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⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings 13 findings
F1
Page 10
LAFCo’s service review for PHD would provide more in-depth analysis of PHD’s finances and services if a consultant knowledgeable about health care districts assisted in its preparation.
F2
Page 10
PHD would benefit from having a service review of its own, separate from SHD, given the differences in the two district’s goals and responsibilities.
F3
Page 10
PHD needs to determine which of its three roles of landlord, real estate developer, and community health care resource has the greatest priority to ensure that resources are allocated to the areas of greatest need.
F4
Page 10
PHD is providing for the long-term needs of its residents by planning for the development of a health-focused campus on PHD land adjacent to the new MPMC.
F5
Page 10
PHD has not provided sufficient information to support its decision to build reserves and focus on long-term issues such as the buy-back of MPMC at the end of the lease, rather than allocate more funds to the current health needs of its residents through its grant and other programs.
F6
Page 10
It could not be discerned from the investigation whether PHD includes a third party financing component in calculating its cost in the possible buy back of MPMC or whether it assumes it will pay all cash.
F7
Page 10
PHD would benefit from professional assistance in determining the appropriate amount to allocate to reserves each year in order to purchase MPMC at the end of the lease period. 10
F8
Page 11
For the past few years, PHD has made an effort to increase its grant funding to address current health care issues.
F9
Page 11
Initiatives supported by PHD address a variety of community health needs such as access to primary care, universal insurance coverage for children, and affordable assisted living units.
F10
Page 11
PHD’s grant funds are used to support programs and services focusing on key areas such as children’s health, support of “safety net” organizations, and senior care.
F11
Page 11
PHD needs to improve the process for evaluating the performance of its grant recipients.
F12
Page 11
PHD would benefit from increased educational outreach efforts to achieve its vision that all residents of the District enjoy optimal health through education, prevention, and access to needed health care services.
F13
Page 11
PHD’s website contains useful information, but adding meeting agendas, current budget data, the Strategic Plan, and links on how residents can access health care would make it more user-friendly.
Recommendations 8
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R1Page 11Contract with a consultant experienced in conducting service reviews of health care districts to assist in conducting the next PHD service review.
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R2Page 11Perform separate service reviews for SHD and PHD. The Grand Jury recommends that PHD do the following:
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R3Page 11Determine which of its three roles of landlord, real estate developer, and community health care resource has top priority.
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R4Page 11Retain experts to estimate the reasonable “book value” of MPMC when the lease expires in 50 years, then determine how much to allocate to reserves for its purchase, taking into account debt financing possibilities, in order to avoid an unnecessarily large reserve fund.
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R5Page 11Adjust its allocation of revenues to enhance PHD’s support of current programs and grants.
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R6Page 11Restructure the terms of its grants so that only a portion of the grant award amount is distributed upfront, and then if a mid-year report shows that performance is acceptable, distribute the remaining funds.
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R7Page 11Seek opportunities to make public presentations in order to ensure that residents are well informed, heard, and represented by the programs PHD funds.
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R8Page 11Continually update its website with current information, including meeting agendas, strategic plans, and budget information. 11
No Responses Found 1
Government entities assigned to respond to this report. No response documents have been linked in our database.
Peninsula Health Care District
Special District