HomeMy WebLinkAboutMINUTES - 12192000 - C18-C22 TO: BOARD OF SUPERVISORS
9
Contra
CM' Supervisor Donna GerberCOSta
'
De6TT:
December 19, 2000 •` Couray
"jtnT Re-appoint the following representatives to Centra Costa County Police Service Area F2-B
Citizens Advisory Committee and change the meeting time to First Wednesday of each-month,
8:OOAM.
CIPC RIOUEST{3}OR A100 aMMATION(l'A&ACf*aiaVND AND JUSTIFICATION
RFCOMMETKDA'TION:
Name Action 'Term Ending
Cesare Ciatti Re-appoint as Dec. 31, 2002
322 Alamo Square District III representative
Alamo, CA 94507
Jess Erickson Re-appoint as Dec. 31, 2002
46 Oak Trail Court District III representative
Alamo, CA 94507
Gary Rogers Re-appoint as Dec. 31, 2002
2244 Ridgewood Dr. District III representative
Alamo, CA 94507
Diane Barley Re-appoint as Dec. 31, 20€32
1985 Las Trampas District II.I representative
Alamo,CA 94507
Change the meeting time to First Wednesday of each month, 8:00 A
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AMID Decen ber 19 4 2000
Supervisor Donna Gerber BATCHELOR.CLERK OF THED OF
CAO
CAC R2— $UPARYISORS AN A04AINIMATOR
TCS: BOARD OF SI,' ERVISORS
° Contra
FROM: '
Supervisor Donna Gerber :•
Costa
DAs; December 19, 2000 ;„
Re-appoint the following representatives to Contra Costa County Police Service Area P-5
Citizens Advisory Committee.
CIFIC ItIougtT(i)OR MEC;CbldBt!£MOAT ON(I)i SACACtRR000 AND jus'nriCATION
RECO MNC?ATION:
Nam, e Action TeLm Ending
Jam.es Foreman Re-appoint as Dec. 31, 2002
21 St Andrews District III representative
Alamo, CA 94507
Catherine Dimino Re-appoint as Dec. 31, 2002•
134 Chanticleer Lane District Ili representative
Alamo, CA 94507
Debra Jalen Re-appoint as Dec. 31, 2002
2356 Roundhill Drive District Ili representative
Alamo, CA 94507
3
Acr,o,k of
*cm ece:rber 19, 20M
VOTE Of i RS
I HER3lY CIATIFY THAT THRs W A TRUt
AJISTAft Of SUKRYMORS CSR TIM2 ZATI SMOWN.
rrrmt° o Oecernber_19 9 2000
Supervisor Donna Gerber P"' SATOHELO R,C L ERK OF THE Asn OF
CAC P-5 e
iY
70: BOARD OF SUPERN'I ORS .
Supervisor Donna Gerber1��sta
a`
Uounty
OATI: December 19, 2000 � ;
XMICT; Remappoint the following representatives to MaGee Ranch Joint Planning and Operations
Committee.
€C#FIC RtOUEffi f(t)OR RICOMMIMCM ON1,91, 16ACPCCilkOVND AND JUSInFICAnO14
RECOMMENDATION:
Name Action 'peau Ending
John Osher Re-appoint as July 31, 2001
148 Via Bonita District III representative
Alamo, CA 94507
Claudia Waldron Re-appoint as July 31, 2001'
41 Las Quebrades District III representative
Alamo, CA. 94507
3
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VOTI :
LWAX1MOU9( _ $_:3_-a et AND C O RRIC>T L"63PY Of AN A=O*TAKEN
d MNT: #°CA#!d W RS ON THE DATt SMWX.
a�xTxlTEDe ga,z j 19.- 2000
Supervisor.Ronna Gerber P"IL SATCHELOA,CLERK OFTHt DOMO OF
CAO _AW
MaGee Ranch Joint Planning and Operations Committee � � �
�e BOARD 43SUPERVISORS .
