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HomeMy WebLinkAboutMINUTES - 12042006 - C.30 TO: BOARD OF SUPERVISORS �,. e%ntra FROM: SUPERVISOR GAYLE B. UILKEMA o' Costa DATE: DECEMBER 4, 2006 `°SrA -x" County SUBJECT: APPOINTMENTS TO THE MANAGED CARE COMMISSION � • 30 SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: 1. RE APPOINT Roberta Kayser-Stange to the Commercial Subscriber seat, Jeffrey Kalin to the At Large #5 seat, and Debra Shorter-Jones to the At Large#7 seat (addresses on file) on the Workforce Development Board to terms ending August 31, 2009. 2. APPOINT the following individual to the Medi-Cal Subscriber seat on the Managed Care Commission: Lloyd D. Briley 2101 Mark Twain Drive Antioch, CA 94531 BACKGROUND: The Managed Care Commission was established in May 1995 and replaced the Contra Costa Health Plan Advisory Board and the Medi-Cal Advisory Planning Commission. The purpose of the Commission is to: o study health care concerns for the Medi-Cal, Medicare, Commercial, and Medically Indigent persons served by the County o assure provider, consumer, and community, as well as gender, ethnic, cultural, and geographically diverse population input to deliberations and decision making. CONTINUED ON ATTACHMENT: YES SIGNATURE: _RECOMMENDATION OF COUNTY ADMINISTRATOR !RECOMMENDATION OF BOARD COMMITTEE APPROVE _OTHER SIGNATURE(S): ACTION OF 80)(RD 6N10)ft--gjy 1' 2445 APPROVE AS RECOMMENDED�� grHER_ VOTE OF SUPERVISORS (�,A�^�' I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACT V UNANIMOUS(ABSENT_Y� 8,) ) AND ENTERED ON THE M NUTESION OF T EEN BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: DECEMBER 12,2006 CONTACT: JULIE ENEA (925)335-1077 JOHN CULLEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF LYNN MORRIS,MCC STAFF CLERK OF THE BOARD(MADDY BOOK) BY _ � '"DEPUTY , Managed Care Commission December 4, 2006 Supervisor Gayle B. Ulikema Page 2 o do long-range planning and policy formulation and make recommendations to the Board of Supervisors, County Health Services Director and Chief Executive Officer of CCHP/Local Initiative. o study and make recommendations to the Chief Executive Officer of CCHP on operational objectives, policies and procedures and recommend changes as well as revised service, product development, marketing, and data-gathering priorities © assure 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 o regularly review the CCHP operational budget and amendments thereto. o review, analyze, and advise the Board of Supervisors, Health Services Director, and Chief Executive Officer of CCHP of the overall progress, constraining, or threatening needs and special problems of CCHP o encourage public understanding of CCHP and provide support throughout the County for its development. Prioritize and assign to appropriate committees The Commission consists of 15 members. Persons who are involved as contractors with Contra Costa Health Plan (CCHP) cannot be members of the Managed Care Commission (MCC), nor can Health Services Department employees. No less than one Medi-Cal Subscriber; One Medicare Subscriber; One Commercial Subscriber; One person sensitive to medically indigent health care needs; One physician, non-contracting; One other provider, non-contracting, and; No less than nine at-large members, non-contracting may serve. The Director of Health Services is an ex-officio, non-voting member. The Chief Executive Officer of CCHP is an ex-officio, non-voting member. The Board of Supervisors functions as an ex- officio, non-voting member. Terms of office are for three years. The IOC reviews nominations for all seats on the Commission. Due to Supervisor DeSaulnier's recent departure from the Board of Supervisors, the Internal Operations Committee (IOC) did not have a quorum at its regularly scheduled meeting on December 4. In the interest of maintaining maximum participation on County boards and commissions, I have reviewed the background materials normally provided to the IOC and am forwarding to the Board my recommendations for appointment. Contra Costa Roster Page 1 of 2 Contra Costa County Roster Maddy Managed Care Commission Appointment Date Term Expiration Resignation Date Stag Seat Title Medi-Cal Subscriber Vaca Representatives Smith Monique 10/26/2004 08/31/2006 Seat Title Medicare Subscriber Representatives Yates, M.D. Lyle