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THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on _January 31 , 1989_, by the following vote:
AYES:
NOES:
(See below for vote)
ABSENT:
ABSTAIN:
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SUBJECT: Workshop on the Replacement of the Merrithew
Memorial Hospital
In introducing the scope of the presentation today on the
replacement of the Merrithew Memorial Hospital, Phil Batchelor,
County Administrator, commented on the many questions that require
answers and the many obstacles that need to be overcome in order to
construct a facility to serve the citizens of Contra Costa County.
Frank Puglisi, Executive Director, Merrithew Memorial Hospi-
tal, gave a slide presentation depicting the obsolescence of the
hospital facility.
Mark Finucane, Director of Health Services, commented on the
need to replace the current hospital facility. He noted that the
hospital has received many unfavorable citations from the State
Department of Health Services because of deficiencies in the plant
structure. He advised that an estimated $14 to $15 million is
required to make the corrections which would not extend the life of
the current facility. He noted that the patient census is high and
that the deficiencies of the hospital are particularly evident when
the patient census is high. He also noted that there is an in-
creased demand for outpatient care resulting in longer office hours
to accommodate this need.
Mr Finucane advised that consideration has been given to
closing the hospital and contracting for services. He commented on
the disadvantages of this proposal citing the reluctance of private
doctors and hospitals to accept Medi-Cal and indigent patients; the
high costs that would be associated with contracting with private
doctors and hospitals to accept Medi-Cal and indigent patients; the
inability to negotiate long-term contracts as a method of control-
ling future costs for providing mandated services; and further the
inability of potential contractors to provide acute psychiatric
services as well as services to jail inmates.
Phil Batchelor spoke on financial considerations in estimating
the cost for the replacement facility, and the need for careful
analysis to size the hospital to meet current and future needs. He
noted that construction costs are estimated to be $95 million for a
227 bed facility with completion of the construction anticipated in
the mid 19901s. However, he called attention to the fact that
there is a great deal of pressure by the State and local agencies
to correct the deficiencies or replace the current facility.
Mr. Batchelor referred to the financial opportunities avail-
able to finance hospital construction, namely, the recently passed
Proposition 99 (Tobacco Tax Initiative) , and SB 1732 (Presley) . He
advised that in conversations with various legislators Contra Costa
County would qualify to receive Prop 99 monies for replacement of
the County Hospital if it is determined to allocate these monies
for hospital construction costs. The County Administrator noted
that the distribution formula for Proposition 99 monies is still
unclear and that many legislative bills are being proposed for the
use of this money. He called attention to the fact that the
Governor' s budget for the 1989-1990 fiscal year proposed a new
1
procedure for funding the Medically Indigent Adult (MIA) program
through tobacco tax revenues. He advised that SB 1732 provides for
a five-year window to guarantee funding for a project. Even with
half of the construction costs provided by Prop 99 and SB 1732
monies, the County would still have to finance the remainder.
Mr. Batchelor referred to the recommendations as set forth in
the attached report and advised that allowing him to issue Requests
for Qualifications/Proposals (RFP' s) for an architect and con-
struction manager is not indicative of a Board decision to replace
the facility; and further that this action would enable him to
screen for qualified professionals to assist in the development of
the construction project for presentation to appropriate State
agencies, as well as address some of the other issues associated
with this project that have not been addressed today.
Supervisor Powers referred to the language in Proposition 99
and the proposed intent of the Governor to use these funds to
finance the MIA program. He recommended that a lobbying effort be
initiated to insure utilization of these funds for hospital con-
struction. He also recommended that the County Administrator begin
development of a financial plan for presentation to the Board.
Supervisor McPeak commented on the need to have complete data
on construction costs and cash flow anticipated to apply to the
debt service. She requested information on what percentage of
revenues derived from patient utilization could be applied to the
debt service.
Mr. Batchelor responded that the financial marketing analysis
will not be completed for two months. He referred to the problem
with the uncertainty with the allocation of Proposition 99 monies
for this project which could be used as a match for SB 1732 funds.
