Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
MINUTES - 12141993 - IO.9
•ro: 'a�OARD OF SUPERVISORS 1 .0.-9 Contra INTERNAL-OPERATIONS COMMITTEE �OS} FROM: l c.7a County December 13 1993 DATE: C U. SUBJECT: COMPOSITION OF AND APPOINTMENTS TO THE MEDI-CAL ADVISORY PLANNING COMMISSION SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: . 1 . ACKNOWLEDGE that because of a potential conflict of interest, Supervisor Smith declined to participate in the discussion of this item and did not participate in the decision-making regarding the composition of the Commission, or the functions, membership categories or other issues related to this item and - does not join in making the following recommendations . 2 . APPROVE the attached document establishing the functions, membership categories, community participation, officers and rules of procedure, staffing and sunset clause for the Medi- cal Advisory Planning Commission (MAPC) , except as hereinafter supplemented or amended. 3 . APPROVE the attached . guidelines for MAPC membership. 4 . APPOINT the following individuals who have been nominated by the entities indicated in the attached document entitled "Members and Nominating Entities" for the following categories : ✓ Physicians Gregg Sorensen, M.D. 53 A Manor Drive Pittsburg, CA 94565 Pauline Wills, M.D. 2023 Vale Road, Suite 203 San Pablo, CA. 94806 CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE THER SIGNATURE(S):: SUNUP WPIGHT Mt-PEAK ACTION OF BOARD ON Derpmber 14 , 199-3 APPROVED AS RECOMMENDED OTHER The Board established a special Committee of the Board of Supervisors, consisting of two members of the Board, to serve as liaison to the Medi-Cal Advisory Planning Commission, including monitoring the activities of the Commission, meeting with the Commission, being provided copies of all documents and meeting notices which are provided to members of the Commission and providing the Commission with the position of the Board of Supervisors on issues which come before the Commission. The members of this special Committee are not to be con- sidered members of the Commission and have no vote on Commission actions, although they .are free to address the Commission on all issues coming before the Commission. } Supervisors Tom Powers and Tom Totlakson are APPOINTED to this Board Committee. VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED X73 Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF cc: See Page 4 . SUPERVISORS AND COUNTY ADMINISTRATOR BY 1 DEPUTY r I.O.-9 -2- Kathryn Bennett, M.D. 3994 Canyon Way Martinez, CA 94553 ✓ Dentist Terry Tanner, D.D.S. 265 16th Street Richmond, CA 94801 ✓ Nurse Joan 0. Lautenberger, R.N. 3979 S. Peardale Drive Lafayette, CA 94549 ✓ Pharmacist Raymond L. Smart 1158 Panoramic Drive Martinez, CA 94553 ✓ Community-Based Provider Organization Heather Saunders Estes 147 Cross Road Danville, CA 94526 ✓ Substance Abuse Representative The Rev. Curtis A. Timmons, B.A. , Th.D. P.O. Box 8213 Pittsburg, CA 94565 ✓ Mental Health Representative Cynthia Miller 105 Jose Lane Martinez, CA 94553 ✓ Public & Environmental Health Representative Bessanderson McNeil, M.P.H. 654 Wilson Avenue Richmond, CA 94805-1867 ✓ Maternal & Child & Adolescent Health Representative Suzanne MacDonald 2505 Wright Avenue Pinole, CA 94564 ✓ Contra Costa Health Plan Representatives Paul Katz 2104 Holbrook Drive Concord, CA 94519 Jack McGervey 23 Marlee Road Pleasant Hill, CA 94523 5 . APPOINT the following three individuals for the category entitled: "Community Hospital Representatives" : ✓ Michael Lawson, CEO, Brookside Hospital 4855 Reno Lane Richmond, CA 94803 ✓ Antonie H. Papp, CEO, Children's Hospital of Oakland 244 Lakeside Drive, #16 Oakland, CA 94612 I .O.-9 -3- Eileen Lynette, Executive Director of Long Term and Rehabilitation Care John Muir Medical Center 1601 Ygnacio Valley Road Walnut Creek, CA 94596 6 . APPOINT the following individual for the category entitled: "Other Providers" : ✓ Michael Harris, O.D. , J.D. , M.S. , Optometrist 5 Benedita Place Moraga, CA 94556 7 . APPOINT the following five individuals for the category entitled: "Beneficiaries and Members at Large" : ✓ Margaret Dowling, East County beneficiary P.O. Box 783 Pittsburg, CA 94565 ✓ Jose Samaniego, Central County beneficiary P.O. Box 464 Concord, CA 94522 ✓ Joyce White 648 S. 15th Street Richmond, CA 94809 ✓ Evelyn E. Rinzler, Contra Costa Legal Services 3523 Freeman Road Walnut Creek, CA ✓ Dolores Sanchez, Ed.D. , Educator/Counselor 2033 Carquinez Street E1 Cerrito, CA 94530 8 . APPOINT the following three individuals for the category entitled: "Community-Based Organizations" : ✓ Mary Fujii, County Food & Nutrition Policy Consortium 1136 Lindell Drive Walnut Creek, CA 94596 ✓ Viola Lujan, United Council of Spanish-Speaking Organizations 3810 Crestview Drive Pittsburg, CA 94565 ✓ Claudette Garner, East Bay Perinatal Council 362 S. 37th Street Richmond, CA 94804 9 . SPECIFY that all of the above appointments are effective December 14, 1993 and are for a two-year term ending December 13, 1995 . The Commission itself will cease to exist effective September 1, 1996 unless the Board of Supervisors takes action prior to that date to continue the Commission. 10 . NOTE that no mental health providers or community-based organizations are recommended for membership on the Commission because a parallel Mental Health Planning effort is being undertaken by the Mental Health Director, which will provide a process and forum for mental health providers and community- based organizations to participate in planning for the Medi- Cal Managed Care System. DIRECT that representatives from East Bay Hospital and the Mental Health Contractors ' Alliance be members of this mental health planning process . 11 . ESTABLISH a special Committee of the Board of Supervisors, consisting of two members of the Board, to serve as liaison to the Medi-Cal Advisory Planning Commission, including monitoring the activities of the Commission, meeting with the 1 I .O.-9 -4- Commission, being provided copies of all documents and meeting notices which are provided to members of the Commission and providing the Commission with the position of the Board of Supervisors on issues which come before the Commission. The members of this special Committee are not to be considered members of the Commission and have no vote on Commission actions, although they are free to address the Commission on all issues coming before the Commission. BACKGROUND: On March 31, 1993, the State Department of Health Services issued its plan for expanding Medi-Cal managed care which calls for a two- plan model of Medi-Cal managed care in 13 target counties . Contra Costa County is one of the 13 target counties . The two-plan model consists of a locally developed managed care system called the Local Initiative and non-governmental HMO to manage the care of the AFDC-linked and Medically Indigent Children Medi-Cal eligibles. Fee-for-service Medi-Cal for these groups will be phased out when the two-plan model is implemented. The State Plan contains a two- year time frame for implementation. On June 15, 1993, the Board of Supervisors established the Medi-Cal Advisory Planning Commission, a 25-member special committee to assure provider, beneficiary, and community input into the planning for the county sponsored Local Initiative. The Board of Supervisors did not, at that time, formally approve the details of the Commission which are now put forth in Attachment 1 . On August 12, 1993, the Public & Environmental Health Advisory Board recommended criteria for MAPC appointments . The Health Services Department has incorporated these criteria in its guidelines for MAPC membership (Attachment 2) and has used the guidelines in its recruitment and recommendations for MAPC members (Attachment 3) . The applications from those being recommended for appointment are attached to this report. In addition to newspaper publicity about openings on the MAPC, in October the Health Services Director sent individual invitations to submit applications to the MAPC to all the local hospitals, the Alameda/Contra Costa Medical Association, the Dental Society, the Pharmacists Association and 24 community-based organizations representing grass roots services and beneficiaries . Over 40 responses were received and were reviewed by the Health Services Director. It is, therefore, recommended that the Board of Supervisors appoint the above list of individuals to serve on the MAPC. In addition to the appointments to the MAPC, Supervisor McPeak believes strongly that the Board of Supervisors should have direct input to the MAPC, both to be aware of the activities and actions of the MAPC, and to provide the MAPC with the views of the Board of Supervisors on issues which are pending before the MAPC. It is, therefore, recommended that the Board of Supervisors form a special two-member committee to serve in a liaison capacity to the MAPC. It was noted by staff that no mental health providers or community- based organizations were recommended for membership on the MAPC because the Mental Health Director is implementing a similar and parallel planning process for mental health services. This is acceptable only on the condition that East Bay Hospital and the Mental Health Contractors ' Alliance are closely involved in the planning for mental health services . cc: County Administrator Health Services Director Executive Director, Contra Costa Health Plan Mental Health Director Auditor-Controller County Counsel Each Appointee Attachment 1 December 7, 1993 Contra Costa County MEDI-CAL ADVISORY PLANNING COMMISSION OVERVIEW The Medi-Cal Advisory Planning Commission (MAPC) is a 25 member pre-eminent special committee appointed by the Contra Costa County Board of Supervisors to assure provider, consumer, and community input into the planning for the County sponsored local initiative Medi- Cal managed care system in Contra Costa County. The Board of Supervisors is the transitional