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HomeMy WebLinkAboutMINUTES - 09161997 - C59 5- TO: BOARD OF SUPERVISORS F&HS-04 Contra FROM: FAMILY AND HUMAN SERVICES COMMITTEE Costa September 8, 1997 County DATE: \s Iw ^ c•ouN'� SUBJECT: STATUS REPORT ON THE INTEGRATION OF HEALTH SERVICES PROGRAMS AT VARIOUS CITES THROUGHOUT THE COUNTY SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . ACCEPT the attached report from the Health Services Department on the status of the integration of health services programs at various sites throughout the County. 2. REQUEST the Health Services Director to make a further status report on this subject to the Family and Human Services Committee prior to the end of calendar year 1997. BACKGROUND: On May 6, 1997, the Board of Supervisors approved a report from our Committee which asked the Health Services Director to make a further report to our Committee on this subject in September 1997. On September 8, 1997, our Committee met with Mary Foran, Assistant to the Health Services Director, and reviewed the attached report. We are pleased to see that progress is being made in the Monument Corridor. Supervisor DeSaulnier asked that staff stay in close touch with his office and the City of Concord as these plans develop. We are anxiously awaiting the appointment of a coordinator for the Bay Point site, which we agree will stabilize utilization of the site by increasing outreach regarding the availability of the site. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COM IT EE APPROVE OTHER . SIGNATURE(S): MARK DeSAULNIER DONNA G RBER ACTION OF BOARD ON September 16, 1997 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED September 16, 1997 Contact: County Administrator PHIL BATCHELOR,CLERK OF THE BOARD OF cc: Health Services Director SUPERVISORS AND COUNTY ADMINISTRATOR Sara Hoffman, Senior Deputy County Administrator BY G' DEPUTY c, F&HS-04 Ms. Foran briefed our Committee on the problems which are delaying construction of the North Richmond Center for Health. We hope these problems will be resolved successfully in the near future so construction can move ahead. We are pleased to see that the Partners in Health Program has been funded and is being implemented. We are hopeful that the Quality of Life Community Planning Initiative will be funded since that appears to be an important component of the overall community work in West County which is being undertaken by the Health Services Department. We are also asking that a further status report on this subject be made to our Committee before the end of the current calendar year. -2- i ---- Health Services Department �._ _0 OFFICE OF THE DIRECTOR ` Administrative Offices A� ---- 20 Allen Street +dsalll'+111 F"; —ens Martinez,California 94553-3191 , Phone: (510) 370- 010 Fax: (510)370-5098 f�sTA`COTui x� 'G4' September 3, 1997 TO: Family and Human Services Committee Supervisor Mark De Saulnier, Chair Supervisor Donna Gerber, Member FROM: Mary Foran, 1V17PH Assistant to the Health Ser\ices irector SUBJECT: Status Report on Integration of Health Services This report will discuss the progress toward integrating health services in three geographic areas of the County—Monument Corridor in Concord, Bay Point and the four neighborhoods in West County of North Richmond, Parchester Village, Iron Triangle and the western part of San Pablo. We last reported to you on these issues in April 1997. Monument Corridor-. Progress of the Monument Corridor project slowed during the summer. However, meetings will resume in September. The planning group is expected to include participation from the school district, Kaiser, Health Services — including Public Health Clinic Services, Concord Health Center, Acute and Communicable Disease, Healthy Neighborhoods Project, Office for Service Integration — and the City of Concord. Other health providers will be invited, as well. Kaiser Permanente (Stockton) continues to loan their van for use once a month. The expense of bringing the van to Concord is covered by Kaiser North East Bay and the staff is provided by our Public Health Division. In addition, Immunization Assistance Program finds are being made available to the Concord Healthy Start program to encourage immunization of two year olds in that area. The focus of our planning this fall will be to develop the design for provision of health services, and to pull together the resources to implement the design. Current thinking is to secure a mobile health van which could be used at several different school sites, rather than building a single site. Bay Point Community Wellness Center-. We continue to provide well-child and immunization clinics, including an immunization clinic once a month on Saturday, family practice medical care, mental health services for Bay Point SIT enrollees and WIC. The demand for services has been somewhat erratic with low use some weeks and high demand others. An inter'n.with the Mt. Diablo School District will be interviewing families in the area to help us understand the utilization patterns and identify any unanticipated barriers which might exist. A-345A ,4,92, Contra Costa County Family and Human Services Conunittee September 3, 1997 Page 2 We are aware that the visibility of the Center is not what it might be because of a delay in hiring the coordinator for the program. We have conducted interviews, but have not yet found the right person for the position. Outreach will be an important initial task for the coordinator once he or she is hired. In the meantime, the integrated structure of the program is working well. We have passed the growing pains stage, staffing has stabilized and monthly meetings of the site operations group are successfully solving problems which do arise. Recently, our Immunization Assistance Program provided special outreach funding to the Healthy Start program to encourage families to fully immunize their children by age two. Center for Health Service Area: The Center for Health service area in West County includes six census tracts which make up the neighborhoods of Iron Triangle, Parchester Village, North Richmond and the western part of San Pablo. This area is our largest geographic area for health services integration and the one which requires the largest investment of resources. We are integrating three health services initiatives in this area, as well as linking with a number of County-run and community- based efforts. The following chart illustrates how the three initiatives are linked. Health Services Integration Activities in West County Healthy Center for Health Neighborhoods Partners in Planning Teams Health Community Input Committee Advisor' San Pablo Dental San Pablo Neighborhood Board <——� (western) Service Center Nutrition Parchester Village Parchester Village Service Center Education -, Iron Triangle F Iron Triangle Center Service