Score: -1 (4/3/5)

Contra Costa County Grand Jury • 2012-2013

A Report by the 2012-2013 Contra Costa County Grand Jury

Published: January 01, 2014 7 pages

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⚠️ 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 and Recommendations 7 findings

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.

Related Recommendations (1)

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

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.

Related Recommendations (1)

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

Private providers in the County recognize the need to, and the advantages of, approaching healthcare planning from a strategic perspective.

No recommendations for this finding

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.

Related Recommendations (2)

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.

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.

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.

No recommendations for this finding

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.

No recommendations for this finding

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

No recommendations for this finding

Additional Recommendations 1

These recommendations are not explicitly linked to specific findings.

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.

Agency Responses 4

Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.

Board of Supervisors

July 24, 2013 • 5 pages • 1 response • Score: +1 (+1, 0, 0) View Details ▾

PDF

1 response to findings and recommendations

Response: Agree Score: +1

Classes beyond the high school level are not available at the Juvenile facilities. Incarcerated youth who complete high school or obtain a GED are unable to continue their education. Response The District agrees with the Grand Jury finding. In addition, as required by §933.05(b) of the California Government Code, the District is providing its reply to the report's recommendation. For each recommendation, the District is required to respond by stating one of the following actions: (1) The recommendation has been implemented, with a summary describing the implemented action. (2) The recommendati...

Board of Supervisors

July 16, 2013 • 5 pages • 11 responses View Details ▾

PDF

11 responses to findings and recommendations

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: Unknown Score: 0

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: Unknown

Score: 0

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: Unknown Score: 0

Response: Unknown

Score: 0

Private providers in the County recognize the need to, and the advantages of, approaching healthcare planning from a strategic perspective.

Response: Unknown Score: 0

Response: Unknown

Score: 0

Response: Unknown Score: 0

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: Unknown

Score: 0

Response: Unknown Score: 0

Responses from the Board of Supervisors

October 11, 2013 • 8 pages View Details ▾

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Responses from the Contra Costa County Board of Supervisors

July 01, 2014 • 8 pages • 11 responses • Score: -2 (+3, 3, -5) View Details ▾

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11 responses to findings and recommendations

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.

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.

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.

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.

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.

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.

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.

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.

Response: Agree Score: +1

The respondent agrees with the finding.

Response: Agree Score: +1

The respondent agrees with the finding.

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.

No Responses Found 2

Government entities assigned to respond to this report. No response documents have been linked in our database.

Contra Costa County District Attorney Elected County Office

Contra Costa County Sheriff Elected County Office