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HEHS-00-127R 1 (2000-06-30)

handle is hein.gao/gaobaalpu0001 and id is 1 raw text is: I GAO Accountability * Integrity * Reliability United States General Accounting Office Health, Education, and Washington, DC 20548 Human Services Division B-285568 June 30, 2000 The Honorable Fred Thompson, Chairman The Honorable Joseph I. Lieberman, Ranking Member Committee on Governmental Affairs United States Senate Subject: Observations on the Department of Health and Human Services' Fiscal Year 1999 Performance Report and Fiscal Year 2001 Performance Plan As you requested, we have reviewed the 24 Chief Financial Officers Act (CFO) agencies' fiscal year 1999 performance reports and fiscal year 2001 performance plans required by the Government Performance and Results Act of 1993 (GPRA). In essence, under GPRA, annual performance plans incorporate performance goals and measures covering a given fiscal year and provide the direct linkage between an agency's longer term goals and day-to-day activities. Annual performance reports are to subsequently report on the degree to which those performance goals were met. This letter contains two enclosures responding to your request concerning key program outcomes and major management challenges at the Department of Health and Human Services (HHS). Enclosure I provides our observations on HHS' fiscal year 1999 performance and fiscal year 2001 planned performance for the key outcomes that you identified as important mission areas for the agency. These key outcomes are (1) less fraud, waste, and error in Medicare and Medicaid; (2) beneficiaries receive high-quality nursing home service; (3) poor and disadvantaged families and individuals become self-sufficient; (4) improved prevention of diseases and disabilities; (5) reduced use of illegal drugs'; and (6) the public has prompt access to safe and effective medical drugs and devices. Enclosure II lists the major management challenges facing the agency that we and HHS' Inspector General (IG) identified, how its fiscal year 1999 performance report discussed the progress the agency made in resolving these challenges, and the applicable goals and measures in the fiscal year 2001 performance plan. 1HHS' mission does not involve supply-side activities that can reduce the availability of illegal drugs. Thus, we limited our review of HHS' performance in this area to the reduced use of illegal drugs. GAO/HEHS-00-127R HHS' FY 1999 Performance Report and FY 2001 Performance Plan Page 1

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