LJPERVISOtS .tel_ Contra
FROM: John Culler, Director �`�� � � Caste
Employment and Human Services
A`d e County
DATE: 4November � 'x�,d�
17, 2000
aUB„EC:T:
ADVISORY COLTINCIL ON AGING APPOINTMENT 1
SPECEFIC REQUEST(S)OR REC:OMMIENDATICBN(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONT:
Can behalf of the Advisory Council on Aging, it is recommended that the Board of
Supervisors take the following action:
Appoint to the Advisory Council on Aging to replace Edith Loewenstein in the Member
at Large category for a terra expiring September 30, 2001, the following:
Vernon Jones
1725 Shuey Avenue
Apt. H-1203
Walnut Creek 94596
Phone (925) 939-7798.
BACKGROL.N- D/JUSTIFICATION:
The Advisory Council on Aging recommends appointment of the above person to fill this
vacancy on the Council.
1
CONTINUED ONATTACHMENT:HENT: YES SIGNATURE:
<--' 5C )MMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOAR6 N �}2C�UIb2r 13 2000 APPROVED AS RECOMMENDED OTHER m�
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
__�L UNAAE;I,OUS(ABSENT V VaC-a`tt: - - ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: Y- - ABSTAIN: OF SUPERVISORS ON THE DATE SNOW',
ATTESTED D2--ember 19 2000
Contact. PBATC HELOR,CLERK OF THE BOARD OF
v': Clerk of the Board UP , VESORS?hCSt11VTYABMInIsTRmTOR
Director, Area Agency or Aging
County Administrator
County Auditor-Controller BY DEPUTY
TO* BOARD OF SUPERVISORS
CONTRA COSTA
COUNTY
FROM: Lyle Yates, M.D.
Chairperson, Managed Care Commission
By: Milt Camhl, CCHP Chief Executive Officer ' �
DATE: December 19,2000
SUBJECT: APPOINTMENT AND REAPPOINTMENT OF MEMBERS TO CONTRA COSTA
HEALTH PLAN MANAGED CARE COMMISSION
SPECIFIC REQUEST($)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
Recommendation:
Approve and authorize Managed Ca_ie Commission to change by-laws to eliminate teras limits for
Commission membership.
Background:
The Managed Care Commission (MCC), at its November meeting, voted unanimously to
recommend to the Board of Supervisors elimination of term limits in its by-laws in order to retain
qualified, experienced Commission members who desire to continue their affiliation with the
Commission after two terms.
Fiscal Impact:
None
CONTINUED ON ATTACHMENT: SIGNATURE
_ OECOMMENDATION OF COUNTY ADW.NISTRATOR RECOMMENDATION OF BOARD COMMITTEE
�". fPPROVc OTHER
ACTION OF BOARD _" Decenbp, 19 APPROVED As Rico vlr:oc . X OTHER
VOTE OF SUPERVISORS
#HEREBY CERTIFY THAT THIS IS A TRUE
�.._ UNANI UOUS (ABSENT _V �.7 c,$I7 AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE UIINUTES OF THE BOARD
ABSENT': ABSTAIN:AYES: NOES: AND
OF SUPERVISORS ON THE DATE SHOWN,
Contact Person: LeAnn Winton
ATTESTELecemib er �9 2�?vC7Contra Crista Health Plan; attn: milt Carnhl ELOR,CLERK OF THE BOARD OF
Health Servioes Department S )COUNTY ADMINISTRATOR
BY: �,DEPUTY
MANAGED CARE COMMISSION
BYLAWS
Bylaws for the Managed Care Commission
Table of Contents
Article I Marne
Article II Functions
Article III Membership
Article IV Conflict of Interest
Article V Officers and Responsibilities
Article SII Noting
Article VII Meetings
Article VIII Co rn*ttees
Article IX Amendments
2
CONTRA COSTA COUNTY
MANAGED CARE COMMISSION
BYLAWS
GOALS
The goals of the Contra Costa Health Plan (CCHP), a health maintenance organization, are to
be responsive to the health care and health insurance needs of the people of Contra Costa
County; and to encourage the promotion and awareness of CCHP to the general public, and in
particular to the community's most vulnerable. The Managed Care Commission, the principal
advisory board to CCHP, is to help assure the attainment of these goals.
ARTICLE I: NAME
The organization is to be known as the Managed Care Commission (MCC).