Norman 09/14/2004 08/31/2007 Seat Title Commercial Subscriber Vaca Representatives Kayser-Stange Roberta 08/12/2003 08/31/2006 Seat Title Medical Indigent Needs Representatives Madrigal Eleanor M 09/14/2004 08/31/2007 Seat Title Physician Representatives Rigall, M.D. Evison Ronald 09/27/2005 08/31/2008 Seat Title Other Provider Representatives Lautenberger, R.N. Joan 09/27/2005 08/31/2008 Seat Title At-Large 1 Representatives Ejiwunmi Lola 07/12/2005 08/31/2007 Seat Title At-Large 2 Representatives Garcia Michael 09/27/2005 08/31/2008 Seat Title At-Large 3 Vaca Representatives Rogers Addie D 09/27/2005 08/31/2008 05/02/2006 Seat Title At-Large 4 Representatives Harris Michael 09/14/2004 08/31/2007 Seat Title At-Large 5 Vaca Representatives Kalin Jeffrey 08/12/2003 08/31/2006 http://www.co.contra-costa.ca.us/maddybook/rosterview.php?Committee=68&Reports=C... 11/29/2006 Contra Costa Roster Page 2 of 2 Seat Title At-Large 6 Representatives Steinfeld Richard 09/27/2005 08/31/2008 Seat Title At-Large 7 Vaca Representatives Shorter-Jones Debra 10/26/2004 08/31/2006 Seat Title At-Large 8 Representatives Crovetto-Avancena Blanco 10/25/2005 08/31/2007 Smart Raymond 09/14/2004 08/31/2007 08/17/2005 Vaca Seat Title At-Large 9 Vaca Representatives Briley Lloyd D 08/12/2003 08/31/2006 ------------------------------------------------------------------------------------------------------------------- http://www.co.contra-costa.ca.us/maddybook/rosterview.php?Committee=68&Reports=C... 11/29/2006. y CONTRA COSTA HEALTH PLANT A Division of Contra Costa Health Services Date: September 27, 2006 To: Internal Operations,Committee, Contra Costa Board of Supervisors From: Lynn Mr6taff contact for Managed Care Commission RE: Managed Care Commission—Recommendation for Vacant Seats The Managed Care Commission(MCC), in its continued efforts to recommend commissioners that are able to articulate concerns of health care recipients as well as represent the diverse population within our community, hereby makes the following recommendations for reappointments to the MCC. This recommendation was adopted unanimously at the last MCC meeting on. September 20, 2006. Applications for the appointments are attached. Appoint Roberta Kayser-Stange to CCHP Commercial Member seat: • Long-time experience in labor negotiations • Articulate public interest spokesperson • Unique perspective from education as substance abuse counselor Appoint Jeffrey Kalin to Member-at-Large seat: • Administrator and educator at USCF Medical Center • Experience and perspective in rehabilitation services • Unique understanding of residential care programs Appoint Lloyd Briley to CCHP Member seat: • Former County employee with understanding of the system • Historical perspective as member of CCHP Advisory Committee • Long-time public interest activities Appoint Debra Shorter-Jones to Member-at-Large seat: • Experience as nurse and nurse practitioner • Knowledge of holistic health practices • Understanding of medically indigent and needs of disadvantaged children Thank you for your consideration. CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, COMMITTEES APPLICATION FORM Name of advisory board applying for: Managed Care Commission (MCC) (Application form must be typed or hand printed.) ote;u,Per� �h�ofae�nvolved as confrtor,s�wfh�C�CHP cannon e�members���o`�t}i� M,GC��or�ca Health `�Ser�v�ces��Deparlmen, �,�.��.►�,...P�Y,�.�.nr;�,� Aie����w . ��5�5w����z�: �? � �a� , .i�� �,�:� ��, .: � �,� Please answer: Are you currently employed by CCHP or HSD? ❑ Yes No If yes,please explain: Are you or your employer now a contractor to CCHP? ❑ Yes .No If yes,please explain: Are you associated with an organization that is currently or has plans to contract with CCHP? ❑ Yes K No If yes,please explain: Please check all boxes that apply: ❑ Current CCHP Medi-Cal Subscriber ❑ Current CCHP Medicare Subscriber ❑ Physician ❑ Other Provider XT Current CCHP Commercial Subscriber ❑ Represent Medical Indigent Needs !� Name of Applicant: 110460- /Jr L.q` Tp ry Home Address: _ � �/l1�CJ lrI f�P Home Phone: (J � ��'1�� /co / Business Address: 122 de(er' -1�rIlle Work Phone: &5) 6Tto 'y 553 Signature: is e 4 Date: Personal Experience, Skil s, Interests: Education/Background- Occupation: V Community Activities: Special Interests: INFORMATION: 1. Return completed application to Teresa O'Riva or Jill Lorrekovich,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez, CA 94553;FAX#(925)313-6580. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4. Meetings may be held either in the evenings or during the days,usually bimonthly. 5. Some boards assign members to committees or work groups requiring additional time. MCC App_F.A. CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, COMMITTEES APPLICATION FORM Name of advisory board applying for: Managed Care Commission (MCC) (Application form must be typed or hand printed) Note "Persons who are involved as`contractors with CCH&cannot be members of the MCC'nor can Health ;; Services`Department'(HSD) employees " t x Please answer: Are you currently employed by CCHP or HSD? Yes E If yes, please explain: Are you or your employer now a contrac or to CHP? es No /! 1 If yes, please explain: 6&12 C me6ew Aru associated with an organization that is currently or has plans to contract with CCHP? Ye No If yes, please explain: SEE AUUE Please check all boxes that apply: Current CCHP Medi-Cal Subscriber Current CCHP Medicare Subscriber Physician Other Provider Current C C HP Commercial Subscriber Represent Medical Indigent Needs Name of Applicant: �E T (//y Home Address:. Q2� f2Dl�E/� /1/��• Home Phone: 9�s. 930 3r�'�g , Business Address: �/JJ`—/'i$ /'1r955G1S �dC Work Phone: ¢IS• f5-.3, IX90 Signature: Date: 71glo Personal Expe i ce,Os, rests: Education/Background: ll Occupation: Community Activities: Special Interests: INFORMATION: 1. Return completed application to Teresa O'Riva or Jill L.orrekovich,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez, CA 94553;FAX#(925)313-6580. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4. Meetings may be held either in the evenings or during the days,usually bimonthly. 5. Some boards assign members to committees or work groups requiring additional time: MCC AM)jm d.c R'Mi 101/01 JEFFREY KALIN 208 Roberta Avenue Pleasant Hill, California 94523 (925) 932-3918 jkalin@pacbell.net Education: Master of Business Administration-Finance and accounting The Peter F. Drucker Graduate Management Center The Claremont Graduate School, Claremont, California Bachelor of Science-Park Service Administration Wayne State University, Detroit, Michigan Experience: • Administrator-Adult Cardiology Services UCSF Medical Center San Francisco, California 1996—present Provide administrative leadership to the Cardiology Division and Adult Cardiology Services at UCSF and Mount Zion Medical Centers. This includes research,teaching and professional services of the Cardiology Division of the Department of Medicine and all related inpatient and outpatient clinical operations. Responsible for academic and research staff, university research grants,fundraising,endowments and other divisional funds. Manage the Cardiology Diagnostic Laboratories and work collaboratively with Hospital Administration. • Manager- Cardiology Laboratories Stanford University Medical Center Palo Alto, California 1992- 1996 Responsible for supervision of technical and nursing staff for the laboratories and cardiovascular service line; budget planning and financial management of the laboratories and service line programs. Responsible for new program development,and implementation and maintenance of clinical and management data systems. Also participated in proposal development and the marketing of cardiovascular services to insurers. • Executive Director-NeuroCare,Inc., Concord, California 1991 to 1992 Responsible for the development and operations of a post-acute rehabilitation facility and day treatment program, including supervision of all professional staff. Responsible for maintaining daily profitability in this venture capital start-up. Achieved a three-year CARF program accreditation while in this position. • Program Director-Rehabilitation Services St.Mary's Hospital&Medical Center San Francisco, California 1989 to 1991 Responsible for the provision of inpatient and outpatient services,program development,fiscal management and quality management of Rehabilitation Services. Collaborated with the Medical Director and Vice President to assure clinical excellence in a therapeutic environment. Established the Ben Berman Outpatient Center. page 2 Jeffrey Kahn Experience: (cont.) Casa Colina, Inc. Pomona, California 1982- 1989 