DEPARTMENT OF COMMUNITY HEALTH

                 OFFICE OF PUBLIC HEALTH ADMINISTRATOR

                        LOCAL HEALTH PERSONNEL


(By authority conferred on the director of public health by  section  2495
of Public Act No. 368 of the  Public  Acts  of  1978,  as  amended,  being
S333.2495 of the Michigan Compiled Laws)


R  325.13001   Definitions.
  Rule 1. As used in these rules:
  (a) "Health officer" means the administrative officer of a city, county,
district, or associated health department who is appointed  by  the  local
governing entity or, in the case of a district health department,  by  the
district board  of  health  and  who  is  responsible  for  the  planning,
implementation, and evaluation of a  public  health  program  designed  to
prevent disease and disability and to promote  health.  A  health  officer
shall be a medical health officer or administrative health officer. If the
health officer is not a  physician,  a  medical  director  shall  also  be
employed who is responsible to the health officer for  medical  decisions.
  (b) "Medical director" means a physician  who  qualifies  as  a  medical
health officer but who is employed by a local governing entity or, in  the
case of a district health department, by the district board of  health  to
provide direction in the formulation of medical public health  policy  and
program operation. A medical director shall be responsible for  developing
and carrying out medical policies, procedures, and standing orders and for
advising the administrative health officer on matters related  to  medical
specialty judgments. A medical director shall devote his or her full  time
to the needs of the local health department, except that if the department
serves a population of not more than 150,000 and cannot  obtain  full-time
medical direction, the time may be reduced to not less than 16  hours  per
week.
  (c) "Public health administrator" means a person who is responsible  for
developing and implementing good administrative practices and policies for
a local health department and its programs.
  (d)  "Public  health  physician  advisor"  means  a  physician  who   is
responsible for providing public health medical consultation and advice to
persons serving under provisional or acting appointments as medical health
officers, administrative health officers, or medical directors.

  History:  1980 AACS.


R  325.13002   Medical health officer; qualifications.
  Rule 2. A medical health  officer  shall  be  a  physician  licensed  in
Michigan as an  M.D. or  D.O.   who  complies  with  1  of  the  following
requirements:
  (a) Is board certified in preventive medicine or public health.
  (b) Has an M.P.H. or M.S.P.H. degree  and  not  less  than  2  years  of
full-time public health practice.
  (c) Has not less than 3 years of full-time public health practice and 24
graduate credits acceptable toward a public health degree.

  History:  1980 AACS.


R  325.13003   Administrative health officer; qualifications.
  Rule 3. An administrative health officer shall  comply  with  1  of  the
following requirements:
  (a) Have an M.P.H. or M.S.P.H. degree and 3 years  of  full-time  public
health administrative experience.
  (b) Have a related graduate degree  and  5  years  of  full-time  public
health administrative experience.
  (c) Have a bachelor's degree and 8  years  of  full-time  public  health
experience, 5 years of which shall have been in the  administration  of  a
broad range of public health programs.

  History:  1980 AACS.


R  325.13004   Medical director; qualifications.
  Rule 4. A medical director shall  have  the  same  qualifications  as  a
medical health officer.

  History:  1980 AACS.


R  325.13005   Public health administrator; qualifications.
  Rule 5. A public health administrator shall comply with  either  of  the
following requirements:
  (a) Have an M.P.H. or M.S.P.H. degree, or  equivalent  graduate  degree,
and 3 years of full-time administrative experience.
  (b) Have a bachelor's degree and 5  years  of  full-time  public  health
administrative experience.

  History:  1980 AACS.


R  325.13006   Public health physician advisor; qualifications.
  Rule 6. A public health physician advisor shall be a physician  licensed
in Michigan as an M.D. or D.O. who complies with either of  the  following
requirements:
  (a) Is board certifed in preventative medicine or public health.
  (b) Has an M.P.H. or  M.S.P.H. degree  and  3  years  of  public  health
experience.

  History:  1980 AACS.


R  325.13007   Provisional   appointments;   medical   health    officers;
administrative health officers; medical directors.
  Rule 7. (1) A provisional  appointment  of  a  medical  health  officer,
medical director, or administrative health  officer  may  be  made  for  a
period of not more than 3 years, if an  arrangement  satisfactory  to  the
state health director is made  for  the  fulfillment  of  the  appropriate
qualifications specified in  these  rules,  and  if  during  such  time  a
qualified public health physician advisor is appointed.
  (2) A provisional medical health officer or medical director shall be  a
physician licensed in Michigan as an M.D. or D.O., but with less than  the
necessary qualifications for permanent appointment as specified  in  these
rules.
  (3) A provisional administrative health officer shall  have  an  M.P.H.,
M.S.P.H., or equivalent graduate degree,  or  a  bachelor's  degree  in  a
health-related  field  and  not  less  than  3  years  of  public   health
experience.

  History:  1980 AACS.


R  325.13008   Acting health officers; medical directors; appointments.
  Rule 8. (1) If a health officer position is vacant, the local  governing
entity or in the case of a district health department the  district  board
of health shall appoint an acting health officer. If  a  medical  director
position is vacant, the health officer shall  appoint  an  acting  medical
director. Such appointments shall be for 6 months, subject to the approval
of the state health director,  and  may  be  renewed  upon  his  approval.
Approval shall be based on the  performance  of  the  individual  and  the
efforts being made to hire a qualified, permanent, full-time person.
  (2) If the person appointed to the position of acting health officer  or
acting medical director  does  not  meet  the  appropriate  qualifications
specified in these rules, an arrangement shall be  made  for  consultation
and advice. This may be provided without charge by the state department of
public health or, subject  to  approval  of  the  state  health  director,
through  local  arrangement  by   a   person   meeting   the   appropriate
qualifications.

  History:  1980 AACS.


R  325.13009   Rescission.
  Rule 9. R 327.47 of the Michigan Administrative Code, appearing on pages
7918 and 7919 of the 1979 Annual Supplement to the Code, is rescinded.

  History:  1980 AACS.