HomeMy WebLinkAboutRESOLUTIONS - 04241990 - 90/240THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on April 24, 1990 by the following vote:
AYES: Supervisors Schroder, MCPeak, Torlakson, Fanden
NOES: None
ABSENT: Supervisor Powers
ABSTAIN: None
SUBJECT: In the Matter of Authorizing Resolution No. 90/ 240
Positions to be Funded by Tobacco )
Tax Revenue (AB75)
Whereas the Health Services Department is the recipient of funding from
Tobacco Tax Revenues and
Whereas said funding has been allocated for the improvement of direct
patient care services and Health Education and Prevention programs, now
therefore
THE CONTRA COSTA COUNTY BOARD OF SUPERVISORS RESOLVES THAT:
1. Effective April 25, 1990, the classfication of Tobacco Prevention Project
Coordinator is established and allocated to salary range C5 2049 of the
basic salary schedule.
2. Effective April 25, 1990, the positions identified in Exhibit A which is
attached hereto are added to the Health Services Department.
THE BOARD FURTHER RESOLVES THAT THE POSITIONS DESIGNATED IN EXHIBIT A ARE
SUBJECT TO CLASSIFICATION REVIEW BY THE PERSONNEL DEPARTMENT IF DEEMED
NECESSARY.
I hereby certify that this is a true and correct copy of
an action taken and entered on the minutes of the
Board of Supervisors APR 24 199ATTESTED
PHIL BATCHELOR,Clerk of the Board
Of Supervisors and County Administrator
Defy
7 i
cc: County Administrator
County Personnel - L. Fugazi & J. Rounsaville
Health Services Personnel
RESOLUTION N0, 90/240
EXHIBIT A
ATTACHMENT TO RESOLUTION 90/ 240
POSITIONS FUNDED BY TOBACCO TAX REVENUES
CLASS NUMBER OF COST
CODE POSITIONS TYPE DEPT. #CENTER
A. CONVENIENCE HOURS
Family Nurse Pract. VWSB 1 28/40 540 6463
RICHMOND CLINIC
Clerk-Exp. Lvl Non Typing JWXB 1 40/40 540 6384
LVN II VT7C 1 28/40 540 6384
RN-Experienced Level VWXA 1 P.I. 540 6384
APPOINTMENT UNIT
Clerk-Exp. lvl Typing JWXB 1 40/40 540 6540
Clerk-Senior Level JWXC .1 40/40 540 6540
REGISTRATION - PITTSBURG
Clerk-Senior Level JWXC 1 24/40 540 6572
Clerk-Senior Level JWXC 1 20/40 540 6572
REGISTRATION - RICHMOND
Clerk-Senior Level JWXC 1 20/40 540 6571
SECURITY
Security Guard 64WD 1 20/40 540 6541
Security Guard 64WD 1 P. I. 540. 6541
PITTSBURG CLINIC
LVN II VT7C 1 28/40 540 6388
LVN II VT7C 2 24/40 540 6388
RN - Experienced Level VWXA 1 20/40 540 6388
PHYSICIANS
Exempt Med. Staff Physician VPW9 1 40/40 540 6462
Exempt Med. Staff Physician VPW9 2 P.I. 540 6462
B. PHARMACY
Pharmacist I VYWA 2 40/40 540 6345
Pharmacy Technician VY9B 1 40/40 540 6345
EXHIBIT A Page 2
ATTACHMENT TO RESOLUTION 90/ 1/0
C. FOOD SERVICES
Institutional Svcs Aide 1KWC 6 P.I. 540 6501
Institutional Svcs Aide 1KWC 2 40/40 540 6501
D. DATA PROCESSING
Dept. Systems Spec. S1WA 1 40/40 540 6555
Computer Equir. Tech. LJ7X 1 40/40 540 6555
E. NURSING-WARD CLERKS
Clerk-Exp. Level JWXB 5 P.I . 540 6505
F. HEALTHY START
Clerk-Entry/Sp. Speaking JWXA 1 20/40 540 6385
Clerk-Entry/Sp. Speaking JWXA 1 32/40 540 6385
G. PHYSICIANS
Exempt Med. Staff Physician VPW9 1 P.I. 540 6462
H. DENTAL
Exempt Med. Staff Dentist VPWO 3 P.I. 540 6465
I. DIAGNOSTIC IMAGING
Jr. Rad. Technologist V8WC 2 40/40 540 6355
J. SECURITY - I & J
Security Guard 64WD 2 40/40 540 6541
Security Guard 64WD 1 32/40 540 6541
Security Guard 64WD 1 P.I. 540 6541
K. PREVENTION/EDUCATION PROGRAM
Tobacco Prevention Coord. 1 40/40 450 5782
Sr. Health Ed. Specialist VMWE 2 40/40 450 5782
Health Education Specialist VMWD 1 40/40 450 5782
Clerk-Senior Level JWXC 1 40/40 450 5782
