HomeMy WebLinkAboutMINUTES - 12052006 - D.1 s --L
TO: BOARD OF SUPERVISORS � _ - on ra
FROM: William Walker, M.D., Health Services Director Costa
�Osr'q COUNT
CountyDATE: December 5, 2006
SUBJECT: Consider extension of time to conclude a Joint Powers Agreement
and related documents between the County and the West Contra
Costa Healthcare District for the management oversight of Doctors
Medical Center.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. ACKNOWLEDGE that the County is presently assisting in the development and imple-
mentation of a long term Recovery Plan for Doctors Medical Center pursuant to the au-
thority of the Board issued at a public hearing on October 31, 2006.
2. ACKNOWLEDGE that a structure is being developed and documents are being drafted
whereby the County will jointly participate with the West Contra Costa Healthcare District in
management oversight of Doctors Medical Center, again issued pursuant to the authority of
the Board issued at a public hearing on October 31, 2006.
3. ACKNOWLEDGE that the County Health Services Director requires an additional thirty
days to ensure that the management structure under development protects the County's
General Fund, while simultaneously providing the County and the District with necessary
tools to stabilize and successfully operate Doctors Medical Center.
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
----RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
�'APPROVE OTHER
SIGNATURE(S) ::)��_:
ACTION BOAR O L✓O APPROVE AS RECOMMENDED OTHER _
2c � � rr-o( d
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: ' NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: TAIN:
Df U«( '- ATTESTED Olt
JOHN CULLEN,CLERK OF THIEf BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Patrick Godley,957-5405
CC: Health Services Admin,50 Douglas Dr.#310-A,Mrtz
l
BY: 1 DEPUTY
p i Consider extension of time to conclude a Joint Powers Agreement and related documents between the County and
the West Contra Costa Healthcare District for the management oversight of Doctors Medical Center.
December 5, 2006
Page 2
4. AUTHORIZE extending, until January 31, 2007, the date upon which the Health Services
Director will bring before the Board a proposed management structure, including a detailed
description and proposed implementing documents, for the future joint management over-
sight of Doctors Medical Center.
FISCAL IMPACT:
The proposed action will have no impact on the General Fund.
BACKGROUND:
On October 31, 2006 the Board approved and directed that the County take several actions to
begin the implementation of a recovery plan for Doctors Medical Center, owned and operated by
the West Contra Costa Healthcare District. The approved actions included: (i) transfer of cer-
tain sums to the State of California for the benefit of Doctors Medical Center; (ii) the execution of
an agreement with the State of California for the purpose of securing federal matching funds for
Doctors Medical Center; (iii) the execution of a Tax Exchange Agreement with the West Contra
Costa Healthcare District to provide for the allocation of certain ad valorem property tax reve-
nues to the County; and (iv) the execution of a Memorandum of Understanding with the West
Contra Costa Healthcare District for the establishment of a joint management vehicle between
the County and the District for Doctors Medical Center.
The Tax Exchange Agreement with the District, the agreement with the State of California for the
purpose of obtaining federal matching funds for Doctors Medical Center, and the Memorandum
of Understanding with the County have been executed, and certain sums have been advanced
as previously contemplated. The parties and their counsel are in the process of developing and
agreeing upon the structure for a joint management entity to provide for the long-term manage-
ment of Doctors Medical Center. The development of this structure is proceeding well. The
County and the District are proceeding with all deliberate speed, but it is important to be sure
that the development efforts are undertaken carefully and thoroughly, for which a reasonable
amount of additional development time is hereby requested.
ADDENDUM TO ITEM D.1
December 5, 2006
On this day, the Board of Supervisors accepted a report from the Health Services Director
regarding the agreement between the County and the West Contra Costa Healthcare District that
was approved to support the continued provision of health care services to the community at
Doctors Medical Center, San Pablo/Pinole,and considered authorizing an extension of time until
January 31, 2007 for the Health Services Director to bring before the Board a proposed
management structure for the future joint management and oversight of the Doctors Medical
Center.
Chair Gioia reported the Joint Management Agreement would not be completed by end of
December and noted the forthcoming Agreement would be ready early January 2007. He noted
Health Services Department staff is requesting a month to be added to the Memorandum of
Understanding and this would not affect any payments or further transfer of funds to Doctors
Medical Center until both parties execute the Joint Powers Agreement.
Health Services Director Dr.William Walker said a Management Agreement would be developed
for governing Doctors Medical Center. He went on to say to protect the liability both of the
County and the District a formal Joint Powers Authority would be formulated within 30 days and
said he expects this should be completed by January 31, 2007.
Supervisor Uilkema requested clarification over the distinction of a Joint Powers Authority and a
Management Agreement and requested attorneys to be present in the January 2007 Board
Meeting to explain the difference.
Dr. Walker said a Joint Powers Authority is being developed to protect the governance authority
of the District on the ownership of the facility,the longtime seismic duties and noted there is no
intent for the County to take over that facility.
The Chair asked for public opinion and the following person spoke:
Sandra Falk,Public Employees Union Local 1,requested Health Services Department
provide clarification to show the differences between the Management Agreement and
the Joint Powers Authority,and offered a reminder to include a provision stating the
Employer-Employee relationship would remain as it is with the employees being
employed by Doctors Medical Center and requested a copy of the Draft Agreement to be
reviewed by Local 1 before its adoption.
By a unanimous vote with none absent, and the District N seat vacant the Board of Supervisors
took the following action:
ACCEPTED all the recommendations (1-4) listed on Board Order.
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