HomeMy WebLinkAboutMINUTES - 10032006 - SD.9 I
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SD.9
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THE BOARD OF SUPER`'ISORS OF
CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on October 3. 2006 by the following rote:
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AYES: Supervisors Gioia. Uilkema, Piepho, and DeSaulnier
NOES: '_done
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ABSENT: Supervisor Federal D.Glover
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ABSTAIN: None
CONSIDER accepting update from the Health Services Director on the status of Doctors Medical Center
San Pablo Pinole. I
I hereby-certify that this is a true and correct copy of
an action taken and entered on the minutes of the i
Board of Supervisors on the date shoran.
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Attested: October=.2006
John Sweeten.Clerk of the Board
of Super-sors and Counn•_administrator
Deputy C1erk..Lena O'Neal
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Addendum to SD.9
OCTOBER 3, 2006
On this day the Board considered an update of Doctors Medical Center in San
Pablo.Pinole.
Dr. Walker reported on the impact of the Emergency Medical Services system and
ambulance transports for diverting ambulances from Doctors Hospital San Pablo. He
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said Kaiser Richmond received 5 to 15 ambulances more than they did before the closure I
of Doctors Medical Center: Contra Costa Regional Medical Center 5 to additional
ambulances and Alta Bates 3 to 4 ambulances. He told the Board the Count•has been
asked directly to provide funding or a loan. and said it would be proper for the Board to
direct Health Services Department with the help of County Counsel to look at how that
could happen. and advised the Board the Count-has also been approached about forming
a Joint Powers Authority. Dr. Walker stressed he would need the help of Country Counsel �
to protect the County from liability and at the same time allot- some participation and
partnership that might keep that hospital. I
Chair Gioia suggested directing the Health Director to look at the latest financial
information and the proposal to sustain the hospital and report to the Board,with a plan
with "numbers behind it".
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Supervisor Piepho said funding is going to be critical but the County has the leadership
and asked Dr. Walker to explain how the County could help in being a participant to
resolve the issues.
Dr. Walker said he would get the real numbers and compare them to the proposed model
for sustainabilit°.
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Chair Gioia asked about the possibility of the County managing the hospital under a
model without liability,where independent parties make the decisions.
Supervisor DeSaulnier asked if there were other "likely suitors" to protect the hospital
from bankrupts}`. �
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Dr. Walker said there has been no other interest in any formal partnerships.
Supervisor DeSaulnier asked Dr. Walker to comment on seismic issues related to Doctors
Medical Center.
Dr. Walker responded there were seismic issues in Doctors Medical Center building and
man} other hospitals throughout the state.
Chair Gioia said it would be important to look at long-term impacts on the County's
finances and on the health care in West Count-: and said the concern has been whether to �
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obligate future tax revenues. He said it is important to have County Counsel involved
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with the Health Department to Let the best information and advise. Chair Gioia
commented the County didn't want to provide a loan if the model is going to fail.
Supervisor- ilkema said she would like to be assured that a loan mould be paid back. and
asked for exploration of the issue with state lass. L AFCO, and special districts. She said
the ability to ensure the possibility_ of a primate partnership would gime a stamp of
security-.
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Chair Gioia asked for public comment on this item and the following people spoke:
• Barbara Lambarida. California Nurses Association. spoke about current
management and loss of'Nurses to community and had serious concerns about
entering into a JPA with the current District Board and urged a stopgap measure
that mould alloys'Nurses from Obstetrics to work in the County:
• Carol Sims. spoke about Doctors Medical Centers closing of Obstetrics
Department;
• Charlene Arrington. Rodeo resident, spoke about current management making
several mistakes and spending money unnecessarily and urged the Board not to go
into a partnership with current management;
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• Sandra Falk. Local 1, Richmond, spoke about Doctors Medical Center closure, i
and said a work-shop is being hosted by Local 1 to Board members to attend a �
workshop on options to support Doctors Medical Center, and urged the Board to
take over Doctors Medical Center.
Dr. Walker proposed that if the Count-should go in on some joint arrangement for
partnership the County should ask for other partners to take part in—namely-Kaiser and
John Muir Mt. Diablo.
Mr. Cullen requested the Board to include the County Administrator's office in the i
process of identifying hogs to provide medical care without derailing the County's own �
financial recover-. i
By an unanimous vote with Supervisor Glover absent the Board took the following
action:
DIRECTED staff to receive and review plans for sustainability and return to Board on
October 10. 2006 with evaluation.
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OPTIO\S TO SUPPORT DOCTORS MEDICAL CENTER
1. Do Nothing Not an acceptable option
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-. Enter into joint partnerships
with other agencies Probably too late
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_. Seek new revenue sources Does not appear to be occurring �
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4. Contra Costa Count- "Takeover" Appears to be only solution
A "takeover" bv Contra Costa Count- could manifest in several different manners with a
different set of ramifications accompanying each option.
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?.takeover could include ani- of the following:
• A total takeover by CoCo Count- of operating the hospital, all services and
employment becomir_gy pan of CeCoCount-
• DMC contracting with the Count-to administer all DMC services. with
employees remaining employees of DMC. Board remains to administer i
Hospital Pension Pian and Ban_kruptcv issues
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• Other combinations of the above
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DN1C needs to be treated as though it were a patient. R°e see the Count-as being,the
provider of last resort for this patient. We are asking the Count-to step form and and
let the community- know-what it would take for the County- to assume D`IC. Right
now we are squirming in agony. wondering what it will take to convince you that we
need your help. i
R e believe that ,ve need the DMC Board to be flexible in examining options for survival
of our community hospital, including turning over operations to the Count_- in one of
several possible ways.
The residents of XX-est Couna need Doctors Medical Center to remain open in the most
viable manner possible. This is a critical health care need for West Count-that cannot be
ignored or avoided.
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REQUEST TO SPEAK FORM
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(THREE (3) MINUTE LIMIT) ,
Complete this form an place it in the box near the speakers" rostrum before addressing th Board. '
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Name: �/�.i�'7�C�ir�� Phone:C%P� �o2�sZ
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with the Clerk of the Board in association with this meeting)
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THREE 3 MINUTE LIMIT S�
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Name: C` � �-r ;`
r i n� lPhone: ,� 1 J --7 `? ��� C;
� nn
Address:G L - °`' �+ ( City: kv de-0
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with the Clerk of the Board in association with this meeting)
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Please see reverse for ipstructions and irn.Dortfani information I
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REQUEST TO SPEAK FORM
(THREE (3) MINUTE LIMIT)
Complete this form and place it in the box near the speakers' rostrum before addressing the Board.
I
Name: Tcx Phone:
Address: L DC-eL-A City:
(Address and phone number are optional;please note that this card vvill become a public record kept or, file
with the Clerk of the Board in association with this meeting i
I am speaking for myself or organization:
CHECK ONE:
% l wish to speak on Agenda Item # Date:
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My comments will be: u General ❑ For Against !
J I wish to speak on the subject of: G �;�'= ���.LL_.rG l r�tn t
e-';&L•_tld9_ (Ylttn _ !!o �`i �JIY( - CV
1 do not wish to speak but would like to leave these comments for the Board to'consider-
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Please see reverse for instructions and important information
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