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Home My WebLink AboutMINUTES - 05252004 - D.7 s 7 Contra TO: BOARD OF SUPERVISORS .........:-••,ate FROM: WILLIAM WALKER, M.D., HEALTH SERVICES DIRECTOI; /f fCosta f , t DATE: MAY 25, 2004 ; SUBJECT: CLOSURE OF OPERATING ROOM `°r,- :�.. '`' County� caur� SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: 1. OPEN and conduct a public hearing on the closure of the Contra Costa Regional Medical Center Operating Room#3 in accordance with Health and Safety Code Section 1442.5 (Bielenson Act). 2. CONSIDER public testimony and the staff report on the closure of Operating Room#3. 3. DECLARE that the Board of Supervisors has also considered public testimony and the staff report on the closure of Operating Room#3 at the April 20,2004 budget workshop. 4. RECOGNIZE that the Health Services Department is facing a$26.4 million shortfall for fiscal year 2004/2005, and that closure of Operating Room#3 will result in $500,000 savings to the General Fund. 5. AUTHORIZE the Health Services Director to initiate the closure of the Contra Costa Regional Medical Center Operating Room#3, as recommended by the Health Services Director. 6. DIRECT the Health Services Director to arrange for appropriate scheduling of patients being served by Operating Room#3. 7. RECOGNIZE that the Health Services Director will ensure that all appropriate State and federal laws and regulations are complied with in closing the Operating Room. FISCAL IMPACT: Closure of Contra Costa Regional Medical Center Operating Room#3 will result in a savings of $500,000 to the General Fund. CONTINUED ON ATTACHMENT: YES SIGNA RE: PPPREPOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE ROVE OTHER SIGNATURES. ACTION OF BO ON MAY 25, 2004 APPROVE AS RECOMMENDED X OTHER X VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT S } AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTEDMAY 9c;- JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: William Walker,M.D. CC: Health Services Administration CAO C BY: DEPUTY ADDENDUM D.7 MAY 25, 2004 On this date the Board closed a public hearing on the closure of the Contra Costa Regional Medical Center Operating Room #3 in accordance with Health and Safety Code Section 1442.5 (Bielenson Act); The Board discussed the history of the issue and requested clarifications of various relative items from staff. The Chair invited comments from the public, and no one appeared to speak After farther discussions the Board took the following action: • DECLARED that the Board of Supervisors consider public testimony and the staff report on the closure of Operating Room#3 on April 20, 2004; • RECOGNIZED that the Health Services Department is facing a $26.4 million shortfall for fiscal year 2004/2005, and the closure of Operating #3 will result in $500,000 savings to the General Fund; • AUTHORIZED the Health services Director to initiate the closure of the Contra Costa Regional Medial Center Operating #3, as recommended by the Health Services Director; • DIRECTED the Health Services Director to arrange for appropriate scheduling of patients being served by Operating#3; • RECOGNIZED that the Health Services Director ensure all appropriate State and federal laws and regulations are complied with in closing the Operating Room. ************ • Contra Costa County May 3, 2004 Board of Supervisors John Gioia,,District I 11780 San Pablo Ave Ste D El Cerrito, CA 94530 Dear Supervisor Gioia: What would you think if you saw a headline in the Times that read: "Contra Costa County Budget Proposal: How to save $100K at the cost of $1.2M"?. ("T .ra.7,, . Or,Impossible one might say. Yet,that is exactly what line item No. 27 of the proposed programs cuts' spreadsheet by CCHS will do if the Board were to approve it. A proposal to the Board of Supervisors to be reviewed for final approval by Mid-May, 2004 states that the impact from the cuts"eliminates volunteer recruitment and community outreach for non-paid support for hospitaL Reduction in available volunteer hours(quantity not specified). Reduces pardc1pation in career to work programs(school to work progrann)." In layman's terms, the Volunteer Program, considered discretionary, is