governing body to the Contra Costa Health Plan as it expands to incorporate community safety net and traditional providers under its already existing Knox-Keene license. The Board of Supervisors will assure ethnic, cultural, and geographic diversity in its appointments to the Commission. It will also seek to appoint representatives who are knowledgeable and experienced in meeting the special needs of vulnerable populations, including Medi-Cal and indigents. In its appointments the Board will also assure that current patients in the County's health care system are involved in the planning for transition to managed care. The Commission will provide long range planning direction and will make recommendations directly to the Board of Supervisors, the County Health Services Director, and the Contra Costa Health Plan (CCHP) Advisory Board on the planning for the County sponsored Medi-Cal managed care system. FUNCTIONS The Commission's purview encompasses the County sponsored Medi-Cal managed care system, its Plan members, and providers. Specific areas which the Commission will review, monitor, and make recommendations are: 1. Outcome Measures: The Commission will approve a set of community and patient outcome goals, and the specific measures to be used in determining the extent to which these outcomes are being met. 2. Accessibility: The Commission will review and make recommendations on the proposed access standards. -2- 3. Quality: The Commission will review and make recommendations on quality of care issues. 4. Benefits: The Commission will review the scope of benefits and services offered by the County sponsored system and make recommendations for modifications. 5. Consumer Satisfaction: The Commission will review and make recommendations on mechanisms for monitoring consumer satisfaction, grievances, and complaints. 6. Provider Relationships: The Commission will review mechanisms for provider satisfaction. 7. Community Health Related Needs: The Commission will review unmet health related needs in the community and make recommendations how managed care systems can address these problems. 8. Governance: The Commission will review and make recommendations on Local Initiative governance options. MEMBERSHIP The 25 members of MAPC shall be appointed by the CCC Board of Supervisors for a two year term and shall include: SAWiA:?!V'i:NY+AI:Sr'], .::: dorm. tJ:ILL4a;' 6 Advisory Board Representatives - 1 Substance Abuse Advisory Board 1 Maternal & Child Health Advisory Board 1 Mental Health Commission 1 Public & Environmental Health Advisory Board 2 Contra Costa Health Plan Advisory Board Current Chair of CCHP Advisory Board Immediate Past Chair of CCHP Advisory Board 3 Community Based Organizations' Representatives 5 Current or Past Medi-Cal Beneficiaries and/or members at large -3- 1 Registered Nurse - nominated by North Bay Coastal Region IX, CNA 3 Physicians - nominated by the ACCMA: 1 from West County 1 from East County 1 from any region of the County 3 Community Hospitals' Representatives (Hospitals must include non-County facilities who have historically demonstrated a loyalty and competence in serving the special needs of Medi-Cal beneficiaries.) 1 Community Based Provider Organization Representative - Planned Parenthood 1 Dentist nominated by the Contra Costa Dental Society 1 Pharmacist nominated by the Contra Costa Pharmacists' Association 1 other community provider COMMUNITY PARTICIPATION To assure that all providers, beneficiaries, and members of the public have the opportunity to participate in the planning for and implementation of the County sponsored Medi-Cal managed care program, the Commission shall: 1. Have regular open meetings conducted at least quarterly and in accordance with the Ralph M. Brown Act (Gov. Code 54950 et seq.) 2. Annually hold regional hearings in East, Central, and West Contra Costa County to elicit broad community input. 3. Establish such special committees on an ongoing or limited term basis as necessary to conduct its work. In addition to the 25 Commission members any individual or organization may attend and participate on any appropriate special committee that is established. The Commission Chair shall appoint the Chair of any special subcommittee. Examples of the types of special committees the Commission may establish are: committee on issues of the physically disabled; committee on cultural, linguistic, and ethnic accessibility of services; contract provider committee. -4- Committee meetings shall be regarded as open "workshops" designed to elicit broad public participation. OFFICERS & RULES OF PROCEDURE The initial meeting of MAPC will be called to order by the Chair of the Contra Costa Health Plan Advisory Board. The Commission shall subsequently elect a Chairperson and a Vice-Chairperson for terms of one calendar year. The Chairperson and Vice-Chairperson may serve two consecutive terms of one year each. The Commission shall conduct its business according to the following rules and by laws and other organizational rules. It shall consider and adopt other such by laws and organizational rules it deems necessary to carry out its functions. CONDUCT OF BUSINESS 1. Meetings. Meetings shall be conducted pursuant to the Ralph M. Brown Act. (Gov. Code, § 54950 et seq.) 2. Chairperson. The chairperson shall be responsible for: A. Conducting all meetings of the Commission. B. Reviewing and approving Commission agendas. C. Selecting Commission members for standing and ad hoc committees. 3. Quorum. Business shall be conducted by the Commission only when a quorum is present. A majority shall constitute a quorum. During periods when one or more seats on the Medi-Cal Advisory Planning Commission is vacant, the vacant positions shall not be considered for determining whether a quorum is present. A seat is vacant when there is no commissioner appointed to serve in that capacity. CONFLICT OF INTEREST 1. General Board Policy. Pursuant to Resolution No. 82/574, the Board of Supervisors has adopted a policy for Board appointees concerning conflicts of interest. Resolution No. 82/574 applies to the Commission and requires as follows: A. Statutes on Conflicts. Officials, Commissioners, and Committee members appointed by the Board shall adhere to the principles and rules of the Political Reform Act of 1974 (Gov. Code, § 816000 et seq.), including the following: 1. Local government should serve the needs and respond to the wishes of all citizens equally, without regard to their wealth. (Gov. Code, § 81001{b)) r -5- 2. Public officials should perform their duties in an impartial manner, free from bias caused by financial interests of themselves or their supporters. (Gov. Code, § 81002[b]) 3. Public officials should disclose assets and income which may be materially affected by their official actions, and in appropriate circumstances they should be disqualified from acting, in order to avoid conflicts of interest. (Gov. Code, § 81002[d]) B. Common Law Policy on Conflicts. All officials should so conduct the public business as to avoid even any appearance of conflict of interest. (See, e.g., Kimura vs. Roberts [1979] 89 Cal.App.3d 871) 2. Board Policy for Medi-Cal Advisory Planning Commission A. All members must file an initial and annual conflict of interest statement. Failure to file such a statement may result in the member's removal. B. Members may participate on issues in all discussions including those having a direct financial impact on the members and/or their institutions. However, no member may vote on an issue in which the member and/or the member's institution has a direct financial conflict of interest. ABSENCES The Commission considers it imperative that members who vote on matters before the Commission are informed and knowledgeable as to such matters. Therefore if a member fails to attend three consecutive meetings, such member will be ineligible to vote at the next meeting attended. Prolonged absences may result in the member's removal. WORKPLAN It shall adopt a work plan which includes mission, goals, and principles. In developing its work plan it shall consider and prioritize the following issues: Beneficiary Issues: ♦ Client education, rights, responsibilities ♦ Grievance procedures ♦ Needs of special populations, e.g. foster children, children with special needs, ethnic or cultural groups, mentally disabled, HIV/AIDS, homeless, undocumented ♦ Accessibility issues Provider & System Issues: ♦ Roles of traditional providers ♦ Public/private linkages ♦ Integrated service networks ♦ Management of specialized services in regional and central locations t -6- Health professionals' training, e.g. in serving a culturally diverse population ♦ Episodic care/emergency care/urgent care Community Issues: ♦ Community wide prevention programs Governance Issues: ♦ Governing body options STAFFING The Commission and its special committees will be staffed by Contra Costa Health Plan and County Health Services Department administrative staff. SUNSET CLAUSE The Commission will assist in the planning for all phases of the County sponsored Medi-Cal managed care program. MAPC will be dissolved on September 1, 1996, unless the Board of Supervisors determines prior to that date that the Commission is still needed to provide ongoing planning, direction, and advice to the Board of Supervisors. L28:MAC 1 b a 00na• � �, cr p `SCD CZ CD CD c CD x co c C 0Q• y C (D CL 0. .r O r•� O v�' C •• W C N Cz- �• on Ca. Medi-Cal Advisory Planning Commission Organization Chart Contra Costa County Board of Supervisors Health Services / Department Director — Medi-Cal Advisory Planning Contra Costa Commission Health Plan (MAPC) (CCHP) Planning Body Advisory Board for All Phases Reviews All of County CCHP Programs: Sponsored Medi-Cal Managed ow Medi-Cal Care Program rw Medicare ow Basic Adult Care ow Commercial (individual, small group, large group) ow MajorRisk Medicallnsurance Program owAIM IPM4:PM i 1/8/93 Attachment 2 MAPC Members Guidelines for Membership