Clerk-Exp. Level Typing JWXE 1 40/40 450 5782
Accountant I SAWA 1 40/40 450 5782
DESCRIPTION OF DUTIES ATTACHED
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CONTRA COSTA COUNTY March 1990
HEALTH SERVICES DEPARTMENT
TOBACCO PREVENTION PROJECT COORDINATOR
DEFINITION
Under general direction, to plan, develop and implement a County-wide tobacco
prevention program; to coordinate the activities of the program with other agencies
providing tobacco prevention services, to supervise subordinate staff; and to do
other related work as required.
DISTINGUISHING CHARACTERISTICS
This single position class is located in the Public Health Division of the Health
Services Department and is responsible for the devleopment and coordination of the
tobacco prevention and cessation program for Contra Costa County. This position
receives policy direction from the Director of the Prevention Program.
TYPICAL TASKS
Develops and administers policies and procedures for the tobacco prevention program;
acts as liaison with the State Department of Health Services/Department of
Education, Tobacco Control Branch for maintaining compliance with State requirements;
monitors contractural arrangements with service providers; provides training and
consultation for all county staff involved in the tobacco prevention effort; provides
consultation to individual school districts and the County Office of Education;
participates in the Bay Area Cancer Coalition (BACC), the county's Smoking Education
Coalition (SEC) and other tobacco related coalitions and subcommittees; develops and
maintains a coordinated Information and Referral system; oversees and enforces the
current county smoking ordinance; ensures that data collection, surveillance and
evaluation systems are established and maintained; coordinates services between County
Office of Education, Health Services Department and services providers; trains,
supervises and evaluates subordinate staff; consults with community agencies competing
for grants and/or providing tobacco prevention services; writes grants for State
projects; oversees development of education and media materials. '
MINIMUM QUALIFICATIONS
License Required: Possession of a valid CA motor vehicle operators license.
Education: Possession of a BA from an accredited college or university with
major in health education, health care administration or a closely related health
care field.
Experience: Three years of fulltime or its equivalent experience providing
direct health care services to patients or performing administrative duties in a
health care organization or program.
Substitution: Possession of a Master's Degree in any of the aforementioned
fields or a closely related major may be substituted for one year of the required
experience. One additional.year of experience of the type noted above can be sub-
stituted for the required academic major. No substitution is permitted for a
Baccalaureate Degree.
JOB DUTIES FOR PROPOSED TOBACCO CONTROL STAFF
SENIOR HEALTH EDUCATION SPECIALIST-ADMINISTRATIVE:
1. As assigned by Director, responsible for research, planning and writing components
of tobacco control plan and grants.
2. Supervises work of Health Education Specialist.
3• Responsible for staffing CCC Tobacco Control Coalition.
4. Oversees establishment of comprehensive Information and Referral (I&R) system,
supervises Health Education Specialist in implementing I&R, which may include
hotline, and resource directory.
