ADOPTED - APRIL 27, 2004
Agenda Item No. 17
Introduced by the Human Services, County Services and Finance Committees of the:
INGHAM COUNTY BOARD OF COMMISSIONERS
RESOLUTION TO AMEND THE PLAN OF ORGANIZATION AND AUTHORIZE A REORGANIZATION IN THE HEALTH DEPARTMENT
RESOLUTION #04-132
WHEREAS, the Board of Commissioners establishes the Plan of Organization for the Health Department; and
WHEREAS, Bruce P. Miller has recently retired as Deputy Director-Health Services; and
WHEREAS, the Health Officer has reviewed the structure of the Department and has proposed a number of changes in reporting relationships and job functions; and
WHEREAS, the proposed new jobs have been evaluated by the Human Resources Department, which has made the recommendations that are contained in this resolution; and
WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the proposed reorganization and the resulting changes in job titles and classifications.
THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby amends the Ingham County Health Department Plan of Organization, effective May 1, 2004, as attached.
BE IT FURTHER RESOLVED, the Board of Commissioners authorizes the following changes in job titles and classification/salary grades, effective May 1, 2004:
Position/Employee Current Grade Proposed Grade Title
HLHCAN001/Peterson MCF13 MCF14 (+1) No Change
HLHADM003/Miller MCF16 MCF14 (-2) Community Health Services / Primary Care Director
HLHADM018/Dalton* PRO10 MCF11 Administrative Information
*Red-lined as Systems Analyst Unit Coordinator
HLHCAN011/Welter(1) PRO08 PRO09 (+1) Membership Services Coordinator
HLHCAN007/Jennings PRO08 PRO09 (+1) Prevention Programs Coordinator.
HLHADM032/Wilson PRO05 PRO06 (+1) Provider Relations Coordinator
HLHADM030/Krul PRO05 PRO06 (+1) Claims Management Coordinator
HLHADM022/Jenkins PRO05 No Change No Change
HLHADM026/Diepenhorst NURS4 No Change No Change
HLHCAN006/Gallt UAW/E UAW/F (+1) Membership Data Coordinator
(1) This position is still under review by the Human Resources Department. A recommendation will be made at the County Service Committee meeting.
ADOPTED - APRIL 27, 2004
Agenda Item No. 17
RESOLUTION #04-132
HUMAN SERVICES: Yeas: Hertel, Dedden Weatherwax-Grant, Schor
Nays: None Absent: Nevin, Severino Approved 4/19/04
COUNTY SERVICES: Yeas: Swope, Thomas, De Leon, Hertel, Severino
Nays: None Absent: Nevin Approved 4/20/04
FINANCE: Yeas: Lynch, Grebner, Dedden, Thomas, Minter
Nays: None Absent: De Leon Approved 4/21/04
PLAN OF ORGANIZATION
INGHAM COUNTY HEALTH DEPARTMENT
05/01/04
The Ingham County Health Department exists as a unit of Ingham County government. The Department is one of many departments/offices/units which operate under the direction of the Ingham County Board of Commissioners. There are sixteen Ingham County Commissioners who are elected for two year terms. The Board of Commissioners appoints the Health Officer to serve as the Director of the Health Department and establishes through its annual budget process the personnel and other resources available to the Health Department to carry out it statutory mission and any other duties assigned by the Board of Commissioners.
The Board of Commissioners has established a number of administrative policies/procedures and rules for the operation of all county departments. These include the operation of the personnel functions and the financial management functions (budgeting, general ledger, purchasing, etc.). These functions are overseen by the County Controller, who is appointed by the Board of Commissioners as the County's chief administrative officer. The Health Department is bound by these policies/procedures and rules and utilizes the resources of the Controller's Office to implement all such functions ( that is, Human Resources Department, Financial Services Department, Purchasing Department, Budget Office and MIS Department, etc.).
Through its administrative processes, the Board of Commissioners negotiates agreements with several collective bargaining units and establishes a compensation plan for managers and confidential employees. Through these mechanisms, the job titles, classifications, wages and other terms of employment are established for all positions in the Health Department. The Board of Commissioners charges the Controller, and through him, the Human Resources Director with the responsibility of implementing the collective bargaining agreements and the managerial compensation plan. The Health Officer utilizes these documents to employ and direct the staff of the Health Department.
The Board of Commissioners appoints the Ingham County Board of Health. The Board of Health serves as an advisory body, assisting the Health Department staff and the Board of Commissioners.
