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HomeMy WebLinkAboutNB 2 O.C. HEALTH PLNG 08-04-80AGENDA ITEM: Appointments to Orange County Health Planning Council NEW BUSINESS No. 2 8-4-80 BACKGROUND: On August 6, 1979, Pamela Golodner was appointed by the City Council as Tustin's representative to the Orange County Health Planning Council. An alternate was not appointed as staff did not receive any volunteers to serve as alternate. On July 24, 1980 when Pamela Golodner was contacted to see if she would be available to serve another year, she expressed her desire to continue as Tustin's representative. Attached is a letter from the Orange County Health Planning Council. RECOMMENDATION: Pleasure of the Council. ~9/9 ORANGE COUNTY HEALTH PLANNING COUNCIl. July 15, 1980 Mary C. Winn, City Clerk ..... . : City of Tustin :'.': 300 Centennial Way Tustin, California 92680 SUBJECT: Reconfirmation of Assembly Appointments Dear Ms. Winn: The Bylaws of the Orange County Health Planning Council (OCHPC) require that each year we solicit in writing the reconfirmation of all appointments to the Assembly of Delegates. The Bylaws do not limit the length of time for which any organi- zation may choose to have its representative serve in the Assembly. Our records show that your current representative to the Assembly is Pamela Golodner. If you would like to have your current delegate continue, please reconfimthe appointment in writing NO LATER THAN SEPTEMBER 1, 1980. The Bylaws also provide for an alternate delegate to attend Assembly meetings and vote in the absence of your appointee. Our records do not indicate that you have sent us the name of your alternate delegate. Please let us know who the alternate is as soon as possible so that person will be able to represent you officially in the absence of your delegate. An Assembly delegate acts as the liaison between your city council and OCHPC, informing each body of the issues and concerns of the other. Delegates meet four times a year - once to elect our Board of Directors and the rest to participate in programs dealing with community health issues. The OCHPC is the agency which oversees projected medical needs of Orange County residents, as well as the allocation of health care resources to meet those needs. As you may know, the Assembly is a body of almost 150 participants, representing every city of Orange County, the Southern California Association of Governments, the League of California Cities, the Board of Supervisors, voluntary health agencies, professional health associations, and community organizations such as the United Way. We are enclosing a summary of the major accomplishments and issues addressed since the Council was designated the official health systems agency for Orange County in 1976. Gina Ryan, our Director of Community Services, would be happy to meet with you to answer any questions you may have about the Council and its programs. SJM:vd Enclosure 202 FASHION LANE Cordially youKs, . . Stanley J. Matek Executive Director · SUITE 219 - TUSTIN, CALIFORNIA 92680 · PHONE: (714)832-1841 7/80 ORANGE COUNTY HEALTH PLANNING COUNCIL SUMMARY OF MAJOR ACCOMPLISHMENTS AND ISSUES ADDRESSED SINCE HSA DESIGNATION 9/76 11/76 12/76 1/77 1/77 3/77 4/77 4/77 4/77 4/77 4/77 4/77 5/77 OCHPC designated HSA under.Public Law 93-641 on September 28, 1976. OCHPC denies request by American Medicorp to merge West Anaheim and Garden Park Hospitals. (4/77: OCHPC approves merger on condition that 25 beds be eliminated.) OCHPC organizes (and cosponsors with OCPtA) symposium on regionalization of perinatal services. Symposium attended by more than 100 hospital administrators, obstetrician/gynecologists, and other interested individuals. OCHPC reviews application by HMO Concepts for federal development loan. HMO Review Committee recommends denial; applicant gets temporary restrain- ing order to prevent Board from ratifying committee's recommendation; applicant withdraws application and submits revised application incorpor- ating revisions suggested by OCHPC; applicant wins OCHPC endorsement. Mental Health Review Committee reviews 50 idea statements submitted by local agencies for 314(d) mental health grants and forwards 9 to state. State then asks three of these agencies to submit full applications. OCHPC provides technical assistance to all three and one is eventually funded. OCHPC helps Medical Quality Review Committee organize and publicize symposium to get consumers' views on health problems. Mental Health Review Committee sponsors two-day seminar on "Grantsmanship and Proposal Preparation" to assist agencies in grant writing. OCHPC conducts public hearing on application for renewal of conditional designation. OCHPC reviews County's request for emergency medical service (EMS) funds. Application endorsed by OCHPC, subject to modifications suggested by OCHPC. Health Facilities Review Committee recommends conditional certification for 12 end-stage renal disease (ESRD) facilities and conditional certifi- cation for 2 renal transplantation centers in county. OCHPC asks DHEW to change wording in proposed regulations to avoid loop- holes that would have permitted 715 additional beds in this county. OCHPC petitions Attorney General, Governor, and State Department of Health to terminate MEdi-Cal payments to Brea Community Hospital (for adding 49 beds after OCHPC had denied Brea's request to expand). Brea used 366-day loophole in old certificate-of-need (CON) law. OCHPC officials send letter to lending institutions known to have financed hospital construction. Letter offers OCHPC's assistance, encouraging potential lenders to use OCHPC data before proceeding with loans. 55/25 OCHPC Summary Pag6 2 5/77 6/77 6/77 7/77 7/77 7/77 9/77 9/77 10/77 ]0/77 11/77 OCHPC publishes A Guide to Emergency Services for Orange County Residents, encourages cities, large employers and others to duplicate it for their oWn residents or employees. Brea is first city to print the Guide and have it distributed to every household in the city. EMS Review Committee recommends approval of application by UC Irvine College of Medicine for grant for continuing medical education program, subject to revisions suggested by OCHPC. (Cost: $108,000 first year, $325,000 over three years.) OCHPC Assembly of Delegates meeting features presentation by UC Irvine on long-range plans for the UCI Meaical Center. OCHPC Board unanimously passes resolution urging the state and il~s legislative branches to "'move as expeditiously as possible to regulate and control the proliferation of expensive diagnostic and therapeutic equipment wherever located in the state." Resolution aimed at closing loophole in State 854 CON law which .permits purchase of expensive equip- ment, such as CT scanners, for physicians' offices and other locations outside acute care hospitals. OCHPC cosponsors workshop organized by Gray Panthers on medical alterna- tives for senior citizens. (One outgrowth of this workshop is establish- ment of the OCHPC In-Home Health Services Task Force.) OCHPC Board passes resolution endorsing AB 1755 which would prohibit the sale of low nutritional foods at pre-high school levels through vending machines or in cafeterias. Copies of resolution sent to all 33 school districts in county. As a result of questions raised by OCHPC and Martin Luther Hospital, State CON office conducts hearing on legality of Anaheim Memorial Hospital installing a linear accelerator in an adjacent office building without health planning approval. State rules that project would have qualified for an exemption from CON but warns that, in the future, similar projects, if operated as part of a basic hospital service, would be subject to CON, whether on hospital premises or within an adjacent medical center. State designates OCHPC to conduct CON under the new Chapter 854 review process. Assembly of Delegates meeting features panel discussion on health problems of undocumented workers. OCHPC helps DHEW publicize, and provides panelists for, public hearing on national health insurance, one of a series of such hearings conducted by DHEW across the country. DHEW reports that Orange County hearing was one of best attended anywhere. OCHPC holds public hearing on first two documents for the Health Systems Plan (HSP): Basic Data on the Health Planning Area and Interim Guidelines for Planning and Review, plus a third document, the Health Facilities Review Procedures Manual. OCHPC Summary Page 3 11/77 12/77 1/78 1/78 1/78 1/78 1/78 3/78 3/78 4/78 4/78 OCHPC sponsors one-day conference on language barriers to health care, attended by more than 80 individuals. Health Facilities Review Committee recommends approval of request by Hoag Memorial Hospital Presbyterian for CON to expand intensive care unit from 13 to 20 beds. Proposal would not increase overall bed inventory because beds would be transferred from other units. (Cost: $637,348) Health Facilities Review Committee hears request by Fairview State Hos~tal to reclassify 236 skilled nursing beds to intermediate care and close 84 skilled nursing and 46 acute psychiatric beds. OCHPC staff asks a number of questions about project and recommends denial. Applicant submits re- visions, based on staff recommendations, and committee recommends approval. OCHPC conducts public he~rings on next two HSP documents, the Report on Computed Tomography Scanners in Orange CountS and the Interim Report: Directions in Health Maintenance Organizations. OCHPC executive director testifies before congressional committees in Washington, D.C., on