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Home My WebLink AboutMINUTES - 04261994 - H.2 H.2 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted.this Order on April 26, 1994 , by the following vote: AYES: Supervisors Smith, Bishop, DeSaulnier, Torlakson and Powers NOES: None ABSENT: None ABSTAIN: None ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- SUBJECT: Joint Proposals of the District Hospitals This being the time for presentation on the Joint Proposals of the District Hospitals. ,'. Supervisor Smith advised that this is a broad-range issue and there are a lot of . different components and a lot of different parts and because of his employment at Merrithew Hospital, he would.not participate in parts related to his employment, M.O.U.'s or those things related to his job, but that he certainly could participate in going through some of the statistics . Chairman Powers announced that the County had just received a Fax that the Federal Court does not conclude that the County Hospital Project that was a part of a complaint is in any way discriminatory to people who are poor or people who are of different races, and he would like to have staff present that before the joint proposals are answered. The County Administrator reviewed that there was a complaint filed with the Office of Civil Rights indicating that there were Title 6 violations that should keep the County from being able to build the hospital. It was a subject that was comprehensively examined by the Office of Civil Rights, 400 pages of documents were submitted for their review, and the County Administrator's Office just received information by way of fax just a few minutes ago that indicated that the complaint was not valid, that they found in favor of the County, that there is no reason why the County should not be able to proceed with the hospital if it is the Board's desire in the future. Mark Finucane, Director of Health Services, provided additional details of the complaint filed by the opponents of the hospital project, the 400 page response, and the response of the Federal Government, and the Findings from the Director of Civil Rights, Region 9. He advised that he had prepared a press release and analysis of the major allegations and findings that were made by the Federal Government, and that he had made copies of the press release and would be happy to discuss it in detail with anyone who wants to meet with him. Mr. Finucane thanked Vickie Dawes, Deputy County Counsel, for her invaluable help in this matter. The Chair expressed the Board's appreciation to Mr. Finucane for his efforts in seeing this matter through.-. ;-Board members shared their views and comments. The Chair announced that consideration would now be given to the proposals from the District Hospitals. The County Administrator advised that two proposals had been received from the district hospitals, one received last year which indicated that the County should consider the possibility of the three district hospitals taking the County's patients and providing the service and not moving forward with the replacement of the County Hospital. The other proposal that is a more recent version is one that the County has been discussing with Mt. Diablo and that is a per diem concept where the hospitals would agree to provide so many beds on a per diem basis, and the County would contract with them to provide services to its patients. The County Administrator advised that the County has been working with Los Medanos to see what can be done to acquire assets or provide leases to the skilled nursing facility in East County and the acquisition of assets if they can be acquired for a reasonable price. The County Administrator advised that there will be a further report on May 24, 1994. The County Administrator advised that the County has been doing business with Brookside for a number of years, and it has been successful. Meetings have been held with the Hospital Administrator at Brookside and discussions are being held with respect to the expansion of that contract. The County Administrator further advised that meetings have been held with the Hospital Administrator of Mt. Diablo several times to discuss the issue of the joint proposal, and secondly, more recently, the per diem concept, and that a positive meeting was held yesterday with the Chair of the Mt. Diablo Board and the Hospital Administrator and the issues are being explored. He noted that the thing that becomes quite apparent when looking into the issue of the takeover of County patients is to how complex it is, such as the issue of governance, payment, labor, what to do about the money already spent, the defeasance of debt, what to do about the service of the special needs the County has such as jail patients, psychiatric needs, what to do about access from clinics to hospitals, the very difficult and challenging issue of what to'do about merging staff, particularly physician staff, when they are compensated in a different style, a different way; and many, many issues that are surfacing and yet to be identified. The Chair announced that he had many Request to Speak cards, and invited the speakers to come forward as this time. The following appeared and gave.testimony: R. Isabelle Chenoweth, R.N., Chairman, Mt Diablo Hospital District Board Michael Lawson, Administrator, Brookside Hospital, 2000 Vale Road, San Pablo Minot Tripp, Chairman, Brookside Hospital District Board, Richmond Randy Clarke, M.D., Pittsburg Billie Jo Wilson, Local 1, Public Health Nurse D. Kent Hobert, M.D. Head of OB/GYN, Merrithew Hospital Barbara