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Overview

The goal of this Roadmap to Health Equity Initiative is to improve the quality of care and reduce health inequality for the millions of vulnerable and socially disadvantaged patients who seek care in Free and Charitable Clinics nationwide. 

Click the link below to read the Specific Aims of this initiative. 

About the Program

In the United States, free and charitable clinics serve low-income patients who are either uninsured or underinsured. Clinics and their associations need to know who is currently receiving care and at what level. A consortium of stakeholders including Americares, Loyola University Chicago and the National Association of Free and Charitable Clinics are designing an infrastructure to enable clinics across the country to collect and report on quality measures. 

By collecting and reporting on a standardized set of quality measures and sociodemographic factors, the Roadmap to Health Equity will lay a foundation for improvements in care and give clinics a tool to demonstrate quality of care and assess their progress in promoting health equity. 

Roadmap stakeholders convened in October 2018 in Henderson, Nevada to discuss the Why, What and How of quality measure and sociodemographic factor reporting and analysis. Consensus was reached on the specific quality measures and the stage was set for year 2 of the Roadmap to Health Equity. 

Roadmap 2018 Conference Group Photo
Free and charitable clinics leaders and other health care experts from across the country gathered in Nevada October 16th and 17th to address quality and health equity for low-income and uninsured patients. Photo courtesy of Fred Bauermeister.



Committee Details

Throughout 2018, Americares, Loyola University Chicago, and the NAFC have hosted working groups through video conference calls and webinars to generate materials for the first Roadmap to Health Equity Conference, seek initial consensus on quality measures, explore strategies for clinic level buy-in and explore the technological options for leveraging clinics’ electronic health records to obtain patient data uniformly and simply from clinics. 

Roadmap to Health Equity FAQs

Click here to access Roadmap to Health Equity General FAQs. 

Click here to view a Roadmap 101 Presentation. 

The Steering Committee

The Steering Committee is charged with ensuring health equity is retained as a strategic priority and that the patient viewpoint is incorporated meaningfully across all of the committees throughout this multi-year initiative.


Committee members include:

Dr. Hina Azam

Dr. Hina Azam

Ibn Sina Foundation, TX

Dr. Hina Azam is the CEO of Ibn Sina Foundation. 

 Dr. Hina Azam, the CEO of Ibn Sina Foundation is a Medical Graduate from India is a mother to two lovely kids. Currently working passionately at Ibn Sina Foundation a nonprofit organization tirelessly to serve the indigent community in Houston, Texas. Before migrating to the United States, she was the Medical Director and Chief Medical Officer at Institute of Transfusion Medicine and Research in India. Upon her arrival into the United States she started working in healthcare administration as a Physician Assistant and office Manager at a health care facility. She later moved to work as Director of Operations.

Jemea Dorsey

Jemea Dorsey

Center for Black Women’s Wellness, GA

Jemea Dorsey is the CEO of Center for Black Women’s Wellness, a community-based family service center committed to improving the health and well-being of underserved Black women and their families. Jemea works closely with an extensive array of stakeholders to improve the coordination of care and services to those served by the organization.

Jesus Inguanzo

Jesus Inguanzo

Miami Rescue Mission Health Clinic, FL

Jesus Inguanzo.

 Jesus Inguanzo was born in Habana, Cuba on Christmas day, 1949. Came to Miami, Florida in 1961, where I attended grade school. Attended Universities in Michigan, Paris, France, Louvain, Belgium and Florida, graduating from Florida Atlantic University in 1972. My professional career started in banking, heading a mortgage subsidiary of a Savings and Loan Association, continuing in the field as president of an FHA mortgage Company. In 1992, started and presided over a construction company retiring in 2010. Retirement did not last, in 2011 I was asked by the medical director of the Miami Rescue Mission Clinic to apply my business skills to financially strengthen our non-profit clinic.

Jody Hopkins

Texas Association of Charitable Clinics, TX

Jody Hopkins, LCSW, ACSW has been in the non-profit sector for over 29 years with the majority of these years in non-profit management. In 2010 Jody was named the Executive Director for the Texas Association of Charitable Clinics. In this role she works with clinics throughout the entire state providing them with information, capacity building resources, and advocacy services. Jody is further involved in the local and statewide nonprofit community and is a member of the community leadership council for the Center for Nonprofits, co-chair of the public policy committee for One Voice Central Texas and serves on the public policy committee for the National Association of Free and Charitable Clinics.