extension of P.L. 93-641. Congressmen send letters to OCHPC stating that his testimony was the best presented at the hearing. Mental Health and Social Service Programs Review Committee screens more that 30 idea statements for 314(d) funds, forwards 10 to state. Three of the 10 applicants are asked to submit full applications. OCHPC questions the state's guaranteeing a construction loan for Anaheim Memorial Hospital's (~4H) $15.7 million renovation project without, at least, attaching some strings to the guarantee. Although OCHPC has no authority to prevent the guarantee, its opposition results in the state's postponing a decision until AMH signs an agreement with OCHPC. The agreement includes provisions for AMH providing a certain amount of uncompensated care, spending at least 10 percent of net income in community service, and consulting with OCHPC and the state on its long- range plans. OCHPC conducts public hearing on Interim Report: Directions in Emergency Medical Services, another component of the HSP. Hearing attended by almost 100 citizens. Discussion centers on pros and cons of trauma centers, a debate which leads to a study of trauma deaths in the county and the eventual designation of trauma centers. Assembly of Delegates meeting features presentation on cost containment by Steve Rosinski, vice president of industrial relations at Rohr Industries. OCHPC conducts public hearing on report on Current Directions in End-Stage Renal Disease Services. Major topics of discussion are open versus closed staffing and home dialysis. This report is a component of the HSP. OCHPC conducts public hearing on 1978 Inventory of Health Services and Facilities, another HSP component. The inventory includes, in addition to numerous tables on licensed health care facilities, a section on cost data from hospital financial disclosure reports. OCHPC Summary PagJ 4 4/78 5/78 5/78 5/78 5/78 6/78' 6/78 7/78 7/78 7/78 Health Facilities Review Committee considers prchoosal from La Habra Convalescent Hospital for a CON to add 36 skilled nursing beds, costing $481,498. OCHPC staff recommends intermediate beds instead. Applicant amends request to intermediate beds and review committee endorses project. OCHPC conducts public hearing on HSP component, Directions in Perinatal Services. Report's proposed regionalization of perinatal services gets considerable publicity, resulting in large turnout at public hearing. Health Facilities ReviewCommittee recommends approval of CON request by St. Joseph Hospital for a computerized laboratory information system ($357,000) and by Childrens Hospital of Orange County for relocation and expansion of the intensive care neonatal unit {$842,000}. OCHPC conducts public hearing on next HSP component, Interim Report: Directions in Behavioral Health Services, covering mental health, alcoholism, drug abuse, and developmental disabilities. OCHPC EMS Review Committee supports request by county for EMS funds to establish and begin initial operation of EMS system. OCHPC HMO Review Committee opposes request by Family Health Program for federal grant of $1.6 million. OCHPC conducts public hearing on application for full designation as an HSA. OCHPC conducts public hearing on final component of first HSP, the Framework for an Area Health System. OCHPC July Board meeting includes approval of Annual Implementation Plan (AIP). The AIP includes the following two issues which had already sparked considerable controversy: 1) Determination of the appropriateness of OCHPC requesting legislation to restrict physicians and other providers of inpatient services or supplies from holding financial interest in a hospital. (This was in response to a request by the Orange County Grand Jury.) The Public Issues Committee was asked to conduct comparative analyses and hold public hearings and then develop a position paper to be presented to the Board. 2) Promotion of inpatient capability for an established federally qualified HMO, individual practice association or group practice association. OCHPC expects Kaiser Permanente to submit a CON application for a hospital for their members. In order to get OCHPC's endorsement, Kaiser would have to provide, in its CON application, clear and convincing evidence that the project satisfied state criteria. The AIP also includes giving special priority to creation oi~ a citywide health care authority in Santa Aha to merge some existing hospitals, consolidate special services, increase availability of primary care (especially to barrio residents), and establish lower-cost program for health care and health insurance. OCHPC Summary Page 5 7/78 8/78 8/78 8/78 9/78 9/78 9/78 10/78 10/78 10/78 11/78 Health Facilities Review Committee recommends approval of request by Hoag Hospital to modify existing