title: Succession planning for local health department top executives: reducing risk to communities.
abstract: This study assessed the degree to which local health departments (LHDs) are preparing to replace retiring top executives. Questionnaires were sent to all 134 local health departments in Ohio. It is typical of many states in terms of the organization of LHDs. Ninety-two LHD top executives responded. The questionnaire addressed aspects of departmental succession planning and demographic parameters of their departments. Approximately half (51.7%) of responding LHD top executives rated having succession plans as being important. Overall, local boards of health are not very concerned about actually having a succession plan. One in four (27.6%) local health departments reported that they have succession plans. Half of those were grooming a successor. Succession planning is not a high priority among the majority of LHDs, despite the fact that 43.7% of top executives reported planning to leave their current position within six years. Experienced and continuous LHD leadership is important for strong responses to public health crises like major disease outbreaks and natural disasters. Having a succession plan in place that identifies how leadership voids are filled can help minimize risks to populations in an emergency.
authors.affiliation: Bowling Green State University, 231 Health Center, Bowling Green, Ohio 43403, USA. hschmal@bgsu.edu
authors.forename: Hans
authors.initials: H
authors.lastname: Schmalzried
authors.forename: L Fleming
authors.initials: LF
authors.lastname: Fallon
mesh_terms: D000288:Administrative Personnel / Q000600:supply & distribution*; D001291:Attitude of Health Personnel; D004190:Disasters; D004196:Disease Outbreaks / Q000517:prevention & control; D006801:Humans; D007857:Leadership; D009111:Local Government; D020380:Needs Assessment; D009820:Ohio; D015279:Organizational Culture; D016134:Organizational Policy; D010561:Personnel Staffing and Scheduling; D010563:Personnel Turnover; D011635:Public Health Administration; D012179:Retirement / Q000706:statistics & numerical data*; D018570:Risk Assessment; D013192:Staff Development / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D000078329:Workforce