Julie Darnell

Loyola University, Chicago, IL

Julie S. Darnell, PhD, MHSA joined the Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago (LUC) as Associate Professor in December 2015. Previously, she was on the faculty of the School of Public Health at the University of Illinois at Chicago where she served as Assistant Professor (2008-2015) and Associate Professor with tenure (2015). Dr. Darnell received her AM (2003) and PhD (2008) in Social Service Administration from The University of Chicago as well as a Master of Health Services Administration degree in health policy (1994) from The George Washington University. Her research focuses on access to, and the delivery and financing of, health care for poor and vulnerable populations and the safety net organizations that serve them. With the support of AmeriCares, she is currently leading an evaluation of two evidence-based chronic disease interventions in free clinics. She is also conducting a national survey of all known free and charitable clinics across the country. She has earned a national reputation for her work on free clinics. Findings from her research on free clinics have been published in the Archives of Internal Medicine and Medical Care and in a report to the U.S. Congress. Her work on free clinics has received numerous awards and recognition from organizations including the Society for Social Work and Research, the National Association of Social Workers Foundation, the Association for Research on Nonprofit Organizations and Voluntary Action, the American Public Health Association, and the Public Health System Research Interest Group of AcademyHealth.

Lindsay O’Brien

Americares, CT

Lindsay O’Brien serves as the Senior Director of U.S. Programs & Partnerships at Americares. In this role, she focuses on building capacity within the health care safety net throughout the country. Lindsay’s responsibilities include expanding and strengthening the partner network through targeted initiatives and both growing and generating efficencies in Americares Access to Medicines Program. Prior to joining the U.S. team, Lindsay served on the Emergency Response and Recovery Team at Americares, overseeing the distribution of grant funds, medicines and supplies to hospitals, clinics and other nonprofit organizations post-Super Storm Sandy in October 2012 and the Oklahoma Tornadoes in May 2013.

Lindsay holds her Master’s in Public Administration with a focus on Nonprofit Management from New York University and holds a certificate in Leadership Management from the Thunderbird School of Global Management. She is a graduate of Amherst College.

Marisel Losa

United Way of Greenwood and Abbeville Counties, SC

Ms. Marisel Losa is currently the President and CEO of United Way of Greenwood County. She held a tenure of 11 years as the President and Chief Executive Officer of the Health Council of South Florida, Inc., whose mission is to be the source of unbiased health and quality of life data/analysis; preferred partner for program planning, management, evaluation, and community services; facilitator of collaboration and partnerships in Miami-Dade and Monroe counties; and trusted champion for healthcare policy at the local, state, and national levels. She is the Founder of the Florida Association of Free and Charitable Clinics. Prior to this she was the Director of Mission Services at Mercy Hospital and Director of the St. John Bosco Clinic.

 

Nick Duran

Florida Association of Free and Charitable Clinics, FL

Nick Duran joined the Florida Association of Free and Charitable Clinics in October 2015 as Executive Director. He most recently served as the Florida State Director for Enroll America, the nation’s leading health care enrollment coalition which brought together community and health organizations, faith leaders, and business to help over a million Floridians recieve new health coverage. Under his leadership, the organization used a data and metrics-based outreach and education program that engaged thousands of volunteers and developed a diverse set of hundreds of partners across non- and for-profit sectors. 

Nicole Lamoureux

National Association of Free and Charitable Clinics, DC

Nicole Lamoureux, is a Chief Executive Officer who works daily with the National Association of Free and Charitable Clinics (NAFC), its 1,200 member organizations, its Board of Directors and its partners to advance the mission of ensuring the medically underserved have access to affordable, quality health care.

Nicole has testified before Congress, is a regular TV commentator – having been featured on MSNBC, FoxNews and the Dr. Oz Show to name a few – and has published numerous articles on the important role of America’s safety net and charitable care providers.

Nicole holds a Master’s Degree in American Government and a Bachelor of Arts Degree in Politics from The Catholic University of America and she resides in Alexandria, Virginia with her husband Mark.