on the chopping block to save the annual salary of the single individual employee of the department. The Coordinator. When Dr. Smith presented the original budget reduction list in mid April, and was asked to clarify the Volunteer program status in particular,he indicated that the program was "not specy1cally on the list because its loss would be a minimal financial savings. However, if the coordinator is lost,I doubt that the Program would stay."That made sense at the time. Since then however, it appears a decision was made to dismantle the program, eliminate the coordinator's paid position,and add what is left of the program(if anything)to someone else's responsibilities. Without going into lengthy statistical data,I will succinctly delineate the basis for the "headline"above. Official County statistics reported during the recent National Volunteer Week revealed i for the calendar year 2003,the Contra Costa Health Services Volunteer Services ces Program, excludina the Auxiliary segment of the Department, provided 28,000 hours of free labor and services to the County. This constitutes 93% of the total time worked by volunteers. The Auxiliary provided the re wining 2,000 hours or 7%of the total. The nature of Auxiliary volunteer time is different,thus the distinction. Additionally,the Auxiliary program does not appear to be in jeopardy,whereas ours is. The formula to figure the value of volunteer time to the County is rather simple and straight forward: Take the 28,000 hours, apply the dollar value of volunteer time at $16.54 per hour,, as set by the Bureau of Labor Statistics. Add 12%for fringe, and the Page 1 of 2 result is that the Volunteer program at CCHS provided the w6rk of 13.8 FTEs(Full Time Equivalent workers). The total annual dollar value and savings to the County was $518;694. .In-addition, if any of these services provided by the volunteer program were cut or.clirninated,the cost of replacing that free volunteer labor(at all levels)would have a significant monetary impact on the nursing staff and departments-dependent on volunteer support. By quantifying that impact,we arrive to an aggregate dollar value in the neighborhood of $1.2M! A core group of volunteers have chosen me to advocate for and speak on behalf of maintaining*the integrity of the Volunteer Program at Contra Costa County Health Services. Encouragement has also come from the community at large: residents, taxpayers,.and concerned citizens. Driving the scrutiny of the County's budget cats is the increasing anger and outrage in the community about the handling of such: First was Education, now is Health Services. What next? To quote a recent bumper sticker "If you aren't completely appalled,then you haven't been payn�a attention" We.can certainly provide much more detail if needed. For the purposes of this letter however, suffice to say that a decision to in any way cut, reduce, or obliterate an already short-staffed albeit, successful program,makes no fiscal sense whatsoever. Consequently, we urge you and all the members.of the Board to act prudently when reviewing this stern in the County's proposal. No one would life to see our name associated with that"headline" in the Times. I mention it because there has been a newsnaner--retorter interested in the very subject who has been asking questions. I believe that sooner than later answers will have to be provided. Please feel free to contact me if I can be of assistance, offer further input, or answer any quti►s4alvi � � n,.,,Nai.�11 rte.. A s,,.....,, n A nA cn� fnIIcN 010_�nco i1VL.1114.Z2�!!11!. Sin�"�i�•�y, Ma:rtha. N i ller Ser&, V O iunte-er—Program Pla n!n g C(o tri #� �:� h C .1 t+l:3►_4.:3!la, 2 Mi I i i 4, Gre%e=berg3 Dist i 4 t 3 z is k De Saulmier,District 4 Fey eAUL! : !-ovei; iA.Uptz:�V Lj Jeffrey V. Smith,IIAD, and JD Page 2 of 2 • FROM PHONE NO. fla-9. 22 2004 -00-2:09PM P2 CA4553 Vis.pica € i ,Su.pervisor District 2 651 ane St.,RM. lO Maetnez,CA-9$-553 Dear Super*LSMUilkema nm that the ecomm its com sties fame atis turr�e� � ��.