HomeMy WebLinkAboutMINUTES - 08111998 - C100 FHS#10 & FHS #23 .---' ._ .
TO: BOARD OF SUPERVISORS CONTRA
COSTA
FROM: FAMILY& HUMAN SERVICES COMMITTEE
COUNTY
DATE: August 11, 1998
SUBJECT: Family Maintenance Organization and Environmental and Organizational
Assessment of the Health Services Department
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIoN(Sk}:
1. ACCEPT the attached reports from the Health Services Department on the Family
Maintenance Organization and the Environmental and Organizational Assessment of the
Health Services Department referrals.
2. ACCEPT the recommendation of the Family and Human Services Committee that these
referrals be reported out of committee as concluded.
3. REFER oversight of multi-divisional, service integration and cross agency initiatives of the
Health Services Department to the Family and Human Services Committee.
MACK ROUNDIREASON(S) FOR ECOMMENDATION(SI:
On July 27, 1998, the Family and Human Services Committee heard a report from Mary Foran,
Assistant to the Health Services Director, on Referral #10, Family Maintenance Organization
(attached). As she discussed with the committee, the Family Maintenance Organization was formally
concluded, however, much of what was learned has been applied the Health Services integration
CONTNUED ON ATTACHMENT: —YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR_RECOMMENDATION OF BOARD COMMITTEE
_ APPROVE OTHER
SIGNATURE(S): Donna G r
ACTION OF BOARD ON August I I, APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A
Y UNANIMOUS(ABSENT _ _ } TRUE AND CORRECT COPY OF AN
AYES: NOES: ACTION TAKEN AND ENTERED
ABSENT. ABSTAIN: ON MINUTES OF THE BOARD OF
SUPERVISORS ON THE DATE SHOWN.
Contact*Sara Hoffmn,335-1090
ATTESTED AY
PHIL BATOR,clERk OF
THE BOARD OF SUPERVISORS
AND COUNTY, MINISTRATOR
cc: CAO
W.Walker,Health Services
Mary Foran,Health Services BY f �PUTY
FHS#1 a & FHS#23
activities. Ms. Foran gave an overview of progress toward integrating Health Services programs in West
County, Concord and Say Point as well as information on the impact of welfare;reform requirements on
immunizations.
In addition, Dr. William Walker, Health Services Director, gave an overview follow up of the Dr. Zaretsky
report on the environmental and organizational assessment of the Health Services Department (see
attached report). Dr. Walker reported that he believes that the department is on target with the internal
changes necessary to increase the department's competitiveness under managed care. The
department is focusing on outpatient services, ensuring that the clinics are user friendly and taping
advantage of the department's internal support resources through its community substance abuse
services, public health and mental health divisions. He noted that the department has held a series of
retreats with both its senior managers and with senior managers and mid-level managers to develop a
department-wide consensus on its vision for services. He felt that the key to the department's success
will be ready access for referral to other services as well as ensuring that the system is friendly to
patients. The issue will be to ensure that all staff imbue this philosophy in their treatment of patients.
Dr. Walker also reported on Healthy Families and the department's efforts to work with Social Service
on outreach. He noted that more and more, the department is working across;divisions and with other
agencies to meet its service delivery objectives.
Supervisor Donna Gerber suggested that, although, the referrals on the Family Maintenance
Organization and environmental and organizational assessment were concluded, there is still a need
for the department to report to Family and Human Services on new initiatives that are multi-divisional,
cross agency or which promote integration of services. Dr. Walker and Ms. Foran agreed on the need
for periodic reports.
2
Contra Costa County
The Board of Supervisors HEALTH SERVICES DEPARTMENT OFFICE OF THE DIRECTOR
Jim Rogers, ist District Wfiliam B.Walker, M.D.
Gayte S.Ulikema,2nd District = = director&Health Officer
Donna Gedw,3rd District
Mark DeSautnier,4th District 20 Alien Street
Joseph Canciamitia,5th District Martinez,California 94553-3191
{510}370-5003
County Administrator FAX(510)370-5099
c
Phil Batchelor ..........
County Administrator
TO: Family and Human Services Committee
Donna Gerber, Chair
Mark DeSaulnier, Member
FROM: William Walker,M.D.
Health Services Director ✓•� `" /"��
DATE: July 23, 1998
SUBJECT: Environmental and Organizational Assessment of the Health Services Department
In April 1997 the Board of Supervisors reviewed the above-named report which provided a number
of recommendations for strengthening the Department's ability to survive in the rapidly evolving
health care environment.
