San Diego County Grand Jury
• 2018-2019
Executive Summary The United States is in the midst of a psychiatric bed shortage that worsens every year. By early
⚠️ 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 8 findings
F01
San Diego County needs additional step-down beds.
F02
San Diego County needs to reduce its Administrative Days to reduce costs associated with post-acute care patients.
F03
If BHS invests in additional step-down facilities, it creates an opportunity to reduce Administrative Days.
F04
There are facilities within San Diego County that purposely limit their psychiatric beds to 16 to comply with the Medi-Cal IMD Exclusion.
F05
Public/private partnerships and Joint Power agreements with County psychiatric facilities could reduce the requirements of the Medi-Cal IMD Exclusion.
F06
While maintaining minimal staffing requirements, workforce recruitment and retention within County administered health facilities are an ongoing challenge.
F07
Workforce turnover may have a direct negative impact on the quality of care due to lack of continuity and broken staff/patient relationships that have been developed over time.
F08
Public Consulting Group has been selected to provide quarterly reports on the follow-up actions of the Board’s newly formed collaboration, “Caring for People in Psychiatric Crisis in San Diego County.”
Recommendations 3
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19-12Page 8Evaluate steps that could be taken to reduce the number of administrative
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19-13Page 9Evaluate potential contract management and collaboration opportunities that
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19-14Page 9Develop long-term best practices for addressing the behavioral health
No Responses Found 1
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County of San Diego
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