ARTICLE 11: FUNCTIONS
A. Take on all previous functions of the Contra Costa Health Plan Advisory Board
(Advisory Board) and the Medi-Cal Advisory Planning Commission (MAPC).
B. Consider the health care concerns for the Medi-Cal, Medicare, Commercial, and
Medically Indigent and other persons served by the CCHP.
C. Assure provider, consumer, and community, as well as gender, ethnic, cultural, and
geographically diverse population input to deliberations and decision-making. (The
Board of Supervisors does this by its requirements for membership on the MCC and the
MCC does likewise by its appointments to its committees.)
D. Do long-range planning and policy formulation and make recommendations to the Board
of Supervisors, County HSD Director, and Chief Executive Officer of CCHP/Local
Initiative.
E. Study and make recommendations to the Chief Executive Officer of CCHP on
operational objectives, policies, and procedures and recommend changes as well as
revised services, product development, marketing, and data gathering.
B. fissure effectiveness, quality(including good outcomes), efficiency, access, acceptability
of CCHP services by ongoing as well as periodic formal reviews of information produced
by an up-to-date Management Information System and other sources.
G. Regularly review the CCHP operational budget and amendments thereto.
H. review, analyze, and advise the Board of Supervisors, HSD Director, and Chief
Executive Officer of CCHP of the overall progress, constraining or threatening needs,
and special problems of CCHP.
I. Encourage public understanding of CCHP and provide support throughout the county for
its development.
J. Prioritize and assign issues to appropriate committees.
RTI III'. MEMBERSHIP
A. The Board of,Supervisors as a whole shall make the appointments to the MCC, 'There
will be 15 appointed members of the BICC; No less than one Medi-Cal subscriber of
CCHP; one Medicare subscriber of CCHP or Medicare beneficiary; one commercial
subscriber of CCHP; one person sensitive to medically indigent health care needs; one
physician, non-contracting with CCHP; at least one other provider, non-contracting with
CCHP; and no less than rine at-large members, non.-contracting with CCHP.
B. MCC members shall reside or work in Contra Costa County.
C. The Board of Supervisors appointments reflect the County's ethnic, cultural, gender, and
geographic diversity.
D. Except for the Medi-Cal subscriber of CCHP, MCC members are voluntary, unpaid
positions, but actual and necessary travel and related expenses are to be reimbursed as per
County practice for Commission mneetings. The Medi-Cal subscriber is to be given a 25
stipend plus expenses for each Commission meeting not to exceed 12 meetings per year,
E. Once initially selected by the Board of Supervisors, the 15 initial appointees will be
chosen by lottery, 1/3 for one-year term., 1.13 for two-year term, and 1/3 for three-year
tern.
F. Thereafter, term of office is for three years.
C. Persons who are involved as contractors with CCHP cannot be members of the MCC nor
can Health Services Department employees.
2
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.- w ry GZL�i rti x3i'Tz»YC-x GCR—£LD.
There are no terrn limits for rea ointment of MCC members.
1. A person appointed to fill a vacancy is to serve for the unexpired terra of the member
replaced.
J. designations, in writing, are to be sent to the Board of Supervisors. The MCC will
initiate action to obtain a replacement.
K. The MCC may appoint individuals as consultants to assist in the operations of the MCC
as deemed necessary.
L. A third (P) consecutive absence or five (5) absences in a rolling twelve (12) months
from a regular MCC meeting will be considered a resignation from the MCC, and a
replacement will be recommended to the Board of Supervisors. Exception to this policy
requires approval by the MCC.
A Members are required to comply with Fair Political Practice Commission reporting
requirements regarding financial disclosure information.
N. The Director of Health Services is an ex-officio, non-voting member.
0. The Chief Executive Officer of CCHP is an ex-officio, non-voting member.
P. The Board of Supervisors function as ex-officio, non.-voting members.
ARTICLE IV: CONFLICT OF INTEREST
A. Even though persons who are involved as contractors with CCH'cannot be members of
the MCC, in the course of MCC business, issues or events may arise that could possibly
constitute a conflict of interest for members. Wherefore,MCC members must file an
initial and annual conflict of interest statement with the Fair Political Practices
Commission (FPPC). 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 organization or his/her
immediate family member(s) (i.e., husband, wife,child, mother, father, sister, brother)
has a direct financial conflict of interest.
