Online Program

City of Detroit health department transition to a private non-profit instutitue for population health

Monday, November 4, 2013 : 11:30 a.m. - 11:45 a.m.

Anita Moncrease, MD, MPH, Detroit Department of Health and Wellness Promotion, Wayne State University School of Medicine, Detroit, MI
LaCema Womack, MS, ED SPEC, Continuing Medical Education, Wayne State University School of Medicine, Detoit, MI
Sharon Quincy, RD, MA, Nutrition Services, Independent Contractor, Detroit, MI
Stephanie Harrington, BA, Media Services, Digital Post Communications, Inc., Lincoln Park, MI
Remonia Chapman, Minority Organ Tissue Transplant and Education Program "MOTTEP", Gift of Life Michigan, Ann Arbor, MI
Like many major cities, Detroit has been in the midst of an economic recession. The Detroit Health Department (DHD) was not immune from the hard decisions that needed to be made. In the middle of the second term as the mayor who over saw the transition of the DHD to the Detroit Department of Health and Wellness Promotion (DHWP), he was replaced by the president of the City Council. Months later during a special election, that mayor was replaced by the current mayor. Each mayor appointed at least one director to the local health department. Since 2003 Detroit has had 5 appointed directors (and two interim directors) of the health department. Four were PhD's, three women, and four were born in Detroit. The directors were surveyed on what their goals were, the goals of the leadership that appointed them, the barriers they faced, and how they addressed them. These decisions lead up to the transition of the local health department to the private non-profit Institute for Population Health. The directors discussed maintaining programs and services beyond the public health core functions, managing current resources more effectively, and finding new revenue streams. The budget challenge was a major factor in their decision making. Hard staffing issues had to be addressed along with elimination of programs and services. Personal appearances and video of the directors will be presented. The impact of these changes on the health of the city is still being determined.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Public health administration or related administration

Learning Objectives:
Describe how a major metropolitan health department, the Detroit Department of Health and Wellness Promotion (DHWP) becomes a private non-profit entity, the Institute For Population Health. Compare how the Detroit Health Department and the Institute For Population Health meet the needs of the population they served. Identify the barriers faced by the DHWP leadership in operating the city health department. Describe the role of the local and state government in the Detroit Health Department becoming the Institute For Population Health.

Keyword(s): Cost-Effectiveness, Health Departments

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a MD and MPH thas has been a presenter (special invited session, oral, and posters) at APHA. I served as a Medical Director under all 5 of the Health Department Directors that served prior to, during, and after the transition from the Detroit Health Department to the Detroit Department of Health and Wellness Promotion to the current Institute of Population Health. I interviewed each one on how and why these changes happened.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.