Click here for all Steering Committee meeting dates and times. 

The Rolling out the Value Proposition Committee, “The Why”

The Case for Quality Data Committee, “The WHY”

This committee will shift focus from the development of the Barriers White Paper to actualizing the recommendations generated through the Year 1 analysis. Specifically, this committee is charged with developing a multi-year marketing strategy and creating collateral and/or vetting, selecting and managing marketing subject expert consultants.


Committee leaders include:

Julie Darnell

Loyola University, Chicago, IL

Julie S. Darnell, PhD, MHSA joined the Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago (LUC) as Associate Professor in December 2015. Previously, she was on the faculty of the School of Public Health at the University of Illinois at Chicago where she served as Assistant Professor (2008-2015) and Associate Professor with tenure (2015). Dr. Darnell received her AM (2003) and PhD (2008) in Social Service Administration from The University of Chicago as well as a Master of Health Services Administration degree in health policy (1994) from The George Washington University. Her research focuses on access to, and the delivery and financing of, health care for poor and vulnerable populations and the safety net organizations that serve them. With the support of AmeriCares, she is currently leading an evaluation of two evidence-based chronic disease interventions in free clinics. She is also conducting a national survey of all known free and charitable clinics across the country. She has earned a national reputation for her work on free clinics. Findings from her research on free clinics have been published in the Archives of Internal Medicine and Medical Care and in a report to the U.S. Congress. Her work on free clinics has received numerous awards and recognition from organizations including the Society for Social Work and Research, the National Association of Social Workers Foundation, the Association for Research on Nonprofit Organizations and Voluntary Action, the American Public Health Association, and the Public Health System Research Interest Group of AcademyHealth.

Mary Kiger

Mary Kiger

Tennessee Charitable Care Network, TN

Mary Kiger serves as the Executive Director of the Tennessee Charitable Care Network whose mission is to provide support, education and representation of nonprofit organizations providing charitable health care services to lowincome, uninsured, and underserved Tennesseans. Her 35-year career in health care focused on strategic analysis and planning, market and business development, program planning and implementation. Mary has been honored to work with such notable organizations as The Virginia Legislature, Ochsner Medical Institutions, Duke University Health Center, Sheltering Arms Physical Rehabilitation, SeniorNavigator.com, the Vanderbilt-Ingram Cancer Center and LifePoint Health. Mary majored in Anthropology and French Literature at Oberlin College and received her Masters from the Sanford School of Public Policy at Duke University.

Kat Mastrangelo

Kat Mastrangelo

Volunteers in Medicine, Clinic of the Cascades, OR

Kat Mastrangelo has been the Executive Director of Volunteers in Medicine Clinic in Bend, Oregon since 2008, after spending 2 years as an administrative volunteer. She has overseen an important expansion in the number of volunteers and access to care at the clinic and was able to add services during the changes in patient demographics resulting from the ACA. Since 2014, the VIM clinic has become the leading source of comprehensive bilingual primary care, prescriptions, and specialty referrals in Central Oregon. She holds a degree in International Relations from Georgetown University and a graduate degree in Public Administration from Indiana University. She has over 25 years of experience in economic development, health insurance administration, local government, hospital strategic planning, and physician practice management.


Committee members include:

April CookLake Norman Community Health Clinic, NC

Ariana GordilloNational Association of Free & Charitable Clinics, VA

Cheryl WhiteCentre Volunteers in Medicine, PA

Chris PantusoThe Calabria Foundation, TX

Christianna BarnardPhysicians CareConnection, OH

Christine PlummerCity on a Hill Health Clinic, MI

Danine CasperAponi Coaching and Consulting, WI

Donney JohnNOVA ScriptsCentral, VA

Fred BauermeisterFree Clinic of Simi Valley, CA

Janice BrunoSmithville Community Clinic, TX

Jennifer JagneauxAmericares, TX

John Hostetler, OK

Judy HaasisCommunityHealth, IL

Karen KaashoekCatherine’s Health Center, MI

Lee Ann KroonTOMAGWA HealthCare Ministries, TX

Mara Servaitesmjs Consulting Associates, VA

Marlene DiLilloGreater Killeen Community Clinic, TX

Melanie JonesBlue Ridge Free Dental Clinic, NC

Rebeca FloresPhysicians CareConnection, OH

Sara NichollsDungeness Valley Health & Wellness Clinic – The Sequim Free Clinic, WA

Stephanie GarrisGrace Medical Home, FL

Suzie FoleyGreenville Free Medical Clinic, SC

Dr. Talaun Simmons, PhDMuslim Community Center for Human Services, TX

Winnie OmbeseCovenant House Texas, TX


Click here  for all Why Committee meeting dates and times. 

