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' TO: BOARD OF SUPERVISORS ` —
- Costa
FROM: William Walker, M.D., Health Services Director
x, a •.:
DATE: January 23, 2007 ;. = 40
~` County
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 Board authorized on December 5, 2006 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 oversight of Doctors Medical
Center.
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):S144��
ACTION OF BOAR ON 3/"100 APPROVE AS RECOMMENDED OTHER
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 SUPERVISOFj9'ON THE DATE SHOWN.
ABSENT: ABSTAIN: llrnrn
ATTESTED 0 4�
JOHN CULLEN, K OF E OARD Oly
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Patrick Godley,957-5405
CC: Health Services Admin,50 Douglas Dr.#310-A, Mrtz
BY: D EPUTY
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.
January 23, 2007
Page 2
4. ACKNOWLEDGE that due to Board date conflicts and required legal review the County
Health Services Director requires an additional week to ensure that the management
structure under development protects the Countys General Fund, while simultaneously
providing the County and the District with necessary tools to stabilize and successfully
operate Doctors Medical Center.
5. AUTHORIZE extending, until February 6, 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 oversight 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 D.3
JANUARY 23, 2007
On this day, the Board of Supervisors considered accepting status report from the Health
Services Director on the proposed Joint Powers Agreement between the County and the
West Contra Costa Healthcare District to provide management, oversight, and support for
the continued provision of health care services to the community at Doctors Medical
Center, San Pablo/Pinole, and directing the Health Services Director to return to the
Board on February 6, 2007 with a proposed management structure and implementing
documents.
Dr. Walker requested the Board defer this matter to February 6, 2007. He noted the
development of 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 all been
executed, and certain sums have been advanced as previously contemplated. Dr. Walker
noted this structure is proceeding well with all deliberate speed, but said it is important to
be sure that the development efforts are undertaken carefully and thoroughly, for which
he requested a reasonable amount of additional development time.
Chair Piepho asked for public comment and the following person spoke:
• Sandra Falk, Business Agent, Local One said she was pleased with the
positive outcome. She stressed there is no financial burden to the
Country and wanted to make sure everyone was aware of this. Ms.
Falk commented on going forward with the Union and the County.
By an unanimous vote with all Supervisors present the Board of Supervisors took the
following action:
ACKNOWLEDGED the County is assisting in the development and implementation of a long
term Recovery Plan for Doctors Medical Center pursuant to the authority of the Board issued at a
public hearing on October 31, 2006; ACKNOWLEDGED 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;
ACKNOWLEDGD that the Board authorized on December 5,2006 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 oversight of Doctors Medical Center; ACKNOWLEDGED that
due to Board date conflicts and required legal review the County Health Services Director
requires one additional week 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; and AUTHORIZED
extending,until February 6, 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 oversight of Doctors Medical Center.