5. Under supervision by Director, provides technical assistance to schools and
works closely with 18 school districts to develop comprehensive tobacco
control curriculum.
6. Implements data collection system, and evaluation component. Supervises Health
Education Specialist in data collection.
7. Represents County as assigned by Director at a variety of meetings, functions and
community service activities.
8. Monitors service provider contracts.
9. Provides technical assistance to agencies competing for grants or service
contracts with California Department of Health Services and Contra Costa County
10. Working with Director and State Health Services Dept., develops plan for Health
Services Department to provide technical assistance to service providers for
comprehensive tobacco control and prevention.
HEALTH EDUCATION SPECIALIST:
1. Provides technical assistance and education to businesses and city governments
on implementing the smoking control ordinance.
2. Provides technical assistance to schools as supervised by Associate Coordinator.
3• Staffs subcommittees of local Tobacco Control Coalition and SEC, as supervised by
Associate Coordinator.
4. Coordinates I&R, including staffing phone line, compiling directories, holding
community meetings.
5. Collects data, undertakes data entry, as supervised by Associate Coordinator.
6. Participates with Media specialist on Media campaign activities.
Title: Accountant I
Reports to: George Saad, Reimbursement Accountant/
liason to Alan Abreu (Public Health Finance)
Program: Public Health Prevention Program -
Tobacco Use Prevention Project
Primary Responsibility: Identify revenues and expenditures related
to Tobacco Use Prevention claimable under AB-75 funding
regulations.
of Time Major functions to be performed
20% Review source documents and insure all Tobacco prevention
expenditures are coded to the proper cost. center for expense
reports.
20% Prepare adjusting and reclassification journal entries to segregate
tobacco prevention activities from non-claimable activities within
the accounting records.
10% Secure copies of legislation amending the Tobacco Use prevention
provisions of AB-75, advise supervisor of interpretations of
amendments and insure the accounting records reflect activities in
compliance with the amended regulations.
25% Prepare monthly reports of year-to-date actual and full fiscal year
projected financial results of AB-75 claimable activities.
10% Assist the Health Services Reimbursement Accountant in
preparation of the Tobacco Use Prevention Program's section of
the annual AB-8/MISP reports (Plan and Budget, Estimated
Actual, and Actual) required by the State Department of Health
Services.
10% Act as liaison to Public Health Finance staff to insure Tobacco Use
Prevention accounting records are properly integrated into the
Public Health books of record and reports.
5% Other duties as assigned.
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POSITION DESCRIPTIONS
DEPARTMENTAL SYSTEMS SPECIALIST
Conducts work flow studies of various operational divisions of the Health Services
Department.
Evaluates existing systems to identify possible improvements.
Prepares requests for information and requests for proposals.
Prepares implementation plans and coordinates and controls the process .
Prepares operational documentation and instructs personnel on processes and
procedures.
COMPUTER EQUIPMENT TECHNICIAN
Coordinates the installation of computers , peripheral devices and networks.
Develops and maintains documentation for troubleshooting and resolving hardware
and network irregularities.
Maintains an inventory of computer and communications equipment.
Develops and administers maintenance contracts with service companies.
Maintains systems and network operations manuals.
Trains departmental operators .
CLERK-SENIOR LEVEL (Appointment Unit and Registration units)
The assignments in these units have been historically recognized as Senior level based
on complex/specialized work involving extensive use of computers and independent action.
KNOWLEDGE, SKM S AND ABILITIES
Good knowledge of the administrative principles applicable to the organization and
functions of health education and health care programs; working knowledge of the
organization functions and inter-relationships of various health education agencies;
ability to supervise and coordinate the work of others; ability to conduct training
and health education programs; ability to work harmoniously and effectively with
state and county staff, advisory boards, coalitions, com mity agencies and the
general public.
CLERK-SENIOR LEVEL:
1. Responds to calls on the I&R system requiring thorough knowledge of the outreach
and intake system for preventive health education against tobacco.