By Cate,gory 1. M.D., R.N., DDS, Pharmacist: nominated by appropriate professional organization 2. Hospitals: DSH provider or traditional provider 3. Other providers: ✓discipline not already represented on MAPC ✓traditional or safety net provider 4. CBO: ✓ensure geographic distribution ✓applicant has history of commitment to Medi-Cal population; especially AFDC & MIC ✓CBO represents special populations, needs 5. Beneficiaries: ✓ensure geographic distribution Overall 1. Ethnic, cultural, geographic diversity and gender balance 2. Knowledge and experience in meeting special needs of vulnerable populations 3. Demonstrated commitment to the community the applicant will represent 4. Demonstrated credibility within the represented community 5. Demonstrated interest in health care issues for low income communities and knowledge of the Health First proposal 6. Ability to make the necessary time commitment to participate L31:CA 12/1/93 r U rd x o to w rd - z u w o z 4-) a a o O •r1 a) N a) H a) W M N m 0 O a) O N N H I~ r-I m A (d (n w -A a) r-I N r- in N 9 H 9 -1 O O a Ca M A N H O U a) "A a) x r. a) rd to •rl D •r1 ul Id 0 P M 3 as r.O -P , a a cn Q) •r+ 4-) z z (old � ca z O m rl -P (oz > m4 a) cn O A 9 9 P9: rd x ro M •r1 'd -� d H Id ro a) A 9 cd >4 cd o a a I~ a) 4-) Q) rt U •r+ r. 1ltil •r, aPIn >4I~ O 4 :j941 - co IT 41 -4 4 M P .4" r. - 4-) U I~ N 4-) N (d Q) -P 0 I~ +3 a) P U Id z M G) of cd > 4 I~ N N OP -r-I (10 cd cd H a) •r1 O En Id a) k r-I A a) ai .H Uwwcna4w PP4 has P4 xwa, vl xaa tm U) � aNi >~ 4-) � ,•,I ri N M ri ri ri r•I .-•I ri ri ri U r. w O Id 4-) N 4-) M r-I-I 9 z O •H r� •U O •� 9- as 4 W •r1 W U 4J fu 0 0 0 r. +) 04 fd rroi 74 N Q,' N 4-) N b U m !-I b 0 >4 fd rd 0 Z S-I U +J CO z f-I •rl O •r1 a) M +J O cd a) O U rd a) A +1 > to A x rt to) ro 4J 0 4-) •r1 U +l N m O ri •r.1 U O O N Ul U En 4-3 Id as Id W > +r M � N L1b -� U O O ?i X O , a) a) % Z rc5U to ro H U •r1 U 74 x r-1 71 W 0 Z3 cd b r- I~ cd cd 0) fu O r-1 A N O Uz O U m Id A O mr=i 9 -P 1A to • 4.)I � m a) N td rd I~ z mtP ztd rt A > I~ AId +) O9 r-I a) O a) O O O 4 r l � ro a) d a) rd ro rd .!, � z UA zx Uw a U) z 134 ro � N rA A r-i 4-I O b O O H Ul as O a' 4J -4 +J O r-I a.l 0 4.1 )•a N +l I •ri Id b Id W fd rd W a) (If Q) O N >r 41 N +J a) 4-) a) -P U 4-)4 74 td •r1 41 m (d U O x r. X21 x C.' r-q N I~ 0 m rl 41 U rl a) N !~ w v a) Id a) a) a) O U M M a •r1 td N r-I N U r-1 N I~ r-j 4 N tr •,.4 •r-I (1) a •rl z a.l a) Id a) •r1 CO N M O A a) N 41 N I ,7 fd N M 4J M ri -P M Q) rO r-I M +� >4 r. m 0 t Aa Dar AI. 04 +J4 (d04 rd 4 a) 0 O m m 0 a) a) (L) :1 4) a) Id a) a! U a 0 z a Uwo En 94 za wzx zwxx O A A W �4 4J U A m E-4 -3 N In A %0 O -H I >, n O W a) br 1~ >4 �4 f 4 a) b z O U4-) r. O O O f4 �4 U) 4-J O A H 4-J (0 a) s~ a) 3 % (1) a u x I,a U x +J a! A 0 O I~ f0 a O U O O 1~ 9 9 O N 1 d 0 0 a) v a s >i w a) (0 4J po r-I a) O 1~ (0 x a r i �, 0aO H pc ,-r.,w a) u 1n1~ 1~ Ua (o >1 It r-I P4 M p 1 A U co 9 (L) (o 1 a) to N a) .0 •-) a) 9 p a) O +J o ,C UN 0) a! H a) G4 p a) u p u 3 t0 >I a) O A p f0 N r1 U !~ A r-I a )-1 O•r1 LAG U w U U O r-I U N x 9 -O 4-J U 1-I D4 a) O (1) O r. r1 z rd a) O d •r-I Ea •r1 a) H O - -r1 •r1 1 h 4-) U aT Z 0 .0 H-11 4J h'] 4J h En >4 z W i�l f0 p A 0 a P 'd I f-1 N to p 1~ a U 0 O O fn O I -r-I Q) I rd 'dNa) a) 9 a) M I (o0a) 0O 1 fu 1 01 N > 1 I Ap r~ +) 1 QOr-I za) .. 4.) A0b 4N >40Ix x p N (0 O -rq (0 x N a) a N4-) 1.1b +J U P +JU 4J •• r• N a) a! - p a) U rl 1l P O a) •-1 4-) ),-1 a) -H d U O N NQ) 4.1 9 N 1 0 b9 b q Z 4-) 0 10 Z -r-I > A 4J 04-) >4 a) 1~ U 1n P a -,f-,i-,i > 0) >1 (0 -H b a) 0 a) t0 U -H a) d •rl A t01 N 0 (0 (o x co O 4J b a P n H M U >r U � •r1 + r1 + )- 1 x z NPZ � ro--1 -Ht0 -4 as +J4Jh a) OP 4J roafoMUt0U (0 9 b :1 .. Old to r. a U a) In d 0 •r1 (o I to >r 1 0 4 •r1•H 9•r1 g: r-1 9 O r-I O U a) f•1 4-)-r1 04-) >-H I~ Z O +J A •r1 • 4-) P CO W +J U)-r-I N••i d U 0 -H4 a) a CO r-I 0 O 1n M a) V) r-I (V4-) P Pabz +-Jz f0 P ro 9 >40 >40 a h oPaUF3W0Z 0aQ4M4WW4n c4 0ZM44P4 a01aaaHanP4 9w 0 • o r•1 . . . . . . . . . . . . . . . . . . N C) 4 un t0 9 00 4 N c4 d' In 10 1: 00 01 r I 1; fof0 H r-I 04 a4 >r 4J .r A •rl p p.1 414J 4-) f0 O O W U •> '> x � xN 4J 4-) 0) a1i (0 -H (d 0 aa r 4., 4J (d 4-) a N0 rn0 rd OU O a) 0m � 0 r •r1 W -H 4-1 )~ Z 00 0 00 00 uU uH z z a� A N N C1 r-I z W O a aNi aNi � •r1 > > C ro •r H b N 4J O +) +1 •r1 )-1 N to to to > Q) O r1 4 >r 4j O A >4 U W O 41 r-4 9: 3-1 9i p a) •r1 t0 (1) Q, Z tP 9roa 0u a ,0 0 u0xa c0� xa 0 >1 m O 4 U 74 I 1 U r. U !~ 1 1 Q) 0 O > —1 (d H �4 1 �4 O U S4 (1) r-I •n•rl }.I r-1 Q) •rl U Q) 1•f O N 0 U Q) •11 4-) (L) Q r-I LO c0 a .r.1 a 9 +-) U 0 Ur. ,� +) cd U •r 1 z 0 r.. t." Q) Tr Q) N p r•1 Im !", n fd (d O Q) 0 U fd > a) (d +J M A O 0 04 r-1 U U O -4 -ri 4 W OirO 4J -r1 W v] O U >i ri i-) -rl N a) W p r-I +-) -r-I "1 +) +j )`1 "1 0 U f-1 O fd •r1 74 4a > (d 0 N -rI Q) a' U A is r-i Q) )`I S-1 O 4-) $4 Q) Q) 0 4 Q) • N O x 4-) fd I (d Q) M —4 0 U x r LO 0 Q 4 Ai 0 0 Z r-1 1~ 0 4J 4J N 0 U) U) W 0 d' rj Z •r1 N -H P fd rd •rI � 0 A P p U1 3 Q) H U 0 U) I U til )•I CO Q) P r-I (d O 0 O � N O 7r-A >1 a) N z O t3, La 1~ )•1 N C7 >4 0--f 'tY U fd 41 ,ti O O )-1 4J 0 0 U Q) 9 =1 004 P 44 A a U +J P bcd fd (d -r1-,.I to ----r-I ro.0 O Q) I~ to A a) cd -r1 a z +J •r1 0 -4 A a )•1 P4 O -r- 4-) tr I U tr >4+J >4 (d M + 0 P M (L) U (dU3 Ino P 04-) 1~ (d4-) (da •rIQ) VO +-) U) X �4 •r1 cn •r1 O a) +J +) Q) W P rO-r♦ PQ (1) 0 a A •11 a I~ •r1 (d 44 w Q) >4 P (d )4 tr O Q) 9 b N ml )4 O--1 9: tS+ N N 4) U r-4 O U N (d - d) 4.) (d 4J 0 L: (1) - N Q >i U A4 (D �4 0 U) 0 >4 Q) H :3 A 0 >r I~•r1 Q) U) CO 0 P >-r-I P. )-I U O 0 Q) O N O a O rU O 0 4J O 0 040 r-I >4 r-4 4) r-I (d (d U -r-I 4 � AhAhWL1WLY, � UU � cl� WU �1WC] WU � U � a r I N M 4 111 10 4 N M 4 Ll 10 9 4-) �1 �4.J O O (A U) -1-3 Q) 4-) Q) a a .J UI 0 N O r.fd O In O In r-I 4-1 -H 4a o +J O 4J O� O Z 00 00 z z N f4 a) A 1~ 111 M Ln W N O ro� a) a � ami •ri m v, (d til M to 0 •iia m 0 �4 is S-1 A I •rI .� 4J -- 4J I~ (d U N -rI N U W Q) 0 M Q) 4 r rd P� U O 0 o O El - - _ .Contra Costa County Medi.Cal Advisory Planning • _r ssIon Application Form -_ A lication form must be t• or hand rioted DEC I; A. PP YP P PiM Name ofApplicant- �rGO r.�,S ;lo D Home Address: 'Phone: _ usiness Address: WorkPhone: :5,p >wl-G12r B - S 3 A 1NaHor fir. r9'SISd S ��iYP;+4abk �Signature: = 1 Personal Experience,Skills and Interests = _ cation/Back ound: - Edu gr 4 b& .., .. .... . .. Occupation(student,for:pay work;not for pay work retiree:or similar):; Prue, aC t`.1 - - V. Community Activities:;• 0. Special Interests: ws ' _ Category of Membership.(check one) u Public Rep restaWiz c O Beneficiary Representative .Provider Representative ; 0 Member at Large Information: _ File completed application.anth Bobbi Baron, g Plann n Director,Contra Costa Health Plan,595. Center Avenue,Suite 100,Martinez,CA 94553. 2 Members of MAPC may be required to file an annual.Conflict'of Interest Statement: - 3.'. MAPC meetings may beheld in Martinez with:regional hearings in Fast,Central,and west Contra ',Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4.. MAPC may ,establish special subcommittees or work groups requiring additional time. ntira Costa County Medi-Cal Advisory.Planning,Commission.: ,M ,Y �p ica ion o A . PPlication form must t . yped or hand printed , . Naine of A licant: . �0►.1.c- -. Home Address: - ° .Home Phoae Business Address: 2o2,3 t/a/e Act. Sa.;4t 203' Work Phone: :2 35-88'70 Sc..k Pa6.10:, .CA 9 y 304, - Signature: Date: Personal Experience, Skills'and Interests Education/Background: -i__cz-c ,( 1Se r e.t OccuP ation(student,for paywork not for;pay work,retiree or similar): - Community Activities: S ecialInterests: Category of Membership(check one) O Public Representative O Beneficiary Representative X Provider Representative _ - O Member at Largo _ : , 1 _Information: . 1: -File completed application with.Bobbi Baron,Planning Director,Contra'Costa Health Plan;595 Center Avenue,Suite 100,Martinez,CA 94553. 2: ,Members of MAPC inay be required to file an annual Conflict-of Interest Statement: 3. _:MAP meetings Inay be held in lvlartinez with regional hearings' East,Central,and West Contra Costa County: Meetings tnay beheld either in the evenings or during the day at_least quarterly. 4: MAPC n ay establish special subcommittees or work groups requiring.additional time. Contra Costa +County Medi-Ca1 Advisory Planning Comm>ss�on p1* ation Form _ Ap PPlication form must be typed or hand printed , Name of Applicant: I�C� f,� r 3 i .s e - Yn � Home Address: 3 y 9 y Ca.+ Home Phone. Ph � 2-2 Business Address: Workone: ra o� 1.416- t. , S :� ?syob eSignature: !°! � Date; - Personal Experience,Skills and Interests Education/BackSi ound: re t occupation(student,for pay work not for pay work,retiree.or. simdar Y _ c . Community:Activities: -.. . Special Interests: _ Categoryof Membership(check one) ; Public Representative D .Beneficiary Representative. _. Provider Representative Member at Large Information: 1. File completed application with'Bobbi':Baton,Planning'Director,Contra Costa Heath Plan,-595, Center Avenue,Suite 100,Martinez,CA 94553., 2.. Members of NiAPC may be required to file an annual Conflict of Interest Statement. ;. 3.1 IviAPC meetings may be field.in Martinez with regional hearings in East,Central;and West Contra.' Costa County. Meetings may be held either in the evenings or during the day at least quarter y. ;4. MAPC may establish Special subcommittees'or work.groups requiring additional time: : contra Costa County Medi-Cal Advisory Planning COmm�ssion. Applicationform - : PP ; :A lication form must bo t or hand rinted. PP ype P Nameof'Applicant . Vii. eleoni7 0 7f'f o .� Home Address: _ y Se;'?