scanner to reduce scan time (cost $399,000) and request by UCIMC to replace outdated equipment in radiology diagnostic division ($1,068,690). Health Facilities Review Committee favors CON request by Hoag for radiation treatment simulator ($312,452). Health Facilities Review Committee favors CON request by UCIMC for head scanner but opposes request for a body scanner also. (Cost for both scanners: $1.8 million). OCHPC Board passes resolution endorsing Senate Bill 2093 concerning residential care homes for six or less mentally disordered or otherwise handicapped persons. The bill is intended to remove local barriers to the orderly and uniform expansion of facilities and to encourage each city and county to permit and encourage the development of sufficient residential facilities to meet the needs of its residents. A critical portion of the Bill is that such use be declared .residential and that no regulations or restrictions be imposed that would differ drom those imposed on a single family residence, OCHPC conducts public hearings'on first component of HSP during second plan year, Directions in Health Services to Ethnic Minorities and Persons with Low Incomes. Assembly of Delegates members hold series of workshops to discuss implications of the HSP and AIP and how OCHPC's activities relate to the organizations the delegates represent. Regional Health Administrator of DHEW announces that OCHPC has been awarded full designation as an HSA under P.L. 93-641, effective September 29, 1978. Capacity audience attends Fall Health Forum featuring talk by Walter McClure, Ph.D., nationally known consultant on cost containment issues from InterStudy. Dr. McClure's topic: "Affording our Present Health Care System: Regulation versus Market Incentives." Other participants include the president of the county medical association, vice president of industrial relations for a national corporation, and the vice chairman of the State Assembly Health Committee. OCHPC Perinatal Services Plan Imlementation Task Force forms eight subcommittees with a total membership of well over 100 volunteers to begin work on their project to improve the quality of perinat~ care in Orange County and promote access to that care. Health Facilities Review Committee recommends denial of request by Hoag Memorial Hospital Presbyterian for a CON for a six-station renal dialysis unit at a cost of $601,310. OCHPC conducts public hearing on next component of HSP, Current Directions in Health and Supportive Services in the Home. OCHPC Summary Page 6 11/78 11/78 12/78 1/79 1/79 1/79 1/79 2/79 2/79 3/79 3/79 3/79 Health Facilities Review Committee schedules CON meeting on application by Fullerton Care Convalescent Hospital to expand its 200-bed facility by an additional 92 beds at a cost of $347,164. Staff report recommends denial on grounds that the application does not comply with any of the factors of OCHPC's HSP and it does not meet any of the state's criteria. Appli- cant withdraws application shortly before review committee meeting. OCHPC Assembly elects six new members and returns two incumbents to OCHPC Board at annual election meeting. HMO Review Committee recommends that request by HMO Concepts for a $400,000 federal loan be approved. HMO Review Committee recommends that request by Medical Delive~ Systems, Inc., for an HMO grant of $175,320 be approved. OCHPC's fifth annual conference for Board members, committee chair- persons, and at-large members of the Assembly of Delegates features presentations on key planning and review projects~ for the coming year plus a speech by Robert Finch, former secretary of DHEW. Plan Development and Data Management Committees begin work on draft report on the economics of acute care hospitals.' The report, which compares changes in revenues and costs of local hospitals between fiscal years 1975 and 1976 shows, for example, that while the consumer price index for all services (less medical services) increased 7.1% between 1975 and 1976, total charges for hospital services rose 21%. OCHPC cosponsors workshop at Golden West College on HMO's which is attended by 300 persons. Eight OCHPC volunteers and staff members serve as faculty members for the workshop. ABC television's daily national news program, "World News Tonight," features a week-long program on health care costs, much of it based on films and interviews in Orange County with the assistance of OCHPC. The ABC crew filmed some local hospital scenes, interviews with Stan Matek (OCHPC's executive director), and Walter McClure's speech at OCHPC's Fall Health Forum. (See 1/78.) OCHPC recommends denial of request by Surgicare Associates, Inc., for a CON to build an outpatient surgicenter in Newport Beach at a cost of $644,256. HMO Review Committee recommends approval