2. Provides clerical support to professional staff.
3. Coordinates data for statistical reporting required by the State.
4. Initiates and answers correspondence.
5. Interprets policy, procedures and law relevant to the smoking ordinance for the
public.
6. Designs spread sheets for required data flow and reporting.
7. Initiates surveys and follows up on responses.
8. Enters and monitors data collected for reporting, surveillance and evaluation
activities.
9. Selection and refinement of raw data for inclusion in correspondence.
BOARD OF SUPERVISORS
91cm, Mark Finucane, Director vN Itf
Health Services Department OW.c
WATE: April 24, 1990 co I
Aw=T: TOBACCO TM (AB-75)
s1"CCIFIC RCOIICiT(fI Q R[CM0UMATICWt81 a •%CMWMMJiO AM JUSTIFICATION
I. RBCOMMBNDSD ACTION:
1) Approve and authorise the Health Services Director to
execute and submit to the State Department of Health
Services the supplement to the 1989/90 County Health
Services Plan Update and Budget.
2) Authorize the Health Services Director to execute
contracts, subject to final County Counsel review, with
the following Hospitals:
Brookside Hospital 455,276
Delta Memorial Hospital 33,623
Doctors' Hospital of Pinole 21,254
Bast Bay 38073
John Muir Medical Center 189,476
Mt. Diablo Hospital 100,878
Los Medanos Hospital 32 816
3) Authorize the Health Services Director to develop full
operational and performance guidelines with Brookside
Hospital for implementation of the Obstetrics Joint
Venture.
4) Authorize the Health Services Director to notify Contra
Costa County physicians of the availability of
reimbursement for uncompensated care patients.
5) Authorize the Health Services Director to begin making
payments to the physicians. for uncompensated emergency,
obstetrics or pediatric care services as provided in the
attached "Procedures for M.D. Reimbursement", subject to
final County Counsel review.
6) Authorize the Health Services Director to enter into new
contracts with Child Health and Disability providers for
the provision of required follow-up care.
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AYES:
ASSENT: AssTA1NNA I N'
AND ENYMCD ON TW MINUTES OF TIE sDARD
Cr > 19MS ON TK DATE SMWN.
ATTESTED APR 2 4 1990
PHIL DATCNELOR. CLERK OF TME BOARD or
SUPERVISORS AND COUNTY ADMINISTRATOF
M382 7-13 OY--& ",
DEPtim
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7) Authorize the Health Services Director after consultation
with the County Administrator to modify the above actions
as may become necessary by State Administrative require-
ments, technical or legislative changes (AB-1154; AB-75
clean-up language) .
8) Authorize the Health Services Director to expand the
Basic Adult Care (BAC) program eligibility period from
three months to five months.
9) Establish positions for the provision of supplemental
services to the indigent as identified on the attached
resolution.
10) Approve appropriation adjustments to recognize the
Tobacco expenses and revenues.
11) Authorize the Health Services Director to apply for
interim payment of State Legalization Impact Assistance
funds as allowed under AB-75.
II. FINANCIAL IMPACT:
The County will receive State revenues as follows:
A: HOSPITAL/PHYSICIANS
FOR COUNTY OPERATED SERVICES:
Uncompensated Care Assistance One-Time $ 468,457
Capital One-Time 1,335,435
CHIP - Hospital 2,766,940
CHIP - Other Health Care 1.718.792
Subtotal-County Operation 6,289,624
FOR NON-COUNTY OPERATED SERVICES:
CHIP - Hospital 840,794
CHIP - Physician 741,097
CHIP - Physician One-Time 449.267
Subtotal Non-County Operation 2,0311158
TOTAL 1989/90 REVENUES 8,320,782
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B: PREVENTION 536,000
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III. DISCUSSION/BACKGROUND:
The passage of the Tobacco Tax and Health Protection Act of
1988 (Proposition 99) and its implementing legislation,
Assembly Bill 75 and Senate Bill 960 made available monies to
reimburse hospitals, physicians, and other providers for
uncompensated care costs, for making capital improvements, and
for implementing data systems.