� `� - 5 Home Phone• Business Address: - Work Pbone• Z.L �. S-�F.0-7ure" : Date: oo Personal Experience, kills and Interests - . EducationlBackground. i .:Occupation(student,for pay work,'not for.pay work,retiree or:similar) Community.Activities:/ Special Interests: _ Category of Membership(check one) O .Public Representative - 0 iRe:+eficiaryRep� ec_ntative. �,' Provider Re resentative P O. Member at Large Information: 1. File completed a lication-with,Bobbi Baron,Planning Director.,Contra Costa Health Plan,595 PP Center Avenue,Suite"100,Martinez,CA 94553. :• . : Members of MAPC nay be required to file an annual Conflict of Interest Statement.: _ ;'MAPC meetihi s may.be held in Martinez with regional hearings in East. Central,and West Contra Costa County. Meetings may be held either in the-evenings or.during the day at least quarterly.': '. {4. NiAPC aiay establish`spial subcommittees or work groups requiring additional time: Contra Costa County Medi-Cal Advisory Planning Commission Application Form Application form must be typed or hand printed Name of Applicant Joan 0. Lautenberger, RN Home Address: 3979 S . Peardale Dr . Home Phone:5 10)28.3-2266 Lafayette, CA 94549 Business Address: 54�lgEgRg tH osp ital-Oakland Work Phone: 510)428-3390 Oakland, CA 94609 Signature: Date: 7/31/93 Personal Experience, Skills and Interests Education/Background: BA, Cornell U - , 1953; RN, C .C . College, 1.973 P14N- Tioly Names College, 1978 Contra Costa County Hospice, Vol. and Vol. .Coord 1978-88 HSAC 1982-9 (Chr '88-9) Occupation(student f6K pay work,not for pay work,retiree or similar): Pari-time RN Community Activities: Contra Costa Co. Family PlanninNetwork (Co-chr) League of Women Voters-Diablo Vag lley (Treas . ) (North Bay Coastal) Region 9, CNA , (past Pres. ) , Contra Costa Subcom. of Government RElations Com- , e c . Special Interests: other family- and Community-health endeavors . Family- ACS, Ser. Com; NWPC Category of Membership(check one) E3 Public Representative 0 Beneficiary Representative 13 Provider Representative (nominated by Reg. 9, CNA) fn Vfamber at Large Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan, 595 Center Avenue,Suite 100,Martinez,CA 94553. 2. Members of MAPC may be required to rile an annual Conflict of Interest Statement 3. MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. LMMAK" Joan 0. Lautenberger , RN 3979 S . Peardale Dr . , Lafayette, CA 94549 (510)283-2266 home Educational background , certification and licensure: PHN Certificate from CA , Jan . 1979 . BSN from Holy Names College , Oakland , Dec. . 1978 R .N . licensure , CA, 1973 after completion of training in Contra Costa College, San Pablo, program. BA. from Cornell University , Ithaca , NY, 1953 . Professional and community activities (Current first) : Children ' s Hospital-Oakland , Staff Nurse 1974-present , ICN first 5 years; part-time float 5 years; Med-Surg , short-hour , 1984 to present . Region 9 , CNA, active on committees since 1973; Pres . 1992-3 and 1986-8; VP 1991-2; Board of Directors , 1988-91 ; Delegate to CNA HOD , since 1985 and ANA since 1988 . Contra Costa Family Planning Network , rep . of LWV-DV and NWPC-CC since founding , Chair , 1990-3 . League of Women Voters , Diablo Valley unit , Board 1988 to present , Treas . 1992 -4 . American Cancer Society , member Service Com. since 1984 . National Women ' s Political Caucus committees and Board since 1975 . Past Professional and Community activities: American Cancer Soc . , Contra Costa Unit , member Nurses Work- shop com. 1980-6 , Professional Education com. 1981-6, Board of Dir . 1982-3 . Contra Costa County Human Services Advisory Commission , Chair 1988-91 , member 1981-91 . Contra Costa County Hospice, volunteer and Volunteer Coordi- nator 1978-88 . Alameda-CC Health System Agency, District Council and Cer- tificate of Need Panels between 1980 and ' 88 . Professional honors: North Bay Coastal Region 9 , CNA - NBC Honor Award . 1988 American Cancer Society, Contra Costa Unit Award of Honor , 1982 after being Chair of Nurses Workshop Com. NORTH BAY COASTAL REGION CALIFORNIA725 E.Washington St.,Suite 205 / Petaluma,Califomia 94952 NURSES'ASSOCIATION (707) 778-0220 / FAX(707) 778-0274 August 2, 1993 Contra Costa Board of Supervisors 651 Pine Street Martinez , California 94553 ATTN: Ms. Bobbi Baron Dear Ms. Baron, North Bay Coastal Region 9 of the California Nurses Association is pleased to nominate Ms. Joan Lautenberger, RN, BSN, PHN to the newly forming Contra Costa Medi-Cal Advisory Planning Commission. Ms. Lautenberger is very knowledgeable and has been active in community and county health affairs for many years. She served as Contra Costa County Hospice Volunteer Coordinator, she is a member and has been Chair of the Human Services Advisory Commission and, currently , is Co-chair of the Contra Costa County Family Planning Network. The California Nurses Association feels that the Contra Costa County Medi-Cal Advisory Planning Commission needs a nurse of this stature on such an important commission. The Contra Costa plan advocates many of the same principles as Nursings Health Assess Reform position paper. Thank you for your inclusion of Nursing as a part of this commission . Ms. Lautenberger will be an influential and concerned addition to this important endeavor. Sincerely yours, Lnne Killips, RN, CCRN Chair, Contra Costa County Government Relations North Bay Coastal Region 9 California Nurses Association Contra Costa County lVledi-Cal Advisory Planzung ommissian Alicatian Farm = Fp Application form must be typed or hand printed : Name of Applicant: R6.ymoad `.L .': 5ma.r.t:;:. : '- Home Address: i i 5 e` .Pan o r a m i_c.:'D r.' Home Phone:.(.5 1-0 "-2 29- 3 5 4 Martlne.z , -Ca . 9'4553 Business Address: o e: e Y r s:.t Work Pbone: Concord, 'Ca . 9d 5..20 ( 510) ::.&85:'-85..5.1 . Signature: Date: _ .7 --''��� .Du .. 1 /3/93 Personal Experience., Skills and Interests Education/Background - . echei:or .•of-.5.c.ten re,..;an Phermacy `..: ' ._.. . UniversIt.y : of . the `Pacific ' Stockton , C'e . - .. . . 'Occupation(student,forpay work,not for pay work,retiree or similar):, Pharmacist-- ChIef• P:h6rmac.1S-f'f6r. VAIco Dr ug . $t,or:es . ' Community Activities: : , ServIn.g .on . 8oa'rd .of D'Irector ' s-. of _both _Contra` Co.sta P.harmaclsts...Asso'ciatIon. and Ca 11..f-o..rn 1 a P:harmaci-sta 'Assoc t atI on , Special Interests. Category of Membership(check one) O Public Representative ,. D Beneficiary Representative &fix Provider Representative • D Member at'Large Information I,. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue, Suite 100,Martinez,CA 94553. : _ 2. .. ---.Members of MAPC maybe required to'file an annual Conflict of Interest Statement. : 3., ` MAPC meetings may be held-in Martinez with regional hearings in East,Central,and West Contra Costa County: Meetings may be held either in the evenings or during the day at leas quarierly. 4. MAPC may establish special:subcommittees or work groups requiring additional time.:' ntra Costa County Medi-Cal Advisor Pi R. Co y rY _ ' ion dorm r : 'A 11cat .P - P A lication forrn`must be typed,or hand printed , - PP Ov Name Of Applicant: Heather Saunders`Estes.. _ Home Address: 147 .Cross-Road, Dangille, .CA 94526 ; HOn1e phOIIC: (510), :838-2803 Business Address: 2185 Pacheco St. Concord,.. CA .94520 ` WOIk Phone: (510) 676-4505-.- SiQ�ature: Date: 10 j29/93 _ Personal Experience, Skills and Interests Education/Background::, A.B. : (Art,and Educat on),.'Hamilton College. : ::. K.S.H. Health Administration and Direct. Service/Counseling): S3 acuse University .'. N.T.A.: Public Admir_istratior/Heal h Policy) i`E.z.;ye11- SFhgp1 SRracuse •IIrisPrsit�:;. .. S1ID11 Occupation(student,for pay work,not for pay work,retiree or E::ecutive Director, Planned. Parenthood: Shasta-Diablo . Community Activities: . Save Mt.:-`Diablo ' Sierra .Club Special Interests- Hiking, birdin itending for. Lilly .. pet goat.' Category of Membership(check one) - .: g ry - 0Public Representative O .Beneficiary Representative - rL =S�II►o�i:v% D. Member at Large Information: - File completed application with Bobbi Baron,Planning Director;Contra Costa Health Plan, 595 Center Avenue,Suite 100,Martinez,CA 94553. .2. : .Members OfMAPC may be required to file an annual Conflict-Of Interest Statement. ; 3: . . :,MAPC-meetings may be held in Martinez with regional hearings in East,Central, and West Contra, Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4, MAPC may establish special subcommittees or work groups requiring additional time. .. r ;e.,/i..t�dai .. ..I.y'\Ty:/`lh.�.;• :.�IyL►...::. 'Co' n'tra Costa County Medi-CalAdvisory Planning Commission Application Form Application form must be typed or band printed .c ' /• Name of Applicant: Q Ho a Ad .3 5 ` oC� ,Lo � 1 HomePhone: 3U� _ 04'k-5 S Business Address: �j Work Phone: 3 -O 41+5 Pn, Bc 8�i3J �{'t5�5 '� Signature: / Date: —7- 7 - 9 Personal Experience, Skills and Interests Education/Background: B a. -T ti, D, 3 3 �ccup tion (student, for p�,y work, not for ay work, retiree or simile Community Activities: SecialInterests 1 ' SS Category of Mem ership (check one) Public Representative O Beneficiary Representative O Provider Representative o,j Z, Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director, Contra Costa Health Plan, 595 Center Avenue, Suite 100, Martinez, CA 94553. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. 