last updated February 2019.

CO NTAC T INFO RMATIO N

Share your comments or questions by emailing ReImagineHHS@hhs.gov. For HHS employees, please visit the ReImagine HHS Intranet page at https://intranet.hhs.gov/reimagine for more information.

What’s Included in the External Engagement Kit?An overview of ReImagine HHS, a transformation effort to improve the Department’s ability to enhance the health and well-being of all Americans

REIMAGINE HHS OVERVIEW

4 WHAT IS REIMAGINE HHS?

5 DRIVING TRANSFORMATION AT HHS

CONTENTS

16 THE REIMAGINE JOURNEY

Information about the purpose and history of ReImagine HHS, as well as specific efforts underway

6 - 15 THE TEN REIMAGINE INITIATIVES

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ReImagine HHS (ReImagine) is a robust transformation effort to improve HHS’s ability to enhance the health and well-being of all Americans.

The transformation journey began with a call to action from the Office of Management and Budget (OMB) in spring 2017. OMB released Memo M-17-22, directing each department across the federal government to put together a plan to reorganize its operations, with the goal of delivering critical services to the American people as efficiently and effectively as possible.

The U.S. Department of Health and Human Services (HHS) enhances and protects the health and well-being of all Americans by fostering advances in medicine, public health, and social services. The mission of HHS has never been more critical or complex in light of advancing technologies, innovative health treatments, and the delivery of essential assistance programs.

T h e m i s s i o n o f R e I m a g i n e is to transform HHS to

better serve the American people by advancing innovative

solutions, institutionalizing continuous improvement, and

enhancing strategic collaboration with internal and external partners.

T H E H H S M I S S I O N

T H E R E I M A G I N E H H S V I S I O N

In response, HHS took the opportunity to engage career staff from all 25 divisions of the Department. More than 200 employees came together to ideate on potential solutions, asking: “How might we as a Department improve our ability to serve the American people?” Thousands of ideas were synthesized and prioritized into six Strategic Shifts that will transform culture and operations across the Department.

WHAT IS REIMAGINE HHS?

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ReImagine is centered on six Strategic Shifts, developed based on input from HHS employees and designed to transform the culture and operations at HHS to maximize efficiency, quality, and cost-effectiveness of the Department’s service to the American people.

HHS employees are leading and powering ten Initiative teams that are executing on these Strategic Shifts. Think of Strategic Shifts as goalposts, while the Initiatives are the vehicles that will get HHS to the goal.

DRIVING TRANSFORMATION AT HHS

S T R AT E G I C S H I F T S AT A

G L A N C E

REINVENT GRANTS MANAGEMENT

BUY SMARTER

OPTIMIZE COORDINATION ACROSS HHS

OPTIMIZE NIH

OPTIMIZE REGIONAL PERFORMANCE

S T R AT E G I C S H I F T S I N I T I AT I V E S

RESTORING MARKET FORCES

LEVERAGING THE POWER OF DATA

GET BETTER INSIGHTS FROM BETTER DATA

GENERATING EFFICIENCIES THROUGH STREAMLINED SERVICES

MAKING HHS MORE INNOVATIVE AND RESPONSIVE

MOVING TO A 21ST CENTURY WORKFORCE

MAXIMIZE TALENT

BRING COMMON SENSE TO FOOD REGULATION

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AIM FOR INDEPENDENCEPUTTING PEOPLE AT THE CENTER

OF HHS PROGRAMS

ACCELERATE CLINICAL INNOVATION

There is shared regulatory oversight of the food supply between the FDA and USDA, which creates unnecessary burdens and inefficiencies in the protection of public health interests in our nation’s food supply.

The Bring Common Sense to Food Regulation Initiative aims to increase collaboration between food regulatory programs to minimize overlapping jurisdiction and improve state produce safety infrastructure.

BRING COMMON SENSE TO FOOD REGULATION

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Empowering internal and external partners and catalyzing activities of state and local stakeholders

INITIATIVE

R E S T O R I N G M A R K E T F O R C E S

STRATEGIC SHIFT

I M A G I N E …common sense regulations that serve as an example of government collaboration.

I M A G I N E …bringing innovative products to patients faster.

R E S T O R I N G M A R K E T F O R C E S

Clinical conditions that have a significant impact on both individual health outcomes as well as the public health would benefit from a coordinated approach to advancing and accelerating the rate of innovation in diagnostics, therapeutics, and prevention.

The Accelerate Clinical Innovation Initiative will help HHS advance innovation by establishing an enterprise view of high-priority clinical challenges and creating a mechanism to promote the Departmental coordination of program efforts to address those challenges.

ACCELERATE CLINICAL INNOVATION

STRAT SHIFT

INITIATIVE

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Empowering internal and external partners and catalyzing activities of state and local stakeholders

P U T T I N G P E O P L E AT T H E C E N T E R O F H H S P R O G R A M S

Federal public assistance programs are uncoordinated, and reliance on some programs has increased while outcomes have not improved.

The Aim for Independence Initiative will integrate self-sufficiency programs to become mission- and outcomes-focused, with the goal of putting families at the center and empowering them to achieve sustained economic independence.

AIM FOR INDEPENDENCE

Centering the design and delivery of human services toimprove outcomes and address the needs of those we serve

STRATEGIC SHIFT

INITIATIVE

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I M A G I N E …HHS programs that empower families

toward sustained economic independence.

I M A G I N E …seamlessly sharing data across HHS to

inform decision- and policy-making.