Although some expenditure levels are required to be maintained
as a result of accepting the Tobacco Tax revenue, other areas
of the Department not included in the Maintenance of Effort
requirements may be subject to reduction in order to balance
the budget.
3-
on December 12, 1989 the Board authorized the Health Services
Director to execute and submit to the State Department of
Health Service the application for California Health Care for
Indigents Program (CHIP) , Tobacco funds for the fiscal year
1989/90. Contained within the application were assurances by
the County regarding use of these funds . The significant
funding assurances are reiterated as follows:
1. Funds must be used to supplement existing levels of
services provided and shall not be used to fund existing
levels of service.
2. Counties will be required to provide, or arrange and pay
for, medically necessary follow up treatment, including
prescription drugs for any condition detected as part of
a child health and disability prevention screen.
3. A county will have to maintain a level of financial
support of county funds for health services that is at
least equal to its county match and any overmatch of
county funds in the 1988/89 fiscal year.
4. Monies will be accounted for as revenue in the County
Health Services Plan Update and Budget Supplement and
cannot be used as county matching funds for other funds
received from County Health Services Branch.
S . A county will not be able to impose more stringent
eligibility standards for the receipt of benefits under
Section 17000 or to reduce the scope of benefits compared
to those which were in effect on November 8, 1988.
6 . Funds will not be available for the support of health
services provided to persons detained in a county or city
jail or other correctional facilities.
7. Receipt of funding shall not relieve a county of its
obligation to provide indigent health care as required
by Section 17000.
8. Counties will have to maintain at least the same number
of outpatient visits in the 1989/90 and 1990/91 fiscal
years as were provided, either directly or through
contract, in the 1988/89 fiscal year.
9 . Reports will be required on indigent health care program
demographic, expenditure, and utilization data in a
manner that will provide an unduplicated count of users
for the fiscal year.
10. Submit a supplement to the fiscal year 1989/90 County
Health Services Plan Update and Budget describing the
programs and services which will receive CHIP funds,
based upon departmental guidelines.
AB-75 has been the subject of numerous and lengthy debates between
the organized hospital groups, physicians, counties, and the State
Department of Health Services regarding: conflicting language,
conflicting sections, legislative intent, administration intent,
procedural questions, and policy concerns. Accordingly, the
County's ability to draft contract language and develop procedural
guidelines has been delayed pending resolution of the outstanding
issues . During this time-frame, the Department has been working
actively with the hospital and medical communities to insure that
a workable local plan to expand access to medical care was
achieved. The following highlights the major elements of the
Tobacco Expenditure plan:
4-
CHIP - HOSPITAL
I. FORMULA:
a) Requires contract with the following
provisions:
1) Maintain existing Emergency Room and
Trauma Care permits.
2) Provide data and reports according to
procedures specified by the State. . .County
will not require additional elements .
3) Assure that funds are used for "charity"
services.
4) Provide County "hold harmless" provision.
b) Distributes pro-rata share of allocation within
10 working days of contract signing.
c) Distributes balance of funds on monthly basis
within 10 working days of receipt of allocated
funds.
d) One-report (claim) to substantiate "charity"
services on an individual basis.
e) Service dates July 1, 1989 through June 30,
1990 .
II. DISCRETIONARY:
a) Allocate $ 416,000 to Brookside Hospital to
address West County access problem.
b) Increase Basic Adult Care eligibility timeframe
from three (3) months to five (5) months .
c) Place Health Plan terminals for eligibility
verification in each private hospital (on
request) .
CHIP - PHYSICIANS
I. REIMBURSEMENT AT 50% OF CHARGES (_=MS FUND) :
o Used to reimburse N.D. 's for losses (charges)
incurred for patients unable to pay.
o Emergency and inpatient obstetric and pediatric
services are reimbursable.
o Reimbursement will be 50% of charges .
o Bills will be submitted the month immediately after
the 3rd month without third-party payment.
o Claims will be paid on a month-by-month basis until
the fund is depleted.
o Data reporting requirements will be those required
by the State.
