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2005/06 Budget Presentation June 8, 2005

2005/06 Budget Presentation June 8, 2005. HEALTH SERVICES DEPARTMENT. Largest County Department Fully Integrated Health Care Delivery System Composed of Ten Operating Divisions and Six Special Funds. DEPARTMENT OPERATING DIVISIONS. Regional Medical Center & Health Centers Health Plan

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2005/06 Budget Presentation June 8, 2005

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  1. 2005/06 Budget PresentationJune 8, 2005

  2. HEALTH SERVICES DEPARTMENT • Largest County Department • Fully Integrated Health Care Delivery System • Composed of Ten Operating Divisions and Six Special Funds

  3. DEPARTMENTOPERATING DIVISIONS • Regional Medical Center & Health Centers • Health Plan • Mental Health • Public Health • Alcohol and Other Drugs • Environmental Health/Hazardous Materials • Detention Inmate Care • Homeless Programs • Conservatorship • California Children’s Services

  4. SPECIAL FUNDS • Ambulance Service Area • Tobacco Tax Fund • Emergency Medical Services • Major Risk Insurance • Domestic Violence Assistance • Substance Abuse & Crime Prevention (Proposition 36)

  5. HSD 2004/05 BUDGET (In Millions) • Total Expenditures All Units $ 687.4 • Total Revenue All Units (87%)$(596.5) • General Fund Contribution $ 90.9

  6. HSD NET COUNTY COST COMPARISON(In Millions) HSD 2004/05 Budget $90.9 CAO Recommended 85.4 REDUCTION $ 5.5 HSD 2005/06 Baseline $99.0 CAO Recommended 85.4 REDUCTION $13.6

  7. NET COUNTY COST2004/05 BUDGET vs. 2005/06 RECOMMENDED(In Millions)

  8. NET COUNTY COST2005/06 BASELINE vs. 2005/06 RECOMMENDED(In Millions)

  9. NET COUNTY COST2003/04 ACTUAL vs. 2005/06 RECOMMENDED BUDGET(In Millions) * Includes $10.0 Million Contingency Fund

  10. HEALTH SERVICES DEPT PROPOSED REDUCTIONS Reduction Process Focused On: • Preserving legally mandated services • Maintaining regulatory compliance • Protecting revenue generating programs • Reducing non-direct patient care areas to the extent possible

  11. PROGRAM REDUCTION LIST

  12. PROGRAM REDUCTION LIST

  13. PROGRAM REDUCTION LIST

  14. PROGRAM REDUCTION LIST

  15. PROGRAM REDUCTION LIST

  16. PROGRAM REDUCTION LIST

  17. PROGRAM REDUCTION LIST

  18. HEALTH SERVICES DEPARTMENT • Updated financial forecasts indicate an additional $2.0 to $2.5 million in revenue will be generated by the Regional Medical Center and the Health Plan. Revised Projections

  19. HEALTH SERVICES DEPARTMENT • Maintain the Pediatric Program (#39) $500,000 • Short term cost savings likely unsustainable Program Restorations

  20. HEALTH SERVICES DEPARTMENT • Maintain the Basic Health Care Program at 300% of Federal Poverty Level; $2,000,000 • Short term cost savings will likely be offset by increased usage of Emergency Room and Inpatient Facility Program Restorations

  21. BASIC HEALTH CARE Contra Costa County’s Medically Indigent Program What is Basic Health Care? Basic Health Care is a program which: Provides health care at the Contra Costa Regional Medical Center and Health Centers for Contra Costa residents without health insurance.

  22. BASIC HEALTH CARE What Does It Cover? Basic health care includes: office visits, medications, specialty care, dental care for children ages 5 through 14 inpatient and emergency care at Contra Costa Regional Medical Center.

  23. BASIC HEALTH CARE Who Is Eligible? Residents of Contra Costa County who: Have an income less than 300% of the Federal Poverty Level (FPL), Do not have other resources, And are not eligible for Full-Scope Medi-Cal or Healthy Families.

  24. BASIC HEALTH CARE Contra Costa County’s Medically Indigent Program 2005 Federal Poverty Level at 300%

  25. BASIC HEALTH CARE Contra Costa County’s Medically Indigent Program 2005 Federal Poverty Level at 200%

  26. BASIC HEALTH CAREContra Costa County’s Medically Indigent Program Number Enrolled in 2004 by Federal Poverty Level (FPL)

  27. BASIC HEALTH CARE

  28. HEALTH SERVICES DEPARTMENT High Risk Areas Requiring Funding • Restore Hospital and Emergency (Psych/Medical) Security Services (#37) $1,300,000 • Restore Translation Services (LEAP) (#36) $200,000

  29. HEALTH SERVICES DEPARTMENT Additional Budget Issues • Mental Health Services to students with disabilities (AB-3632) is an unresolved issue. • The State has not adequately funded AB-3632 services. • The 2005/06 Mental Health budget assumes that $3.9 million in expense will be paid by the Local School Districts.

  30. HEALTH SERVICES DEPARTMENT Additional Budget Issues • To date, tentative agreement has been reached with Mt. Diablo and West Contra Costa SELPA’s. • Contra Costa SELPA representing 16 school districts has not agreed to purchase services from the County.

  31. HEALTH SERVICES DEPARTMENT Additional Budget Issues • The Department will formally notify the parents on June 10, 2005 that County services will cease on July 1st. • Layoff preparations are underway and will be presented June 21, 2005.

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