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HomeMy WebLinkAboutMINUTES - 02071984 - FC.2 f 2f. TO,!. BOARD OF SUPERVISORS FROM: Finance Committee Contra Costa DATE: February 6, 1984 County SUBJECT: Review of Financial Reports on Health Services Department Enterprise Funds SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION The Finance Committee met with Mr. R. Roberts, Arthur Young & Co. , D. L. Bouchet, County Auditor-Controller, M. G. Wingett, County Administrator, W. B. Walker, M.D. , Acting Health Services Director, and staff members to review the findings and recommendations set forth in the January 31, 1984- report 984report by Arthur Young & Co. The format followed at the meeting was to seek further explanation and documentation supporting the findings and recommendations included in the report. Additional data and information was requested by the Finance Committee and provided by the February 3, 1984 memorandum (copy attached) by Mr. Roberts. 1. Revenue Shortage - It was indicated that the major financial problem resulted from the inability to generate revenues--primarily Medicare and Medi-Cal--in accordance with the actual receipts in fiscal year 1982-1983 and the projected increases for fiscal year 1983-1984. The drop in these major revenue sources resulted from a number of adverse factors including a decrease in utilization due to unexpected State contracts with other community hospitals for Medi-Cal patients and a reduction in length of stay largely emanating from regulatory efforts of ,the State. It was indicated by Mr. Roberts that with an improved financial and data collection system and alert management the trends in decreased utilization could have signaled early intensive investi- gation of this growing problem. The estimates of patient utilization which resulted in revenues being overstated in these programs were attributed to unanticipated State actions. Mr. Roberts stated that he "can' t fault them on that number" in reference to the Medi-Cal patient days projection and that "average length of stay has taken everyone by surprise. " Also, it was indicated that the rates negotiated with the State are not adequate to recover costs; this situation is partially attributable to the reduction in estimated patient days of care which increases unit costs . It is recommended that one of the priority projects for Nu-Med be to accurately ascertain cost of services and to attempt to reopen negotiations with the State to obtain a more appropriate rate for County services . Another factor which contributed to the overall revenue deficit is that some MIA patients received services from other providers who were paid by the county; consequently, the revenue from these services were not earned by Enterprise Fund I. This policy stance was maintained by the Health Services Department because it was assumed there was sufficient MIA revenue to cover the cost involved. CONTINUED ON ATTACHMENT: xx YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR XX RECOMMENDATION OF BOARD COMMITTEE XX APPROVE OTHER SIGNATURESupervisor T TorlaksonS) Supervisor S. W. McPeak p ACTION OF BOARD ON February 7 , 1984 APPROVED AS RECOMMENDED _X OTHER X The Board also requested information on the management team of County personnel comprisingtheTask Force studying policies and procedures of the HealthServicesthepartm non thee Tapp Force wes requ sted t� Vrovid? reportsproblems note and tie reso u ion o same , as well as to make recommendations relative to the sound management VOTE OF SUPERVISORS Of said Department. X UNANIMOUS (ABSENT "" > I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: Acting Health Services Director ATTESTED %,_gJC Auditor-Controller J.R. OLSSON, CO TY CLERK ' County Administrator AND EX OFFICIO CLERK OF THE BOARD Director of Personnel 270 Employee Organizations M382/7-83 BY , DEPUTY 2 . The statement that the approved budget was unrealistic and unattainable relates to the total context of revenues increasing while expenditures were budgeted to decrease. It should have been anticipated that it would take additional expenditures to generate increased revenue absent some unusual circumstance. It was indicated that revenues may be increased through the use of improved eligibility determination, billing and collection procedures. It is gratifying to note that Nu-Med will focus attention on these areas to improve revenue generation. It is recommended that the steps taken to achieve this objective and results attained be monitored very closely by this Board with reports to be prepared no less than monthly. 