II. NEW PHYSICIAN CONTRACTS:
a) Requires contract with the following provisions:
1) Counties may contract with private physicians for
provision of emergency, obstetric, and pediatric
services . . .
2) The contracts may provide for partial or full
reimbursement for physician services provided for
patients who are unable to pay and are not eligible
for Medi-Cal, Medicare, private insurance, or any
other federal, state, or county program which
provides reimbursement for physician services .
3) Requires contract with same state reporting
requirements as county with a hold harmless
financial provision.
b) Allocate $ 246,000 for CHDP panel physicians for follow-
up care.
COUNTY OPERATED SERVICES:
o Establish convenience hours for Ambulatory Care as
follows:
Pittsburg Health Center: Monday Evening, Thursday
Evening, and Saturday%
Brentwood Health Center: Wednesday A.M.
Concord Health Center: Tuesday A.M.
Richmond Health Center: Wednesday Evening, and
Saturday.
o Increase BAC eligibility from three months to five
months, thereby increasing the availability of services.
o Supplement existing Dental services in Martinez .
o Provide supplemental food services in Merrithew Memorial
Hospital.
o Provide supplemental support services to the Healthy
Start program.
o Provide required administrative support for program
implementation.
o Provide supplemental Nursing services to the inpatient
units at Merrithew Memorial Hospital.
o Provide Tobacco Prevention and Education services .
o Provide supplemental Pharmacy services.
0 Provide supplemental Physician services .
6-
o Partially fund salary cost-of-living adjustments to
maintain service levels.
CAPITAL:
A full capital plan will be submitted to the Board immediately upon
receipt/review of the Hospital Project cost estimates for the
schematic design phase of the replacement facility.
3
AUDITOR-CONTROLLER USE ONLY
i CONTRA COSTA COUNTY FINAL APPROVAL NEEDED BY:
APPROPRIATION ADJUSTMENT
T/C 27 N BOARD OF SUPERVISORS
COUNTY ADMINISTRATOR
ACCOUNT CODING
BUDGET UNIT:
HEALTH SERVICES DEPARTMENT
ORGANIZATION EXPENDITURE
EXPENDITURE ACCOUNT DESCRIPTION DECREASE INCREASESUd-ACCDdNT
100 100
0540 1011 PER1-AMNT SALARIES 5,073,225 00
I I
I 1
0853 4547 STAIRWELL H & G WARDS 1160,0007 OG
0853 4951 OFFICE EQUIP & FURNITURE I 1,175,435 00
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1 1
0775 6301 Pesep, 4-1 aV6wqe,%,6<13 6ym460 Ib.
1
00r 40,.y h A IC Nt4v 7/
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1
6 1108',6601 aP
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TOTALS IFzyOdkto.60oo 1241 G
APPROVED EXPLANATION OF REQUEST
AUDITO ONTROLLE
B , Date y TO PROVIDE ADDITIONAL APPROPRIATION FOR
COUNTY ADM ST TOR PROJECTED FY 1989/90 EXPENSES.
EdX —; %llrx_ • Date 411dr4/c)
BOARD OF SUPERVISORS
YES,
Supervisors Fawom FaMJM
Schroder, MDPeak,Torfakson
NO: Gk*ce
Bstc.Neior, Clerk of the EkMW 61
C-P=.,-visors a1td.County Adminrstrelplr T
APR 24
199SIGNATURETITLE
r
DATE
By:G G! Date APPROPRIATION POO "J 00
ADJ. JOURNAL N0.
