CDC Director Dr. Rochelle Walensky briefed agency staff on the changes on Wednesday. It is a CDC initiative and was not led by the White House or other administration officials, she said.
“I feel like it’s my responsibility to lead this agency to a better place after three really tough years,” Walensky told The Associated Press.
The CDC, with a $12 billion budget and more than 11,000 employees, is an Atlanta-based federal agency charged with protecting Americans from disease outbreaks and other public health threats. It’s customary for every CDC director to reorganize, but Walensky’s action is part of a larger call for change.
The agency has long been criticized as too heavy-handed, focusing on data collection and analysis but failing to act quickly against emerging health threats. But public dissatisfaction with the agency has increased dramatically during the COVID-19 pandemic. Experts said the CDC was slow to recognize the amount of virus entering the United States from Europe, to recommend people wear masks, to say that the virus can spread through the air and to speed up the systematic testing for new variants.
“We saw during COVID that the CDC structures, frankly, weren’t designed to gather information, digest it, and get it out to the public at the speed needed,” said Jason Schwartz, a health policy researcher at Yale. School of Public Health.
Walensky, who became director in January 2021, has long said the agency needs to move faster and communicate better, but the stumbles continued during her tenure.
In April, she called for a thorough review of the agency, which resulted in the announced changes. Its proposed reorganization must be approved by the Secretary of the Department of Health and Human Services. CDC officials say they hope to have a full set of changes finalized, approved and underway by early next year.
Some changes are still being formulated, but milestones announced on Wednesday include:
—Increase the use of preprinted scientific reports for actionable data, instead of waiting for research to go through peer review and publication by the CDC Morbidity and Mortality Weekly Report.
—Restructured the agency’s communications office and redesigned CDC websites to make agency guidance for the public clearer and easier to find.
—Change the length of time agency leaders are dedicated to outbreak responses to a minimum of six months — an effort to address a turnover issue that has at times caused knowledge gaps and affected agency communications .
—Creation of a new executive council to help Walensky set strategy and priorities.
—Appoint Mary Wakefield as lead advisor to implement changes. Wakefield led the Health Resources and Services Administration during the Obama administration and also served as HHS’ No. 2 administrator. Wakefield, 68, started on Monday.
— Changes to the agency’s organizational chart to undo some changes made under the Trump administration.
—Establish an office of intergovernmental affairs to facilitate partnerships with other organizations, as well as a senior level office on health equity.
Walensky also said she intends to “get rid of some of the layers of reporting that exist, and I would like to work to break down some of the silos.” She didn’t say exactly what that might entail, but pointed out that the overall changes are less about redesigning the organizational chart and more about rethinking how the CDC does business and motivates staff.
“It won’t just be a question of moving boxes” on the organizational chart, she said.
Schwartz said the flaws in the federal response go beyond the CDC, as the White House and other agencies were heavily implicated.
A reorganization of the CDC is a positive step, but “hopefully that’s not the end of the story,” Schwartz said. He would like to see “broader accounting” of how the federal government handles health crises.
The Associated Press Health and Science Department is supported by the Howard Hughes Medical Institute Department of Science Education. The AP is solely responsible for all content.