# I-of it4i4tt -. t ng#l f l-a► W. a to express any i sneer a V-01 P r �'' t ,Costa% ion Medical enter. As.a I-time r of the AwMary,1 ire that MW mus is in j"wdy. As a Pian aisi vcolun r bady&&c to support patients and staff-at CCRMC,the Auxiliwy will condmw in the*T adnn of the ho-*tal Qft Shap and vadouss special -events. However, If s Ww �b t ;``the eliminaiion of the r gul ►r Volunteer Pegram-or ra seri raly-c -%ail it would _a-tr40c.4 `is rw-ce to oar heath(vm anion Volunteer recruibnent and participation has proven over many-yews to have-a wally positive effect asevidenced by.s mmle�. Volunteer Moura last year were reported to avwunt for ova a.half millien dollar In free service to patients and staff at CCRMC. T7iis program cw of aW omit n& W ra it m . and supported aggressively in whWeverfisca Iy smx as an be determined. TIw-Volunteer Pror m needs to eon nue to seMces to arur gready oY=bwden ho*%W staff. The emotkmal-an4yes, the heakhy beits the Volumeers W ivies--e-ce-Meiso aunt nwheioored I respeCOU11Y suggest tharyou comider this vierw and be heard in szWortfor tyre olwx er Prograzn in general by whatever meat,it-can be.guided or restructured -Siucere urs, .. w r -cc: Dr.Jeff Smith Cha G� in f mam Uat Uj; JUP lien 1 5e riuv,1 1.ra +.c. .r ....►,i r.rev • ANORk Ad lid JVftL __7"ery tces, s T May 21�102004 + 'witra Costa Regional.Medical Qn-ter 2 500 Allrambra►. Avenue Mardne7,CA.'45:33 To Whom It: fay Gonvem: 'flus letter of actin ledgement 's to -oonflxm -the -on=goo'-g par-tnersp been Diablo V211ey Aege'.s 5Mice Lear* program and. tie Contra pasta &gional Medical anter. Dr-At o Valley U) ge is,pleased that over ten volunteers "have participated ui the volunteer pr xam by perforn g semces for the Gmtm 'costa Hea" Sees, "We have received -encot-maging and posftim-e fmdbwk far the vohwxcen, as weA ai fn>m the Contra Costa Fzgional cdical-Center. The Service Learn* g Progranx is Proud to I�pa rmp.-rr d-with-Gontra-Costa.Regional Medical Center because of the gxat opponu,niry for students to be U*Itroduced to iie medical field and hospital environment, which -provides valuable iortion. tost-udlents considering a profession-ire heahh cam. The Comra Geta BrgiviiA Nkudkal Gmter has s * awd that there is-a large demand for health can vc Awrs, and the Se--rMt Iparucq = are able to assist in a variety of capacities_ ForM' Stance}participants shadow and.-observe health care profmxonals and practices in various depanmen-ts, such as-the E=r ncy Roon-4 Ixtrivatal Unit, and omental C6uc. We are grateful Poor the leamig (Tportumtcs provided by the Contra Costa ftional Medical- nter, and lore f Grto_o-ux-e-ontined parmers*Pimm .feel fine to wntact nie for additional- tic- x At-{921)685-1230 x2585. S* Career Dev.Oopmem Smices ordinagr 1. Name of Volunteer/Community Partner(printed) Signature Street Address City ,Zip 2. Name of Volunteer/Community Partner(printed) Signature Street Address City Zip -( %j 5 3. Name of Volunteer/Community Partner(printed) Si re Street Address City Zip w 4. Name of Volunteer/Community Partner(printed) Signature / Y Vz Street Address City Zip V( r'i�r' r vie 5. Name of Volunteer/Community Partner(printed) Signature , Street Address City Zip 'OF 6. Name of Volunteer/Community Partner(printed) Signature 0 - A aye Street Address City Zip Z" 7. Name of Volunteer/Community Partner(printed) Sign ture s Street Address City Zip C 8. Name of Volunteer/Community Partner(printed) w. SignatuN t Street Address City Zip � - 9. Name of Volunteer/Community Partner(printed) Signature 2 6�tey- U-i ♦ Street Address City Zip 3 7D ��S"moo �/.3r s' c,2co l ��..�r �F- 10. Name of Volunteer/Community Partner(printed) Signature Street Address City Zip It 'it CA c� c A q4'� 11. Name of Volunteer/Community Partner(printed) 1 LLA c 4 Lai illvr Jr Street Address City Zip Z..a.' 1Q'4,0 'r OZI 4 `7 zjw '�d' ew' k' F. 7 7 12. Name of Volunteer/Community Partner(printed) ignature Street Address City Zip .