; and (B) specializes in implementing large-scale organizational and cultural transformations, especially with respect to health care delivery systems. (2) Secretary The term Secretary means the Secretary of Health and Human Services. (3) Service The term Service means the Indian Health Service. (b) Assessment Not later than 180 days after the date of enactment of this Act, the Secretary shall enter into one or more contracts with a reputable private entity to conduct an independent assessment of the health care delivery systems and financial management processes of the Service. The Secretary shall not be required to provide a full and open competition in entering into such contracts. Such independent assessment shall be made only of Service-operated facilities. (c) Program integrator (1) In general If the Secretary enters into contracts under this section with more than 1 reputable private sector entity, the Secretary shall designate one such entity that is predominantly a health care organization as the program integrator. (2) Responsibilities The program integrator designated under paragraph (1) shall be responsible for coordinating the outcomes of the assessments conducted by the reputable private entities under this section. (d) Coordination with GAO and OIG As part of planning or designing the assessment described in subsection (b), the Secretary (or the program integrator designated under subsection (c)(1) acting on behalf of the Secretary) shall consult with the Comptroller General of the United States and the Inspector General of the Department of Health and Human Services to minimize duplications in the areas of study required under subsection (e) and to incorporate the Government Accountability Office's and Office of Inspector General’s prior, publicly released, and relevant report findings dated January 1, 2013, or later, as appropriate. (e) Areas of study Each assessment conducted under subsection (b) shall address each of the following: (1) Current and projected demographics and unique health care