Deputy Health Officer/Medical Director
DEFINITION: Under administrative direction, manages and leads the
medical functions of either the Primary Care and Family Health or
Community Health Division of the Public Health Department; provides
medical oversight, enforces health statutes and rules; provides
supervision of physicians and allied health professionals and acts
as a liaison to local medical community; may provide direct patient
care; and performs related duties as required.
DISTINGUISHING CHARACTERISTICS: This class is distinguished by its
responsibility for managing and directing the day-to-day medical
functions of either the Primary Care and Family Health Division or
the Community Health Division. It is distinguished from the Public
Health Deputy Directors by their responsibility for the
administrative and operational management of these divisions.
EXAMPLES OF DUTIES:
1. Develops divisional medical policies and procedures; determines
medical goals and scope of practice for the division and community;
approves protocols and standardized procedures; assists either the
Primary Care and Family Health or Community Health Deputy Director
in setting and implementing division priorities and ensuring that
division goals integrate with the department as a whole.
2. In conjunction with other managers, develops and administers
division budget; participates in program fiscal and performance
3. Represents the PHD to a variety of organizations, councils,
boards and the public; addresses sensitive public health or health
delivery system issues and communicates county policies.
4. Using a variety of methods, evaluates and improves the quality of
health care provided by the County; formulates long-range quality
improvement and provider practice goals, objectives, and policies.
5. Serves as a medical expert for public health education programs;
conducts training for staff and providers related to communicable
diseases, food-borne outbreaks, or various program-related rules and
6. Maintains a current knowledge of technology, issues, laws, and
regulations related to Public Health Department activities;
recommends and implements policies and procedures.
7. Acts as the Health Officer/Medical Director in his/her absence.
DEPUTY HEALTH OFFICER:
1. Enforces rules, orders, and statutes related to public health,
environmental health, animal health, and emergency medical services
programs; educates and advises community providers on standards of
practice and communicable disease reporting requirements.
2. Serves as Tuberculosis Controller and Communicable Disease
Officer and is the point of contact with the State for updates and
mandates regarding communicable diseases; provides supervision and
consultation to Public Health staff on emergency response and
enforcement issues; provides oversight for staff TB safety at all
3. Establishes policies and procedures for community disease
control; in conjunction with other staff, directs investigations
into food-borne outbreaks; supervises the preparation of
epidemiological reports; provides consultation to the community on
issues related to communicable disease control and prevention.
4. Formulates and establishes community preventive health
recommendations and advisories for at-risk communities throughout
the County; monitors adherence to public health practice guidelines
for both public and private providers.
5. Supervises and evaluates HIV testing programs; provides technical
consultation to departmental and community programs.
6. Provides public health leadership and professional oversight and
consultation for all Community Health Division Programs.
DEPUTY MEDICAL DIRECTOR:
1. Directly or through supervisory physicians is responsible for the
selection, orientation and evaluation of employee or contracted
physicians and midlevel providers; coordinates the work of
specialists and consultant physicians; establishes and communicates
practice, productivity and performance standards; counsels providers
and takes disciplinary action for poor performance; assigns
supervising physicians for all midlevel providers and insures
oversight in accordance with applicable laws; identifys and develops
a training program for providers.
2. Develops, implements and monitors "best practices" for clinical
staff; sets standards for outside referrals and utilization
management; develops and oversees an outcome-based Quality
Improvement structure that incorporates medical executive oversight
for medical quality, ancillary services, risk management, pharmacy
and therapeutics and infection control.
3. Ensures that providers are in good standing with local hospitals;
oversees the development of hospital call schedules to insure 24/7
coverage; acts as liaison with the private medical community to
insure access to hospital specialty care.
4. Responds to grievances regarding County providers and reviews
incident reports for possible malpractice liability; performs
medical review of all pending or potential litigation claims and
drafts reports for Risk Management and County Counsel; takes action
to reduce organizational exposure to malpractice lawsuits.
5. Facilitates open communication between clinical and management
teams; assists with conflict resolution involving providers; ensures
open communication with and among providers in multiple settings.
6. Analyzes data to make recommendations for practice changes,
expanded services, and equipment purchases; ensures provider
compliance with regulatory requirements and third party payer
7. Serves as Medical Director for the Health Care for the Homeless
Grant; responsible for oversight of medical care in the jail and
juvenile detention facilities.
EMPLOYMENT STANDARDS: Board certification and possession of a valid
license as a physician and surgeon issued by the State of
1. three years of practical medical experience, preferably in a
public health or indigent care setting.
Additional Qualifications: Candidates assigned to the Community
Health Division must have a background in epidemiology and
communicable diseases. Independent travel throughout the county will
be required. Possession of a valid California Class C Driver's
Thorough knowledge of: the principles and practices of modern
medicine and public health
Knowledge of: community resources in medical treatment; California
Medical Association, and American Medical Association ethics and
standards; medical/legal and regulatory requirements and laws;
principles of personnel management; the principles of organizational
management and planning.
Ability to: plan, organize, and provide leadership in the
development of public health and clinical programs; develop and
direct the implementation of improvements that enhance the
efficiency and effectiveness of programs and delivery systems;
develop and monitor budgets; apply principles and techniques of
modern medicine to public health issues; analyze and evaluate data
in order to manage resources; learn and apply principles and
practices of health administration; provide clinical direction and
training to physicians and allied health professionals; establish
consistent standards and evaluate performance; analyze provider
practice; work effectively within a team concept; establish and
maintain effective working relationships with internal providers,
the private medical community and hospitals; communicate
effectively, develop partnerships and facilitate teamwork; analyze
emergency situations and take prompt and appropriate action;
represent department with tact and diplomacy; maintain
confidentiality; respect and protect patients' rights.
Deputy Medical Director: Board certification in Internal Medicine or
Family Practice and administrative experience in a large,
multi-specialty practice setting.
Deputy Health Officer: Possession of a Master's Degree in Public