Health System FY 2010-11 Budget Presentation June 22, 2010 Jean - - PowerPoint PPT Presentation

Health System FY 2010-11 Budget Presentation

June 22, 2010 Jean S. Fraser, Chief

Our Work is Driven by a Shared Vision

San Mateo County Shared Vision 2025

HEALTHY COMMUNI TY: Our neighborhoods are safe and provide residents with access to quality health care and seamless services

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Mission Statement

To build a healthy community and increase San Mateo County residents’ longevity and quality

• f life by:

Preventing health issues before they occur Protecting the public from environmental

and disease hazards

Providing services to vulnerable

populations

Partnering with others to accomplish our

mission

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Administration Aging and Adult Services Behavioral Health and Recovery

Services

Community Health Correctional Health Services Family Health Services Health Policy and Planning San Mateo Medical Center

Divisions

FY 09-10 Accomplishments

Successful accreditations at SMMC

hospital, Burlingame LTC, Correctional Health

Implemented electronic health records

in Behavioral Health and SMMC

Opened Urgent Care Clinic at SMMC Full Service Partnerships for mentally ill

decreased adult incarceration 53% ; adult arrests 82% ; youth suspensions 63%

FY 09-10 Accomplishments

Responded to H1N1 outbreak &

managed vaccine distribution

Launched BHRS prevention and early

intervention strategic plan

Implemented take-back programs for

fluorescent tubes and compact fluorescent lights

Initiated grant-funded re-entry plan

FY 09-10 Accomplishments

Published Building Health

Into San Mateo County Cities

Completed 5-year plan

for preventing childhood

• besity update

Diverted 140,000

gallons of hazardous waste from landfill

FY 09-10 Provided services to many people

40,000 birth and death

records

47,000 9-1-1 EMS calls 60,500 pediatric visits 236,000 outpatient

visits

350,000 H1N1 vaccines 800,000 H1N1 Code

Red Calls

1,300 Adult Protective

Cases (APS) opened

2,300 mentally ill

inmate intakes

3,250 Alcohol and

Other Drug clients

10,270 Mental Health

monthly caseload

19,000 WIC clients 22,000 ACE clients

FY 09-10 County STARS Awards

Family Health Services

Prenatal to 3 Program = Program Performance Award

SMMC's Pain Management Care

Clinic = Customer Service Award

FY 09-10 County Initiatives

Green Team: Increased use of video conferencing;

local food system development; advocated for active and public transportation

Succession Planning: Received 2-year state funded

training position for Public Health Lab Director; mentored professional and college age interns

Cultural Competence: Improved collection of race,

ethnicity, language and gender data; increased staff training

FY 09-10 Increased Demand

48% increase in ACE enrollment 9% increase in open Mental Health

cases

13% increase in Emergency Room

visits

7% increase in IHSS clients 4,997 patients on wait list for primary

care appointment

FY 09-10 Mid-Year Staffing Reductions

Staffing

78 positions reduced 11 Filled 67 Vacant

FY 09-10 Mid-Year Service Reductions

Eliminated HOME Team Severely reduced admissions of new BLTC

patients, reducing patients by 30

Eliminated early intervention services for non

Medi-Cal families and children

Eliminated Court-related substance use

treatment through Prop 36

Reduced SMART Team from 24/ 7 to 12 hrs/ day

Health System in the context of the County’s Vision 2025

+ 16% 26,585,213 All other Healthy Community departments + 5% 17,168,198 Total operating departments

FY 2010-11 $ Change FY 2010-11 % Change

Health System ( 1 0 ,2 1 0 ,0 5 0 )

• 9 %

1 5

FY 10-11: Budget Gap

$28.2 million budget gap

45% Realignment and other state funding lost 40% Net County Cost lost 15% staff cost increases not covered by NCC

FY 2010-11 Staffing Reductions

49 Positions 12 Filled 37 Vacant 28 community-based organization

positions

FY 10-11 Funding loss by division

San Mateo Medical Center $10.7 million Behavioral Health and Recovery Services $10.2 million Community Health $2.6 million Aging and Adult Services $1.6 million Health Policy and Planning $1.4 million Family Health Services $1.1 million Correctional Health Services $650,000

FY 2010-11 Reductions

Reducing outreach and enrollment capacity for

insurance coverage programs

Reducing programs on parenting, pregnancy

prevention for incarcerated youth and adults

Reducing community engagement on

bioterrorism, airport security, farm food safety

Reducing youth development initiative

support

FY 2010-11 Reductions

Creating waiting lists at Medical Therapy

Unit for severely disabled children

Reducing case management programs for

adults under the age of 65

Reducing AIDS Case Management

Program resulting in larger caseloads

FY 2010-11 Reductions

Reducing the nursing hours for our long-

term care patients to State minimum

Reducing on-site medical care for juvenile

probation and adults jails

Eliminating Hepatitis A/ B vaccination

program in jail

FY 2010-11 Reductions

We are turning away people we have never turned away before:

At SMMC clinics, we will not take on new adult

patients for those above 200% of the Federal Poverty Level -- $3,100 a month for a family of three

FY 2010-11 Reductions

980 people will no longer get alcohol or substance abuse treatment We are turning away people we have never turned away before:

Adults who need live-in treatment Adults who need outpatient alcohol and other

drug services

Adults being released from prison needing

services

FY 10-11 Reductions

2,000 fewer people will be provided with mental health services We are turning away people we have never turned away before:

Women with post-partum depression Workers who lost employment-based insurance

and can’t get psychiatric medications

Young adults with depression

Further challenges ahead

Right role for County in providing nursing

care as our population ages?

Sustaining safety net health services until

coverage is expanded through health reform in 2014?

Questions?