3. MAPC meetings may be held in Martinez with regional hearings in East, Central, and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. VG:MAPCAP • Health Services Department ALCOHOL AND DRUG ABUSE ADMINISTRATION r _ 595 Center Ave.,Suite 200 Martinez,CA 94553-4639 s'1'F %%� Alcohol Program (510)313-6300 e' %o Drug Program (510)313-6350 TO: Medi-Cal Advisory Planning Commission (MAPC) Attention: Bobbi Baron FR: Substance Abuse Advisory Board Robin Bereny DT: August 30, 1993 RE: Nomination of Member to MAPC The Substance Abuse Advisory Board at its August 25, 1993 meeting, nominated Reverend Curtis Timmons to be its representative on the MAPC. Attached is his application. Attachment RB:jr cc: C. Deutschman wmapc-member A-371-A (10,91) Contra Costa County CONTRA COSTA COUNTY SUBSTANCE ABUSE ADVISORY BOARD 595 Center Avenue, Suite 200 Martine4 CA 94553 •District I Ruth Grogan *District 2 August 27, 1993 Diana Rodger, Vice-Chair Constance Stele Reverend Curtis Timmons *District 3 P. 0. BOX 8 213 Tom Aswad Marianne Eve Clark Pittsburg, California 94565 Indra Huber EJeanora Johnston Dear Reverend Timmons: Rollin Klink Your appointment to the Medi-Cal Advisory Planning *District 4 Commission by the Substance Abuse Advisory Board has Peter B. Burnett been confirmed by letter on this date. Lucretia Jones Marlene Rebhan, Chair We look forward to the information that you will be R.G. Remington bringing to us monthly as the representative of the Substance Abuse Advisory Board, and how any changes will •District 5 affect all members of all communities in the county. Michael Burke Rev. Curds Timmons The Substance Abuse Advisory Board is pleased that we David J. Travers will have input into an area that provides such an important service to all segments of the community. Thank you for your interest in working on this Board. Very truly yours, Marlene Rebhan, Chair MR/ec c: Medi-Cal Planning Advisory Commission Mark Finucane Chuck Deutschman a:medi-cal.appt 'rE 510 ,t . — . . s• 19 - 93• IrAAM t ti l: A ate. Y r I 1 1 Pau ` •y ' JCL J � , ,�y • 1. i , _si it � i f ..� ��u � 1 � • r`� _ � � i j � w � ice♦ :1./ Q.Jw J ► w:.�� � f �, � � •►_ 1..M - t 1 I�i� _ _ate � � � r � � J r►l _� � ♦ j .wze- burn. bi,a)mur U1J i J i ti_ NQ .'lU-oZU-oOZr rauy cv.�a la-aa iru .vut r .varw From p REV. C.A. T i MOM.BA.TM.D. PHOW No. 51$ 432 0445 Aus.19 1993 10:49AM P82 i I Y i, r ' t r AA kin A] - _f-L.0 --w 4 � U IZ .�.�..��. � •. ��� _�-�.�-.!�mit» ..._ .,�-..-.....w.•_,.1.�w ..,r..�..-+....rte-./(/7yj_. ,. +�}.(/1.M!!. �w�+-....._....�......._ tea.-.�.�+rq._......-ti..- ___..___ ._._ •......._.... t Contra Costa County The Board of Supervisors HEALTH SERVICES DEPARTMENT OFFICE OF THE DIRECTOR Tom Powers,1st District Mark Finucane, Director Jeff Smith,2nd District F_ Gayle Bishop,3rd District •,' :�: �,. 20 Allen Street Sunne Wright McPeak,4th District Martinez,CaWomia 94553-3191 Tom Torlakson,5th District (510)370-5003 FAX(510)370-5098 County Administrator •`U"o Phil Batchelorcbc�i' �* County Administrator June 3, 1993 Reverend Curtis A Timmons, BA., ThD President Interdenominational Ministerial Alliance of Pittsburg PO Box 8213 Pittsburg, CA 94565 Dear Reverend Timmons: Wendell Brunner has told me of your interest in serving on the Medi-Cal Advisory Planning Commission. The Board of Supervisors will consider setting up the Commission at its Health First Workshop on June 15, 1993. Once the Commission has been established I will forward your name to the Board of Supervisors for their consideration. Thank you for your interest in helping with the Health First proposal. You are invited to attend the June 15 Workshop at 2 p.m. in the Board Chambers, 651 Pine Street, Martinez. Sincerely, r #arkohinucane Health Services Director NT:BB:smp 44:RT Merrithew Memorial Hospital&Clinics Public Health Mental Health Substance Abuse Environmental Health Contra Costa Health Plan Emergency Medical Services • Home Health Agency Genatncs yu,t„hA Contra. Costa County Medi-Cal Advisory Planning Commission Application Form Application form must be typed or hand printed Name of Applicant:0- 11'll NIAl�X e-l-e J Home Address:lbs �c sc Zf416 Home Phone:5/6 37,2-7617'� Z, C'r9 qYs.s 3 Business Address: — Work Phone: Signature: Date:7-, 7-93 Personal Experience, Skills and Interests EducationBackground: '�'°� 3 Occupation (student,for pay work,not for pay work,retiree or similar): Community Activities: Special Interests: Category of Membership(check one) Public Representative O Beneficiary Representative O Provider Representative D Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan, 595 Center Avenue,Suite 100, Martinez,CA 94533. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. 3. MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. sGMAM" Contra Costa County Medi-Cal Advisory Planning Commission Application Form Application form must be typed or hand printed Name of Applicant: Bessanderson McNeil, M.P.H. Home Address: 654 Wilson Avenue, Richmond, CA 94805-1867 Home Phone: (510) 234-3062 University of California, San Francisco Business Address: Work Phone: (510) 874-8061 Hypertension Research Clinic 3012 Summit Street, 3rd Floor, B Wing Signature: Oakland, CA 94609 Date: July 28, 1993 Personal Experience, Skills and Interests Education/Background: B.S. degree (Boston University) ; M.P.H. degree (University of California, Berkeley) I am a physical therapist by training but have work in the community health field for Occupation (student,for pay work,not for pay work,retiree or similar): many years. Instructor — Kaiser Permanente Medical Center, Richmond (patient education classes — HBP) Health Administrator — University of California, San Francisco, Hypertension CReesearch Community Activities: — West Contra Costa County Elected Officials Health Commiffee;cBoard of Directors American Heart Association (AHA) and AHA Cultural Diversity Task Force (Oakl nd- Piedmont Division; American Diabetes Association Cultural Diversity Committee, Crime bpecial IlteiCStSk Force, City of Richmond. Increasing public awareness and knowledge about chronic diseases, particularly those that cafeciorf[�ieaaisaedvan�agedisproportionately, such as hypertension and diabetes. Health Category of Membership(check one) 0 Public Representative O Beneficiary Representative O Provider Representative O Member at Large Information: Named as the representative from CCC's Public and Environmental Health Committee. 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan, 595 Center Avenue, Suite 100, Martinez, CA 94553. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. 3. MAPC meetings may be held in Martinez with regional hearings in East, Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. MMAX" Contra Costa County Medi-Cal Advisory Planning Commisson 'r Application Foran _ Application form must be typed or hand printed Name of Applicant' Suzanne _MacDonald f. Home Address: -2505-Wright .Ave Home Phone: .Pinole,. CA 94564 _ 223-3998 BusinessAddress: 747 52nd sr. Work Phone: 428-3772 Oakland; CA 94609 Signature: watt: .8/19/93 Personal Experience,Skills and Interests F,ducationJBackground: Bachelor of Science - Foods and Nutrition, Cale Poly Occupation(student,for pay work,not for pay work,retiree or mar): Dietetic Technician - Children's Hospital, Oakland Community Activities: : .!Recording Secretary - Maternal, 'Child, Adolescent Health Advisory Board - CC County Member - Food and Nutrition. Policy Consortium- CC County Special Interests: - Category of Membership(check one) ` 0 Public Representative , ❑ Beneficiary Representative = - ❑ Provider Representative ❑ Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue, Suite 100,Martinez,CA 94553: r 2. Members of MAPC may be required to file an annual Conflict of Interest Statement.. 3, MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. - MAPC may establish special subcommittees or work groups requiring additional time. r . tao:��rrnr Contra Costa County Medi-Cal Advisory Planning Commission Application Form Application form must be typed or hand printed Name of Applicant: ��'v / � S/� Home Address: ,2 IP� 0/� Home Phone: XT-7-3745 Business Address: �� 2�-�i��z Work Phone: '72— Signature: 7ZSignature: Date: J Personal Experience, Skills and Interests ��� e Education/Background: / Occupation(student, for pay work,not for pay work,retiree or similar): �i✓ia � %�,k� V15-jW -- vim- �s s * �u 19L c r�/D�'� Community Activities: 17 Special Interests: Category of Membership (check one) c Public Representatives-�-Y' b Beneficiary Representative ❑ Provider Representative ❑ Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director, Contra Costa Health Plan, 595 Center Avenue, Suite 100, Martinez, CA 94553. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. 3. MAPC meetings may be held in Martinez with regional hearings in East, Central, and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. LPG:MAPCAP Contra Costa County Medi-Cal Advisory Planning Commission Application Form Application form must be typed or hand printed Name of Applicant: J*Ac.K Mc G E R V E Y Home Address: c2 3 M A K L E'- A b Home Phone: 9 3 2. 13") $ PL.E)4s Amt T #+t#.4. C.A Business Address: Work Phone: Signature: Date: aaWN� Personal Experience, Skills and Interests EducationfBackground: Retired executive of Katsevo (#1A10) Occupation(student,for pay work,not for pay work,retiree or similar): ReTf a cc Community Activities: A ?�vrso ,Y a0*1tb Special interests: Category of Membership(check one) ❑ Public Representative ❑ Beneficiary Representative 14 Provider Representative u Member a,i.a,ye Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. 3. MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. LM;M PW Contra Costa County Medi-Cad Advisory-Planning Commission Application Form = Application form must be typed or hand priated - Name of Applicant: _ _Mi chael P.-Lawson ; r . Home Address: 4855 Reno Lane _ HomePhone: (.510) 223-3097 Richmond'-- CA .94803 _ Business Address: 2000 -Vale Road Work Phone: {510) .235-7000- - San Pablo CA .94806-1 Signature: bate' 11/1/93 Personal Experience, Skills and Interests EducationBackground: B.S. Business Administration - Masters in Health Administration Post Graduate Health Planning & Policy . } Occupation(student,for pay work,not for pay work,retiree or similar): Health .Administrator -(CEO Brookside Hospital).-': ~ - Adjunct Professor (St. Mary'-s. College) Community Activities: Drug Task Force - Service Clubs _ City Planning Groups Chamber of Commerce Various Health & Hospital Associations,:& Administrative Groups _ . Special Interests; Community,Health Planning - Health Law & Ethics , Category of Membership(check one) ..D Public Representative -0 Beneficiary Representative, _ M Provider Representative D Member at Large 1iformation: 1. ;File completed,application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. - 2. Members of MAPC may be required to.file an annual Conflict o" Unterest Statement. 1- MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. MAPC may establish special subcommittees or work groups requiring additional time. - - - - • uo:N�rGr- Contra Costa County Medi-Cal Advisory Planning Cammisslon = _ -Application Form Application form must be typed or hand printed Name of Applicant; Antonie;H: 'Paap- (T,ony) Home Address: 244 Lakeside.Dri ve,5416 - HomeFhoane:{510) 763-3954 Oakland,- CA. --94612 Business Address: Children's Hospital Oakland `'Work Phone: (510) 428-3461 747 52nd Street, Oakland, CA 94609 , Signature; Dater 10/28/93- Personal Experience,Skills and Interests Education/Background:' . University of ,.Colorado, School .of Law. ' 'J, D:, `1964. - ._ Stanford .University. .1960, ' Sociology-Honors Program.- occupation rogram.Occupation(student,"for pay work,not for pay work,,retiree or similar); _ President & CEO, Children's Hospital Oakland Y `. ` Communityy Activities: , - National dissociation of ,Children's Hospitals & .Related Institutions-Board of Trustees -19 1-Pr California Children's Hospital Association - Chairman-1990-1991_, -Present - Member Special Interests. Category of Membership(check one) ^ _ D Public Representative - 0 Beneficiary Representative ltX Provider Representative - D Member at Large - - Worrnation. I: File completed application with,Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553: ` 2. Members of MAPCshay be required to file an annual CoiLflict of Interest Statement. y •. .3: MAPC meetings may be held in-Martinez with regional hearings in Fast,Central,and West Contra - Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time: �•+d�-r,:...-. . ..-...----,.T...-,; _ bt+._ .±t•• :.,°:.rr •:t.,� _ _ - _ _ _ _ i. ?jz IN k ji. h ..y; r,. .- ....1... .. - . 5 Ir:.. ._ ,,.._ ...... _. _ _ WC z ...r _.. , ,. . ,. r „ . r s, - / J '=V.: - .....,, w ..r5 1 ..rl..\•,..,.. .,..,...Y... �i'`!ti' r� t. - :iAJ'tiY .. a-. _.- a ... .-... ....,. ... - .._. t. - 1. - >,_ 1 ,r .e` f;:' :f+,` ;• =:.':ice/� �::i: * :..Y, ;:. q� z. • .111 x::::..., 1_-CAL —t.,annri Comiss� n^': ;w; AQtt Contra'Costa C©ur�t wed C .• ori=P _: ll vv 1.. _ .. - ,. ,. ;,. � ,. �';:,�: < `z a� ,... �R: :, O „' J c t rm:?.,..r- s5. . _: ? _ N _- E.. . : r .. ,,.,i :i::. M Y' . r /._. I"I1. ... :; E .x.r. !. ,:;` _ ,�s x , ,;+:.:.1.: -.1:,,. -. .,y: :, :.~A 1�catlon form must e t Pr.hand .�1'. <...z .,,- :r.: .J _- ,. . :. . ti _i. y .r .Y ,, :rJ' c.:. t \ n .,.., _.;_. .. ,,..,.. \ il.. �! 1 ,,....-..,.r, ,. .-.:. .. '.�.o-. . ...... - a•.r� - :• .. .. .. , .. s ....... ...: - :r. - d,:. `' :': ., . t: :. :. - JRS. 9` ;r:: v t. L ,- _:_ CS. EE YNE L N of � •• y eros : .: �z J ,. ...;:..�:,- - - . . - p :_: P . „ . . . . .. .. t.,_ r a . >. .. F. :: r: : .r.... . ..... . ... .:. : . ,....- ... . _ ;�f; % {:4I'S -:°641`-:7000:,- " . ..- ;, . r- - Hoine Aaas. TREET, y {.:: . .. 564 A3aYARADO .- :: kJ y: hone• 4. ! -H ome :.:. :. :•a _... . z,. r . .. .,-I ;�l I. . ,.. I'RANCISCO CA...- �7•'1�..:.. :�.... .,. ^'SAN , .. :?::. s _ , ,. .. .. ; : ,�...:':.. R..' D ENT R1. �:�:� °'�=� �5'l�4 :$�i7�' X752 r��: Ad ess. �OH1iT Mi3I ME ICI C E $11S1nCSS A dr ��[� '`�Ork-phone:� )r: , t. . 1;. w- . . , -' ��// "'',:- 1601 3[—... .'VALLEY RO �Y'` .. - _: - r.: .+. . .,.+ , ,.. . .. • ... ... _.r,. ,.f. _ \.,:':�.•: ;•j,r-\ fir. W NUT RE SCA .9. 59.6-...._:...,.... __, .. ....... ..':"` ,0 2'7/ AL I y, �..:,1. 3atie: !.. tore. .. . . _ 1:111.1 .,Y S� a ._.. -,.,.... �_ . r. x. . .. 1. x.... , . .. ,...... t.. - .::... -:l:r :,,:: ,. ... . .. _. ..., .7 . .. .,.., .. -:. _ ::µ•' Vii:(:. :J?..:1�:_' y>:' :a' .. ., t rest :..... is nd Yn s .: ._t .. . ...' . �:.: -.. nal x encs .Skil a - . . . aI. ,;, 7. P :.. e.. P� ? .. t.. ., J ... :.tcC. ..:- - - .-F _ ...,:._ .:r. i=: .y..:.l'... .__ �. .... PZ::S: :. .1 82: ;,R k ound: -B.$.9' `- X975, ,5tate:''Univer ity;1s €.,;iQerd York.':aC iu talo: , - .:0..:: Educaf�onBac .gr ., : . . .; ;. r.,•;:::. ::: :., . e' '.::est-' fl.'' : ea= -have. evolve 3." :.` . .... ::' :::: . y .. :..,JjQSF -Aduit:::.Njiirse'Pr 3t act'itioner.:....:For' t$. , ,. /al,,...... /: ,.., ,.,., , v .. ,y...,:.. .... :��:�..':. ;' n:':the:.:develo ment..'nnd::. m letnentat on 'of::eommu fty.;and' hospi .. programs. _ ::.. .:.1`.,; ,.. ., .:: ,:: r - .. ,.. ,.. ,- ery disabl ent .and elderl. ): `'. ;•,T:;,,J :;,,': o a work retue opr ar '' ;' =:'" .'�� .': Occii` anon stu�ent'l�r a work,no . p y.. :': y::: F�,,r.;,. p C P Y ;. ',:': Hos ital'..:Administ:ration. ,:::Cur.rent7ly.'Execut,ive„Dir.ec_tar;,1. iso.g Tez�n ' r•:'�tehab l.. , .i _ gervi'ces;:,John,kiwi Medical, Center - -, '��.',.`:,s ''� 4 .' = _ 'f ' :.. . . a; s, F _ t. =. :� . . . ... ... . .... .. .. .. /..... .. .. .. - t ..:-. , . :.�.. ;11 .� .. - ,E:: _ "moi•.-,. 4. .. .. ., .. _ - - ctiviiies. ,.. .: C ommunit A . Y -iia o ':: heime.r',;s: NQtsaork '. •:,,.:: ;East., Ba ....Head .:Injury- Tas1c,..fo.rce.,':'Coati�:.Costa�'Couiit ; A]z. _ i.. .. . .. - _:' ~�< _ e are:ase rm.. =t:: t d:::LX. - - u B `� I s itu , C . r .. . a.,., ... �;. �'. . v. �.. 1 1 -:'?. ereS.tS.' ration: o .`tommuri'i't ::and: insttutona3.::'based;servees` `.n3eetig_:,_a.::.::.. :.:.:: a Spee�al.Intntgg �► _ ,:.. r. . 1, :. e. h ieall disableo;'cdevel.o in mecl an"ms:;�tq' nsi r '. , , . the':.ne;'d ;:o th ys P �... . f' , . �' =+ ,.K i:;= n,- :fft.y -: ..:-,Airiiversal access".::to-Aualii. .health scare reven'tion- r. � rams~ >,:.-';, - r... ` < '`%::;::', , ...... �' ..,_ p. �' �. F. V{'f k ne r.. .: '; ':.r. ; 1. :4 11eC A - :�r� h 1 C -x•=a % emb f ,:: to 0 iii � �:�:`� �=�,., Ca C _ ry l+' �..'. 1.: M- _ resentat _,. .'' s.,. - O public.Reo. _ _ - . ._ ,.:. c.•. >. �.:. V. t� e e esen :<' . . . _ . roc a ..... . .. .. . ..-_,..: Bene 'x: i- :,i,X33. .1_. _Y :,...._. ; :;` `;i T.....':. r': v'. .. r.:a-• ! e resentati ,:•;,.;;.... : :::,, :'. ..r- .. - Provider R ... ::. .,-:. ...::..::'..,.. �.,.: P _ . ., s- moi;, .. �; - _... . }..... ._. .1. -J.., :s.i. �.! ,.t '1 J ;,, ber at La Iviem >l. .. �O g . v.:. ._ ., . _ _ 09.` .." .. .r,,....,, .:,: , _. _ . I ., ... . , : . . _ , ,.,: . r. ;`, J' orm anon r. : ;.,-. L..., . Inf ,> ... ..w ._. .. ::_. ._., r-. r= . =;;, is a'. r;i - r 'l p. .. it : . ...:. v: .A r " - ,aw.,.,. , ..., ... - _ _ a ;�: ::,: - _:,::. Diriect r`�Coatra:Cosf a " ealth`PI . '`395. �,, -+" , bb $aroa Plannin o H an, . • ,�, ' File com feted applicationvvith:Bo p . ;. pO ,,: .;...... - ... .... .: • .. -.1, ^?.. moi'-':•'-. y;.. % .Y. 94533. ,.. ][00',--Martin CA . ;r.:, Ma '>:; . ..- II11 1Q. e e S r. . ter Ay , Cee - ,..:- :,4., : .. , :. ii e.. .. .c. r.. 1. x A. ir: 1. } 'i. ..,.. e..l.. .. .. i ... -. .. .. .... ,. ..,,,-. d to'f tees] :: u . nia be ile as ual Conflict f IvfAPC reQ - 2. . lvi emb. o - . . Y... . . . , _t' .. Y v.. ._. ., ---.. .. .. -. .... .. .. ., .. . r .:�5.tatement: :. .....: r. , ,� 1 ._. .. : ',.., - artmez.Un . ' io il�hearin's m Past,�,eril.. and ...,".ontra _}:. 3:. ;_..<:, iAPC rneetmgs.may.be heldin:- - reg .T, R k�'_:.,,..:. �.. r,dor' :..ihe,oa:. �t least uarterl .;•: A+ieetm ma be held`either in the evenings o g y. q y= Cos _.... ::.. .. . to Count . Y., - w .. .il P ,.., . _ ,.,.. . .. . . :..... .:. �' f. Y. w ..... .i.... .r �:::. .::7e_. .. - ... . -. .., . ..1. .,a.. : t... .. .._. _.,.. �.. .,.,. .. .. ..>...., .,. j;; 1 _ .': =. ,;, b.s ial subcommittees.or: vork: iii` s requiring=adcl�tonal tiim ."__:,:.: :.g.:' <...A�IAPC m este p blas ,groups s\ 1, 1- - v 1 _ , i - t •,.„ _ �1, /J r. , . ,..... ... .. , ,.i :/ �:. .�.rrte�-. },.:..-:.... ,.,. " low JOHN 1601 Ygnacio Valle- Road • Walnut Creek. California 9459S-319-1 - (5101 939-3000 MUIR MEDICAL CENTER November 3, 1993 Mark Finucane Health Service Director 20 Allen Street Martinez, CA 94553-3191 Dear Mark: Thank you for inviting us to nominate a community hospital representative to the Medi-Cal Advisory Planning Commission (MAPA. John Muir has been a Medi-Cal contract hospital since the program began in June of 1983. We have demonstrated loyalty and competence in serving the special needs of Medi-Cal beneficiaries through our Trauma Program, as well as our Rehabilition Program, and through all the community service we perform. It is with great enthusiasm that John Muir Medical Center nominates Eileen Lynette as one of the three representatives for community hospitals. Ms. Lynette will bring to MPAC a wealth of experience and expertise in serving the needs of Medi-Cal and indigent patients. In her current capacity at JMMC as Executive Director of Long Term and Rehabilitative Services,Ms. Lynette has developed and implemented a continuum of care services targeted toward older and disabled adults, many of whom are impoverished and Medi-Cal beneficiaries. Many of the patients served in these programs are our trauma patients who are frequently uninsured and become Medi-Cal eligible by virtue of the injuries they have sustained. She has created programs that meet the clinical needs of these individuals and integrate with existing hospital and community based systems of care. Ms. Lynette is also in charge of our comprehensive Rehabilitation Center which has an agreement to take care of County's patients following the closing of your inpatient Rehabilitation Unit. Ms. Lynette also worked with state and national organizations on policy issues affecting the delivery of health care services to undeserved populations. Her ability to evaluate the impact of policy decisions on care delivery systems will prove an invaluable asset to MAPC. 11-10V IIJ .1 �1 9 .4 11r);-!(II" Mark Finucane November 3, 1993 Page Two John Muir Medical Center is pleased to have this opportunity to participate in the planning for the County sponsored local initiative Medi-Cal managed care system. We urge you to include our representative because of our historical commitment and her particular expertise. A nomination form is enclosed. Sincerely, Janiece S. Nolan Chief Operating Officer JSN/bg Enclosure cc: J• Kendall Anderson Barbara Goodhart Eileen Lynette Contra Costa County Medi-Cal Advisory Planning Commission Application Form = : Application form must be typed or hand printed _ Name of Applicant: tic`�t1oe1 - :> Home Addr ess:.. o r 0.J�., _ILA q sb -Home Phone:5,e"i3 lam•Xa33 : 4. 