2. Expenditure Reductions - Positive steps need to be taken to reduce the excess expenditures over revenues. Continued attention must be devoted to these efforts. The Beilenson hearings deter the expenditious imple- mentation of cost reduction measures. Since salaries and benefits are such a substantial component of total expenditures, measures must be considered which. will .allow management the flexibility to rapidly adjust staffing to changing workloads . Furthermore, the health services fee policies of the County must be re-evaluated in the context of a period of continuing limitations imposed by the Federal and State governments. It is recommended that the Acting Health Services Director and Nu-Med report to the Finance Committee on March 26, 1984 and the Board of Supervisors on March 27, 1984. 3. The 1982-1983 Deficit - It was indicated that if the $3.4 million deficit had been realized at an early date, additional funds could have been appropriated to increase the General Fund subsidy thereby alleviating that portion of the total deficit. It should be under- stood, however, that this Board did not have General Fund monies in this magnitude available for such purpose and would have had to cut other public service programs--a plan which had no apparent support by this Board. Also, any significant expenditure reductions for health services would have had to focus largely in the mental health, drug and alcohol programs; there was no desire expressed to cutback these community programs. In summary, it would have been extremely difficult for this Board to have increased the subsidy to the Health Services Department to cover this deficit. 4. General Fund Subsidy - The amount of the 1983-1984 General Fund subsidy was unrealistic in view of the lack of a clear budget plan for achieving such a reduction. It should be kept in mind that a mental health cut of $1.9 million proposed by management was not realized. It is apparent that the County cannot make up State cuts from limited local resources. The AB 8 matching requirement is a compelling factor in determining the local assistance which must be provided for health care. Although it is reasonable to expect to achieve some stabiliza�r tion of the amount of the subsidy, an enlightened budget plan can only be achieved if the budget is presented in a programmatic manner whereby program budgdts and consequences of reduced funding levels are presented for evaluation. 5 . Management - A review of the report indicates that there were many extenuating, complicated issues which contributed to the current fiscal situation. The continuous effort over the years to cut down on manaage- ment and financial costs resulted in the inability to obtain an experienced health services fiscal officer and to replace the antiquated data processing systems at this facility. Although hospital management should have picked up some of the early warning signs of the declining revenues it does not appear that what has transpired can be described as the result of gross mismanagement. 271 3. 6. Budgeting for Alcohol, Drug Abuse and Mental Health - The inclusion of the budgets for these .programs in the Health Services Department only clouds the total financial picture. In order to more clearly present budgets on a program basis and to show local financial requirements, it is recommended that the County Administrator, Nu-Med and the Acting Health Services Director review the desirability of separating these budgets and to report back on this proposed budget procedure to the Board in time for preparation of the new budget for fiscal year 1984-1985 . 7. Change in Organization - The inability of county government to respond in an expeditious manner to rapid changes in health care Services is acknowledged and of real concern. The Board of Supervisors can maintain control of hb.alth care policies through a number of alternative organi- zation structures. It is recommended that the advantages and disadvant- ages of all alternative organization arrangements for the governace of the County Hospital--including the establishment of a non-profit corporation to provide care through contracting with other facilities and the closure of the County Hospital--be explored with a full report to be prepared by the County Administrator, Health Services, and Nu-Med for consideration by the Board of Supervisors as soon as possible. B. Summary - It is recommended that the above suggested actions be approved by the Board. Other Board members may have individual requests with respect to other findings mentioned .in the report. The Finance Committee did not include a discussion of each of the findings and recommendations included in the report as many will be addressed in the managerial contract with Nu-Med. It is requested that monthly financial statements and progress reports on items discussed in this report be filed with the