of a request by Maxicare, a federally qualified HMO, for an expansion grant of $163,005. Assembly of Delegates quarterly meeting features election of Speaker of the Assembly and a discussion of the escalation of health care costs, based on information being developed in an OCHPC report on the economics of acute care hospitals in Orange County. (See 1/79.) OCHPC conducts conference on health and mental health needs of Indochinese refugees -- to inform physicians, nurses, mental health providers, and others of the problems facing the refugees. (Orange County has the OCHPC Summary Page 7 3/79 4/79 4/79 5/79 5/79 5/79 5/79 5/79 6/79 largest per capita population of these refugees in the nation.) Speakers include national experts on the subject, including physicians and others from Vietnam. OCHPC is one of six health systems agencies in the nation selected to present testimony at hearings on renewal of the health planning legisla- tion before the House Subcommittee on Health and the Environment in Washington, D.C. OCHPC's testimony, which stressed accountability in health care and continued local participation rather than more regulation, was presented by John Rau, a local businessman and consumer member of OCHPC's Board. His testimony received an unprecedented two pages of ?verage in one of the major national health planning newsletters. Health Facilities Review.Committee recommends approval of request by Hoag Memorial Hospital for a CON to replace radiofluoroscopic equipment at a cost of $238,397. OCHPC and Golden West College cosponsor two-day conference on "Cultural Diversity in Health Care" to acquaint health care personnel with cultural beliefs and customs among patients and to increase understanding of behaviors which might influence acceptance or rejection of conventional health services. Health Facilities Review Committee recommends approval of request by Port Mesa Convalescent Hospital for a CON to add 13 skilled nursing beds to their 99-bed facility at a cost of $1,984. OCHPC conducts public hearings on two HSP documents, the 1979 Inventory of Health Services and Facilities and Basic Data on the Health Planning Area: 1979 Supplement. Health Facilities Review Committee recommends approval of request by Saddleback Community Hospital to expand its coronary care unit and relocate its intensive care unit at a cost of $829,240. Approval is subject to conditions that the hospital finance the project with at least 50% current funds rather than borrowing and submit long-range plans to OCHPC plus progress reports on this project. OCHPC Board reaffirms July 1977 resolution concerning the need to extend CON's for capital expenditures to nonhospital settings and amends earlier resolution by asking that it apply to all purchases in excess of $150,000 rather than just major diagnostic and therapeutic equipment. OCHPC Board sends letter to City of Huntington Beach requesting that they reconsider a recent action to prevent a residential care home from getting a permit. The letter refers to OCHPC's July 1978 resolution endorsing Senate Bill 2093. (See 7/78 for explanation of SB 2093 which was signed into law.) Assembly of Delegates quarterly meeting is on "Creative Planning in Long- Term Care." Speakers discuss strategies for long-term care, nursing ho~es as "dumping grounds" for seniors, the effect of regulations on quality care, frustrations encountered by acute care hospitals in discharge planning, and innovative programs such as day care centers for seniors. OCHPC Summary Page 8 6/79 6/79 7/79 7/79 7/79 8/79 8/79 9/79 OCHPC sends letter to City of Westminster requesting that t'hey reconsider a 90-day notice to an alcoholic recovery home to.move. OCHPC reminds the city of the provisions of SB 2093. (See 7/78, 5/79.) OCHPC conducts public hearing an application for renewal of full designation. OCHPC conducts public hearing on HSP component, Directions in Health Promotion Services and Programs. Report gets considerable publicity and OCHPC receives a record number of requests for copies from HSA's and other groups across the nation, Report is a component of the current HSP. OCHPC conducts public hearing on 1979 edition of another HSP component, Current Directions in End-Stage Renal Disease Services. Mental Health and Social Service Programs Review Committee conducts public meeting to review and comment on five applications for 314{d} mental health grants. Health Facilities Review Committee recommends approval of request by Delma Care Centers for a CON to add six intermediate care beds to its Huntington Beach Convalescent Hospital at a cost of $2,750. Health Facilities Review Committee recommends approval of request by Santa Ana Community Convalescent Center for a CON to convert 60 intermediate care beds to skilled