5 ,=. S t)c\o of Business Address: gty�r :� , C���4 'Work Phone: S 6-iD dix, � Signature: �r e to q �Zci =. . . Date: Personal Experience,Skills and Interests - Education/Background: uav occupation(student,for pay work,not for pay work,retiree or similar): Conununity Activities: Special Interests: Category of Membership(check one) - D Public Representative = - 0 Bei..iiciary Representative = , �>r V Provider Representative )9 Member at Large Information: _ 1. . File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. 2. Members of MAPC may be required to file an annual Conflict-of Interest Statement. f 3. MAPC meetings may be held in Martinez with regional hearings in Fast,Central,and West Contra Costa County. Meetings may be held either in the evenings or during the day at..least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. " - .- 1"MAM" BIOGRAPHICAL SKETCH Michael G. Harris, OD, JD, MS Dr. Michael G. Harris is a graduate of the University of California School of Optometry where he received his Bachelor of Science,Master of Optometry,Doctor of Optometry,and Master of Science in Physiological Optics degrees. He is a Clinical Professor and Senior Lecturer at the University of California,where he serves as Chief of the Contact Lens Clinic and Director of the Residency Program. Dr.Harris is a member of the Food and Drug Administration Ophthalmic Devices Panel. He is a Fellow of the American Academy of Optometry and Past Chairman of its Section on Cornea and Contact Lenses,of which he is a Diplomate. He is a Fellow of the Prentice Society and a member of its Board of Directors. He is a member of the California Optometric Association, the American Optometric Association,the American Association for the Advancement of Science, the American Society of Law and Medicine,the British Contact Lens Association and the American Public Health Association. He is Chairman of the Judicial Committee of the American Academy of Optometry,a Councillor of the International Society for Contact Lens Research,and an honorary member of the Mexican Society of Contactology. Dr. Harris has done extensive research on contact lenses and corneal physiology. He has lectured throughout the world and has authored over 130 scientific papers and articles on the subjects of contact lenses,corneal physiology,optometric jurisprudence, and hypnosis. He has edited two texts on special contact lens procedures and has contributed chapters on contact lenses and jurisprudence to several books. Dr.Harris serves as consulting editor to The Journal of American O12tometric Association,Contact Lens Spectrum,The Manual of Clinical Qptometcy and Qptomegy Clinics. He is a consultant on the subjects of optometric jurisprudence, corneal physiology, general optometric procedures,contact lenses,and hypnosis to numerous educational, professional, industrial, and governmental organizations. ALAMEDA-CONTRA COSTA COUNTIES OPTOMETRIC SOCIETY Affiliated with California Optometric Association which is affiliated with ►I i�'I� a) November 8 , 1993 American Optometric Association Milt Camhi , Executive Director Contra Costa Health Plan 595 Center Avenue , Suite 100 Martinez , CA 94553 Dear Mr . Camhi • Thank you for providing me an application and background informa- tion on the 25-member Medi-Cal Advisory Planning Commission. Optometrists , especially those in the Alameda and Contra Costa counties , have historically been involved with public health organizations and issues . Optometrists have participated as consultants , chairpersons , and board members of Alameda County Comprehensive Health Planning, Contra Costa Comprehensive Health Planning , Bay Area Comprehensive Health Planning Coordinating Council and Northern California Regional Medical Program. Numerous Optometrists are members of the American Public Health Association and the California Public Health Association and serve as vision consultants to school districts. Doctors of Optometry have been providing primary eye health and vision care services to Medi-Cal beneficiaries for nearly three decades . According to figures from the Department of Health Services , between 90 and 92 percent of Medi-Cal vision care services have been provided by optometrists since June, 1990. Alameda-Contra Costa Counties Optometric Society is proud to nominate Dr. Michael Harris for the Medi-Cal Advisory Planning Commission. Dr. Harris , a highly qualified individual with a wealth of knowledge , would make a fine participant and contri- butor on the MAPC. Please find his Biographical Sketch and Curriculum Vitae enclosed. Thank you again for the opportunity to be involved with the MAPC. Please feel free to call if you have any questions or if we can be of further assistance . Sincerely , ,� 1 Richard Baker , O .D. V President RB : lp e n c 1 : (510) 943-7137 • 668 SAVOY COURT,WALNUT CREEK, CALIFORNIA 94598 Confra Costa County Medi-Cal Advisory Planning Commission - Application,Form ; Application form must be typed or hand printed - Name of Applicant: Flar.garet. Dowling Home Address: , #lona Phana: - P.O. -Box ;7$3 ',, :, ,5:lo--427-1219_, Bunn Ad l' tt6b'urg, -Ca 94565 ess dam' 710 Fourth St. 'WorkThone: 415-459-6245 - San Rafael, CA 9490 Signature: - Dai: .. 4 October-,2 , 1993 Personal Experience,Skills and Interests , Education/Background: Bus;Z'.e s s .0 o!] e ge = ` occupation(student,for pay work,not for pay work,retiree or similar): _ - A,dv.ocate Spec'lallst , Peer Support -at. Ma_-;'- Center for Independent . Li.VI Io, _.also I -work for Smith -Zettle' well eye Re.earth Institute as a SAX Reade- �Communft�+AQfiWti51 ra . and =Lova Visioned Develo:�nc c nor,-�="'Gf'i`. u�e7C;� t.0 .Se�'Vt' the. ?JGO'a" area low-moderate.' Special lute e I volunteer for 'Broadcast Services_f'orr. the Blind -and KUSF --Christmas Adopt-A.-Family. Democrats with 'Disebilitles', `Stzte VeMberdtwC Par--, Disabiiit;j Caucus," Calif. ,.Dem cr GtiC" (�.C.unci-i.Categoryof Membership(check one) i3 Public Representative , Provider Representative D Member at Large Information:_ L` - File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. : t 2: . Members of MAPC may be required to file an annual Conflict of Interest Statement.- 3. MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra . Costa County.Meetings may be held either in the evenings or during�the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. . A66 & So Contra Costa County Medi-Cal Advisory Planning Commission Application Form - _ Application form must be typed or.hand printed f Name of Applicant: a�SE . P Wit►,�)I i ae ddress: �- ox Home Phone: 1 -6ai.iro1z '`1 .CA. Business Address: t !35' 4ACe �N . �Gc�'~�• rp�'�l Work Phone: 741?7/a7? Con.�Cpte� ,r C �4 44S2a . Signature: irate: Persona]Experience, Skills d Interests EducationBackground:- Occupation(student,for pay work,not for pay work,retiree or similar): _ Community Activitze� Special Interests: Co.1r"A.t Category of Membership(check one) . . .1'1 x►�hlir R+nrwcP;*1tAtivp : - '. - _. eneficiary Representative - 0 Provider Representative D Member at Large Information: ; 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan, $95 -- Center Avenue,Suite 100,Martinez,CA 94553. - - 2. Members of MAPC may be required to Pile an annual Conflict of Interest Statement. - 3. MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may beheld either in the evenings,or daring the day at least quarterly: 4. MAPC may establish special subcommittees or work groups requiring additional time. 'Contra Costa County Medi-Cal Advisory Planning Commission j Application Form Application form must be typed or hand printed ame of Applicant.• Homeddress: _ Home Phone: r ` / o Business Address: v / Work Phone: r a g a d+. atum: Personal Experience,Skills and Interests Education/Background: , 7 ,)..c,- /-�e.ja.- i j /L Occupation (student,for pay work,not for pay work,retiree or similar): Community A�crt�ivities: -0t S etialInterests: -.;44 .v O'i.,fl iV I �� i C.. /�"`/�_ esi� �'c��.r;,,��r.�'t � �• ter? r.7 !s y ,,:j- L/..'' ��"' L. ��l_C,y Category of Membership(check one) O Public Representative • .Beneficiary Representative u Provider Representative L Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue, Suite 100, Martinez,CA 94553. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. 3. MAPC meetings may be held in Martinez with regional hearings in East,Central, and West Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. `993 A•[ to r}y' so Costa County_Medi-Cal Advisory Planning Conun44��ission Application Form , Application form must be typed or hand printed Name of Applicant .EvelynE.Rinzler . Home Address: 3.523 Freeman Rd. ,Walnut---Creek,Ca, ,' HomePhone:510-930-9246 Business Address: 1017 Macdonald Ave. ,Richmond Work Phonc510 ..233 -9954 ig11ai12I ;'. INgtr: Y Aug.. 8,19 9 3 Personal Experience,Skills and Interests Education/Background: B.A Liberal Arts, MA. English, N.A.-Counseling Psychol gy Occupation(student,for pay work,not for pay work,retiree or sinulv): Paralegal: Health Law Specialist. Responsible for Medi.;-Cal -and Medicare , problems ' for Conta Costa Legal Services.- (Pa ., -.rsition) Community Activities: Legal Consultant for HICAP Programs for .Contra Costa- and San Mateo Counties.Administrative Medicare- Hearings Special Interests: Contributing to Access. to Quality. Health Care' for .low-income citizens of Contra Costa Count , Category of Membership(check one _ D Public Representative = J�i`i.l�rrlb�4�l�•�1rjl�I:S�u�.uwi►..b . D Provider Representative IN Member at barge Information: 1.