PMC:7454258 / 153220-160424
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7454258","sourcedb":"PMC","sourceid":"7454258","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7454258","text":"New Office of the National Director of Food and Nutrition\nModeled after the Office of the Director of National Intelligence (ODNI) (291), but with a smaller budget and staffing scale, an Office of the National Director of Food and Nutrition (ONDFN) would provide essential coordination and harmonization of the work of the ≥10 US departments and agencies comprising the federal nutrition community (Supplemental Figure 3). ODNI is a crucial office created as part of the Intelligence Reform and Terrorism Prevention Act of 2004 (Public Law 108–458) to lead and integrate the diverse intelligence efforts of 16 departments and agencies. Working as one team, ODNI helps synchronize intelligence collection, analysis, and counterintelligence, forging a harmonized system to deliver the most insightful intelligence possible. ODNI prioritizes intelligence-community-wide mission requirements, manages strategic investments to foster innovation and efficiency, evaluates the effectiveness of intelligence programs and spending, and absorbs new missions and develops new capabilities without adding to staff size. Nearly half (40%) of ODNI staff are on rotation from 1 of the 16 participating departments and agencies. Of note, the combined budgets of ODNI members ($50 billion/y) are of a similar scale as the overall current nutrition-related programs (including research) of ICHNR members.\nONDFN would be led by a new, cabinet-level Director of National Food and Nutrition, serving as the Principal Food and Nutrition Advisor to the White House, heads of executive branch departments and agencies, senior military commanders, and Congress. Similar to ODNI, ONDFN functions would include reviewing and coordinating priorities and strategies to maximize nutrition research efforts across various federal investments; establishing objectives and priorities for the collection, analysis, and dissemination of national nutrition monitoring and surveillance; ensuring provision of accurate and timely nutrition information to decision makers; evaluating and improving the effectiveness and synergies of federal nutrition research and policy efforts; overseeing the coordination of external advisory groups and public–private partnerships around nutrition research and policy; developing policies and programs to leverage the distinct efforts of departments and agencies around nutrition; and developing and reporting on performance goals and program milestone criteria.\n\nAdvantages\nThis tested and successful model is on a comparable area of national importance and with a similar size and breadth of relevant involved departments and agencies. ONDFN would build on ICHNR, but with a much stronger platform to create effective coordination and synergies. ONDFN would deliver relevant harmonized information to the President, Cabinet, other executive branch leadership, senior military commanders, and Congress for developing policy, programmatic, and budget initiatives. A clear Congressional mandate would provide cross-agency coordination of strategic planning, programmatic review, annual reporting and quadrennial assessments to the President, Congress, and other key stakeholders, budgetary needs, and external research and cooperation. There could also be additional Congressional oversight as needed and interests arise. ONDFN would also provide dedicated leadership and staff in the executive branch cabinet for federal nutrition research and policy, providing a crucial bridge between research and implementation. These activities and personnel would more efficiently and effectively help identify topics of strategic interest across multiple departments and agencies with significant impact and feasibility, and advance emerging opportunities to accelerate progress across new fundamental and transactional scientific topics. A broad focus would increase synergies, shared priorities, and effectiveness and efficiency of different departments and agencies engaged in activities related to innovation in nutrition, agriculture, and food systems.\nLike ODNI, a meaningful number of staff would be drawn from existing departments and agencies, creating budgetary efficiencies while maximizing cross-fertilization of ideas and innovations. ONDFN would have the infrastructure and authority necessary for true cross-department/agency coordination—for example, to develop a modernized approach to the nexus between the agriculture-food-health value chain—including research, policy, and practice from farm inputs and food processing/production to consumer behavior to human health. ONDFN would also advance the coordination for communication of trusted nutrition information to the American public, which occurs across separate departments and agencies including CMS and VHA (health care providers), USDA (DGAs, SNAP-Ed, WIC education, food safety for meat and poultry), FDA (food safety for other foods, Nutrition Facts, health claims, package warning labels, restaurant menu labeling), NIH (scientific studies), DoE (nutrition and STEM curricula), CDC (school, community, and public health nutrition education), and more. This would help meet the almost explosive growth in public demand for better information on the science of diet-related health. ONDFN would combine a national food strategy with coordinated new science, considered crucial to better harmonize law and policymaking around food and agriculture, food safety and nutrition research, and establishing, prioritizing, and pursuing common goals (292). Such a strategic plan would create transparency and accountability, including tasks of identifying and monitoring budgets and metrics of success across its purview. A high-level, cross-governmental structure like ONDFN would also be crucial for effective and timely responses on urgent nutrition and food challenges during complex situations like COVID-19, which require immediate and ongoing leadership and coordination at the highest levels of the government (9, 293).\n\nDisadvantages\nThis new position and office would require Congressional (legislative) authorization and appropriations. As a cabinet-level office, ONDFN would naturally focus on major federal nutrition issues beyond research (e.g., nutrition assistance programs), which could dilute its relative focus on research and innovation. ONDFN may also be too politically high-level to directly address ways to strengthen on-the-ground infrastructural and investment needs within key federal nutrition research departments and agencies.\n\nPath forward\nCongress can authorize the establishment of ONDFN to advise the President on food and nutrition and lead the coordination of multiple federal departments and agencies, policies, budgets, and programs. The mandate should include a clear emphasis on strengthening national nutrition research. Congress would also appropriate funding to establish this Office and then provide annual appropriations directly to the ONDFN. Congress would also indicate the required frequency of reporting (e.g., annual reporting and quadrennial assessments) and indicate the committees of oversight in the House and Senate. The President would then appoint the National Director of Food and 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