Woodburn, 525 Henrietta Street, Martinez, for the City of Martinez Larry Gage, National Association of Public Hospitals Paul Katz, P O. Box 222, Martinez, Local 1 James Rael, M.D., 1000 Ward, Martinez, Detention Facilities Medical Director Nancy Mc Cormack, 3211 Elmquist Court, Martinez Sharon Hiner, 120 Wallin Drive, Martinez, Merrithew Medical Staff Kevin Degnan, M.D., 5355 Alhambra Valley Road, Martinez Rich McNabb, M.D., 2067 North Avenue, Napa, Merrithew Memorial Hospital David Hearst, M,D., 4925 Nolry Road, El Sobrante, Merrithew Medical Staff Joseph Barger, 840 Hidden Pond Court, Martinez Kathy Renfrow, 1213 Grove Way, Concord, patient of Merrithew Kimberly Duir; M.D., Richmond Health Center, Richmond Chairman Powers announced that all who requested to speak had been heard, and the issue will come back to the Board on May 24, 1994 when the Board will discuss the proposals of the District Hospitals, as well as considering several other issues such as consolidating into a single health agency county-wide or something of that sort, to at least take a look at that, and any other issue that relates to the health care quality and facilities. Supervisor DeSaulnier requested the County Administrator to set up at least one meeting of the subcommittee with the District Hospitals prior to the Board meeting on May 3. He noted that he was not favoring abrogating any responsibilities or doing away with any of the positive things the County now does, it is just that there are people out there now in the Community who know of the empty beds in the District Hospitals and wonder why the County cannot use those empty beds and integrate both systems, and those are the answers he wishes to get. IT IS BY THE BOARD ORDERED that the above matter is CONTINUED to May 24, 1994, at 2:00 p.m. for further discussion and consideration. 1 hereby certify that thi3 is a true and correct copy of an action take nrd sontorod on th date shown tesof the rvi 9oard of Supe ATTESTED: poard SIL r and County Adminiistrator .Deputy ey cc: County Administrator Director of Health Services • • B R O O K S I D E -�� WfB r t�IAMI MT., BROOKSIDE ANNIVERSARY DIRECTORS: MINOT TRIPP CHAIR HOSPITAL BETTYE J.MOORE-CASH VICE CHAIR VERNON T.ARCHIBALD•_� R MICHAEL P LAWSON Y SECRETA Y- PRESIDENT&CHIEF EXECUTIVE OFFICER ASSISTA SECRETARY APR 61994 April 4, 1994 CLERIC E30 PD OF SUPERVISORS Supervisor Tom. Powers Chair, Board of Supervisors Contra Costa County 651 Pine Street, Room 106 Martinez, California 94553 Dear Supervisor Powers: As you know, Brookside Hospital has participated in exploring alternatives to the proposed replacement County facility. As we await formal response from the ,County on a proposal submitted by the District Hospitals in January, I would like to reaffirm this organization's commitment. Brookside Hospital is willing to commit' to an arrangement that would not cost the taxpayers more than it would to replace and operate the County hospital. It is our understanding that the County will maintain its clinics, health plan and teaching programs and would utilize Brookside and other hospitals to admit its acute inpatients. Our Medical Staff is eager to expand the integration of County Medical Staff begun by our current Joint Venture program. Brookside Hospital/West Contra Costa Hospital District's commitment is summarized as follows: 1. We would commit to provide 40-50 acute care beds for the next 30 years. All types of acute inpatients will be accepted. Medi-Cal rates would apply for those eligible; per diem rates for County indigents, and CCHP negotiated rates will apply. Rates will be adjusted periodically. The precise definitions of terms and manner in which this might happen must be spelled out in detail. 2 . A bed and demographics analysis will be conducted to assure adequate capacity exists to accommodate County patients now and for 30 years in the future. 3 . The District Board of Directors will consult according to a specified procedure with the County Board of Supervisors before major bed closures or other significant policy actions which would impact County patients. WEST CONTRA COSTA HOSPITAL DISTRICT 2000 VALE ROAD • SAN PABLO, CALIFORNIA 94806 (510) 235-7000 Supervisor Tom Powers April 4, 1994 Page 2 4. Brookside will facilitate arrangements with West County physicians who are already in support of this commitment. . 5. . .. . Brookside-,.Hospital is willing to discuss equitable solutions to the issue of sunken costs with the proposed facility. This letter reflects a similar commitment expressed by Mt. Diablo Medical Center in a letter to Sunne McPeak last week and reflects our ongoing effort to maintain access for West County residents. Sincer 1 , ��✓ MI HAEL P. LAWSON, FACHE President/Chief Executive Officer MPL:ms c: Board of Directors K AGROUPSUDMINTO W ERS.MPL LM H MT.DIABLO MEDICAL CENTER BROOKSID E Loa bledanos Community liospltal HOSPITAL ECEIVED s AR 4 ►9 April 1, 1994 BOARD OF SUPERV1sn SRA c'osra cu. Supervisor Tom Powers, Chairman County Board of Supervisors 651 Pine Street Martinez, CA 94553 Dear Supervisor Powers: The District Hospitals urgently request that,the Board of Supervisors review and consider the Joint Hospital District Proposal which was presented to the Board at our joint meeting December 11. The intention of the Proposal is to present the Board with a viable alternative to rebuilding Merrithew Memorial Hospital. A January 12 letter from Mt. Diablo CEO Mike Wall further responded to and clarified our position regarding the conditions expressed by Supervisor McPeak at the December 11 meeting. We have agreed to