nursing beds at a cost of $943.50. OCHPC Board approves the AIP and the Framework for an Area Health System. The AIP includes these objectives and priorities: Object ives 1) Continue the perinatal services plan implementation project; 2) Work with local-agencies to ensure that Indochinese refugees have access to culturally acceptable primary care; 3) Work with the Red Cross, Heart Association, and paramedics in the county on a campaign to increase the number of adults trained in cardiopulmonary resuscitation (CPR); 4) Develop a physical and mental "fitness" program for senior citizens at all transportation, lunch and counseling (TLC) sites in the county, a project that will involve the Health Promotion Consortium, Orange County Senior Citizens Program Office, and the Feedback Foundation. Special Priority Projects 1) Continue the 1978 AIP project concerning ownership of hospitals by certain providers (see 7/78), but change the focus to look at the functional characteristics of both profit and nonprofit hospit/als, such as utilization, type and intensity of services, mix of services, and cost. OCHPC Summary Page 9 9/79 10/79 10/79 11/79 11/79 12/79 1/80 2) Assess the feasibility of a cooperative study with local hospitals to determine fluctuations in occupancy levels due to patient mix, case intensity, room configuration, and size of hospitals, and the effects on hospital costs. 3) Form a consortium of local groups involved with health promotion/health education to develop guidelines and standards, identify priorities, and coordinate develop- pment of new as well as existing health promotion/ education services and programs. Health Facilities Review Committee recommends (and Board concurs, by a 10-7 vote) that Palm Harbor General Hospital get a CON to replace their present 219-bed acute care facility in Garden Grove with a new 175-bed one at a cost of $17.3 mill ion. The project would ber part of a multimillion dollar city redevelopment project involving building townhouses on the present hospital site with a new hospital and medical office building on adjacent sites. More than 250 persons attend the review committee meeting. Assembly of Delegates Fall Health Forum focuses on health needs of children in Orange County. Program features speech by Assemblyman Dennis Mangers on health legislation, panel discussion by experts on health issues, and workshops to draft a statement to be presented to the California Statehouse Conference qn Children and Youth in Sacramento next April. Assembly of Delegates members who represent cities and other govern- mental groups hold meeting on residential care issues. Speakers include city officials, a realtor, and mental health professionals. OCHPC, Indochinese Refugee Forum, and UCIMC cosponsor seminar on "TB and Refugees: A Prescription for Understanding." Purpose of seminar is to help the public gain an understanding of the transmission and treatment of TB, become better acquainted with services which are needed, and realize the need for more supportive attitudes toward the refugees. Assembly of Delegates elects six new members and returns two incumbents to Board of Directors at annual election meeting. Delegates also elect 32 persons to at-large positions in Assembly. OCHPC publishes Directory of In-Home Health and Supportive Services. It was developed by the In-Home Health Services Implementation Task Force, and it describes services offered, hours, methods of payment, and other information for convalescent care, board and care, home health agencies, homemaker services,, and a variety of other services. Community response is very favorable and several institutions order multiple copies. Annual Board conference for Board members and committee chairpersons features a discussion on issues in implementation and. critical factors in developing implementation, plus workshops on carrying out specific objectives from OCHPC's Annual Implementation Plan. OCHPC Summary Pag~ 10 - 1/8o 1/80 1/80 2/80 3/8O 4/80 4/80 5/80 Health Facilities Review Committee recommends approval of request by Town and Country Manor for the addition of 42 skilled nursing care beds at a cost of $172,941, providing that the applicant maintain a policy of open admissions to the intermediate care and skilled nursing care facility. OCHPC Board approves the Health Pro~ram Review Manual which contains procedures, criteria, and policies for the review of certain proposed uses of federal funds (PUFF). Board members are informed that this document has received compliments as being the best yet produced by a health systems agency on this subject. OCHPC Board withdraws endorsement of HMO Concepts, Inc., for its failure to report on implementation of reforms. (OCHPC had reviewed their grant applications in 1976 and 