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Home My WebLink AboutMINUTES - 08201985 - 1.56 11 TO: BOARD OF SUPERVISOR Contra FROM: Mark Finucane, Costa Health Services Director DATE: August 15, 1985 County SUBJECT: Beilenson Hearing Notice SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATION 1. Approve Notice of Public Hearing "Proposed Reductions Fiscal Year 1985- 198611 . 2. Authorize Health Services Director to post the hearing notices in accordance with Health and Safety Code Section 1442.5. 3. Set September 24, 1985 at 2:30 p.m. as the time for the hearing. FISCAL IMPACT The purpose of this action is to set and publicize a notice of proposed reductions to the Health Services Department budget. Cost of this action is negligible. BACKGROUND State Health and Safety Code Section 1442.5 requires that a public hearing be held for proposed elimination and/or reductions in the level of health services provided in the County and/or the closing of County health facilities. This section further requires posting of a public notice of said hearings for 30 days prior to the hearing date. CONSEQUENCES OF NEGATIVE ACTION The County would be out of compliance with this law if this action to post the notice and hold the hearing were not approved. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON uguS't 20, 1985 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS X UNANIMOUS (ABSENT III ) 1 HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: ATTESTED u�<�t 7� "No /98s- County Administrator — - -- PHIL BATCHELOR, CLERK OF THE BOARD OF Health Services Director L_ SUPERVISORS AND COUNTY ADMINISTRATOR M382/7-65 BY �� -eT DEPUTY NOTICE OF PUBLIC HEARING The Board of Supervisors of the County of Contra Costa will conduct a PUBLIC HEARING pursuant to the Health & Safety Code Section 1442.5 on pro- posed elimination and/or reduction in the level of health services provided in the County, and/or the closing of County health facilities. The hearing will be held at the following time and place: Board of Supervisors Chambers Room 107, Administration Building 651 Pine Street Martinez, California 94553 September 24, 1985 - 2:30 p.m. At the hearing, the Contra Costa County Board of Supervisors will consider the impact on the health care needs of the County' s indigents by implemen- tation of the proposed changes contained in the attached summary. More detailed information on those proposed changes is available for review at the office of Health Services Director, Mark Finucane, 20 Allen Street, Martinez, California 94553 during regular business hours (generally Monday through Friday, 8 a.m. to 5 p.m.) . The Board does not consider all. of the program changes in this Notice to be within the required coverage of Health and Safety Code Section 1442.5. Its scheduling of this Hearing, giving this Notice of Hearing, the holding of a Hearing, or the making of any finding as to the actions in this Notice shall not be construed as an admission by the County of Contra Costa, or the Board of Supervisors, that any of the actions included in the Notice are subject to the hearing provisions of Health and Safety Code Section 1442.5. The proposals may be rejected or modified by the Board of Supervisors before or after the Public Hearing. Attest: Phil Batchelor, Clerk of the Board of Supervisors and)County Administrator Deputy O-LB-BLSN PROPOSED REDUCTIONS FISCAL YEAR 1985-1986 The proposed actions outlined below will reduce the Health Services Department budget by a maximum of $1 .6 million in County General Fund dollars. HOSPITAL AND CLINICS PROJECTED IMPACT/ESTIMATED FUNDING NUMBER OF REDUCTION PERSONS AFFECTED 1. Reduce Hospice/Pain Clinic $22,500 Longer waiting contract. Consultant time for pain periods for appoint- clinic will be eliminated from the ments. contract. Pain clinic to continue With reduced staff. Hospice services to continue with existing staff. 2. Eliminate Richmond Outpatient $45,000 40 patients per week . Rehabilitation (Physical Therapy) . 