HomeMy WebLinkAboutMINUTES - 10242006 - D.4 DA
THE BOARD OF SUPERVISORS OF
CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on October 24, 2006 by the following vote:
AYES: Supervisors Gioia, Uilkema, Piepho, DeSaulnier and Glover
ABSENT: None
ABSTAIN: None
SUBJECT: On this day the Board ACCEPTED an oral report from the Health
Services Director on the West Contra Costa Healthcare District
discussions on possible closure of Doctors Medical Center San
Pablo/Pinole..
I hereby certify that this is a true and
correct copy of an action taken and
entered on the minutes of the Board
of Supervisors on the date shown.
Attested: October 24,2006
John Sweeten,Clerk of the Board
Of Supervisors and County Administrator
By: t�k�
Deputy Clerk
Addendum to DA
October 24, 2006 (DMC)
On this day the Board considered accepting update from the Health Services Director on
the West Contra Costa Healthcare District discussions on possible closure of Doctors
Medical Center San Pablo/Pinole and deciding actions to be taken.
Health Services Director, Dr. WilliamWalker noted without the efforts of the County
Doctors Medical Center in San Pablo/Pinole would close in November 2006. He said the
process is moving at an extraordinary fast pace that is necessitated by the need for
infusion of revenues into Doctors Medical Center by the first week of November to meet
payroll. Dr. Walker reminded the Board attorneys are representing four different
constituencies trying to draft following documents that would need to be completed by
October 26, 2006 1)Memorandum of Understanding (M.O.U.)between the County and
the District to perform pending the full development of a joint agreement, 2) Tax
exchange agreement that confirms the transfer of the property tax from West County
District to the County and allows for the ability to move the money to the state for the
federal.match, 3) contract between the state and the County for moving those dollars to
the state and the agreement those dollars would come back to the District, and 4) hold a
public hearing in the Boardroom on tax exchange agreement to support provision of
health care services. Dr. Walker said the Health District voted with majority vote to
approve the developments by their staff and the County's staff and noted a public hearing
would be held on October 25, 2006 at Doctors Medical Center to allow for public input.
Dr. Walker hopes to have all these documents completed by October 31, 2006 and if they
are not done to the County's satisfaction for protecting the interest of the County a
special Board Meeting would have to be held.
Supervisor Goia explained a joint agreement would specify the County being in control
of making major decisions.
Supervisor Uilkema said it would be necessary to include in the proposal
the duties of that Board not only for the two entities but also for the employees.
The Chair asked the public for their opinion and the following people spoke:
• Ken Hambrick, resident of Walnut Creek, said he was sympathetic with the
situation at DMC and said the County was going to be committed for a longtime
and to get back out of the situation is going to be a difficult time;
• Kris Hunt, Contra Costa Taxpayers Association,resident of Pleasant Hill said she
would like to echo Mr. Hambrick's comments; and said she agrees the devil is in
the details and there are no details.
• Sandra Faulk, resident of West County, said she has total trust the County Board
of Supervisors will be vigilant about the details and said she trusts each and every
involved partner to be diligent.
Supervisor Piepho asked Dr. Walker to explain the County's involvement, the impact.on
the County if they do not take part in the efforts proposed in the financial impact from the
MOU proposal and the repayment from the State.
Dr. Walker said this was the only solution to keep the hospital open and if the County did
nothing the Hospital would close in November, all the employees would be laid off, the
Emergency Department, the Intensive Care would close and Kaiser Richmond would be
the only Hospital remaining for West County. He noted this facility could not manage
the medical interest of West County long-term. He said the commitment was to carefully
craft the agreements to protect everyone's interests.
Supervisor Piepho asked how the County could remove itself in the four year plan should
it not have successful outcome from the MOU.
Dr. Walker said there are no guarantees in the Hospital industry and noted this is the best
shot for the County with a business plan that could work.
Supervisor Piepho said if the County did not help Doctors Medical Center then the
impacts from the patient loads and lack of services in West County would be felt
throughout the County.
Chair Gioia noted the County would have major control in making key decision and
would be in control in restructuring the proposal, which is an important key distinction.
Dr. Walker agreed and noted this is the best shot the County has and feels the business
plan will work.
Supervisor Piepho agreed and noted if the County does not help Doctors Medical Center
there would be direct impact on County dollars within the Health Services Department.
By a unanimous vote with none absent, the Board of Supervisors took the following
action:
ACCEPTED an update from the Health Services Director on the West Contra Costa
Healthcare District discussions on possible closure of Doctors Medical Center San
Pablo/Pinole.
Aqenda Date: 0' ASI • ADO 6 Item No.: Ll
Agenda Clerk's Note:
❑ Background not available at the time the Agenda packet was compiled
❑ Information for this item was previously furnished (Date: )
2 Oral Report to be given at the Board Meeting
❑ Error.in numbering agenda items
❑ Deleted
❑ Documents on file with the Clerk of the Board
❑ Document or attachments included separate from this packet
(voluminous/bound/oversize%olor pages, etc.)
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