He estimated that increased patient utilization of the hospital
would provide the cash flow to fund increased operating costs. The
County Administrator cautioned against anticipating revenues from
this source to apply to the debt service.
Mr. Finucane advised that patient revenue projections for the
proposed new facility have been very conservative. He further
advised that these projections are being subjected to further
study.
Supervisor Schroder commented on the need to have all infor-
mation available on the cost for the replacement of Merrithew
Memorial Hospital prior to making a decision. He expressed support
for the County Administrator' s recommendations.
Supervisor Fanden expressed the belief that replacing the
County Hospital with a new facility is cost effective to County
taxpayers than contracting with private medical carriers for this
service. She expressed a desire to have the Health Services
Director provide the Board with a report reflecting revenue pro-
jections over a 30 year period. She called attention to the fact
that State Law requires the County to provide medical care for
indigents. She recommended that the Board establish a subcommittee
to meet with the County' s legislative representatives to solicit
their assistance in preserving Proposition 99 monies for hospital
construction including the protection of Contra Costa County' s
interests in this endeavor. She further recommended that the Board
approve the recommendations of the County Administrator as set
forth in the attached report, and that staff be requested to
respond to questions raised by Board members today.
Supervisor Powers concurred and commented on the need to have
an analysis of the demographics and financial components associated
with the replacement of the County Hospital.
Mr. Batchelor suggested availing the County of the services of
investment banking in the development of financial data to assist
in the lobbying effort for this project.
2
Supervisor McPeak inquired as to the timetable for the Board
to receive a report on the RFP' s submitted for the architect and
construction manager, a financial analysis and design analysis on
the replacement facility.
Mr. Batchelor responded that the studies of these components
is being done concurrently. He advised that some of the marketing
analysis and development of the plant model is being done by
current staff. He anticipated reporting to the Board in April as
to the responses received to the RFP. He also advised that within
the next few months he would be reporting to the Board on financial
and legal issues associated with this project. Mr. Batchelor
commented on the interest shown by many health, financial, and
business professionals in this endeavor. He noted that several
workshops have been scheduled to provide information on the many
issues associated with this project.
Supervisor Torlakson requested that workshops be scheduled far
enough in advance to afford interested parties opportunity to
attend and participate.
Supervisor Powers requested that consideration be given to the
development of a brochure depicting what is being proposed and
soliciting support from all interested parties in focusing atten-
tion to the need to replace the County Hospital.
In response to an inquiry of Supervisor Torlakson, Mr.
Batchelor advised that funding for the RFP' S has been provided in
the budget of the health Services Department and that no additional
funds are required at this time. He commented on the need to have
all data assembled on the project in order to make a good decision.
On motion of Supervisor Fanden, seconded by Supervisor Powers,
IT IS BY THE BOARD ORDERED that the recommendations of the County
Administrator as set forth on the attached report are APPROVED, and
that the County Administrator is REQUESTED to respond to questions
raised by Board members.
The vote on the motion was as follows:
AYES: Supervisors Powers, Fanden, Schroder, Torlakson
NOES: Supervisor McPeak
ABSENT: None
On recommendation of Supervisor Fanden, IT IS BY THE BOARD
ORDERED that Supervisors Fanden and Powers are DIRECTED to meet
with the County' s legislative Delegation to obtain a commitment to
secure funds from SB 1732 (Presley) and Proposition 99, the Tobacco
Tax Initiative, to assist in the financing of the replacement of
the Merrithew Memorial Hospital.
The vote was as follows:
AYES: Supervisors Powers, Fanden, Schroder, McPeak, Torlakson
NOES: None
ABSENT: None
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cc• County Administrator D°aecf°�Supervisors°f� the -+le Shown.
• Director of Health Services ATTEST"ED: .51l9.p
Supervisor Fanden PI-31L F3 c CHELOF , ClleeK of vie B_o
Supervisor Powers of Supervisors unr' County
By
3
7.2
TO: BOARD OF SUPERVISORS ......