2,080 treatments per year. This is a contracted, non-mandated service. Unlikely that patients could be absorbed at Martinez clinic; referrals may be made to private providers, if available. 3. Reduce Pulmonary Rehabilitation . $58,892 240 patients per year . Elimination of this program at the Longer waiting periods Richmond and Pittsburg Clinics would for appointments . require patients to go to Martinez for treatment. Pulmonary rehabilitation teaching program, which provides educa- tional support to approximately 50 patients per year, would also be eliminated. Layoffs required consistent with reduced level of funding. O-LB-•CUTS1 2. HOSPITAL AND CLINICS PROJECTED IMPACT/ESTIMATED FUNDING NUMBER OF REDUCTION PERSONS AFFECTED 4. Reduce Dental Services 50%. $214,825 Waiting period for The Dental Program currently schedules appointments increased 27,917 patient appointments per year , from 7 days to 15-45 days. 9,504 at Martinez, 7,584 at Pittsburg Patients who cannot be and 10,829 at Richmond. Layoffs required accommodated may be referred consistent with reduced level of funding. to private providers, if available. 5. Reduce Richmond, Pittsburg and Concord clinics by 25%. Reduction of services in these clinics would be achieved by reducing Family Practice, Drop-In and Specialty Clinics by 25%. Patients may be required to travel to Martinez clinics for some services, or seek care from private providers if available. There will be 25% fewer visits at all clinics, a reduction of 21 ,440 visits overall . Administrative and ancillary support would be reduced proportionately. Specialty Clinics which might be eliminated or reduced include: Dermatology Allergy Pediatrics Respiratory Therapy ENT Geriatrics Eye Clinic Gastroenterology Gynecology Audiology Refraction Podiatry O-LB-•CUTS 2 . 3. Arthritis Low Back Urgent Care Dietician Laotian Clinic Medical Neurology Rehabilitation Prenatal Surgery - Plastic Surgery - Orthopedics Surgery - Urology Surgery - General Chest Clinic Orthotics Postnatal Physical Therapy Layoffs required consistent with reduced level of funding. HOSPITAL AND CLINICS PROJECTED IMPACT/ESTIMATED FUNDING NUMBER OF REDUCTION PERSONS AFFECTED SPECIFIC CLINIC REDUCTIONS: PITTSBURG CLINIC $322,831 Longer waiting times, Pittsburg Clinic has approximately possible travel to Martinez 31 ,000 patient visits per year. A for services . Patients may 25% reduction in services may have to be referred to private eliminate 7,500 visits per year affecting providers, if available, or be 2,580 patients (assuming average 3 visits seen at local hospital emer- per year per patient) . gency rooms for urgent care. 2,580 patients affected. RICHMOND CLINIC Richmond Health Center provides approxi- $478,480 As described above. mately 42,000 patient visits per year. Estimated 3,500 patients . A 25% reduction in services might eliminate 10,500 visits per year, affecting 3,500 patients. O-LB-CUTS3 4. HOSPITAL AND CLINICS PROJECTED IMPACT/ESTIMATED FUNDING NUMBER OF REDUCTION PERSONS AFFECTED BRENTWOOD HEALTH CENTER The Brentwood Clinic provides approxi- $33,600 As described above. mately 5,760 patient visits per year. Approximately 480 patients. A 25% reduction may eliminate 1,440 visits per year, affecting 480 patients. CONCORD HEALTH CENTER Concord Health Center• provides approxi- $61 ,512 As described above. mately 8,000 visits per year of which Approximately 667 patients . 77% are HMO and BAC patients. A 25% reduction may require referring patients to Martinez or to private physicians under HMO contracts. O-LB--CUTS4 % . 5. PUBLIC HEALTH PROJECTED IMPACT/ESTIMATED FUNDING NUMBER OF REDUCTION PERSONS AFFECTED 1 . Reduce Public Health Lab 25%. $36,188 Reduction in number of people Approximately 18,000 outpatient diagnosed and treated for microbiology lab tests and 3,500 parasites and infectious ova and parasite exams are performed disease. Number of persons each year. This reduction will unknown. Approximately 5,375 result in 25% fewer tests . Layoffs tests and exams per year. required consistent with the reduced level of funding. O-LB•-CUTS5