~ File completed application with Bobbi Baron,Planning Director;Contra Costa HeAhh Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. -2.; Members of MAPC may be required to file an annual Conflict of Interest Statement. = 3. MAPC meetings may held in Martinez with regional hearings in East,Central,.and west Contra Costa County. Meetings may be held either in the evenings or during the day at least quarterly. 4. - MAPC may establish special subcommittees or work groups requiring additional time. Contra Costa County Medi-Cal Advisory Planning Commission Application Form ; -- Application form must be typed or hand printed Name of Applicant: Dr Dolores'Sanchez !' - Home Address: 2033 carquindw Street' ` ,Home Phone:(510)233-g91F -Bl Cerrito, CA Business Address: 1300 Amador Street, Rm,.,.18 Work Phone: (510)215-4670. San Pablo, CA :94506 - 4 - Signature: _ _ -Date: November 10, 1993 Personal Experience, Skills.and Interests - Education/Background: .B.A. Social Work, M.S.W. Clinical, ,,W.P.H. Community Mental Health, Bd.D. Education/Counseling Psychology ,- "-. occupation(student,for pay work,not for pay.work,retiree or similar):. : Clinical Director ci:��:� ti;`:�:•.i. �,"._:�.:: ��: Community Activities: Boardmember - United Way of East Bay; Boardmember -,United C.oncilo West Boardmember - East. Bay ,Center For .Perfroming Arts, = . Special Interests: Human 3ervice .Advocate for low incomesocially. disadvantage Category of Membership.(check one) - Public Repre:�^t»t:v: O Beneficiary Representative - O. Provider Representative O Member at Large, Information: - 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan, 595 - Center Avenue,Suite 100,Martinez,CA 94553.. 2: Members of MAPC maybe required to file an annual Conflict of Interest Statement. _ -: 3. . VATCmeetings may be held in Martinez with regional hearings in East,Central,and West Contra ' Costa County:Meetings may,be held either in the evenings or during the day at least quarterly. 14. MAPC may establish special subcommittees or work groups requiring additional time. src:MAPCAP Contra Costa bounty Fedi:Cal Advisory-Planning commission: . - Application Farm - API lication fora'must be typed or hand printed' ✓ 17 Name Of Applicant: MARY i A VE N D E RFUJI I Home Addre : -1136 Ll n d e i 1 •-fl r'i v e _ - Home Phone: 944-9772 Walnut Creek. CA 945-96 $usiaessAddress: University .of CalifDrnia- Coop.erat1Ye work Phone: 64.6=6540 Extension' Signature; 1, 17PO 'Oak . rk ,81v4 A-? Pleasent 'Hi IDate. .August 1.7 ,` '993 94523 Personal Experience,Skills and Int nests- Education/Background: MS N u t r i t i o n a l Sc i.e ra c e s 19 7 8_ U n i v e r�s i t y` o f W i s c oEducation/Background: 9 years Coopera.ti-ve �Extensi.on`.Nutritionist/Home . :Economist i.n' C ntra Cost 2 years State level nutrition :education program adminjstrati.on, �5 ear r sttered di tit' n- public health .an dministrati.on patlan�stu or pay woric,not faor pay wor ,,re ee or tiro}: . Public Health ' Nutritionist : nutrition education for low income families =through a.. variety . of. methods.. ,i'ncluding video production .- Work on ,public educati"on through work with ,healt,h related agencies Commun`t 1cYtiiis. - - Contra -Costa Food Sank : Board' of Directors (past -president) , ,nutr. -.consu tan Contra Costa Food . and Nutrition- Policy Consortium/Hunger -Task Force Co-�founderand current chair Special Interests: My interest in the nutrition -and: food needs of vulnerable p'opul_ations is is put into action through my work .and volunteer act.iviti.es -which addres 'hunger rel ' ef 4n chronic disease prevention . ' Category of Mem�ersh�p check.one) - D Public Representative u beneficiary Represen�aiivc - D Provider Representative - G Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. 2. : - Members of MAPC may required to file an annual Conflict of Interest Statement. -3. MAPC meetings may be held in`Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be either in the evenings or during the day,at least quarterly. -- ' 4. ;MApCmay establish special subcommittees or work groups requ'ir'ing additional time. ;,Contra Costa County Medi.Cal Advisor -,Plan ' Commission Application Form Application form must be typed or hand printed ` . - - Name'of Applicant: viola i�. injan. - Home Address: 3810.Crestview Drive Name Ph One: (510)_439M_1893 Pittsburg, CA 94565 . Business Address: - - Work Phone: . .La Clinica.De.La Raza _ - (510) ;535-4092 - PYuitvale, i1Z!akland CA Date: 2�crvEer 8, 1993 Personal Experience,Skills and Interests Education/Background: university. of .Cali ornia Tom Reach State University of Irvine ` "U.C. Berkeley Extension Courses Occupation(student,for pay work,not for pay work,retiree or similar): Finance Director Health Care 'Pnavider - - Non-Profit Carcoration, Community Activities: = - Heights Elaientaiy Parents Club - memY�ex D 'PA - Member. S ial Interests: Future 1,eaders o- ,Arerica Parent AdvisoYv -C amuttee - P lmd e UFW - Northern California volunteer Hispanic Round 'fable Contra Costa County mmber United Council of SpanishSpeakingOrganizations Volunteer Category of Membership(check one) - - O Public Representative O Beneficiary Representative _ O Provider Representative 13 Member at Large Cmr-unity Based organization - ucsw tCounty t1ide) Information: L - File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553. ; 2. Members of MAPC may be required to File an annual Conflict of Interest Statement. 3. _ MAPC meetings may be held in Martinez with regional hearings in East,Central,and West Contra Costa County. Meetings may be held either m the evenings or during the day at Least quarterly. 4. MAPC may establish special subcommittees or work groups requiring additional time. Contra Costa County Medi-Cal Advisory Planning Commission Application Form Application form must be typed or hand printed i Name of Applicant: Claudette Garner Home Address: 362 South 37th Street Home Phone: ( 510) 237-8665 Richmond, CA. 94804 Business Address: Work Phone: (5 10) 236-6990 3838 MacDonald Ave. R' chmo CA. 94805 - Date: Signat November 17 , 1993 Pe xperience, Skills an terests Education/Background: B.A. .Speech Communication/Black Studies San Jose State University M.Ed. Guidance and Counseling Howard University - Occupation (student,for pay work,not for pay work,retiree or similar):. Project Director of the East Bay Perinatal Council' s Healthy Tomorrows tta Project CommUAII 5kc�iVlZlecShed resume) Richmond P.A.L. - Special Interests: Health ( Infant Mortality and Morbidity ) Teen Groups Category of Membership (check one) [ Public Representative Beneficiary Representative 0 Provider Representative 0 Member at Large Information: 1. File completed application with Bobbi Baron,Planning Director,Contra Costa Health Plan, 595 Center Avenue, Suite 100,Martinez, CA 94553. 2. Members of MAPC may be required to file an annual Conflict of Interest Statement. _ 3. MAPC meetings.may be held in Martinez with regional hearings in East, Central, and West Contra Costa County. Meetings may be held either in the evenings or during the.day at least quarterly. I \ / T/' �..... nr....l.l�r� l•w�n�•1� Cl.�.+n..•�.9�1�oe[` n�•l1/YrV fTTnI.�P �O/lll.rin f� 71��111P1 f17� }7TT1P . CLAUDETTE GARNER 362 So. 37th St Richmond, CA. 94804 (510) 233-8847 EDUCATION: M.Ed. Guidance and Counseling Howard University, Washington, D.C., May 1979 B.A. with Distinction-San Jose State University Speech Communication/Black Studies-June 1973 John F. Kennedy High School, Richmond,CA. June 1969 EXPERIENCE: East Bay Perinatal Council/Healthy Tomorrows Program, 3838 MacDonald Ave., Richmond, CA. 94805 April 1990-present Proiect Director-Responsibilities include the supervision of 6 Perinatal Lay Outreach Workers, 2 Health Educators 4 Case Managers, the development and implementation of outreach education activities to raise awareness of the Black Infant Mortality and Morbidity issue in West Contra Costa County. Perform data collection and analysis and develop linkage agreements between providers of services to pregnant and parenting women. Identify community-specific needs and develop appropriate referrals. Provide Information exchange via meetings, consultations and written work. West Contra Costa Youth Service Bureau, 1300 Amador Street #18 San Pablo, CA. March 1986-April 1990 Case Mana esponsibilities included providing comprehensive case management services to pregnant and parenting teens to improve the birth outcomes and enhance the life options of this target population. Developed individual service plans and identified methods of intervention. Made referrals to appropriate outside agencies and maintained outgoing -2- contact with clients and service providers. Also served as a supervising case manager and Program Director of the Teen Parent Program. Spanish Speaking Unity Council, 1900 Fruitvale Ave., Oakland, September 1985-March 1985 Training Coordinator Implemented Supported Work Employ- ment Training Program designed to train 40 AFDC recipients as Certified Nurses Assistants. Mnn+tored employees performance and progress. Conducted individual consultations and facilitated group support sessions. Peralta Service Corporation -Oakland, CA. January 1985- June 1985 Placement Specialist- Responsibilities included assisting in job placement following training for long term AFDC recipients. Coordinated private industry and Peralta for placement, monitored and counseled trainees, taught job development courses. Austin Peay State University-Clarksville, TN. September 1979-July 1983 Counselor/Director of Testing-Duties included the supervision and administration of all university testing (ACT, GRE, NTE, CLEP, MAT, GED, etc) Responsible for individual, group and crisis management counseling services and outreach activities. KILLS: Expertise is in the area of designing effective outreach strategies and techniques, coalition building, and providing direct services to high risk clients. In addition to extensive experience in conducting lectures and trainings on outreach methods, case management and effective parenting with high risk families. REFERENCES: Excellent professional and personal references furnished upon request.