VENTURA VENTURA C I T Y C O U N C I LC I T Y C O U N C I L

October 18, 2010

Ventura County Ventura County Health Care AgencyHealth Care Agency

V I S I O NV I S I O NSetting the standard

inhealth care excellence.

Healthy people in healthy

communities throughout

Ventura County.

M I S S I O NM I S S I O NProvide comprehensive,

compassionate, cost effective,

healthcare for our diverse community

especially those facing barriers

through an exceptional workforce,

education, and forward thinking leadership.

HCA DEPARTMENTS INTEGRATIONHCA DEPARTMENTS INTEGRATION

● VCMC Regional Health System:

2 Hospitals: VCMC & Santa Paula Hospital

14 Community Clinics

16 Specialty Clinics

● Public Health: 5 Clinics

● Behavioral Health: 23 Clinics

● Health Care Plan/ HMO

● Medical Examiner

SCOPE OF SERVICESSCOPE OF SERVICES

● 1.7 Million Client Contacts

● Over 63 Clinics And Service

Locations● Over 3,000 Staff; Over 300

Physicians

● $482 Million Of Services

● 7% Net County Cost

V C M C & SPHV C M C & SPH ● In-house Physician Services (over 300)

● Trauma Services

● Emergency Department

● Critical Care

● OB/Gyn

● Medical Surgery

● Neonatal Intensive Care Unit● Inpatient Pediatric Unit

● Inpatient Psychiatric Unit

M E D I C A L H O M EM E D I C A L H O M E

● Link to physician

● Link to coverage

● Preventive care– Routine check-ups– Immunizations– Early detection and management of

chronic illness– Pre-natal care

TEACHING INSTITUTIONTEACHING INSTITUTION ● Family Medicine Residency

– Affiliated with UCLA– 42 Residents– Largest in the State– OB Fellowship– Training Local

Physicians– Meet Shortage

TEACHING INSTITUTIONTEACHING INSTITUTION(continued)

● Nurse Training Program

● Nurse Practitioner/ Physician Assistant Training

● Psychology Internships

● Summer Student Shadow Program

● Ventura Unified School District Transitional Partnership Program

SPECIALTY SERVICES NETWORKSPECIALTY SERVICES NETWORK

● Diabetes

● Oncology

● Cardiology

● Pulmonology

● Rheumatology

● Neurology

● Neurosurgery

● Orthopedics

● Urology

● Obstetrical/ Gynecology

● Ophthalmology

● ENT

COMPREHENSIVE PEDIATRIC COMPREHENSIVE PEDIATRIC SERVICESSERVICES

• PEDIATRICS• SUBSPECIALTIES• DEDICATED

PEDIATRIC UNIT• PEDIATRIC

ONLOCLOGY• PEDIATRIC INTENSIVE

CARE UNIT

(Coming soon)

SPECIALTY PEDIATRIC SPECIALTY PEDIATRIC SERVICESSERVICES

• SURGERY

• ORTHO

• GASTRO

• HEMATOLOGY

• OPHTHALMOLOGY

• NEUROLOGY

• PULMONOLGY

• CARDIOLOGY

• ENDOCRINOLOGY

• ONCOLOGY

• NEPHROLOGY

• GENERAL PEDIATRICS

• CLEFT/ LIP – PLASTICS

PREVENTIVE CARE MODELPREVENTIVE CARE MODEL

● Improve Outcomes By Treating Diseases Earlier

● Decrease ER Visits And Hospitalizations

● Reduce Costs= Effective In Providing Total Care

To Patients At Risk

● Outpatient Visits: 527,312 (FY 2010-11)

QUALITY OF CAREQUALITY OF CARE

● Quality: Single standard of care

– Board Certified Physicians

– Facilities

– Joint Commission

Accredited

– VCHCP

– Quality Measures

– Not A Typical “County Hospital”

– Staff = Pride

HEALTH CARE SERVICES HEALTH CARE SERVICES IN VENTURAIN VENTURA

 (1ST District )

● 298,106 Patient Visits 2009

● Over $225 Million Dollars Worth

of Services In the City

● 70% uninsured and underinsured,

Medi-Cal, ACE, Self-Pay

WEST VENTURA MEDICAL CLINICWEST VENTURA MEDICAL CLINICUrgent Care

● Dr. Ramsey Ulrich, Medical Director

● Kristina Navarro, Clinic Manager

● Services: Family Medicine; Pediatrics; Internal Medicine; Obstetrical Care; Lab; Dexa scan

FAMILY MEDICINE RESIDENCY FAMILY MEDICINE RESIDENCY & &

SPECIALTY CARE CENTERSPECIALTY CARE CENTER

• Floor 1: Residency Program and Urgent Care• Floor 2: Academic Family Medicine Center• Floor 3: Pediatric Diagnostic Clinic and

Pediatric Oncology• Floor 4: Anacapa Surgical Associates, Urology

and Women’s Health• Floor 5: Adult Hematology/Oncology, Adult

Diabetic Clinic and Medicine Specialties.