each of those conditions. The District Proposal is serious and has been presented in good faith. It is extremely disturbing, therefore, that the Proposal has gone unanswered and disregarded by the County. The rush to build a replacement facility has continued with virtually no exploration by the County of this genuine and workable alternative. In addition to the Joint Proposal, each District Hospital has had meetings with County representatives, exploring individual ways to deliver care to patients within their own community. The long-term trends in health care clearly show that this is not the time to proceed heedlessly with the construction of major new facilities. It is instead the time to look for collaborative solutions and shared resources. This is obviously and especially true in Contra Costa County. We ask for a response prior to the April 12 Board of Supervisors meeting, and we ask to be placed on the April 12 Board agenda to address this issue. Board members from the District Hospitals will be in attendance at that meeting. Page 2 Supervisor Tom Powers, Chairman April 1, 1994 Thank you for your immediate response. Sincerely, �TNK A. Jerry Rice, D.D.S.; Chairman R. Isabelle Chenoweth, R.N. Minot Tripp ' Chairman Chairman Chairman Los Medanos Community Mt. Diablo Hospital District West Contra Costa Hospital District County Hospital District c: County Board of Supervisors Los Medanos Community Hospital District Board Mt. Diablo Hospital District Board West Contra Costa County Hospital District Board All County Supervisor Candidates Phil Batchelor, County Administrator Mark Finucane, Director of Health Services Administration The Board of Supervisors Contra Phil Batchelor Clerk of the Board. and County Administration Building Costa CountyAdministrator6 621 (510)646-2371 651 Pine Street, Room 106 County Martinez,California 94553-1293 Tom Powers,1 st District s E-L. Jeff Smith,2nd District t Gayle Bishop,3rd District s Mark DeSaulnier,4th District -- o: R Tom Torlakson,5th District Sr'+ COlJN'� April 8, 1994 A. Jerry Rice, D.D.S. , Chairman Los Medanos Community Hospital District 2311 Loveridge Road Pittsburg, California 94565 R. Isabelle Chenoweth, R.N. , Chairman Mt. Diablo Hospital District 2540 East Street Concord, California 94520 Minot Tripp, Chairman West Contra Costa County Hospital District 2000 Vale Road San Pablo, California 94806 A quorum of the Board will not be available for the Board Meeting of April 12, 1994, which has necessitated the cancellation of that meeting. Since our Board of Supervisors will not have met for the last three weeks, the Agenda for the April 19 meeting is very lengthy, particularly with many of our hearing items of the 12th continued to the 19th. Therefore, we have scheduled the time for your presentation before the Board for Tuesday, April 26, 1994, at it a.m. in the Board Chambers. Should this time not be convenient for you, please call me and we will reschedule your presentation for May 10, 1994, at 11 a.m. Yours very truly, Phil Batchelor, Clerk of the Board and County Administrator By Jeanne O. Ma 140' Deputy Clerk PB:jm DATE: P; CRM � �fi Ta SpE,� Fu (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the 'Board. NAME: C t� $CI} c3 c�fi PHONE: ADDRESS: /11 t� ' I am speaking formyself OR organization: a - (NAME OF AN17-TION) Check one: -I wish to speak on Agenda Item # - . My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider. k DATE: T T To SPEAK FIRRM (THREE (3) MINUTE LIMIT Complete this form and place it in the box near the speakers' rostrum before addressing the Board. NAME: _ �'Z PHONE: SIC?-ZZfi� -If�� ADDRESS: Vta L CnY; I VW e I am speaking formyself OR organization: �r �`s (,aJG� 15z, AME OF ORGANIZNTION) Check one: I wish to speak on Agenda Item # ,Z My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider. 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NAME: A4 ev ill Q PHONE: , ADDRESS: ReACLV CITY: k4949ML , I am speaking for myself OR organization: (NAME OF ORGANILkI[ON) Check one: I wish to speak on Agenda Item # My comments will be: general for against I wish to speak on the subject of R ow mdri- I do not wish to speak but leave these comments for the Board to consider. DATE: X, � SPEAK fRM RE LfEaT TO (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addres . g the Board NAE: RHONE: .TvI ADDRESS: Cny' i I am speaking formyself OR organization: AME OF ORGANILNTiON) Check one: I wish to speak on Agenda Item My comments will be: general for against n I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider. DATE: -0 7�" REQUEST TQ SPEAK FORM (THREE (3), MINUTE LIMIT)_ Complete this form and place it in the box near the speakers' rostrum before addressing the Board. NAME: W1 PHONE: ADDRESS: CITY: I am speaking for myself OR organization: (NAME OF RGA. 17al'IC7ti) Check one: I wish to sneak on Agenda Item # My comments will be: general for against I wish to speak on the subject of I do not wish to speak but leave these comments for the Board to consider. DATE: L+126l q q REQUEST TO SPEAK ORM . THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. NAME: LAU2A A. 1 AVC(ZNI efL PHONE: (510) 3-40 -5,0,00 ADDRESS: 2500 Ai.wPt►f3RA AVG CITY: MAl L-FlNEZ I am speaking for myself OR organization: MG2.&,rt-te-w M E+-I oRtAL a-E S t OEtJT NAME OF ORGANIZATION) In�Y$lC1ANs Check one: I wish to speak on Agenda Item # My comments will be: general for against _ I wish to speak on the subject of Tic New eouNtY 40SF FA�j e I do not wish to speak but leave these comments for the Board to consider. 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