Salinas Valley Memorial Healthcare System

Salinas Valley Memorial
Healthcare System
Electoral Process Community Meetings
What is the Salinas Valley Memorial
Healthcare System?
I.
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B.
C.
Purpose of Community Meetings
II.
A.
B.
C.
D.
III.
Public Healthcare District
Operate Healthcare Facilities and Provide
Services to the Community
Publicly Elected Board of Directors
Community Concern
At-Large Elections vs. District Elections
Is it advisable to increase size of Board?
Meetings and Hearings
Information and Contacts
Public Healthcare District
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State law authorizes the creation of local districts for the purpose of
providing healthcare.
Salinas Valley Memorial Healthcare System (SVMHS) was created
by local voters in 1948.
SVMHS is governed by a publicly-elected Board of Directors.
A portion of SVMHS’s budget is supported by local property taxes.
Salinas Valley Memorial Hospital was opened in 1953.
SVMHS’s boundaries run from Moss Landing to Gonzales.
Today, SVMHS owns, leases, and operates healthcare facilities
throughout Monterey County.
Public Healthcare District
Salinas Valley Memorial Healthcare System Boundaries
California’s Healthcare Districts
Source: Association of California Healthcare Districts
District
City
District
City
Antelope Valley Healthcare District
Lancaster
El Camino Hospital District
Mountain View
Avenal Hospital District
Avenal
Fallbrook Healthcare District
Fallbrook
Beach Cities Health District
Redondo Beach
Grossmont Healthcare District
La Mesa
Bear Valley Community Healthcare District
Big Bear Lake
Heffernan Memorial Hospital District
Calexico
Bloss Memorial Healthcare District
Atwater
Hi-Desert Memorial Health Care District
Joshua Tree
Camarillo Health Care District
Camarillo
John C. Fremont Healthcare District
Mariposa
Camarillo Health Care District
Cambria
Kaweah Delta Health Care District
Visalia
Chowchilla Memorial Hospital District
Chowchilla
Kern Valley Healthcare District
Lake Isabella
City of Alameda Health Care District
Alameda
Kingsburg District Hospital
Kingsburg
Cloverdale Health Care District
Cloverdale
Lompoc Healthcare District
Lompoc
Coalinga Hospital District
Coalinga
Lompoc Healthcare District
Pittsburg
Corcoran Hospital District
Corcoran
Marin Healthcare District
Corte Madera
Corning Healthcare District
Corning
Mark Twain Health Care District
San Andreas
Del Norte Healthcare District
Crescent City
Mayers Memorial Hospital District
Fall River Mills
Del Puerto Health Care District
Patterson
Mendocino Coast Healthcare District
Fort Bragg
Desert Healthcare District
Palm Springs
Mountain Communities Healthcare District
Weaverville
Eastern Plumas Healthcare District
Portola
Mt. Diablo Health Care District
Concord
Eden Township Healthcare District
Castro Valley
Muroc Healthcare District
Boron
California’s Healthcare Districts Cont.
Source: Association of California Healthcare Districts
District
City
District
City
North Kern South Tulare Hospital District
Delano
Sierra Kings Health Care District
Reedley
North Sonoma County Hospital District
Healdsburg
Sierra Valley District Hospital
Loyalton
Northern Inyo County Local Hospital District
Bishop
Sierra View Local Hospital District
Porterville
Oak Valley Hospital District
Oakdale
Soledad Community Health Care District
Soledad
Palm Drive Health Care District
Sebastopol
Sonoma Valley Health Care District
Sonoma
Palo Verde Health Care District
Blythe
Southern Humboldt Community Healthcare District
Garberville
Palomar Pomerado Health
San Diego
Southern Inyo Healthcare District
Lone Pine
Peninsula Health Care District
Burlingame
Southern Mono Healthcare District
Mammoth
Lakes
Petaluma Health Care District
Petaluma
Surprise Valley Health Care District
Cedarville
Pioneers Memorial Healthcare District
Brawley
Tahoe Forest Hospital District
Truckee
Plumas District Hospital
Quincy
Tehachapi Valley Healthcare District
Tehachapi
Redbud Healthcare District
Clearlake
Tri-City Healthcare District
Oceanside
Salinas Valley Memorial Healthcare System
Salinas
Tulare District Healthcare System
Tulare
San Benito Health Care District
Hollister
Valley Health System
Hemet
San Bernardino Mountains Community Hospital
District
Lake
Arrowhead
Washington Township Health Care District
Fremont
San Gorgonio Memorial Health Care District
Banning
West Contra Costa Healthcare District
San Pablo
Seneca Healthcare District
Chester
West Side Community Healthcare District
Newman
Sequoia Healthcare District
Redwood City
West Side Health Care District
Taft
Healthcare Facilities
Salinas Valley Memorial Hospital
www.svmh.com
Healthcare Facilities
Doctors on Duty
Walk-in urgent care clinics
doctorsonduty.com
Healthcare Providers
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Visiting Nurse Association and Hospice
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Stanford Cardiac Surgery Program at SVMH
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Partnership with local doctors.
