San Francisco Examiner - January 29, 2007
Michael Neibauer,mneibauer@dcexaminer.com
The impending restructuring of the department, announced last week by Health Director Gregg Pane, will reduce the number of health administrations from 11 to seven and eliminate four senior deputies and several chiefs of staff. But the changes are not geared toward cost savings or abolishing positions, Pane said Friday, but rather better management and results.
"We can't operate in 11 rockets all approaching things independently," Pane said. "This way we're forced to try to respond as more of a department."
The District's health statistics remain abysmal, observers say, despite improvements on the administrative and fiscal sides of DOH over the course of Pane's 2.5-year tenure. The city's disease rates are among the worst in the nation. Whatever the ailment, Pane said, "We need to move some numbers."
As part of the restructuring, offices with separate but related responsibilities will be merged - primary care, prevention, maternal and school health programs will be the charge of the Maternal and Primary Care Administration, for example. All facility and health provider regulation functions will be incorporated into the Health Regulation and Licensing Administration.
D.C. Council Member David Catania, chairman of the health committee, said Pane is leading a "sea change" at DOH.
"On its face it makes a lot of sense," Catania said. "It integrates a lot of functions that heretofore were working independently of each other."
Also under the reorganization, all grants and contracts will be handled by a new Grants Management and Procurement office, allowing a troubled agency such as the HIV/Aids Administration to focus on its primary goal of reducing the prevalence of the disease.
"It's our view that Dr. Pane has been a good administrator, and we're optimistic that this structure will result in even greater efficiency," said Kim Mills, spokeswoman for the Whitman-Walker Clinic, which has had problems getting reimbursed for services and paid for contracts.
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