Score: +2
(2/0/0)
Contra Costa County Grand Jury
• 2009-2010
“lost” Medanos Community Health Care District Awash in a Sea of Inefficiency To: Los Medanos Community Health Care
⚠️ Aviso de traducción: Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 6 findings
F1
LMCHD’s primary mission is to improve the quality of health care in the community while promoting education and wellness. However, actual grants and programs reviewed by the Grand Jury did not address the priority health needs as identified in the Contra Costa Health Services’ Community Health Assessment.
Related Recommendations (1)
R1
LMCHD’s primary mission is to improve the quality of health care in the community while promoting education and wellness. However, actual grants and programs reviewed by the Grand Jury did not address the priority health needs as identified in the Contra Costa Health Services’ Community Health Assessment. Recommendation: Grants and programs shall be awarded in relation to the identified community health care needs as identified in the Contra Costa Health Services’ Community Health Assessment (i.e. heart disease, cancer and stroke).
F2
Of the sixteen grants and programs awarded for the year 2008-2009, fifteen were for $25,000 or less. Awarding multiple grants in small dollar amounts is inefficient.
Related Recommendations (1)
R2
Of the sixteen grants and programs awarded for the year 2008-2009, fifteen were for $25,000 or less. Awarding multiple grants in small dollar amounts is inefficient. Recommendation: A new grant allocation process shall be developed which focuses on funding fewer projects with larger grants.
F3
Community health programs and grant dollars consumed less than half of LMCHD’s total revenue for the years 2006 through 2009.
Related Recommendations (1)
R3
Community health programs and grant dollars consumed less than half of LMCHD’s total revenue for the years 2006 through 2009. Recommendation: LMCHD shall reduce unnecessary administrative expenditures thereby increasing funds available for priority health care needs.
F4
The District has not collaborated with HAC and other health consortia.
Related Recommendations (1)
R4
The District has not collaborated with HAC and other health consortia. Recommendation: LMCHD shall work with health care consortia within the County to expand its impact in awarding of grants and programs.
F5
There have been two strategic plans; neither was effectively implemented. LMCHD is spending $140,000 over a two year period for its third strategic plan in eight years.
Related Recommendations (1)
R5
There have been two strategic plans; neither was effectively implemented. LMCHD is spending $140,000 over a two year period for its third strategic plan in eight years. Recommendation: LMCHD board shall adopt, and effectively implement the new strategic plan.
F6
The 2007 LAFCO Municipal Service Review identified four options that could be taken by the District. The District chose to maintain the status quo.
Related Recommendations (1)
R6
The 2007 LAFCO Municipal Service Review identified four options that could be taken by the District. The District chose to maintain the status quo. Recommendation: At the time of LAFCO’s next Municipal Service Review of the District, when addressing the District’s accountability for community service needs, LAFCO shall consider the recommendations of this report and the District’s implementation of its strategic plan. CONCLUSIONS Los Medanos Health Care District must live up to its mission and focus on awarding grants based upon identifiable health care needs in its jurisdiction. Community Health Indicators for Contra Costa County clearly delineate this information every three years. It is imperative that the District track the expenditure of funds granted and measure the outcomes to determine future funding efforts. Fewer dollars must be directed from superfluous projects such as the costly Community Garden. The taxpayers of Bay Point, Pittsburg, and portions of Clayton, Antioch and Clyde deserve more for their money!
Conclusions 1
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CL1 Page 7Los Medanos Health Care District must live up to its mission and focus on awarding grants based upon identifiable health care needs in its jurisdiction. Community Health Indicators for Contra Costa County clearly delineate this information every three years. It is imperative that the District track the expenditure of funds granted and measure the outcomes to determine future funding efforts. Fewer dollars must be directed from superfluous projects such as the costly Community Garden. The taxpayers of Bay Point, Pittsburg, and portions of Clayton, Antioch and Clyde deserve more for their money!
Agency Responses 1
Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.
No Responses Found 1
Government entities assigned to respond to this report. No response documents have been linked in our database.
Los Medanos Community Healthcare District
Special District