HomeMy WebLinkAboutMINUTES - 01241984 - 2.3 -� .3
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on January 24 , 1984 , by the following vote:
AYES: Supervisor Powers , Fanden, Schroder, McPeak, Torlakson
NOES: None
ABSENT: None
ABSTAIN: None
SUBJECT: Health .and Safety Code )
Sectiori 1442.5 Hearing ) RESOLUTION NO. 84/48
of January 17, 1984: )
Additional Findings )
Pursuant to Health and Safety Code Section 1442.5, the Board
conducted a public hearing on January 17, 1984 on proposed changes
to programs in the County's Health Services Department; and
adopted hearing findings on staff reductions (Resolution 84/30) .
This Resolution expresses the Board's additional findings on
remaining issues .
I. The Board received written and oral evidence, as follows:
A. Written documents were received into the record, and are
filed with the Clerk of the Board of Supervisors, as follows:
1 . Board Order dated August 2, 1983 on policy assumptions
relating to the future of the County Hospital .
2. RFI dated September 6, 1983 regarding surplus hospital
beds.
3. Letter dated October 18, 1983 to Board of Supervisors
re disposition of licensed beds.
4. Board Order dated October 25, 1983 regarding disposi-
tion of licensed hospital beds.
5. Letter dated October 31 , 1983 to H. Dean Madison
describing County's position on disposition of beds.
6. Board order dated November 15, 1983 and letter to
Board dated November 14, 1983 on financial condition
of Health Services Department .
7. Board Order dated November 29, 1983 referring to
County Administrator memo dated November 17, 1983 from
Ad Hoc Committee regarding proposal to hire a hospital
management firm.
8. December 7, 1983 letter to hospital management firms
transmitting Request for Proposals.
9. Board Order dated December 13, 1983 fixing January 17,
1984 for the hearing and attaching notice of public
hearing.
RESOLUTION 84/ 48
32.E
A.
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10. Letter dated December 21 , 1983 to Dr. Peter Abbott
transmitting copy of notice' of public hearing.
11 . ` Letter dated January 10, 1984 from Arnold Sterne Leff,
M.D. regarding disposition of hospital beds.
12. Memo from Dr. Walker dated January 11 , 1984 providing
background information on proposed reductions.
13. Memo of January 12, 1984, from C. L. Van Marter to
members of the Board of Supervisors transmitting sum-
mary of responses to RFP.
14. Such other documents as may appear in the records of
the Clerk of the Board of Supervisors.
B. Oral testimony was received, a summary of which will be
filed with the Clerk of the Board of Supervisors.
II. On the basis of the foregoing evidence, the Board makes the
following findings:
A. Notices of Public Hearing were posted on or before
December 17, 1983 and such posting complied with
Health and Safety Code §1442.5.
B. "Indigents" are those persons defined in Resolution
84/24.
C. Pursuant to Health and Safety Code §1442.5, all
interested persons were allowed to speak and/or
provide written comments at the hearing on January
17, 1984.
D. The program reductions or changes considered at the
January 17, 1984 public hearing were those contained
in the notice approved by the December 13, 1983 order
of this Board.
E. The County faces a financial crisis which must be
promptly addressed or it will become more acute.
F. Findings on staff reductions are contained in
Resolution 84/30, adopted after the close of the
Hearing on January 17, 1984.
G. The County Administrator's recommendation under the
Notice of Public Hearing, "Additional Actions",
Item 1 , was to delicense 106 'acute hospital beds (74
general acute beds and 32 acute psychiatric beds) ;
The County would retain 208 licensed beds.
Delicensing 106 beds will not have a detrimental
impact on the health care needs of the County's
indigents.
H. The County Administrator and Acting Health Services
Director recommendation under the Notice of Public
Hearing, "Additional Actions", Item 2 is to contract
with a Health Care Management firm for Hospital
RESOLUTION NO. 84/ 48 322
f
Management and finance expertise. The Board intends
to retain policy control over the Health Services
Department and all its operations and is therefore not
contemplating the "transfer of management" of any
"County health facility. Nevertheless, considering the
current financial crisis, even actual transfer of
management of the County's Hospital and Clinics would
not be detrimental to indigents. There will be no
detrimental impact from the award of a management and
financial services contract.
I . The Notice of Public Hearing "Additional Actions" ,
Item 3 proposed the removal of the former Medi-Cal
"Medically Indigent Adults" (MIA's) from the Health
Plan. Services would remain available at , and be
provided by, County Health Services Staff at County
facilities. There would be no detrimental impact on
the health care needs of the County's indigents.
III . If any finding as to an Item herein is held invalid, such
invalidity shall not affect findings as to other Items which
can be given effect without the invalid provision, and to
this end , the invalid finding as to an item is severable.
IT IS BY THE BOARD ORDERED that neither inclusion of a pro-
posed change in a program in the Notice of Hearing, the
holding of a hearing with respect to a change in a program
included in the Notice of Hearing, nor the making of a
finding as to such a change is to be construed as an
admission by the County of Contra Costa or the Board that any
of the program changes covered by the Notice are subject to
the hearing provisions of Health and Safety Code 1442.5.
IT IS FURTHER ORDERED that this resolution be included as a
part of the official public hearing record and that the
County Administrator and Acting Health Services Director are
DIRECTED to implement the noticed changes, as directed by the
Board.
ccs State Dept. Hlth Svcs
County Administrator
Health Services Director
County Counsel
1 hereby certify that this Is a true and correct copy of
an action taken and entered on the minutes oS the
Board of Supervisors on the date shown.
ATTESTED: at /9R4!
J.R. OLSSON, CO TY CLERK
and ex o;liclo 01r;3k of the Board
By . Deputy
P til
RESOLUTION NO. 84/ 48 323