Contra Costa County Grand Jury
• 2017-2018
Contra Costa County Final Report 2017 – 2018 ContraCosta County
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings 12 findings
F1
Page 54
LMCHD website lacked data addressing the public health needs of the community or measurable outcomes of the grant programs targeting the population served.
F2
Page 54
LMCHD used obsolete data rather than the current health needs assessments to prioritize grants.
F3
Page 54
The Grand Jury found no evidence LMCHD collaborated with the County, non- profit hospitals, or other local districts to avoid duplication of services.
F4
Page 54
LMCHD’s level of administrative costs is high compared to other government agencies that fund grants.
F5
Page 54
As the County already has a grant administration program in place, and has some of the same grantees as the District, there is potential for administrative cost savings through elimination of redundancies.
F6
Page 54
LMCHD did not maximize cash assets as large balances were left in non-interest bearing account.
F7
Page 72
The CRO is preparing a threat and vulnerability assessment of the new system, which is planned to complete prior to the June 2018 primary election.
F8
Page 72
The CRO follows good practice in system redundancy and backup, and has a business continuity plan with Sacramento County to provide reciprocal vote counting support since each county has the same voting system. The Memorandum of Understanding and plan covering the agreement are not yet updated to include the new voting system.
F9
Page 107
DoIT does not have the staff to extend security oversight from County level to the departmental level. Cybersecurity capabilities vary by department.
F10
Page 107
Disaster recovery plans are in various stages of completion and readiness by department and typically are not tested on a regular basis.
F11
Page 107
There are insufficient Project Management resources with the expertise and authority to consistently implement the County’s critical IT projects on time and within budget.
F12
Page 123
Among the County’s estimated 54,000 persons with opioid use disorder, fewer than 10% can be treated long-term, given current care capacity.
Recommendations 10
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R1Page 54LAFCO should consider dissolving the LMCHD by December 2018 and assigning all the assets, rights, and responsibilities to the County as the successor to LMCHD.
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R2Page 54The Board of Supervisors should consider maintaining grant funding levels for healthcare programs upon dissolution of LMCHD.
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R3Page 54The Board of Supervisors should consider using any savings from LMCHD dissolution to improve and expand healthcare programs once appointed as the successor to LMCHD. Contra Costa County 2017-2018Grand Jury Report 1802 GrandJury Reports areposted at http://www.cc-courts.org/grandjury
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R4Page 88BART PD should consider seeking funds at the next budget funding cycle to deploy more Community Service Officers to patrol BART stations and parking lots.
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R5Page 88BART’s Board of Directors should consider seeking funds at the next budget funding cycle to equip all parking lots and garages with adequate lighting and working video cameras.
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R6Page 88BART’s Board of Directors should consider directing maintenance to make cleanliness a priority and improve the level of sanitation in stations, elevators, and restrooms. If additional personnel is needed, a request for funding may be considered for the next funding cycle.
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R7Page 107The BOS should consider presenting a consolidated IT budget for the entire County down to the department level, as part of the annual budget process, by the FY2019-2020 budget cycle.
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R8Page 107The BOS should consider directing the CIO to investigate improving coordination between departments of IT procurement to reduce costs, prior to the FY2019-2020 budget cycle.
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R9Page 107The BOS should consider directing the CIO to investigate establishing technology resource centers for dissemination of strategic technology knowledge and support, Contra Costa County 2017-2018 Grand Jury Report 1805 Grand Jury Reports are posted at http://www.cc-courts.org/grandjury in order to create efficiencies and attract and retain staff. Candidate areas include cloud architecture and implementation, data management, business process automation, and cybersecurity.
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R10Page 108The BOS should consider directing the CIO to ensure that there is sufficient County IT project management staff with appropriate authority to effectively manage the County’s large, complex software projects by December 2018.
Conclusions 1
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CL1 Page 53To shift the current healthcare landscape in the community and offer more preventative healthcare services, dissolution of the LMCHD is recommended. Any cost savings can be directed toward enhancing current healthcare preventive services provided by the grantees, and exploring new programs and possible creation of an urgent care facility. Contra Costa County 2017-2018Grand Jury Report 1802 Page 9 GrandJury Reports areposted at http://www.cc-courts.org/grandjury The community agrees and the Grand Jury’s research validates the need for improvement of health services and urgent care in the area. The County health system may be in the best position to offer those services at a lower cost.
No Responses Found 3
Government entities assigned to respond to this report. No response documents have been linked in our database.
Contra Costa County Board of Supervisors
Elected County Office
Contra Costa County Sheriff
Elected County Office
County of Contra Costa
Agency