The Building out the Starter Set and Considering Additional Measures Committee, “The What”

The Quality Measures Committee, ‘The WHAT”

Building from the consensus developed for the quality measure starter set and approach for voluntary and mandated measure submission, the What committee is tasked in Year 2 with formalizing a FCC start set guide to include specifications on each measure. This committee is also charged with identifying and engaging with subject matter expertise on the measures. Further, the What committee will consider additional measures for subsequent data sets, including determining the tool for measuring patient experience.  


Committee leaders include:

Gretchen Geist

Gretchen Geist

Open Arms Free Clinic and WAFCC Standards Committee, WI

Gretchen Geist, MSN, APNP, FNP-BC practices at Open Arms Free Clinic (OAFC) with an interdisciplinary team providing care to low income, uninsured persons in rural Walworth County, WI. She is a charter member of the Wisconsin Association for Free and Charitable Clinics (WAFCC) Standards Committee. Gretchen contributed to crafting and editing the standards and continues to consult on their implementation.

Gretchen was managing partner at Rockwood Family Health, a solo independent family medicine clinic in small town Wisconsin for 20 years. In 2006, they were the first practice in Wisconsin to begin reporting quality measures to CMS while using a paper medical record. She has also served on the board of directors at Rock River Free Medical Clinic in Jefferson, WI.

Gretchen received her nursing degree from Duke University, a Masters in Nursing with education focus from Edgewood College and a Post-Masters Certificate as a Family Nurse Practitioner from Alverno College. 

Melissa Maguire

Melissa Maguire

The Illinois Association of Free and Charitable Clinics, IL 

Melissa is the Executive Director of the Illinois Association of Free and Charitable Clinics (IAFCC), supporting the mission of improving access to quality health care for low income individuals who are uninsured and underinsured. Melissa has worked in the non-profit sector for over 30 years in program planning and implementation, training and evaluation. Her most recent position was Vice President of Mission Fulfillment at The Night Ministry. As the Executive Director of IAFCC she is honored and many times humbled to witness the work of the clinics in Illinois. Melissa has a Masters in Community Health from Northern Illinois University and a Master’s in Social Services Administration from Case Western Reserve University. When not working for IAFCC she enjoys time in her garden which includes tending bee hives, with her husband Quentin. They have two young adult children.

Christina Newport

Christina Newport

Americares, OK

Christina Newport serves as the Director, Quality Improvement & Behavioral Health of the U.S. Program at Americares. Her current portfolio includes overseeing the U.S. Program’s Mental Health Initiative (MHI) to improve access to care in the U.S. behavioral health care safety net and leading and managing the Americares BD Advancing Community Health: Driving Quality Outcomes Patient-Centered Medical Home (PCMH) Initiative.

Christina is also involved in the U.S. Programs efforts to build capacity in free and charitable clinics (FCCs). She previously managed the implementation of two innovative pilot programs in FCCs which involved research studies conducted by Loyola University at Chicago; one on diabetes prevention implementing the CDC’s Diabetes Prevention Program and one on implementing the ECHO (Extension for Community Health Outcomes) model for hypertension through a partnership with ECHO-Chicago and the IL Association of Free and Charitable Clinics.

Beth Armstrong

Beth Armstrong

People’s Health Clinic, UT

Beth Armstrong serves as the Executive Director of The People’s Health Clinic in Park City, Utah and oversees operations and staff at the community-supported clinic. Armstrong has spent most of her career working in hospital administration, including at Cedars-Sinai Medical Center in Los Angeles, before arriving in Park City. She has been the membership and annual foundation director for Promontory Club for 11 years as well.