Contra
_,
FROM: Phil Batchelor, County Administrator
V" '� Costa
s
_ o� County
DATE: January 17 , 1989 WN
SUBJECT: Merrithew Memorial Hospital Replacement Facility
SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION•
1. Approve draft Requests for Qualifications/Proposals for
consultants to prepare information to determine feasibility
for proceeding with a replacement facility for the Merrithew
Memorial Hospital.
2. Direct staff to issue RFQ' s and proceed to select
consultants for recommendation to the Board.
3 . Accept report from the Community Development Department on
requirement for an environmental impact report and direct
staff to initiate steps to accomplish the EIR when
appropriate.
4. Direct staff to prepare presentation material on the project
study for the workshop scheduled for January 31, 1989 at
2 : 00 p.m. in the Board Chambers.
BACKGROUND:
On December 13 , 1988, the Board considered recommendations by the
Health Services Director concerning the Arthur Young study on the
Merrithew Memorial Hospital Replacement Facility. The Health
Services Director' s recommendations were approved and, in
addition, staff was directed to bring back to the Board draft
copies of the Request for Qualifications for the consultants
necessary to proceed with the schematic design; a timetable for
further actions; a determination as to whether a environmental
impact report was necessary and a request to hold workshops to
inform the Board and the public of the activities related to the
replacement study.
CONTINUED ON ATTACHMENT: ✓ YES SIGNATURE: al�
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERT HAT THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY O ACTION TAKEN
AYES: DES: AND ENTERED ON THE MINUT THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOW
ATTESTED
PHIL BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
BY DEPUTY
M382 (10/88)
-2-
The attached materials contain drafts of the Requests for
Qualifications for Architects, Construction Management firms,
Financial Advisors and Bond Counsels for review and approval.
These consultants, along with County staff, will make up the core
project staff needed to manage the project.
The Community Development Director has reviewed the project for
environmental requirements and prepared the attached memo
indicating that a full review of environmental considerations
will be required for the project in accordance with the
requirements of the California Environmental Quality Act. He
further recommends that the EIR process should be initiated at
the time the schematic design phase is completed when the actual
design of the project is firmly fixed.
The Requests for Qualifications contain a preliminary schedule of
future events with regard to the project. The selection process
is anticipated to require until May 1989 for advertising,
screening, interviews and contract negotiations, assuming the
Board approves the draft RFQ' s. The preliminary schedule further
contemplates that the appointed architect will complete the
schematic design services by January 1990.
In accordance with the Board request, a workshop has been
scheduled before the Board on Tuesday, January 31, 1989 at
2: 00 p.m. in the Board Chambers to inform the Board and the
Community of the activities related to the Hospital replacement
study. Martinez City officials, the local news media and the
Project Oversite Committee have been notified of the date and
time for the workshop.
cc: Health Services Director
General Services Director
County Counsel
Community Development Director
t s .
/ad
THE BOARD OF SUPERVISORS, OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this.Order on —_ June 3. 1997 , , by the following vote:
AYES: Supervisors Rogers, Uilkema, Gerber, Canciamilla and DeSaulnier
NOES: None
ABSENT: None
ABSTAIN: None
SUBJECT:
ACCEPTING CANVASS OF VOTES FOR POLICE SERVICE
DISTRICT P-6, ZONE 124
The Board received the Certificate of the County Clerk giving the results of
the May 6, 1997 Special Election for Police Service District P-6, Zone 124, wherein each
landowner of the district was allowed one vote approving Ordinance No. 97-6 so as to
authorize a special tax on property located in Zone 124 of County Service Area P-6 to
maintain funding for increased police protection service.
The Board hereby ACCEPTS the Canvass of votes from the County Clerk-
Recorder showing the Measure passed as follows:
Total Landowner Voted Yes No
6 6 6 0
o hereby certify that this is a true and correct copy of
an action taken and entered on the minutes of the
Board of Supervisors on the date shown,
ATTESTED: June 3. 1997
PHIL BATCHELOR,Cierk of the Board
o upervi and Co ty dministrator
0
By 4AA Deouty
Orig. Dept.:
cc:
Elections Officer
Community Development
County Counsel
County Administrator
County Auditor-Becky
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