The Board of Commissioners appoints the Ingham Community Health Center Board. The Community Health Center Board oversees the operation of the network of community health centers operated by the Health Department.
Board of Commissioners/Board of Health/Community Health Center Board/
Administrative Staff - 2004
Ingham County Board of Commissioners
Victor Celentino, Chairperson
Debbie De Leon, Vice-Chairperson
Randy Schafer, Vice-Chairperson Pro Tem
Victor Celentino District No. 1 Curtis Hertel, Jr. District No. 9
Debbie De Leon District No. 2 Mark Grebner District No. 10
Tina Weatherwax-Grant District No. 3 Dianne Holman District No. 11
Chris Swope District No. 4 Tom Minter District No. 12
Andy Schor District No. 5 Randy Schafer District No. 13
Calvin Lynch District No. 6 John Nevin District No. 14
Lisa Dedden District No. 7 Michael Severino District No. 15
Marc Thomas District No. 8 Mary Stid District No. 16
Human Services Committee (Board of Commissioners)
Curtis Hertel, Jr., ChairpersonLisa Dedden, Tina Weatherwax-Grant, Andy Schor, Michael Severino, John Nevin
George Rowan, ChairpersonMartha Adams, Judy Bukovac, Frank DeRose, Patricia Hepp, Helen Freeman, Guillermo Lopez, Mark Kieselbach, Saturnino Rodriguez, Gordon Spink, M.D., Beth Spyke
Health Department Administrative Staff
Dean Sienko, M.D., M.S., Medical Director
Vacant, Director of Community Health Services
Laura Peterson, Director of Health Plan Management Services
Robert Glandon, Ph.D., Director of Planning and Special Services
F. Robert Godbold, R.S., M.P.A., Director of Environmental Health
John Jacobs, C.P.A., Chief Financial Officer
Judy Williams, B.S.N., M.P.A., Director of Disease Control
Margaret Beall, Debbie Brinson, Andrea Collier, Patricia Farrel, Mahbuba Fidda, Angie Garza, Curtis Hertel, Jr., Lonnie Johnson, Anne Smiley, Robin Turner
Health Department Mandate
The Constitution of the State of Michigan includes the following declaration:
"The public health and general welfare of the people of the State are hereby declared to be matters of primary public concern. The Legislature shall pass suitable laws for the protection and promotion of public health."
In 1978, the Public Health Code was passed by the Legislature and signed by the Governor. The "Code" establishes a State/Local system to carry out the responsibility to protect and promote public health.
The Code establishes the Michigan Department of Public Health with the responsibility to:
". . .continually and diligently endeavor to prevent disease, prolong life, and promote the public health through organized programs, including prevention and control of environmental health hazards; prevention and control of diseases; prevention and control of health problems of particularly vulnerable population groups; development of health care facilities and health services delivery systems; and regulation of health care facilities and health services delivery systems to the extent provided by law."
The Michigan Department of Public Health is charged in the Public Health Code to:
". . .promote an adequate and appropriate system of local health services throughout the state."
The Public Health Code requires every county to provide for a local health department. County Boards of Commissioners are required to organize county or district health departments.
The Public Health Code charges the local health departments with the same basic responsibilities as are given to the State:
"A local health department shall continually and diligently endeavor to prevent disease, prolong life and promote the public health through organized programs, including prevention and control of environmental health hazards, prevention and control of disease; prevention and control of health problems of particularly vulnerable population groups; development of health care facilities and health services delivery systems; and regulation of health care facilities and health care delivery systems to the extent provided by law."
The Ingham County Board of Commissioners has responded to this mandate by establishing the Ingham County Health Department as a Department of Ingham County Government. Each year, through the County budget process and through contracts established with the State, the Board of Commissioners determines which programs and services will be established and maintained to respond to the legal requirements to promote and protect the public health of the citizens of Ingham County.
Table of Organization
Organizational Structure
The Health Department (as shown in the Table of Organization) is organized into four service bureaus and the Disease Control Office. These direct service units are supported by the Director's Office and the Financial Services Unit.