1977. Initially, OCHPC had issued 22 negative findings of fact, primarily in the areas of accountability and reporting, board structure and management practices, enrollment policies, and grievance procedures. The Board, at that time, had recon~nended approval, based on HMO Concepts' agreement to implement the reforms and report back to OCHPC.) OCHPC Board approves Plans and Procedures for Appropriateness Review. This manual will be used to reviewing services on an areawide basis. Assembly of Delegates meeting is based on the theme of "The Wellness Network: Where Do You Fit In?" Participants view a film on "Health and Lifestyle," learn progressive relaxation techniques and other ways to break the stress-disease chain, and learn about components of the wellness network -- or health promotion consortium -- and how they can fit in and contribute to that network. Health Program Review Committee recommends approval of application by the Orange County Office of Emergency Medical Services for expansion and improvement of regional EMS system. Request is for $749,914 for fourth year of program. OCHPC Board ratifies administrative review recommendation (by presi- dent, chairperson of Health Program Review Committee, and staff) that federal funding of two programs be granted: (1) demonstration program by Alcoholism Council of California to enhance contributions of volunteers at a cost of $50,000 statewide, and (2) hypertension pro- gram by California Department of Health Services, Chronic Disease Control Section, to reduce disability, death and costs resulting from hypertension. This would cost $728,980 in federal funds. OCHPC publishes phamplet, No-Cost Hospital Care, which describes how low-income persons can get no-cost or reduced-cost care from "Hill- Burton" hospitals. These hospitals received federal funds under the federal Hill-Burton Act. In return, they must provide a certain per- centage of uncompensated care each year. (Four hospitals currently have Hill-Burton obligations -- Saddleback, St. Jude, South Coast Medical Center, and St. Joseph, including the facilities leased to Childrens.) 'OCHPC Sun,nary Page ll 5/80 5/80 5/80 6/80 6/80 6/80 7/8O Appropriateness Review Committee conducts public hearing on Appro- priateness Review Hearing Procedures Manual and on proposed criteria and standards for appropriateness review of perinatal services. OCHPC conducts public hearing on application for renewal of full designation as a health systems agency. Health Program Review Committee recommends approval of three appli- cations for federal funds: Women and Children First, Inc., a residential facility for women alcohol abusers (cost $185,054); Olivecrest Homes, adolescent pregnancy services ($87,395); and Boys Club of America, adolescent pregnancy grant with special focus on the male perspective ($39,194). "Having Babies: A Community Affair" is the theme of the quarterly Assembly of Delegates meeting. The program features a slide show on family-centered maternity care at an alternative birth center; a March of Dimes film, "Battleground," which describes infant transport to intensive care units; and descriptions of their experiences by several couples who recently delivered, including low-risk normal births and high-risk situations. OCHPC Board unanimously approves supporting a petition to change procedures for determining Medi-Cal eligibiity for noncitizen appli- cants. The current application process requires that copies of Medi-Cal applications be forwarded to the Immigration and Naturali- zation Service. Some undocumented immigrants, fearful that they might be deported, are afraid to apply for Medi-Cal and, therefore, may not receive necessary services such as prenatal care or treatment of communicable diseases. Health Program Review committee recommends approval of five applica- tions for federal funds. * Boys Club of Orange County, project to deter adolescents from smoking and alcohol abuse, $99,849; County of Orange, "409" drug abuse services program, $173,946; UCLA Center for Health Enhancement, Education and Research, program to deter adoles- cents from smoking and alcohol abuse, $182,603; County of Orange, alcohol program plan and budget, $239,226; and State Chronic Disease Control Section, comprehensive program on genetic diseases, $499,707 total, $36,898 for Orange County. Data Management Committee conducts public hearing on two HSP documents: the 1.979 Inventory of Health Services and Facilities and Basic Data on the Health Planning Area: 1980 Supplement. The Inventory forecasts a shortage of almost 1,400 nursing home beds by 1983 but a continued excess of acute acre beds. The report also says there are too many treatment stations in emergency rooms, and it recommends that emergency rooms in four hospitals be closed.