Committee members include:

Anne MisherUniversity of Georgia/St. Mary’s Health Center, GA

Bryan MierauCenter for Healing & Hope, IN

Cherrie PulliumHealth For All/Texas A&M University, TX

James (Jim) BecknerRichmond Academy of Medicine/Access Now, VA

Jim HornsbyFeed My Sheep Free Children’s Clinic, TX

Julian LevineHealth Brigade, VA

Karen GottliebAmericares Free Clinics, CT

Kristi MattzelaCentre Volunteers in Medicine, PA

Larry RobinsPediPlace, TX

Linda JudahSocial Welfare Board/Missouri State Association, MO

Lisa SafaeiniliWestminster Free Clinic/Califorinia Association of Free and Charitable Clinics, CA

Mark BraultGrace Clinic, WA

Marty HillerLake County Free Clinic, OH

Mike RomagnoliCommunity Health Care Clinic, IL

Ronya Green, MD MPHMethodist Charlton Medical Center, TX

Sandy MotleyDavidson Medical Ministries Clinic

Sasha Bianchi,Volunteers in Medicine National Office, VT

Shelby MillerHope Clinic and Care Center Inc., WI

Tracy DeskinWashington Healthcare Access Alliance, WA

Trudy WilsonOhio Valley Health Center, OH


Click here for all What Committee meeting dates and times.

The Driving and Managing the Process for Data Collection Committee, “The How”

The Operationalizing Quality Measurement Committee, “The HOW”

The How Committee will manage the vendor discovery period, review vendor proposals, and select and manage the preferred vendor(s). This Committee is charged with developing the specific instructions for how clinics must submit each measure and factor into a repository and for leading the launch of and project plan for the 2019 Pilot Repository itself. This committee is also charged with determining the policies and procedures for auditing/data validation.


Committee leaders include:

Cindy Jones

North Carolina Association of Free & Charitable Clinics, NC

Cindy Jones, RCP has been with the Association since 2005. In her role as Director of Training and Support she assists members with the NCAFCC Accreditation process, Annual Outcomes Survey, Federal Tort Claims Act, and related regulatory, compliance and liability issues. Cindy has a clinical background as a respiratory therapist as well as healthcare administration and management. Her 20+ years of professional experience has been beneficial in helping members with best practices and implementation of policies and procedures.

Lindsay O’Brien

Americares, CT

Lindsay O’Brien serves as the Senior Director of U.S. Programs & Partnerships at Americares. In this role, she focuses on building capacity within the health care safety net throughout the country. Lindsay’s responsibilities include expanding and strengthening the partner network through targeted initiatives and both growing and generating efficencies in Americares Access to Medicines Program. Prior to joining the U.S. team, Lindsay served on the Emergency Response and Recovery Team at Americares, overseeing the distribution of grant funds, medicines and supplies to hospitals, clinics and other nonprofit organizations post-Super Storm Sandy in October 2012 and the Oklahoma Tornadoes in May 2013.

Lindsay holds her Master’s in Public Administration with a focus on Nonprofit Management from New York University and holds a certificate in Leadership Management from the Thunderbird School of Global Management. She is a graduate of Amherst College.

Elizabeth Dickey

Liz Dickey

Health For All, TX

Since 2012, Liz Dickey has been serving as the Executive Director of Health For All, a free clinic for the uninsured who have no access to employer funded health insurance, cannot afford their portion of the insurance, and/or are financially disqualified from government health care programs. Liz has a Bachelor of Science in both Marketing and Supply Chain management from Syracuse University. She serves on local boards and committees for Workforce Solutions, United Way and her Church. Liz is a member of her Junior League and Rotary Club as well as a volunteer for Habitat, The Boys and Girls Club, and Special Olympics. 


Committee members include:

Angela Mccrea, South Carolina Association of Free and Charitable Clinics, SC

Audrey BarkerPhysicians CareConnection, OH

Dennis SkrajewskiWisconsin Association of Free and Charitable Clinics, WI

Donna LooperGeorgia Charitable Care Network, GA

Erin Harvey and Mary ReichLake Area Free Clinic, WI

Faisal SayedMASS Clinic, FL

Jamie BaxterFriendship Clinic, ID

Kristin Christakis, athenahealth, MA

Janet JarrettAlbermarle Hospital Foundation, NC

Janet WarrenHope Health Clinic, KY

Julie BilodeauCrossOver Healthcare Ministry, VA

Kathy BeckerSt. Joseph’s Medical Clinic, WI

Kelly RanieliVolunteers in Medicine, PA

Marty ZaninCrossOver Healthcare Ministry, VA

Nancy TillieSanta Barbara Neighborhood Clinic, CA

Rick TivisCanyon County Community Clinic, ID


Click here for all How Committee meeting dates and times. 

