The head of the nation’s top public health agency on Wednesday announced a shake-up of the organization, saying it fell short responding to COVID-19 and needs to become more nimble.
The planned changes at the Centers for Disease Control and Prevention — CDC leaders call it a “reset”— comeof the agency’s response to COVID-19, and other public health threats. The changes include internal staffing moves and steps to speed up data releases.
“To be frank, we are responsible for some pretty dramatic, pretty public mistakes, from testing, to data, to communications. As an agency, even with all the terrific work we do, we still suffer the consequences from these mistakes,” Walensky said in a video message shared with the agency’s staff on Wednesday.
The Atlanta-based agency, with a $12 billion budget and more than 11,000 employees, is charged with protecting Americans from disease outbreaks and other public health threats. It’s customary for each CDC director to do some reorganizing, but Walensky’s action comes amid a wider demand for change.
Walensky’s planned reforms stem from a review she commissioned back in April, when she tapped a top official from another federal health agency to diagnose the CDC’s issues as it has moved to wind down its standalone COVID-19 response.
That official — James Macrae of the Health Resources & Services Administration — delivered a presentation to Walensky detailing his findings in mid-June, focused on “how CDC can better translate science and data into actionable policy and communications during a public health emergency.”
“I think our public health infrastructure in the country was not up to the task of handling this pandemic,” Walensky told CBS News chief medical correspondent Dr. Jon LaPook. “We learned some hard lessons over the last three years and as part of that it’s my responsibility, it’s’ the agency’s responsibility, to learn from those lessons and do better.”
The agency has long been criticized as too ponderous, focusing on collection and analysis of data but not acting quickly against new health threats. Public unhappiness with the agency grew dramatically during the COVID-19 pandemic. Experts said the CDC was slow to recognize how much virus was entering the U.S. from Europe, to recommend people wear masks, to say the virus can spread through the air, and to ramp up systematic testing for new variants.
“We saw during COVID that CDC’s structures, frankly, weren’t designed to take in information, digest it and disseminate it to the public at the speed necessary,” said Jason Schwartz, a health policy researcher at the Yale School of Public Health.
Walensky, who became director in January 2021, has long said the agency has to move faster and communicate better, but stumbles have continued during her tenure.
“It’s not lost on me that we fell short in many ways” responding to the coronavirus, Walensky said. “We had some pretty public mistakes, and so much of this effort was to hold up the mirror … to understand where and how we could do better.”
She told CBS News that the agency needs to have “special forces” that deploy during pandemics.
“I have no doubt that they’re up to the task,” she told LaPook.
Her reorganization proposal must be approved by the Department of Health and Human Services secretary. CDC officials say they hope to have a full package of changes finalized, approved and underway by early next year.
Some changes still are being formulated, but steps announced Wednesday include:
- Increasing use of preprint scientific reports to get out actionable data, instead of waiting for research to go through peer review and publication by the CDC journal Morbidity and Mortality Weekly Report.
- Restructuring the agency’s communications office and further revamping CDC websites to make the agency’s guidance for the public more clear and easier to find.
- Altering the length of time agency leaders are devoted to outbreak responses to a minimum of six months — an effort to address a turnover problem that at times caused knowledge gaps and affected the agency’s communications.
- Creation of a new executive council to help Walensky set strategy and priorities.
- Appointing Mary Wakefield as senior counselor to implement the changes. Wakefield headed the Health Resources and Services Administration during the Obama administration and also served as the No. 2 administrator at HHS. Wakefield, 68, started Monday.
- Altering the agency’s organization chart to undo some changes made during the Trump administration.
- Establishing an office of intergovernmental affairs to smooth partnerships with other agencies, as well as a higher-level office on health equity.
Walensky also said she intends to “get rid of some of the reporting layers that exist, and I’d like to work to break down some of the silos.” She did not say exactly what that may entail, but emphasized that the overall changes are less about redrawing the organization chart than rethinking how the CDC does business and motivates staff.
“This will not be simply moving boxes” on the organization chart, she said.
A document shared with CBS News outlining Walensky’s plans pledges “to not only change how CDC operates but also its culture” to prioritize “timely action.”
Schwartz said flaws in the federal response go beyond the CDC, because the White House and other agencies were heavily involved.
While he said the reorganization is a positive step, he added that “I hope it’s not the end of the story.” He said he would like to see “a broader accounting” of how the federal government handles health crises.