Vantage Eye Center
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Partnership with Stanford Hospital & Clinics
Salinas Surgery Center
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Home healthcare and hospice services
www.ccvna.com
Comprehensive eye care facility partnership
Emeritus Senior Living at Harden Ranch
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Assisted Living Facility with Alzheimer’s Unit.
Current SVMHS Board of Directors
President – Jim Gattis
Vice President – Deborah Nelson, M.S., R.N.
Secretary – Patrick Egan
Treasurer – Harry Wardwell
Assistant Treasurer – Nathan Olivas
Purpose of Community Meetings
Community Concerns
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Members of community groups have expressed concern
over how SVMHS Board Members are elected.
 These groups have asked SVMHS to look at “zonedbased elections.”
 The SVMHS Board formed the Electoral Advisory
Committee made up of Board and community members
to review the concerns.
 The purpose of the Committee is to determine whether
the current “at-large” system serves the voters of the
district well.
 Committee was also charged with reviewing whether
District should have 7 Board Members instead of 5.
At-Large vs. District-Based
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“At-Large” Elections:
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Where all of the voters in a jurisdiction elect the
members of the governing body.
This is the default imposed by state law for healthcare
district boards of directors.
This is SVMHS’s current system.
“Zoned-Based” Elections:
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Where each candidate for the governing body must
reside in a divisible zone within a District boundaries.
Examples: Salinas City Council, Hartnell College
Electoral Advisory Committee
 Members:
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Patrick Egan, Chair
Harry Wardwell, Vice Chair
Tom Bryan
Lourdes Escoulta, R.N.
Albert Fong
Christine Ponzio, M.D.
Sally Pruneda
Electoral Advisory Committee
 Purpose:
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To study whether SVMHS’s Board of
Directors’ current at-large election system
properly serves the needs of the people of the
healthcare district, or if it would be better to
transition to zoned-based elections.
Also, to study whether the size of the Board of
Directors should be increased from 5
Directors to 7 Directors.
Electoral Advisory Committee
 Issues:
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Can voters elect the Director of their choice to
the Board using an at-large system?
Are healthcare districts different because they
are operating healthcare businesses and
should then operate with different electoral
systems?
Would this healthcare district benefit from
Directors from different geographical areas or
does it not matter?
Electoral Advisory Committee
 Expansion
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to the Board of Directors
In accordance with State Law, there are
currently five (5) Board Members.
Upon Petition, the number of Board Members
may be expanded from 5 to 7
Has the District grown in population so that it
could be better served by two additional
Board Members?
Electoral Advisory Committee
 Regular
and publicly noticed meetings and
hearings occur approximately twice per
month:
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Public comment is encouraged.
 Recommendation
about SVMHS’s election
system will be provided to Board of
Directors in the next two to three months.
Further Information
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SVMHS Board of Directors meeting agendas:
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Video of Electoral Advisory Committee meetings:
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www.svmh.com/boardmeetings
www.svmh.com/electoral
Association of California Healthcare Districts
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http://www.achd.org/
Frequently Asked Questions
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Does SVMH operate like a public entity or a private
hospital?
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Answer: SVMH is a public entity and is required to conduct its meetings
in public, and must comply with laws pertaining to public entities.
However, unlike cities or school districts, it operates a business in a
competitive environment and therefore is provided certain rights that
other public entities are not.
How are individual board members elected to the Board
of Directors?
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Answer: Members of the Board are elected to four year terms and are
elected by residents of the healthcare district in an “at-large system.”
FAQ’s (continued)
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If SVMH creates a “profit” where does the money go?
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Answer: The “profit” is used to purchase new equipment and provide
new services. In this manner it is similar to a “non-profit” hospital.
Are SVMH Board Members compensated for their
service?
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Answer: Under State law, they are each paid $100 per meeting they
attend, up to a maximum of $500 per month. Board Members typically
attend at least one Board Meeting and several Committee meetings
each month.
FAQ’s (continued)
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If someone has a complaint or a comment to make about
the hospital, who do they contact?
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Answer: There are several ways:
• 1.
Come to a Meeting of the Board of Directors and speak at public
comment. Meetings are regularly held on the third Thursday of each month
at the hospital starting at 2:00 p.m. All meetings are noticed to the public.
• 2.
Telephone the main telephone number: 757-4333 and ask for the
CEO’s office.
• 3.
Write a letter to the CEO to: Lowell Johnson, Interim CEO, Salinas
Valley Memorial Healthcare District, 450 E. Romie Lane, Salinas, CA 93901
• 4.
Send a Email Lowell Johnson at: ljohnson@svmh.com