Bruce Bragg, M.P.H. has served as Health Officer and Health Department Director since January 1977. He was appointed by the Board of Commissioners and serves at its pleasure. Dean G. Sienko, M.D., M.S. serves as the Health Department Medical Director and is separately appointed by the Board of Commissioners to serve as the Chief Medical Examiner. Dennis Jurczak, M.D., M.P.H. serves as the Deputy Medical Director and Deputy Chief Medical Examiner; Dr. Jurczak is a part-time contractual employee. Sugandha Lowhim, M.D., M.P.H. serves as a Deputy Medical Director; Dr Lowhim is a full-time County employee and serves half-time as a Internal Medicine Physician in the health centers. Geoffrey Linz, M.D. also serves as a Deputy Medical Director. Dr. Linz serves as the Chief of Staff for Ingham Regional Medical Center and supports Ingham County through a contract. Jennifer Dalton, M.S. is the Administrative Information Unit Coordinator.
The position of Director of the Bureau of Community Health Services/Primary Care Director is vacant. The Bureau Community Health Services is the largest of the Health Department units, with an annual budget of about $15 million and approximately 150 employees. The Bureau operates a network of community health centers serving low-income persons who are Medicaid eligible, uninsured or enrolled in the Ingham Health Plan, the Medical Access Plan or another health benefit program coordinated by the Department. The Bureau is the home of a public health nursing unit and a number of public health categorical programs, such as Family Planning, Breast and Cervical Cancer Control Program, Hearing and Vision Screening, etc. The Bureau Director is jointly appointed by the Health Officer and the Community Health Center Board and is responsible for providing staff support to the Community Health Center Board. This unit reports to the Health Officer.
The Bureau of Health Plan Management is directed by Laura Peterson, Ph.D. It operates services to provide outreach to the low-income, at-risk community and to work with this community to find health insurance or health benefit programs to provide coverage. The Bureau serves as staff to the Ingham Health Plan Corporation, the Kent Health Plan Corporation, the Kalamazoo Health Plan Corporation, the Jackson Health Plan Corporation, the Upper Peninsula Medical Access Program, the Barry-Eaton Health Plan Corporation, and serves the Mid-Michigan Health Plan through its participation with the Ingham Health Plan. Overall the Bureau provides the administrative services for health plans that have enrolled more than 28,000 previously uninsured persons into health coverage plans that provide primary care, speciality care physician services, a pharmacy benefit, laboratory services and radiology services. The Bureau also operates the pharmacy programs for Ingham, Eaton, Clinton, Livingston, and Jackson Counties, providing a discounted price for prescription drugs to uninsured persons and those whose health insurance does not provide pharmacy coverage. This unit reports to the Health Officer.
The Bureau of Planning and Special Services is directed by Bob Glandon, Ph.D. This Bureau operates the Community Health Assessment and the Health Promotion units which provide support to all of the programs and services of the Department, and to the categorical programs of Office for Young Children, Food Bank and W.I.C. Much of the effort of this Bureau is directed at engaging the community in learning experiences about the status of health and the causes of disease and disability with an outcome of community planning to improve health status. This Bureau represents the Department's effort to extend beyond direct services and to engage the entire community in learning, strategy development and actions to improve the quality of life. This unit reports to the Health Officer.
The Bureau of Environmental Health directs the Department 's programs to prevent and control environmental hazards. The Bureau is managed by Bob Godbold, M.P.A. The Bureau operates three program area: Planned Programs (which includes the food service sanitation program), Demand Program (including the water supply services and on-site sewage programs) and the Special Projects unit which includes the planning for solid waste management, environmental toxicology, lead and radon services. This unit reports directly to the Medical Director.
The Disease Control Office is managed by Judy Williams, BSN, M.P.H.. Ms. Williams reports directly to Dean Sienko, M.D., Medical Director. The Office includes a Communicable Disease Unit and the Immunization Program, which is composed of the Immunization Clinic and also efforts to coordinate community resources and provide outreach to assure high levels of immunization for vaccine preventable diseases. This unit reports directly to the Medical Director.
The Public Health Preparedness Unit was created to provide leadership within the Department and coordination with emergency management and medical care preparedness in the community. Sue McIntosh, M.S., R.S. is the Emergency Preparedness Coordinator. This unit reports directly to the Medical Director.
The Financial Services Unit is managed by John Jacobs, C.P.A. This unit is responsible for operating the financial aspects of the Health Department within the guidance of the County policies/procedures and rules and consistent with contractual grant requirements. The Unit provides Department managers with financial reports necessary to efficiently operate the Department. The Unit also coordinates the internal telephone and computer system support, maintaining liaison with the County MIS Department. This unit reports to the Health Officer.