M 126 Rev.2/AQ) SEE INSTRUCTIONS ON REVERSE SIDE
CONTRA COSTA COUNTY
ESTIMATED REVENUE ADJUSTMENT
rs
T/C 24
ACCOUNT COOIRi
BUDGET UNIT:
HEALTH SERVICES DEPARTMENT'
ORiAN12ATI0N ACCOUNT REVENUE DESCRIPTION INCREASE DECREASE>
100 10
050 8220 GRANTS & DONATIONS 5,073,225 b0
I
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0853 8220 GRANTS & DONATIONS 1,335,435 00
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1
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1
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TOTALS 6,408,660,O ' 0 CO
APPROVED EXPLANATION OF REOUEST
AUDITOR-C NTROLLL/
By: Dote 7
TO APPROPRIATE ADDITIONAL REVENUE
COUNTY ADMINISTRATO
FROM AB-75 FOR FY 1989/90
By. 'fC1-x f C Dote
BOARD OF SUPERVISORS
Supervisors Rowan,Fandert,
YES: Schroder,MoPeak,Torlakson
NO:m
e G9 LlAit 4Z oti 9 `1
Phil Eta chelor, Clerk of the Board of
SIGNATURE TITLE DATE
Supervisors and-County Adminiqrgtor
APR 24 199 REVENUE AN. RA00,By; 5 30QDote
1OURRAL NO.
W 4134 ROr. Y/S
1 4l
A CONTROLLER USE ONLY
CONTRA COSTA COUNTY FINAL APPROVAL NEEDED BY:
APPROPRIATION ADJUSTMENT
T/C 2 7
F0BOARDOF SUPERVISORS
COUNTY ADMINISTRATOR
ACCOUNT CODING
BUDGET UNIT:
rwq 113P7 AB-75 SPECIAL REVENUE FUND (0468 - HI= SVCS-CHIP AB 75)
ORGANIZATION EXPENDITURE
SUE-ACCOUNT EXPENDITURE ACCOUNT DESCRIPTION DECREASE INCREASE
100 100
6021 2310 Hospital Services-County Hospital i 2,766,950 b0
6022 Hospital Services-Noncounty Hospital I
850,794 b0
6026 Physician Services-Emergency Med Svcs I
917,031 fO
6027 physician Services-Ne-w Contracts 273,333 00
6031 Other Health Services
I 1,718,792100
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TOTALSI I
APPROVED EXPLANATION OF REQUEST
0100 6,516,890 ;00
AUDITOR-CONTROLLER
Bg,00 Date TO APPROPRIATE AB-75 EXPENSES FOR FY 1989/90
COUNTY A
MINIma-f
R
By: _
1,
1,14r Date
BOARD OF SUPERVISORS
Supervisors Pswom,Fanden,
YES:Schroder, MoPeak,Tarlakson
NO: `ju Z2
Phi! Batche!or, C!vrk o!the Board
SuNervfsors and.Caunq AdmEnj.-&.ata;:r 4_ "I,
TITLE
p
DATE
By:
APR 2 4 199 SIGNATURE
APPROPRIATION A POOL //`% L GL
ADJ. JOURNAL NO.
N 129 Rev.2/96) QFF 1NC1rw1jnT1nwR nu 0vvrb Qv oinr
CONTRA COSTA COUNTY
ESTIMATED REVENUE ADJUSTMENT
T/C 24
ACCOUNT CONIC
BUDGET UNIT:
AB-75 SPECIAL REVENUE FUND (0468 - HLTH SVCS-CHIP AB 75)
OICANIZATION 'ccouit REVENUE DESCRIPTION INCREASE DECREASE>
100 10
1 1
6021 93246 HOspital Services-County Hospital 2,766,940100 I
6022
I
Hospital Services-Noncounty Hospitals 840,794100
602
6027
Physician Services-Emergency Med Svcs 917,031100
6031
Physician Services-New Contracts 273,333100
j Other Health Services 1,718,792 00
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TOTALS 6,516,690 ',00 0 i0C
APPROVED . EXPLANATION OF REOUEST
AUDITOR- ONTROLLE
TO APPROPRIATE AB-75 REVENUE FOR FY 1989/90
MON
COUNTY ADUINISTRATO
B . f/
J
Ti Data-9d
BOARD OF SUPERVISORS
Supervisors Pewe+9,Fanden,
YES: Schroder, Mc-Peak,Torlakson
NO:
Ph;! Or, Nth o}the Board of
SIGNATURE TITLE DATE
ay ;;;s;;rsa:;!s.CourIyfL ;mirr;taaF
By; _l LZ LGL(L¢ APDRI 4 1990 REVENUE AN. RAOO
JOURNAL 10.