C. The Board of Supervisors, in establishing the new Managed Care Commission, has
established that "Persons who are involved as contractors with CCHP cannot be members
of the SCC, nor can Health Set-vices Department employees." This means individuals
3
(or members of their immediate family) who contract with Contra Costa Health Plan or
work for CCHP contractors MAY NOT bean MCC member, This prohibition includes
the following (and members of their immediate families).
1. Contra Costa County employees with policy-making responsibilities (e.g., department
heads, division head).
1 Any Contra Costa County Health Services Department employee (includes all Centra
Costa Health Plan employees).
3. Physicians who:
a. currently contract directly with CCHP or
b, receive a substantial portion of their income from their relationship with an IPA
or other medical group as a result of that IPA's or medical group's contract with
CCHP or
c. are in policy-making positions of the IPA or medical group which contracts with
CCHP.
4. Other providers (e.g., dentists, pharmacists, etc.) who:
a. currently contract directly with CCHP or
b. receive a substantial portion of their income from their relationship with an
organization as a result of that organization's contract with CCHP or
c. are in policy-making positions of the IPA or medical group which contracts with
CCHP.
5. Other employees who are in policy-making positions or report directly to those who
are in policy-making positions of any business, professional corporation,
organization, clinic, or hospital that contracts with CCHP.
6. Individuals who do not live or work or serve a significant number of patients who
reside within the Contra,Costa County borders.
7. Any individual who would receive a significant direct financial benefit from their
position as a member of the MCC.
ARTICLE `.' OFFICERS .NII) RESPONSIBILITIES
OF OFFICERS
A. The MI CC will elect it chair and vice-chair.
B. Officers to be elected by the MCC members at the regular January meeting or at the earliest
possible meeting thereafter.
4.
C. Upon the vacancy of the MCC Chair, the MCC will elect a new Chair at the following
meeting,
D. Officers to serve in same office for no more than two successive one-year terms.
E. The Chair presides at all MCC meetings.
F. The Vice-Chair shall assume all obligations and authority of the Chair in his/her absence.
G. In his/her absence, the Chair or Vice-Chair of a standing committee shall preside at MCC
meetings.
ARTICLE VI', VOTING
A. Each member to have the authority to speak and participate in discussions on all matters
presented before or pertaining to the activities of the MCC including those having a direct
financial impact on the members and/or their institutions, Each member to have the
authority to cast one vote on all matters presented before or pertaining to the activities of
the MCC except in a situation in which the member and/or the member's organization or
his/her immediate family mem1ber(s) (e.g.,husband, wife, child, mother, father, sister,
brother) has a direct financial conflict of interest.
B. A quorum is 50 percent plus one of the currently appointed membership. A quorum is
continued until challenged.
C. A majority vote is necessary to pass motions.
D. When a decision is made in an MCC standing committee, subcommittee, ad hoc
committee, or task force, it may be done by:
1. A demonstration of consensus or
2. A vote taken where a majority rules.
3. When a vote is taken and a majority rules, there may be a minority report submitted as
part of the record if this represents a substantial number(i.e., 1/3 of those voting), and
those in the minority agree to submit a report. Of course, individual(s) may at any time
express their oral or written opinions as such outside of the MCC record but should not
represent themselves as representatives of the MCC.
E. When a formal decision is made by the full'MCC, it should generally be done by:
1. A vote taker where a majority riles with a quorum present. If the decision is
unanimous, it is recorded as such. If there is opposition, the opposing votes may be
recorded by name at the discretion of the chair or request of the MCC. If there are
abstentions, they are recorded by name as such. Any commissioner who indicates a
conflict of interest and refrains from voting should be recorded accordingly.
5
2. When a vote is taken and a majority males, there may be a minority report submitted as
part of the record if this represents a substantial number(i.e., 1/3 of those voting), and
those in the minority agree to submit a report. Of course individual(s) may at any time
express their oral or written opinions as such outside of the MCC record but should not
represent themselves as representatives of the 14ii1CC.