Board. . The Finance Committee will consider this subject further at its March 26, 1984 meeting. Z"72 1 -/ CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT To: Board of Supervisors Date: February 3, 1984 Finance Committee From: Robert D. Roberts Subject: Health Services Department Arthur Young & Company Information The Health Services Department has asked Arthur Young to coordinate the effort to accumulate the data requested by the Finance Committee. The attached information was prepared frau the best sources avilable. It was necessary, due to the time frame and system restraints; -to estimate certain numbers. All estimates and assumptions have been footnoted. Every effort was made to provide the most accurate infonmmation available and, where applicable, that the information agreed with the January 31, 1984 financial camparisons. We will attend the Finance Committee meeting on February 6, 1984 to discuss these numbers and our report. 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"r.:.�'r�E �:... ,._. •7 ----- _. . i3 u ALL C'i EH`?:'- �'. ..:':E-01E '33nnnn '69:;.'c 3341422' 70:.._ ''342 '00 is m: C� ;.1.�• 1 %9'�': 10J0/ 4: 1:2•�i 't' 1:'STATE -to99: f`c F'UALIC SEA+ 'P E=1 I EF2 STATE F E -'E:'7Q'-_ 10 3 1511^_? '1511039 739700. 7397001 5593455 ENTERPRISE 0L1• PURE COUNTY EL'SSiI''f TO 725_=1: 10176139 6248199 Q544756 .'33445 ® ENTERPRISE FUNKS ® 1. INCLUDES REVENUE FROM OTHER COUNTY DEPARTMENTS. DOES NOT INCLUDE INTERFUND TPAN!MS BETUEEN EF1 AN., EF2. 2, 83/84 COUNTY S"BS'II!Y DOES NOT 'INCLUDE Tf:MSFER OF $674118 TO PUBLIC 117-k"R OR THE MIDITIONAL APPROPRIATION OF f24000000 AND S1i2 MOO OF COUNTY SUBSIDY 10 EF1, AS THESE CHANCES OCCURED AFTER THE ADOPTION OF THE BUDGET. ® 3. STATE ABO FUNDS VERS SPLIT BETUEEN PUBLIC HEALRH AND THE ENTERPRISE FUNDS USINS THE RATIO OF STATE DOLLARS TD ADS ALLOVABLE COUNTY DOLLARS FOR EACH FUND. 0 nw ? t 275 UNITS OF SERVICE BY GEOGRAPHICAL AREA 3.A. Inpatient Admissions (Note 1) Total (Medical and Mental health) Out of (includes East Central West County newborns) 1981-82 1 ,989 2,907 1 ,817 327 7,040 1982-83 2, 184 3, 197 2,009 363 7,533 Outpatient Visits (Note 2) Medical Care 1981-82 44 ,066 72, 184 45,397 161,647 1982-83 42,400 75, 158 45,609 163, 167 Mental Health (Note 3) 1981-82 .36,248 11 ,324 43,776 81,348 1982-83 22,090 13,802 27,451 63,343 UNITS OF SERVICE BY FINANCIAL CLASS (Note 4) Inpatient Days Outpatient Visits (includes newborns) MIA's 1981-82 8,420 Note 6 1982-83 (Note 5) 5,412 Private Pay 1981-82 2,865 20,477 1982-83 4,955 23,682 Medi-Cal (Medical) ' 1981-82 (newborn 1, 195) 16,474 66,895 1982-83 (newborn 1,208) 10,842 53,511 Medicare (Medical) 1981-82 6,758 20,774 1982-831 5,442 20,240 Medi-Cal (Mental Health) 1981-82 7,372 41 ,331 1982-83 4,519 25,418 Medicare (Mental Health 1981-82 2,403 5,584 1982-83 2,286 5,238 Other 1981-82 5,088 1982-83 9,931. TOTAL 1981-82 (newborn 2,044) 49,380 1982-83 (newborn 2, 180) 44,387 Average Length of Stay 1981-82 7.9 1982-83 6.4 276 DATA1 , NOTES TO SECTION 3 _Note 1: Admissions were obtained from HSU Reports, includes newborn admissions of approximately 790 each year. This report is known to be inaccurate but it is assumed to be consistent between years. Note 2: Patient origin is unavailable for outpatient clinics. Geographical distribution can be closely approximated by total visits to clinics in each geographical area, as reported in this table. Note 3: The large declines in East and Nest County are primarily attributable to the contracting out of Methadone services in fiscal year 1982-83. Note 4: Patient days include newborn days; Medi-Cal and Medicare regular medical services were obtained from the cost reports and other classifications were obtained from the HSU report. Note 5: The County assumed responsibility for the MIA's, and added them to the Health Plan, in November 1982. Because of the difficulties in modifying CHAS to accommodate this change, 1982-83 units of service are probably understated. Note 6: MIA outpatient visits are not availablew prior to MIA assumption in November, 1981 . For the period November, 1982 to June 1983, there were 20, 113 I;AGS(formerly MIA) visits. DATA2 277 4. CURRENT FILLED POSITIONS (Tables "A" and "B" effective June 30, 1983 and February 2, 1984 respectively. ) METHODOLOGY: 1 . Includes staff in all three types of permanent positions (full time, permanent part time, permanent intermittent) and temporaries backing vacant permanent positions (assumes all temporaries were backing vacant permanent positions) . 2. Leave of absence "vacancies" were not counted as filled positions un- less backfilled by permanent or temporaries (in which case the position was counted as filled). 3. 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