Since that time, the Department has focused on making internal changes which are designed to
increase our competitiveness. In addition to securing the majority of enrollees under the Medi-Cal
Managed Care two plan model, we have created the Substance Abuse System of Care and
implemented outpatient consolidation for Mental Health Managed Care. In addition, we are close
to having a lease for the former Los Medanos Hospital which we will be renovating to be our new
hub for services in East County, and we are six months away from opening the Center for Health in
North Richmond.
We have initiated "pediatric primary care," an approach which offers parents the option of having
a pediatrician as the primary care provider for their children and integrates Public Health teaching
and follow up into the clinical care. We are preparing to offer an enhanced benefit plan for Medicare
beneficiaries, even as we continue to await HFCA's go ahead for the Social HMO. Finally, as part
of the two plan model, we have forged effective working relationships with anetwork of private
physicians who comprise the Community Provider Network.
Underpinning all of these efforts is our determination to be the health care provider of choice in
Contra Costa County, especially for patients with Medi-Cal. We are also preparing for the
possibility of becoming a County Organized Health System, the legislation for which is pending.
We face a new round of competition under the two plan model with Blue Cross. So far we are
holding our own and heightening our visibility through more advertising,new brochures and the new
"brand-name" logo, Contra Costa Hearth Services.
W"Oh"Mammal Hospital&Hea Mt Canters - PUW Health - Mental Hoeft • Substance Abuse - Environmental Hem
Contra Costa HGOMh Pian - Ern wWvoyt Metal Services - Horm H w t A isewy - Geriatrics
A-345 (2/97)
Environmental and Organizational Assessment Y
of the Health Services Department
July 22, 1998
Page 2
We have held a series of retreats with senior managers to refine our vision for the delivery system
and to identify the following key priorities for action:
• To coordinate outreach efforts-'across all Health Services divisions and with the Social"
Service Department and community based programs for the Healthy Families program
and Medi-Cal.
• To improve the systems in our Health Centers - with special attention to clinic flow -
so that they are patient-friendly.
• To implement effective ways to gather feedback from patients and members(current and
former) and use the information to make services more satisfactory.
• To involve employees in the service improvement/customer service activities.
We will be addressing these priorities during the next several months. As we identify necessary
changes,we may encounter needs for flexibility, for example in the personnel system,which require
attention. I will keep you informed of any needs which may arise.
WWamg
Health Services Department
OFFICE OF THE DIRECTOR
Administrative Offices
20 Allen Street
Martinez,California 94553-3191
`Y`•. Phone: (510) 370-5010
Fax: (510)370-5098
TO: Family and Human Services Committee
Donna Gerber, Chair
Mark DeSaulnier, Member
FROM: Mary Foran, MPH Ilu1
Assistant to the Director
DATE: July 22, 1998
SUBJECT: Status of Health Services Integration Activities
(Family Maintenance Organization, Referral #10)
This report will describe progress toward integrating health services programs in West County,
Concord and Bay Point, as well as respond to the committee's request for an estimate of the cost of
providing additional immunizations as a result of welfare reform requirements.
WEST COUNTY
Our inter-related projects of Center for Health, Partners for Health and Healthy Neighborhoods
Project are making excellent progress. The Center for Health ground breaking was held on January
31, 1998. At that time, we received the long-awaited contribution from Chevron for the building,
for which we are very grateful. Following a long wait for the rains to abate, the construction began
in March. The building construction is now 35%complete. The only disappointment we have faced
so far is the lack of progress on hiring local people for construction jobs. At the urging of the Center
for Health Advisory Board, the construction contract included a requirement for the contractor to
demonstrate a good faith effort toward filling 25% of new hires with community residents. A
system has been created to identify candidates for vacancies—which have been very few. To date
the presence of local people has been limited. We are continuing to work with General Services and
the Advisory Board to increase the employment of residents at the construction site.
We have begun the internal work of preparing to move services and programs into the Center which
is scheduled to open in January 1999. One of our goals is to identify positions which might be filled
by residents of the service area. We may need special support from the Human Resources
Department to accomplish the tasks of local recruitment and hiring. Lack of jobs is perhaps the most
pressing health problem facing the neighborhoods to be served by the Center for Health. It will be
very important for us to be successful in local hiring.
A-345A (4;921 Contra Costa County
Status of Health Services integration Activities
(Family Maintenance Organization,Referral#10)
July 22, 1998
Page 3
Medi-Cal,those children who are now most at risk for vaccine preventable diseases are those who
have no regular source of medical care or medical insurance.
Site #of Immunizations #of Patients
Concord - 1998 1529 712
Concord - 1997 1145 534
Richmond - 1998 1457 613
Richmond - 1997 1046 453
Brentwood - 1998 349 152.
Brentwood - 1997 183 87