ARTICLEVII: MEETINGS
A. There shall be at least nine (9) meetings a year at a time and place agreed upon.
B. Notice and agenda of all regular-meetings, the minutes of past meetings, and committee
reports to be mailed to each member at least three (3) days prier to the day named for such
meeting.
C. Meetings of the MCC to be open to the public in accordance with the Ralph M. Brown Act
and Better Government Ordinance and-meetings to be governed by Roberts Rules of Carder.
D. df it is necessary, the MCC or any of its committees may meet by teleconference and shall
adhere to the regulations set forth in Murray, Stats. 1994, Chapter 1153 that Government
Code section 11123 and allows for the conduct of meetings by teleconference
E. There shall be a period of time set aside at the beginning of each MCC meeting to receive
public comment.
ARTICLE VIII-8 COMMITTEES
A. Where will be a five-member Executive Committee of the MCC made up of the MCC
Chair, `lice-Chair, immediate past Chair, and two (2) members elected from the
membership as a whole. If the dice-Chair is immediate past Chair, them three (3) members
shall be elected from the membership as a whole. At least one member roust be a member
of CCBP.
B. The Executive Committee shall meet on an "as needed" basis. It shall have authority to
make decisions for the MCC when time is of the essence or when the MCC is unable to
assemble a quorum. The Executive Committee roust have at least three (3) members
present and voting in order to take action.
C. There will be three (3) standing and three (3) special committees of the MCC with names
and functions as follows:
6
STANDING COMMITTEES
1. Health Care
Study health care delivery approaches,centralization versus regionalization issues, and
new, alternative,or unproved modes of treatment. Review quality assurance studies
and utilization trends. Analyze member and consumer issues including geographic,
gender, ethnic, and other facets of consumer concerns. Review availability,
acceptability, and member satisfaction with services. Review grievance trends. Make
recornmendations to MCC.
2. Finance
Study plan budgets, expenditures, and cost trends, Make recommendations to MCC.
3. Marketing and Health Promotion
Study needs of current and potential subscribers for scope of services, scope of benefits,
and price. Examine patterns of enrollments and disenrollments of CCHP members and
of competitors. Review outreach, health education, and health prornotion activities,
Make recommendations to MCC.
SPECIAL COMMITTEES
1. Community Advisory Committee
This committee is required by State mandate for the Local Initiative and is charged with
providing input on CCHPs Cultural and Linguistic Services Plan. Make
recommendations to the MCC,
2. Governance
Recommend structural and governance changes of the Managed Care Corarmission and
its standing and special committees and annually recommend a slate of officers. Ma!-,e
recommendations to MCC,
3. Public Policy
Study impending federal, state, and county program changes and their relationship to
CCHP. Monitor and make recommendations on county, state, and federal legislation
and regulatory matters. Make recommendations to MCC.
7
D. There may be Ad Hoc Committees of the MCC. These will be created by the MCC for
special issues or concerns that do not fit into the work of the standing committees or that may
involve several of them. The assignment, membership, and duration will be set by the MCC,
E. Committee chairs must be members of the MCC.
F. MCC committee chairs and vice-chairs are appointed by the MCC chair(initially co-chairs)
at the first meeting after each election of MCC officers
G. MCC committee members are appointed by their respective committee chair as soon as
possible
H. Committee positions are voluntary, unpaid positions, and travel expenses are not subject to
reimbursement,
1. MCC committee chairs shall determine the number of appointed members of their respective
committees between 3 and 11; with at least 2 of the members being MCC members. The
remaining number of members with voting privileges may be non-MCC members,
J. The committee chairs shall notify the MCC upon selection of the number of members and
appointments to their respective committees by providing the MCC with a committee roster
to include names and addresses of its members. Changes may be made to the committee
membership as appropriate for its scope of work. The MCC shall be notified in a time'y
manner of any committee changes.
K. All members of the public are welcome at committee meetings and time shall be set aside for
public comment.
L. Only appointed members of the committees may vote, although any individual or
organization may attend and participate in committee discussion.
M. With the exception of the Executive Committee, a majority of committee members present at
a committee meeting shall constitute a quorum. A quorum of the Executive Committee is
50 percent plus one of the current Executive Committee membership.
M Committee decisions are advisory only and subject to full MCC approval.
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