Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 10 - Office of the Director › Chapter 1 - Organization › Section 19 CSR 10-1.010 - General Organization of the Department of Health

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: As required by section
				  536.023,
				  RSMo (1986), this rule describes the organization of the department and where
				  the public may obtain information about the department.
(1) The Department of Health was created and
				established, effective September 28, 1985, by the 83rd General Assembly by
				Senate Bill 25 under the authority of Article IV, Section 12, of the
				Constitution. The department is charged with the responsibility for supervising
				and managing public health functions and programs transferred to the department
				by type I transfer including but not limited to, responsibilities and functions
				set forth in chapters 189, 190, 191, 192, 193, 195, 196, 197, 199 and 201,
				RSMo. The State Cancer Center and Cancer Commission, chapter 200, RSMo were
				transferred to the Department of Health by type III transfer. Such transfers
				are defined in section 1 of the Omnibus State Reorganization Act of 1974,
				Appendix B, RSMo (1986).
(2) The
				department director, appointed by the governor by and with the advice and
				consent of the senate, is the chief executive officer of the department. The
				State Board of Health, appointed by the governor and with the advice and
				consent of the senate, advises the department on the promulgation of rules and
				formulation of the budget. The director appoints the management staff including
				the deputy director, principal assistants, legal counsel and division
				directors. The deputy director, who acts for the director in his/her absence,
				has major delegated responsibility for the management of internal affairs and
				supervision of the division directors. The offices of fiscal management,
				personnel and training, public information and health promotion report to the
				director and deputy director. In addition to the director's office, the
				department is organized into four (4) divisions.
(3) The Division of Environmental Health and
				Epidemiology Services is responsible for environmental epidemiology which
				includes the investigation and prevention of diseases related to the
				environment or workplace; community sanitation which includes food, drug and
				cosmetic protection and general sanitation and radiological health which
				includes surveillance of radiation-producing devices, materials and sources.
				The division administers programs for the prevention and control of
				communicable and sexually-transmitted diseases, tuberculosis, nosocomial
				infections, cancer and zoonoses. The division is responsible for promoting the
				enforcement of the state school immunization law and implementation of other
				immunization programs. The state public health laboratory is assigned to this
				division. It supports public health programs by providing testing services in
				the fields of chemistry, environmental bacteriology, microbiology, serology,
				virology and metabolic diseases.
(4) The Division of Local Health and
				Institutional Services is responsible for the supervision of the department's
				district offices which provide direct public health services through programs
				such as the crippled children's service, communicable disease control and
				environmental health. The division's central and district offices provide
				nursing and other professional program consultation and assistance to city and
				county public health units which deliver the department's health services to
				the public through contractual agreements. This division works closely with the
				other divisions in the implementation of programs at the district and local
				levels. Other statewide responsibilities include promoting primary care
				services, staffing the medical student loan program, physician recruitment and
				placement, rural and urban health initiative programs and technical
				consultation to communities in developing health services. The Missouri
				Re-habilitation Center in Mt. Vernon is assigned to this division. It was
				formerly the State Chest Hospital which cared for patients with lung diseases
				and the facility expanded its services to include long-term care of persons
				needing rehabilitation care when it became the rehabilitation center on
				September 28, 1985. The center provides rehabilitation services for
				respiratory, cardiac, head injury, stroke, spinal cord injury and other
				long-term physical impairments.
(5)
				The Division of Health Resources includes the State Center for Health
				Statistics which is responsible for the collection and analysis of
				health-related information to promote a better understanding of health problems
				and needs in Missouri, as well as spotlighting improvements and progress
				achieved in the general health status of Missourians. Data generated by the
				center aid in the planning, development and evaluation of programs and services
				of the Department of Health as well as health-related activities of other
				agencies and institutions. The center is also responsible for the registration
				of all births and deaths in Missouri, issuing copies of birth and death
				certificates and maintaining records of marriages and marriage dissolutions.
				The division administers statewide programs of licensing and certification of
				hospitals, home health agencies, independent laboratories and other health care
				facilities; implements the Missouri Ambulance Licensure Law (chapter 190,
				RSMo), including inspection and licensure of ambulances and testing and
				licensure of all ambulance attendants in the state; and administers programs
				for the registration and surveillance of firms and individuals who manufacture,
				distribute, prescribe, dispense or handle controlled substances. The division
				also includes the State Health Planning and Development Agency (SHPDA) which
				administers the Certificate of Need program and works with the Missouri Health
				Coordinating Council in developing the state health plan.
(6) The Division of Personal Health Services
				is responsible for administering maternal and child health services including
				prenatal care; family planning; high-risk infant follow-up; prevention of
				mental retardation; child health conferences; early periodic screening,
				diagnosis and treatment (EPSDT); Special Supplemental Foods for Women, Infants
				and Children (WIC); and Missouri Crippled Children's Service. The division is
				also responsible for dental health programs including promotion of fluoridation
				of public water supplies, provision of dental treatment to selected groups such
				as handicapped children, and dissemination of dental health information. The
				division administers programs for the prevention and control of chronic
				diseases including diabetes, hypertension, hemophilia, sickle cell anemia,
				genetic diseases, cystic fibrosis and arthritis.
(7) The State Cancer Commission is appointed
				by the governor with the advice and consent of the senate. The director of the
				Department of Health serves on the commission as an ex officio member. The
				State Cancer Commission serves as the board of directors of the State Cancer
				Center and appoints the director for the center, who is responsible for its
				operation.
(8) The public may
				obtain information or make submissions or requests to the director of the
				Department of Health, P.O. Box 570, Jefferson City, MO 65102, (314)
				751-4330.
*Original authority: 192.005, RSMo 1985 and 536.023, RSMo
					 1975, amended 1976.