L E V E R A G I N G T H E P O W E R O F D ATA

Data at HHS is largely kept in silos, with incomplete organizational awareness of what data is collected across the Department and how to request access.

The Get Better Insights From Better Data Initiative will implement a comprehensive data governance strategy to produce actionable business intelligence and derive increased value from the Department’s data assets.

Developing and implementing a robust HHS data governance structure to enable accessible, integrated data as an

enterprise asset that drives insight and action

STRATEGIC SHIFT

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GET BETTER INSIGHTS FROM BETTER DATA

INITIATIVE

I M A G I N E …a user experience that leads the way in how federal grants are managed..

HHS grants management processes are complex, fragmented, and managed differently among divisions, which leads to burdensome operations and excessive costs for both the Department and grant recipients.

The ReInvent Grants Management Initiative will move HHS toward a single user experience for grant recipients, while reducing burden in grants management functions and enhancing performance measurement.

REINVENT GRANTS MANAGEMENT

Simplifying the acquisitions and grants management processes to promote smarter spending and better health outcomes

INITIATIVE

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G E N E R AT I N G E F F I C I E N C I E S T H R O U G H S T R E A M L I N E D S E R V I C E S

STRATEGIC SHIFT

I M A G I N E …leveraging the Department’s buying power

to buy smarter and more efficiently..

The acquisition function at HHS is complex and inconsistent across the Department, leading to inefficiencies and missed opportunities for cost savings.

The Buy Smarter Initiative will take advantage of new and emerging technologies to modernize the HHS acquisitions process, allowing the Department to leverage its buying power to reduce burden on employees and increase cost savings.

BUY SMARTERINITIATIVE

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G E N E R AT I N G E F F I C I E N C I E S T H R O U G H S T R E A M L I N E D S E R V I C E S

Simplifying the acquisitions and grants management processes to promote smarter spending and better health outcomes

STRAT SHIFT

I M A G I N E …optimally aligned programmatic and

administrative functions across the Department.

Given the broad mission of HHS, it is crucial that agencies coordinate effectively and efficiently to reduce duplicative efforts and maximize the impact and value of HHS programs.

The Optimize Coordination Across HHS Initiative sets out to increase collaboration and coordination across HHS through creativity, innovation, and continuous process improvement to deliver mission-critical services for today and tomorrow’s changing environment.

OPTIMIZE COORDINATION ACROSS HHS

Driving organizational transformation across HHS, including revolutionizing the agency’s technology and creating new resouinnovative models that

STRATEGIC SHIFT

INITIATIVE

M A K I N G H H S M O R E I N N O VAT I V E A N D R E S P O N S I V E

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I M A G I N E …improving organizational effectiveness

to better support the NIH mission.

The current structure of NIH is complex, with 27 individual Institutes and Centers using distinct processes and operations.

The Optimize NIH Initiative aims to increase the efficiency and effectiveness of administrative functions to improve support for the NIH mission, maintain workforce support, and increase employee engagement.

OPTIMIZE NIHINITIATIVE

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revolut the agency’s technology and creating new resource deployment and innovative models reward collaboration

M A K I N G H H S M O R E I N N O VAT I V E A N D R E S P O N S I V E

STRAT SHIFT

I M A G I N E …a regional structure that improves our

ability to serve across the country.

Many divisions of HHS use a regional model to deliver vital health and human services across the country. Since their creation in 1974, the HHS regions have not collectively been assessed to determine if the current approach best advances the HHS mission.

The Optimize Regional Performance Initiative aims to ensure an optimally performing and coordinated regional structure that advances the HHS mission and better serves the needs of the American public, as well as HHS stakeholders.

OPTIMIZE REGIONAL PERFORMANCE

INITIATIVE

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Driving organizational transformation across HHS, including revolutionizing the agency’s technology and creating new resource

deployment and innovative models that reward collaboration

STRATEGIC SHIFT

M A K I N G H H S M O R E I N N O VAT I V E A N D R E S P O N S I V E

I M A G I N E …HHS as the top choice for talent and workforce engagement.

M O V I N G T O A 2 1 S T C E N T U R Y W O R K F O R C E

HHS needs a 21st-century workforce and strategic human capital and human resources programs that work across organizational boundaries to advance the mission of HHS, with a focus on enterprise-wide success.

The Maximize Talent Initiative will modernize recruiting, retention, and performance systems to attract and sustain a high-functioning HHS workforce.

MAXIMIZE TALENT

Creating best-in-class human capital management policies to recruit, retain, and develop high-performing

leaders and business service providers

STRATEGIC SHIFT

INITIATIVE

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THE REIMAGINE JOURNEY

Since the initial Ideation phase in spring 2017, HHS career staff have been powering the progress of ReImagine, leading Initiative teams and defining the scope of this transformation. Their input, expertise, and leadership will be essential in turning the ReImagine vision into reality.

I D E AT I O N T OI M P L E M E N TAT I O N

R E I M A G I N E T I M E L I N E

SPRING 2017

FALL 2017

WINTER 2018

ReImagine HHS launched

Ideas generated in ideation sessions

Strategic Shifts and Initiatives defined

Agency reform plan submitted to OMB

Career staff across HHS joined Initiative teams

Initiative teams created detailed implementation plans

Initiative teams work toward implementation

FALL 2018

ONGOING IN 2019

The following timeline features some of the progress achieved thus far on the ReImagine journey, as well as a look forward to where ReImagine is headed as Initiatives move toward implementation.

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