RT Journal A1 Kuehn BM T1 DHhs overhaul JF JAMA JO JAMA YR 2009 FD January 28 VO 301 IS 4 SP 370 OP 370 DO 10.1001/jama.2008.986 UL http://dx.doi.org/10.1001/jama.2008.986 AB Acting on a request from members of Congress for a proposal on a new organizational structure for the DHHS, an IOM committee instead produced a report calling for changes to improve effectiveness, efficiency, and accountability at the agency. The committee declined to propose a new organizational structure, noting there is no single optimal structure and that such a change might distract from the organization's activities. Instead, the group recommended that the new secretary of the DHHS establish a vision for the organization that includes measurable goals.