11 responses to findings and recommendations
F1
The County has made a very limited effort to expand the number and scope of public-private "true or strategic" partnerships as part of its sustainability activities.
Response: Disagree
Score: -1
The respondent disagrees with the finding. Contra Costa Health Services (CCHS) has significantly expanded their partnerships with private providers, hospitals, and other health care institutions as well as community stakeholders, including but not limited to, the Contra Costa Coordinating Council and the Safety Net Council.
R1
The Board of Supervisors direct the County Administrator and CCCHSD management to bring a new level of urgency to the engagement of private sector institutions in partnering
Response: Will Not Implement
Score: -1
The recommendation will not be implemented because it is not warranted. The Health Services Department's (HSD) leadership understands the urgency of partnerships with private sector institutions.
F2
Two years after the sustainability study's findings were presented to the County Board of Supervisors, little meaningful change in the number of "true or strategic" partnerships has been achieved.
Response: Disagree
Score: -1
The respondent disagrees with the finding. In response to the sustainability study and in preparation for the Affordable Care Act, CCHS has expanded Its partnerships with private providers, hospitals, and other health care institutions as well as community stakeholders.
R2
The Board of Supervisors direct the County Administrator and CCCHSD management to engage in an open and transparent dialogue with other major healthcare providers in the County for the purpose of establishing an integrated approach to assuring that residents actually have access to care as demand increases and capacity is strained.
Response: Implemented
Score: 0
The recommendation has already been implemented. The department's leadership is fully engaged in open and transparent dialogue with other major healthcare providers in the County.
F3
Private providers in the County recognize the need to, and the advantages of, approaching healthcare planning from a strategic perspective.
Response: Agree
Score: +1
The respondent agrees with the finding.
R3
The Board of Supervisors takes the lead in creating a climate and a culture that will encourage a collaborative approach to planning for and providing quality healthcare for all of the residents of Contra Costa County.
Response: Implemented
Score: 0
The recommendation has already been implemented. The Board of Supervisors, through their participation on the CCRMC JCC and the CCHP JCC, provides leadership that encourages a collaborative approach.
F4
There has not been a concerted effort on the part of Contra Costa County leadership to develop a structure that would allow and encourage discussion of a broad-based, integrated approach to the definition of need, assessment of services, and planning for the future which involves key healthcare public and private providers.
Response: Disagree
Score: -1
The respondent disagrees with the finding. CCHS has several structures that engage healthcare providers and stakeholders - the Joint Conference Committees are an example of this.
R4
The Board of Supervisors receive quarterly updates from the County Administrator and CCHSD management of progress made and results achieved with regard to the first three recommendations made above.
Response: Implemented
Scheduled: Quarterly workshops
Score: 0
The recommendation has already been implemented. The Health Services Department has workshops scheduled with the Board of Supervisors on a quarterly basis.
F5
All healthcare providers, public and private, recognize the impact new legislation will have on the number of people eligible for care and the insufficiency of current resources to meet the future demand.
Response: Agree
Score: +1
The respondent agrees with the finding.
F6
There are examples from other counties of platforms established to allow the constructive exchange of ideas for collaborative efforts which Contra Costa County could study and consider for implementation.
Response: Agree
Score: +1
The respondent agrees with the finding.
F7
Breakdowns in communication among CCHSD, the County Administrator's Office and the Board of Supervisors reflect reporting problems resulting from the chain of command in the current governance structure. Contra Costa County 2012-2013 Grand Jury CONTRA COSTA COUNTY HEALTHCARE
Response: Disagree
Score: -1
The respondent disagrees with the finding. CCHS's Director and Chief Finance and Operations Officer meet regularly with the County Administrator to inform and update him on issues of policy, planning and finances.
