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Former AIDS
Chief Tells All
Kleier Takes Health Department to Task
by Euan Bear
Chicago – Kurt Kleier
wants to set the record straight, so to speak.
For the record, Kurt Kleier was "asked to step down" at the
end of an extended probationary period. He was not fired. "My probationary
period was six months, but that was extended for two months by the department,"
Kleier said in a phone interview right at press deadline from his home
in Chicago. When he left at the end of April, 2005, "Bill Apao
and I sat down and agreed it just wasn't working for either of us."
Apao was Kleier's supervisor.
In the interview, Kleier criticized Apao for a lack of vision, lack
of involvement, and lack of interest in the AIDS unit. At a later point
in the interview, however, he said he had frequent two-hour meetings
with Apao.
Kleier also charged that his
departure was the result of an orchestrated campaign by his own staff,
who, he said, disagreed with some of his "strong policy stands,"
although their official case for opposing him was that they didn't like
his "management style."
He said that when he arrived
he was told directly that he had three tasks: "One, keep it off
the commissioner's desk. Two, keep it off the deputy commissioner's
desk. Three, keep it out of the newspapers."
Therefore, Kleier said, when
the prevention grant-funding process de-funded ACoRN, both the staff
and his superiors were unhappy when legislators were drawn in and department
deputy commissioner Sharon Moffett was involved in crafting a compromise
to provide some funding to Mock's agency. "The staff didn't like
this kind of backpedaling," Kleier said.
He also said that the
staff was opposed to his support of "names-reporting" for
people diagnosed with HIV. "What that does is allow us to do some
excellent partner services work," Kleier maintained. "We interview
the affected person and offer to contact the partners. We can then notify
people who've been exposed. There are some 'tricks of the trade' we
can use so that we don't reveal the sources. This has been tried and
tested" in other states, notably Missouri, where Kleier had previously
worked.
"The CDC [Centers for
Disease Control] is pushing states toward names reporting for HIV, but
they can't legislatively mandate it," Kleier opined. "But
they will slowly but surely tie funding to names reporting.
"It's a good thing for
Vermont to begin discussions, through community forums, discussion groups,
whatever is the current vehicle," Kleier said, but that policy
change was blocked by an "incorrigible, intractable" staff.
Moreover, he alleged, "staff
were making funding decisions for organizations they were supporting.
You could see their pictures on the websites. That's a problem in professional
boundaries," Kleier said. "That's why you didn't see me out
in the community when I was there."
Officials at the Vermont Department
of Health declined comment on any of Kleier's charges. "Kurt Kleier
was employed from August 23, 2004 to April 29, 2005. All personnel matters
are confidential," said Robert Stierwalt of the department's Public
Information Office. "No formal complaints have been brought to
the attention of the VDH."
The other issue, Kleier said,
was that any new director "lives in the shadow of Rod Copeland,"
his immediate predecessor. He charged that while Copeland did fully
staff the program, he did not provide professional development training
for that staff. He said Copeland had "made side-deals with Vermont
CARES" that allowed the agency to use department funding for administrative
costs.
Peter Jacobsen, current director
of Vermont CARES, said, "There are no special deals. We go through
the application process for grants the same as anyone does. We negotiate
through the grants process and we and the Depart-ment of Health agree
on a final grant."
Former CARES director Kendall Farrell
declined comment when reached at home.
Rod Copeland did not return phone
calls and messages left at his home and work phone numbers.
AIDS nonprofits "have
airs that 'because we do good work we deserve the money,'" Kleier
said. But these organizations, which he did not name, need to "demonstrate
transparency, accountability, and outcomes. We know they're doing good
work."
"There is such a disconnect
between the Health Department and the community," Klier said. "Some
staff just don't have a good relationship with the community. It's really
a reflection on the governor's office – there's no support there
for increased AIDS funding. It was very difficult to move forward."
Despite his short tenure and current
criticisms, Kleier said he did accomplish a few things. Perhaps the
most visible was moving the long-stalled outreach needle exchange program
through to the commissioner, who approved it.
He worked with others to revamp
the state’s AIDS profile, a statistical picture of the disease
and where it might be going. And, although he admits that others will
disagree, he views it as an accomplishment that he began to establish
“a climate of discipline and accountability” in the staff
and for AIDS community nonprofits, a task he characterized as “like
turning [an ocean liner] 180 degrees in 15 minutes.”
Kleir concluded, “I
have the best wishes for the department and want it to succeed. It’s
good for the community and the people with this disease to have an effective
department. People in the Vermont [AIDS] community have a lot to share...
"It's complicated. There
was a whole lot of politicking and fine-lining" he was called upon
to do without much guidance on such matters, he said. "And they
wanted me to do this for $43,000 a year. There needs to be a significant
overhaul in the department or there will just be another director who
will be there nine months. The commissioner is going to have to take
an interest."
According to CARES
Director Jacobsen, the Vermont Department of Health has had 10 AIDS
unit directors in 10 years.
"The state Department
of Health should be leaders, and it has not taken a leadership role
on this disease," Kleier concluded.
Kurt Kleier is currently living in Chicago with a new partner and enjoying
"a stress-free life" before taking on a new professional challenge.
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