* or. 13. Name of Volunteer/Community Partner(printed) Signature R j �O' IJO6�f /YO :D A-1-6 0 M Street Address City Zip (1d.4 14. Name of Volunteer/Community Partner(printed) Signature Y"7 7/Street Address City Zip 15. Name of Volunteer/Community Partner(printed) Signature CaT 4 A/ Street Address City Zip 16. Name of Volunteer/Community Partner(printed) Signature AnfW-e"q�Q1 Street Address City Zip 17. Name of Volunteer/Community Partner(printed) Signature , I- el Street Address City Zip 3 k1)i&-I V:� I� 18. Name of Volunteer/Community Partner(printed) Signature 2y Street Address City Zip �- 19. Name of Volunteer/Community Partner(printed) Signature S'\a v e Y1 a V ecicl Street Address City Zip 35SO Lb\feb"O w . �c�.; C� �qsoq 20. Name of Volunt er/Community Partner(printed) Signature Street Address City Z'// AI 21. Name of Volunteer/Community Partner(printed) Signature L'L19 Street Address City Zip -- -.-- -.- _� 32537859113 P.03 t Narac of v0lumerx/C0mmuai 1�rmtedj Sipattue IF smec Aaa� City Zip 23.Naof VolunteedComtnunity Partner(pnnted) �Si storNam f (f..6 ffl SweetAddressCity zip 14S* �&on. M CLI.,a PP .41010 alaQ.Ay-LIS= 24,Nam of i{oluttteet/C-Ommty Parmes(Printed) js stmt�tdaress City ap 541v, J-47-4. ..... e-,-T 25.Nam of VelAwteerrCvuy PaMer sig"at'm � -100009—r-dw.dor w Strm Address city zip q41 G geaC��LL.� �i./i� V 26.Name of Vatun'teerlCommcmmiry r�im�d3 siva d SLtCC[Address city zip j& ALcTA 7r & rte"' 27_Name of Volunteer/Community Partau(printed) $� 4� Sect Address City zip 15$+ V.)P�C S�- CiD r-�c.ofcA TOTAL x.83 MAY 21 '04 12=04 �"'--"--- - *�x TOTAL PAGE.02 *� w 22 Name of Volunteer/Communit Partner(printed) Signature Street Address City Zip ce Z., 23. Name of Volunteer/Community Partner(printed) --- Si ature L., Street Address city Zip �C S- 24. Name of Volunteer/Community Partner(printed) Signatur Street Address city Zi J p Z2 25. Name of Volunteer/Community Partner(printed) Signature in ICM CZM-_-n�. U/L I U f C a Street Address City Zip q2, -&c,di Fa 2z:�z L74/ 7 26. Name of Volunteer/Community Partner(printed) Signature c-fc::rder l�r.�t .�^ •r��- -r te=r - Street Address City Zip 336-3 Aloarmh _ 1 '#.0-, 27. Name of Volunteer/Community Partner(printed) Signature Street Address city Zip 28. Name of Volunteer/Community Partner (printed) 7 S i ature 7 FAIF�10 a-11 MzRABO� I Street Address City Zip u f �` 04 K' M ' 1 iV E-Z 91l"575 3 29. Name of Volunteer/Community Partner(printed) Signatu e Street Address City Zip 30. Name of Volunteer/Community Partner(printed) Signature Street Address City zip 31. Name of Volunteer/Community Partner(printed) Signature Street Address City Zip 32. Name of Volunteer/Community Partner(printed) Signature Street Address City Zip 33. Name of Volunteer/Community Partner(printed) Signature Street Address City Zip 1 5 8. Name of Volunteer/Community Partner(printed) Signature , Street Address City Zip .7 S- 59. Name of Volunteer/Community Partner(printed) Signature re_ Street Address City Zip ti * -1 Tri t 60. Name of Volunteer/Community Partner(printed) :.1 Signatur5, .0 VA vi Le 6e_�() Street Address City Zip C 61. Name of Volunteer/Community Partner(printed) Signature r -2(WF, Street Address City Zip 62. Name of Volunteer/Community Partner(printed) Signature Street Address City Zip 63. Name of Volunteer/Community Partner(printed) Signature Street Address city Zip 1 r May 10, 2004 NOTICE OF PUBLIC HEARING The Board of Supervisors of the County of Contra Costa will conduct a PUBLIC HEARING pursuant to Health and Safety Code Section 1442.5, on the elimination of and/or reductions in-the level of medical services provided by the County, and/or the closing of County health facilities. The hearing will be held at the following time and place: Tuesday, May 25, 2004 at 3:00 p.m. Board of Supervisors Chambers Room 107, Administration Building 651 Pine Street Martinez, CA 94553 At the hearing, the Contra Costa County Board of Supervisors will consider the impact on the health care needs of the County's indigents of the implementation of the changes set forth in the attached Notice. The Board does not consider all of the program changes in the attached Notice to be within the required coverage of Health and Safety Code Section 1442.5. Its scheduling of this Hearing, giving this Notice of Public Hearing, the holding of a Hearing, and the making of any findings, shall not be construed as an admission by the County of Contra Costa, or the Board of Supervisors, that any of the actions included in the attached notice are subject to the hearing provisions of Health and Safety Code Section 1442.5. Beilenson Notice 2004/05 Page 1 of 2 pages