Program Advisors

Aswita Tan-McGrory

Aswita Tan-McGrory, MBA, MSPH

Deputy Director, The Disparities Solution Center

Aswita Tan-McGrory, MBA, MSPH, in her role as Deputy Director at the Disparities Solutions Center, works closely with the Director to chart the Center’s future growth and strategic response to an ever-increasing demand for the Center’s services. She is a key member of the senior management team and supervises the broad portfolio of projects and administration of the Center. These include collaborations with internal and external partners on guidance on collecting race, ethnicity, language and other social determinants of health data; developing disparities dashboards that stratify quality measures by race, ethnicity, and language; and developing recommendations for data collection in pediatric patients. In addition, Ms. Tan-McGrory currently serves on the MA Executive Office of Health and Human Services’ Quality Measurement Alignment Taskforce. 

Ms. Tan-McGrory also oversees the Disparities Leadership Program, an executive-level leadership program on how to address disparities, as well as the Healthcare Quality and Equity Action Forum, a national conference for healthcare leaders interested in addressing disparities in quality. Ms. Tan-McGrory serves on several executive committees, including the MGH Diversity Committee, the MGH Executive Committee on Community Health and the Partners Health Equity and Quality Committee. In addition, Ms. Tan-McGrory sits on the board of the Massachusetts Public Health Association. 

She received her Masters of Business Administration from Babson College and her Master of Science in Public Health, with a concentration in tropical medicine and parasitology, from Tulane University School of Public Health and Tropical Medicine. Ms. Tan-McGrory is a Returned Peace Corps Volunteer where she spent 2 years in rural Nigeria, West Africa, on water sanitation and Guinea Worm Eradication projects. 

Marjie G. Harbrecht, MD

MGHealthcare Insights, LLC

Marjie Grazi Harbrecht, MD, is a CEO with over 25 years of experience in healthcare working as a Family Practice Physician, risk management consultant, and patient safety/quality improvement specialist. She has dedicated her career to transforming healthcare delivery and payment systems to optimize health outcomes, improve patient safety, control costs, and improve the healthcare experience for patients and their healthcare teams. For eighteen years, Dr. Harbrecht lead HealthTeamWorks, a nonprofit multi-stakeholder collaborative working to redesign healthcare delivery and promote integrated communities of care, using evidence based medicine and innovative systems.

As one of the pioneers in this area, Dr. Harbrecht has served on multiple boards and committees both at the local and national levels.  Among these are the Colorado Regional Health Information Organization (CORHIO), the Center for Improving Value in Healthcare’s All Payer Claims Database (APCD) Committee, the Patient-Centered Primary Care Collaborative (PCPCC) Payment Reform Taskforce and the NCQA PPC-PCMH Advisory Committee to help develop the 2011 and 2014 PCMH standards.After stepping down as CEO of HealthTeamWorks, Dr. Harbrecht continues to use her years of experience to educate and provide consulting services nationally for healthcare transformation and payment reform, with particular emphasis on culture change and true coordination of care across health systems and communities.

image of our Roadmap to Health Equity PDF file.

We’re all in this together! Let’s start down the path of measuring quality and addressing health equity on a national scale.

By collecting and reporting on a standardized set of quality measures, the Roadmap to Health Equity will lay a foundation for improvements in care and give clinics a tool to demonstrate quality of care and assess their progress in promoting health equity.

Questions?

Questions about this Roadmap Initiative? Click the link below to contact us.

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Quality Measures

The measures used in this initiative to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. Known as the Donabedian model, this classification system was named after the physician and researcher who formulated it.

Disclaimer

Funding for this conference was made possible by Grant #: 1 R13 nMD012759-01 from the National Institute on Minority Health and Health Disparities. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention by trade names, commercial practices, or organizations imply endorsement by the U.S. Government.