Positions held at Casa Colina during this period: • Chief Operating Officer-Padua Village, Inc., a subsidiary of Casa Colina, Inc. Directed the development and operation of this subsidiary corporation of Casa Colina,which provides long-term residential care. Created alternate delivery systems and fundraising mechanisms to support this corporation. Worked closely with the Board of Directors and Chief Executive Officer to plan and implement policy decisions. • Director of Residential Services Developed and managed residential programs on the main hospital campus and in the surrounding community. Managed all corporate residential resources, including;outpatient housing programs,spinal cord injury transitional housing,and student housing. • Registered Therapeutic Recreation Specialist Developed and implemented individualized therapy programs to increase the functional level of disabled individuals. Taught adaptive physical education to community college students. Participated in the development of the leading wheelchair sports program in the United States. Memberships: American Academy of Medical Administrators Cardiology Preeminence Roundtable Commissioner of Managed Care-Contra Costa County Health Plan DeLaSalle High School Parents Association Specialized Skills: Public speaking and presentations. Program design and development. Development of licensed community care facilities(Title 22). Fundraising and special event coordination. Financial analysis and computer modeling. Awards. Michigan Parks and Recreation Association, 1978 State Scholarship recipient State of California, Department of Education, 1986-1988 Graduate Fellowship recipient page 3 Jeffrey Kalin Special Accomplishments: • Created the first long-term environmental management plan of Damariscove Island, Maine,for The Nature Conservancy. • Completed the start-up of a not-for-profit corporation. Created and implemented a growth plan that took the company from$56,000 net worth with no operations to$770,000 with three operating centers. • As a fundraising committee member,participated in raising $1.5 million from 1985- 1988. • Served as Co-chairman for the Far West Wheelchair games. Operated the events profitably after several years of financial losses. • Assumed direction of an acute rehabilitation program which had experienced 3 consecutive unprofitable years and achieved profitability in the following two years-a turnaround of more than$900,000. • Raised from private philanthropists over$100,000 for capital needed to create the Ben Berman Outpatient -- Rehabilitation Center at St. Mary's Hospital and Medical Center. • Created STAN (Stanford Transtelephonic Arrhythmia Network),at Stanford University Hospital. • Brought EECP®treatment for CAD patients from clinical trial status to hospital-based therapy at UCSF Medical Center. • Successfully implemented a growth plan for the UCSF Cardiology Division and its related clinical, research and teaching activities.The annual division budget increased from$5.9M in 1996 to$12.8M in 2007. Patient visit volumes in the ambulatory practices increased from 6,800 to an expected 16,500 in the same time period. Interests• Family activities,skiing, cycling,sailing,golf, piano,travel. References: Available upon request. 'G CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, COMMITTEES APPLICATION FORM Name of advisory board applying for: Managed Care Commission (MCC) (Application form must be typed or hand printed) Note: "Persons who are involved as contractors with CC] cannot be members of the MCC nor can Health Services Department(HSD) employees." Please answer: Are you currently employed by CCUP or HSD? ❑ Yes R-No If yes,please explain: Are you or your employer now a contractor to CCHP? ❑ Yes k No If yes,please explain: Are you associated with an organization that is currently or has plans to contract with CCHP? ❑ Yes V No If yes,please explain: Please check all boxes that apply: ❑ Current CCHP Medi-Cal Subscriber ): Current CCH?Medicare Subscriber ❑ Physician ❑ Other Provider ❑ Current CCHP Commercial Subscriber ❑ Represent Medical Indigent Needs Name of Applicant: /p VZ5 D 13 R>Lz[`Y Home Address: �Z/e>/_._ Zd-y}A1<' j 2c)fi/x) -Home Phone: '7c,75_ 7 Z? 6-/`/(8 AiJT-t0ckk GA- Business Address: Work Phone: Signature: __Z & . " Date: Personal Experience, Skills, Interests: Education/Background: POG 0 M 15 )-TS o ) L-/= l�l�lp- Occupation: 2 t. (� LCC PL 0 Y-i-A Community Activities: !J�1 %-�L% ��'u �2 t 0P ISG TZN%S Special Interests: INFORMATION: 1. Return completed application to Teresa O'Riva or Jill Lorrekovich,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez, CA 94553;FAX#(925)313-6580. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4. Meetings may be held either in the evenings or during the days,usually bimonthly. 5. Some boards assign members to committees or work groups requiring additional time. MCCAppjF d. rs�tud oro+ 4 Supplemental information to application for: Managed Care Commission Education/Background: Diablo Valley College—Pleasant Hill AA 1974 California State University— Sacramento BA, with Honors 1976 I hold two teaching credentials issued by the State of California Retired with employment with Contra Costa County in 1984 after working for almost 17 years in the District Attorney's Office as a criminal investigator. Prior to that I was employed by the City of Montebello for 10 years as a Police Officer. Since my retirement I have worked a number of positions until 1997. I was an Accounts Receivables Manager at one of the largest HVAC companies in the state, Inventory Control Manager at a large computer store, Manager at a large retail tool store among the jobs that I held. Community Activities:- �' _.... I am currently a Commissioner on the Managed Care Commission, Vice-Chair. I was a member of the CCHP Advisory Committee for approximately 2 years until I left the area for temporary employment in the Yosemite area in 1996. Served as a Board Member of the Diablo Chapter of the American Red Cross for approximately 10 years, the majority of that time as a member of the personnel committee. Served as a member of the Board for the Rape Crisis Center in Concord for several years. I am serving as a volunteer for the Antioch Police Department in the Investigations Unit. I have been doing this since April 2002. Special Interests: I have been a member of CCHP since September 1982. I have found that it to be exceptional in the manner that my wife and I have been cared for and would like to continue to be in a position where I might have some influence on the decisions that will keep it working at the peak of performance for all the members for many years to come. CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, COMMITTEES APPLICATION FORM Name of advisory board applying for: Managed Care Commission (MCC) (Application form must be typed or hand printed.) oealt �te.��.Persons� o�are.�mvalved�as�,ontractors frth ��AR ca_unaf6e�meargbersa�r£�theMG �•�nrcaHealtti �.w # amu,<s,-Y+ mm, � � xnxm; �n �e h a a��. �•a. �� � ,:s : ���br � �+a^ Please answer: Are you currently employed by CCHP or HSD7 ❑ Yes X No If yes, please explain: Are you or your employer now a contractor to CCHP? ❑ Yes X No If yes, please explain: Are you associated with an organization that is currently or has plans to contract with CCHP? ❑ Yes X No If yes, please explain: Please check all boxes that apply: ❑ Current CCHP Medi-Cal Subscriber ❑ Current CCHP Medicare Subscriber 0 Physician X Other Provider ❑ Current CCHP Commercial Subscriber 0 Represent Medical Indigent Needs Name of Applicant: Debra Shorter—Jones -- Home Address:- 326 So. 26`h Street, Richmond,.CA 94804_ Home Phone: (510) 234-5608_. - Business Address:� 1'�947 CenteerpSt.2"a Floor,Berkeley, CA 94702_ Work Phone: (510)981-5349( Signature: cYndm4- Date: Personal Experience, Skills, Interests: Education/Background: Masters of Science Nursing Samuel Merritt College(2001-2002) Bachelors Science Nursing Sonoma State University (1986-1989) Associate Science Nursing Contra Costa Community College (1983-1986) Occupation: Public Health Nurse/Family Nurse Practitioner Community Activities: President of Cortez-Stege Neighborhood Council Special Interests: Advocating for health care for the underserved populations. INFORMATION: 1. Return completed application to Teresa O'Riva or Jill Lorrekovich,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez, CA 94553;FAX#(925)313-6580. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4. Meetings may be held either in the evenings or during the days,usually bimonthly. 5. Some boards assign members to committees or work groups requiring additional time. MCC App_rm do Revised 07M4