Center Child North Richmond North Richmond Health Senice Center Staff Operations HIV/AIDS Group Prevention Family and Hwnan Services Committee September 3, 1997 Page 3 The Center for Health will be a new health center and a new way of providing community health improvement programs. Its design is guided by the Center for Health Advisory Board and residents participating in the Healthy Neighborhoods project. Healthy Neighborhoods is a community mobilization project which assists residents to identify their neighborhood concerns and assets, and to develop action plans for improving their communities. Partners in Health is funded for the next four years by the California Wellness Foundation to bring together neighborhood residents with large civic institutions to foster the operation of four neighborhood service centers where activities to increase job readiness, reduce teen pregnancy and reduce neighborhood violence will be carried out. Residents' participation in Partners in Health is supported through the Healthy Neighborhoods Project. The Center for Health will provide family practice medical care, public health prevention and treatment services for TB and HIV/AIDS and a number of community health improvement programs. We are close to breaking ground to build the Center, but are awaiting confirmation of funding from Chevron before bringing the construction contract to the Board for approval. Chevron has informed us that they will not distribute any funds until the Martin Luther King Jr. Family Health Center bankruptcy is concluded. We believe such a conclusion is imminent. In addition, Chevron has a policy against funding"bricks and mortar" projects. We are sending a letter to Chevron requesting that they begin the process now to determine whether they will make an exception to that policy. Our goal is to begin construction before the winter rains, but we must wait for a positive response from Chevron before proceeding further. We are also seeking support from local foundations for the furnishings and equipment for the Center, and for program development and initial implementation. We have submitted a major two-year grant application to the California Endowment which will expand resident participation in planning the Center for Health, including continued support for the Advisory Board and the Healthy Neighborhoods Project. The California Endowment proposal is titled, the Quality of Life Community Planning Initiative. The Initiative will provide technical assistance and regular coaching sessions for residents, and facilitate working planning meetings where residents will participate as co-creators with Health Services staff in designing community health improvement efforts. Residents will 1) work in conjunction with the Center for Health Advisory Board to design issue-specific community health campaigns, and resident-responsive clinical services, 2) function as active, consistent and capable participants in the planning by Partners in Health; and 3) design their own small area quality of life improvement efforts. Family and Human Services Committee September 3, 1997 Page 4 Community planning activities will include attention to the following issues which have been identified by Healthy Neighborhoods participants and the Center for Health Advisory Board as high priorities for the service area neighborhoods: • HIV/AIDS prevention — making current prevention activities more effective in neighborhoods where the infection rate is extremely high • Nutrition — increasing access to healthy food and helping residents change their eating habits • Dental services — increasing access to dental care and reducing childhood dental disease • Quality of Life Community Health Education Center — planning a user-friendly, user-run interactive education/resource center which will give residents the information and tools to take action about their individual health and environmental health concerns • Child health — developing school-based and school-linked health promotion activities • Neighborhood Action Planning — developing small area neighborhood improvement activities Funding for this Initiative (if received) will complement the four-year grant we have been awarded by the California Wellness Foundation to implement Partners in Health. Partners in Health focuses on addressing three key underlying socio-economic realities which profoundly affect the health of residents in the Center for Health service area — these are family economic instability, early child bearing and violence. During the next four years, Partners in Health will be working with the cities of Richmond and San Pablo, their Chambers of Commerce, the West Contra Costa Unified School District, the North Richmond MAC, Contra Costa College, Kaiser, Planned Parenthood, Brookside Health Center, Brookside Hospital and residents organized through the Healthy Neighborhoods Project, the Iron Triangle Community Collaborative and the Center for Health Advisory Board to build the integrated services at the neighborhood level which are designed to change the three identified key factors affecting community health. Already Partners in Health has worked with the North Richmond SIT to create the North Richmond Employment Collaborative which is developing a truly resident-responsive employment strategy which will be the basis for similar work in the other neighborhoods in the service area. In addition, Partners in Health and Center for Health are facilitating meetings among County staff who operate projects in West County to help people understand each others' work and identify opportunities for collaboration. The Health Services integration activities in West County are tied closely to related initiatives by the School District (Healthy Start), the County Office of Education (Teen Challenge), Social Service (welfare reform and Family Preservation Support Program), the SIT and community-based projects Family and Human Services Conunittee September 3, 1997 Page such as Success by Six and Communities in Peace. We continue to identify opportunities for working together so that the varied efforts which are going on can supplement and strengthen each other. For example, on September 12 we are co-sponsoring a Family Health and Literacy Fair at Verde School with the school, Success by Six, Richmond's Literacy Program (LEAP), the Center for Health Advisory Board and Partners in Health. There will be activities for parents and children emphasizing health and safety, as well as the importance of reading. Both the Health On Wheels van and the Bookmobile will be there. This health fair is a good example of how our integration efforts are reaching beyond traditional health boundaries to collaborate with new partners in order to create the conditions for significant improvements in comnuinity health in the years to come. MF:mg cc: Willam Walker. M.D.