HomeMy WebLinkAboutMINUTES - 10021984 - 2.6 TO: BOARD OF SUPERVISORS
Contra
FROM: Phil Batchelor, County Administrator CQ^'S,ta
DATE: September 25, 1984 County
SUBJECT: Proposed Contract with Compass Consulting Group
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
That a contract with Compass Consulting Group of Berkeley be approved for the period
October 3, 1984--November 2, 1984 in the amount of $14,900, subject to the following
changes in the Work Plan as proposed:
1 . An initial meeting be scheduled with the County Administrator, Health Services
Director, Medical Director, and Acting Executive Director, CCHP, for the purpose
of clarifying that the study is being done for the Board of Supervisors rather
than the Health Plan, and to insure a close working relationship and reporting
relationship with the County Administrator as well as HMO Management staff and
the HMO Advisory Board. (Subtask 1 .1 )
2. Meet weekly with the County Administrator, or his designee, and the Acting Executive
Director, CCHP, to review progress on completing the Work Plan (Subtasks 2.2, 3.6,
5.4, 6.4), and review the draft report with the County Administrator and the
Health Plan and Health Services Management. (Subtask 7.2)
3. Present the final report to the Board of Supervisors after review and comment by the
County Administrator and HMO Advisory Board rather than reviewing key details of
the report with the Board of Supervisors and Health Plan Advisory Board.
(Subtask 7.4)
4. Conduct interviews with additional designated individuals not directly connected
with the Contra Costa Health Plan for the purpose of providing additional input from
the general community and private medical community on the future direction of the
Health Plan, such individuals to be designated by the County Administrator.
(Subtask 3.6)
BACKGROUND:
On September 18, 1984, the Acting Health Services Director recommended that a proposed
contract with Compass Consulting Group be approved. The firm was to study the organiza-
tion and governance of the Contra Costa Health Plan; review alternative organizational
and governance structures, and present a report on their findings and recommendations.
The Board of Supervisors referred the proposed contract to the County Administrator
with instructions to insure a strong role for the County Administrator; provide for
community input to the process, and review the proposed contract in light of the
existing management contract with .Nu-Med Medical , Inc.
CONTINUED ON ATTACHMENT: X YES SIGNATURE: &Qee4oZ14L�' �Wv? .
XV RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
p�_APPROVE OTHER
SIGNATURE(S) � 13
ACTION OF BOARD ON Ort nhpr 2 1994 APPROVED AS RECOMMENDED n OTHER
VOTE OF SUPERVISORS
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
County Administrator OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services Director ATTESTED October 2 , 1984
Medical Director
Acting Exec. Dir. , CCHP Phil Batchelor Clerk of the Board of
Chairman, HMO Adv. Board suparl7i cnrc and County Administrator
Auditor �� K�-� 0014 .1
M982/7-89 County Counsel BY (� � DEPUTY
Compass Consult. Group (via CCHP)
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A meeting has been held between staff of the County Administrator's Office,
the Health Services Department, and management of the Contra Costa Health Plan.
Agreement has been reached to achieve the additional input by adding meetings
with the County Administrator and members of the general community and private
medical community.
The subject contract will explore various alternatives that may be available
for the organization and governance of the Health Plan. It is not anticipated
that this contract will develop one particular option in great detail and recommend
its adoption. This contract is simply a preliminary review of what options and
alternatives are available, and the implications of each to guide the Board of
Supervisors in making future decisions on the organization and governance of the
Health Plan.
Under the present organization of the Health Plan, the Plan' s Executive Director
reports to the Health Services Director. The outpatient clinics , which provide
services to Health Plan members , are substantially controlled by the Health
Services Department, as are the finances of the Health Plan. This lack of an
"arm's length" relationship between the Health Plan and Health Services Department
makes it impossible under current State law for the Health Plan to effectively
negotiate per diem rates with the hospital , or to effectively manage its own
medical staff and facilities. To truly operate as a. Health Plan, such an
"arm's length" relationship would have to be established.
It is the intent of the proposed contract to identify several alternative ways in
which this could be accomplished. Whether one or another, or any of these
alternatives, should be explored in greater detail or be implemented, will require
future action by the Board of Supervisors. The proposed contract will provide an
overview of the subject and identify directions in which the Board might move.
The Nu-Med contract deals primarily with the management of the County Hospital , and
the financial management of the Department. It does not specifically address the
organization or governance of the Health Plan. Nu-Med's input and advice on
directions to move on these issues will be vital once the final report has been
presented. However, it is not within the scope of Nu-Med's contract to actually
provide this type of overview.
The Board of Supervisors will need to have some of this basic overview data avail-
able over the next few months as additional decisions are made regarding the future
of the Health Plan, the County Hospital , and their relationship to each other.
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