V $134 Rev. 1/$6)
a 3
A ITOR-CONTROLLER USE ONLY
CONTRA COSTA COUNTY FINAL APPROVAL NEEDED BY:
APPROPRIATION ADJUSTMENT
BOARD OF SUPERVISORS
T/C 2 T
COUNTY ADMINISTRATOR
ACCOUNT CODING
BUDGET UNIT:
EMERGENCY MEDICAL SERVICES FUND //3g
ORCANIZATIOM EXPENDITURE
608-ACCOUNT EXPENDITURE ACCOUNT DESCRIPTION CDECREASE INCREASE608-ACCOUNT
100 100
1 1
0471 2310 AB-75 PHYS SERVICES i 825,328 :00
I
1
1
1 I
I I
I 1
1
1
1
1
I 1
I
I
I
I I
I I
I 1
I I
I 1
I 1
I I
I
I
I
I
1
I 1
I I
I I
I I
I
I I
TOTALSF
I
0 1 00 825,328 ;00
APPROVED EXPLANATION OF REQUEST
AUDITOR-CONTROLLE
By Date TO APPROPRIATE AB-75 PHYS SERVICES
COUNTY ADMINISTRATOR EXPENSES FOR FY 1989/90 . Tits I a
B 2x Date a&7r` W.1-11 ti M*At
v/vh /Sr 078-75 rip bR,CCOBOARDOFSUPERVISORS
YES: Supervisors Pmerr,Fandeq
ySchroder, Mc-Peak,Torlakson 1137 Sw.o ,( Mij QyL
NO. c`4iG
v
Ph;,( Batchelor, Clerk of the BmW at
n
Supervisors and.County Ada irdshall r
By
21 APR 2 4 1990 SIGNATURE TITLE DATE
1azka Date APPROPRIATION A POO 52 15
ADJ. JOURNAL N0.
N 129 Rev 2/86)1 SEE INSTRUCTIONS ON REVERSE SIDE
CONTRA COSTA COUNTY
ESTIMATED REVENUE ADJUSTMENT
T/C 24
AttourT to0114
BUDGET UNIT:
EMERGENCY MEDICNL SERVICES FUND /I3S
rItANIIATIrr ACCOUNT REVENUE DESCRIPTION INCREASE DECREASE>
100 IC
0471 9161 REVENUE 825,328' 00 1
I 1
I 1
I
1
1
I 1
1 1
I
1
1
I 1
I
I
I
I t
i I
I I
I I
I
I I
I I
I
I
i
1
I I
TOTALSP,25 328 p0 0 OC
APPROVED EXPLANATION OF REQUEST
AUDITOR-CONTROLLER
S'—/—By: Dote 10 APPROPP.IAiE AB-75 REVENUE TO
COUNTY MINISTRAT R EMS FUNDS FOP. FY 1989/90
8y: / Date
BOARD OF SUPERVISORS
Supervisors f' wm,Fanderk
YES' Schroder, MoPeak,Torlakson
A10: 4ii72Q
Ptlil BztChelor, Clerk of the Board of
alana uaE TITLE DATE
SSUPef0sorfs and,Couniy Admirr fatw
By:— G"Z C „iGGf AP'
By:
4 390
REVENUE AN. RA00
JOURNAL No.
ON 8134 Now.2/60