SCVHHS fy18 budget requests Health & Hospital Committee 04/26/17
BudgeT Budgets are the vehicle by which counties outline policy and program priorities. Since 2010, the County has invested in improving the health of the community as can be shown in SCVHHS’s growth. The community has benefitted.
Investment in better health since 2010 FY 2009-10 FY2016-17 FTE 6,244.7 7,636.7 Revenue $1,124.1 M $1,740.8M * Total Delegated & Assigned Lives 72,654 198,301* * Partial year
Budget development Objectives and Assumptions
Major Policy Assumptions Federal Major ACA repeal impacts delayed State No major changes to Medi-Cal Children’s Health Insurance Program reauthorized Full Scope Medi-Cal for kids continues Drug Medi-Cal starts County Modest, targeted opportunities for increases
Major Assumptions Operating Assumptions Children & youth are a priority Whole Person Care reform & technology advancement Major and comprehensive service provider Continue move to value-based performance metrics Finance Assumptions Base budget growth support Targeted requests for care & improvement
Budget proposals & themes
Improving health Public Health Implement Child Health Assessment Improve Communicable Disease surveillance Enhance Getting to Zero Behavioral Health Continue School-Linked Services in 5 districts Support rapid rehousing for continuous recovery
Improving health Valley Health Plan Outcomes & quality Increase number of covered lives Health & Hospital System/Valley Medical Center HHS Initiatives: developmental screening, Healthier Kids Foundation & Roots Clinic, contracts unit, Information Services
Improving access Behavioral Health Enhance safety & security Increase Medication Assisted Treatment capacity Improve access in First 5 Kid Connections Custody Health Services Equipment and personnel VMC/Community Health Services Relocate TB/Refugee Health Clinic
Improving access / Patient experience Valley Medical Center Hospital Services Sobrato Pavilion; Decision Support & Analytics, Diagnostic Imaging, Cath Lab, Transfusion Svcs, and Sterile Processing staffing/coverage improvements Primary Care CPSP (perinatal), SPARK Clinic, Pedi Dental, Language Svcs, and Diabetes program expansions; Outpatient Pharm staffing improvements Specialty Care Appointment management staffing improvements
Growth & Learning Public Health Advance QI & workforce development Valley Health Plan Resource improvement, recruitment & retention
Improving value Public Health Mobilize community for violence prevention & health equity Analytical support for Maternal, Child, Family Health branch Behavioral Health Maintain IT & billing resources for HealthLink and practice management solution
Improving value Valley Health Plan Operations improvement Valley Medical Center Replacing Outside Contracted Services IS Project Managers, Audiologist for ENT clinic, Cancer Center Clinical Research Assoc, HIMS Coding Analysts