FAMILY MEDICINE RESIDENCY FAMILY MEDICINE RESIDENCY & &

SPECIALTY CARE CENTERSPECIALTY CARE CENTER

● Trauma System – Implemented Countywide

● VCMC – West County Level II Trauma Designation

(June 2010)

● Quality: Mortality rates > 70% of designated trauma centers

TRAUMATRAUMA

BEHAVIORAL HEALTH DEPARTMENTBEHAVIORAL HEALTH DEPARTMENT

• Mental Health Services: Youth & Family, Transitional-Aged Youth, Adults, and Older Adult Programs

• Alcohol and Drug Services: Prevention, Treatment, and Driving Under the Influence (DUI) Programs

– 23 Behavioral Health Outpatient Centers County-wide– Over 500,000 service contacts annually at regional

clinics– MHSA Funds--Full Continuum of Care beginning with

Prevention and Early Intervention

BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH SERVICES IN VENTURAIN VENTURA

● Adults Services VENTURA CLINIC4258 Telegraph Road

● Youth & Family Services VENTURA CLINIC

5740 Ralston

● Alcohol & Drug Programs Ventura Center- 24 E. Main Street

- Quick Start Assessment Ctr. ( 800 S. Victoria Ave.)

● Specialty Services - Criminal Justice Services Driving Under the Influence Program

5850 Thille Street, #205

● CAL WORKS JOB & CAREER CENTER

4651 Telephone Road, Suite 200

PUBLIC HEALTH SERVICES IN VENTURAPUBLIC HEALTH SERVICES IN VENTURA

● Immunization Program● WIC Nutrition Program● Health Care for Kids Program● Emergency Medical Services● Family Planning● Adolescent Family Life Program ● Community Nursing & Education● Public Health Laboratory● Tuberculosis Testing & Treatment● HIV/AIDS Testing

3147 Loma Vista Road

ONE STOP CENTER ONE STOP CENTER FOR THE HOMELESSFOR THE HOMELESS

● Opened January 2008; Kate Mills, Manager

● Hours: Tuesdays, 10am- 1pm

● Services Provided: Walk in Assistance for: BEHAVIORAL HEALTH ASSESSMENT & COUNSELING CASE MANAGEMENT RISK ASSESSMENT FOR SUBSTANCE ABUSE & DOMESTIC VIOLENCE VETERAN ASSISTANCE HOMELESS SERVICES LUNCHES

MEDICAL CLINIC INCLUDING TREATMENT, DENTAL & VISION REFERRALS, MEDICATIONSAPPLICATION ASSISTANCE FOR GENERAL RELIEF & FOOD STAMPS, MEDI-CAL ASSISTANCE IN OBTAINING & SUBSIDY OF CA IDs, CA DRIVER LICENSES, BIRTH CERTIFICATES

ONE STOP CENTER ONE STOP CENTER FOR THE HOMELESSFOR THE HOMELESS

●   Referral to City of Origin

- referral to county medical clinic

● Ventura County-wide Discharge Planning Group

  -  hospitals and agencies

  -  discharge planning policy

  -  resources by community

● Ventura Social Services Task Force

INCREASED DEMAND FOR INCREASED DEMAND FOR SAFETY NET SERVICESSAFETY NET SERVICES

• 2010-11 Increase from 2007-08 23.6% Clinic Services 2.2% Hospital

• Economic Downturn: 28% Growth in Uninsured Statewide 2007-2009 (based on UCLA Center for Health Policy Research)

- 32% Increase In Uninsured Patients

“In one week alone, we saw four new cancer patients arrive at our hospital in need of continued chemotherapy treatment. All four had lost their jobs and their insurance along with it.”

Chief of Oncology, Ventura County Medical Center

February 2009

IMPACT ON PATIENTSIMPACT ON PATIENTS

INNOVATIVE PROGRAMSINNOVATIVE PROGRAMS

● ACE Coverage for the Uninsured

● Mobile Mammography

● Chronic Disease Management

● Specialty Referral Center

● Integrated Dual Diagnosis Treatment

● Integration of Medical & Mental Health Services

WHAT’S NEW IN VENTURA?WHAT’S NEW IN VENTURA? ● Mobile Medical Clinic

● More Convenient Access to Specialty Care Locally

● Evening Hours for Pediatrics

● Ventura Police Department

covering VCMC ● Sheridan Way School Projects  - ON SITE HEALTH CLINIC AND OUTREACH  - COMMUNITY GARDEN - EXPAND TO OTHER SCHOOL SITES VIA THE MOBILE CLINIC

FUTUREFUTURE

● Increased Demand– Short term: Economy– Long term: Health Reform

● Countywide Expansion of Primary care & Specialty Services:– Oxnard – Simi– Camarillo– Thousand Oaks

FUTUREFUTURE(continued)(continued)

●Electronic Health Record

●Planning for Replacement Hospital Wing

●Medi-Cal Managed Care

●Continued Integration of Services

COMMENTS RE: SYSTEMCOMMENTS RE: SYSTEM

“In a healthcare system in desperate need of fixes, state leaders and outside evaluators say ACE …...is part of the answer…..”

- Tom Kisken (April 30, 2010)

“The counties that are participating in this program have made tremendous progress in building networks that did not exist,”

“I think Ventura may be the best example of that.”

- Gerald Kominski, PhD, Director, Health Economics & Evaluation Research Program at UCLA Center for Health Policy Research

( Ventura County Star: Kisken, Tom, April 30, 2010)

HEALTH CARE AGENCYHEALTH CARE AGENCY

● Safety Net System Second To None● Our Strength Is Our People● Passion For The Mission

Thank you for your partnership.