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1981/03/23 City Council MinutesROHNERT PARK CITY COUNCIL MINUTES a - March 23, 1981 The Council of the`City of Rohnert Park met this date 'in regular session, commencing at 7:00 p.m. in the City Offices, 6750 Commerce Bonlevar'd,`ROhnert 'Park, with Mayor Stewart presiding. The regular session was preceded by an executive session which commenced at`7 00'p.m. and at which all Council - men, except Vice Mayor Carbone, and City Manager Callinan were present and which was held to discuss personnel and litigation matters. Call to Order Mayor Stewart called the meeting of the regular session to order at approximately 7:29 p.m. and led the pledge of ` 4Lllegiance .' Roll Call Present'- NY Councilmen Cavalli, Hopkins, Roberts, and Mayor Stewart, 'Absent: (1) Vice Mayor' 'CObone Staff present for all or part of the meeting: City Manager Callinan and City Attorney Flitner. Approval of Minutes Upon motion of Councilman'Hopkins, seconded by Councilman Cavalli, and unanimously approved, the minutes of;March 9., 198T` were approved as submitted.`_ Approval of Bills Upon motion of Councilman °Cavalli, seconded by Councilman Hopkins, and unanimously approved, the bills presented per the attached list in the amount of $420,937.16 were approved. a':� 3:� x' :•:'r': Y �a ^. : : :. : : ::'e : ::: : :..' : :e .::'::': i.:'::: x:'.•:' to::. o' : :r9.4ao':�': :'•x :e::� :'•? ::: C °'ON 9 E N V CALtN'DAR' Mayor Stewart referred the Council to City Manager Callinan's 'C%m it Meeting Memo dated March 19, 1981 for explanation of all the matters on the Consent Calendar. Councilman Cavalli 'questioned the'awarding.of contracts on the Consent Calendar 'and expressed the idea that these items should be discussed in more detail and should be placed elsewhere on the agenda. Discussion followed. 'Resolution No. 81 -49 A RESOLUTION OF AWARD OF CONTRACT, PUMPS CONTROLS, WELLS NOS. 19, 20 & 21, PROJECT NO. 1980 -31 - Resolution No. 81 -50 A RESOLUTION OF 1,WARD OF CONTRACT, TRAFFIC SIGNALS AT SAN SIMEON, PROJECT NO. 1981 -1 Resolution No. 81 -51 RESOLUTION APPROVING EASEMENT TO PACIFIC GAS AND ELECTRIC COMPANY (THROUGH PARCEL A'or THE FOOTHILLS.SUBDIVISION) Resolution No. 81 -52 A RESOLUTION APPROVING AGREEMENT, FOR COMPREHENSIVE TRANSPORTA -- TION PLANNING, (WITH COUNTY OF SO.NOMA AND OTHER CITIES ,IN THE COUNTY)' Resolution No. 81 -53 RESOLUTION OF'THE ROHNERT.PARK CITY COUNCIL VACATING AND ABANDONING A PORT'ION'OF NORTHWEST BOULEVARD RIGHT -OF -WAY AND AUTHORIZING QUITCLAIM DEEDS TO VARIOUS INDIVIDUALS Page, 2', March 23, 19 81 Resolution No. 81 -54 A RESOLUTION APPROVING AND AUTHORIZING EXECUTION OF AGREEMENT, LAGUNA VERDE ASSESSMENT DISTRICT, PROJECT NO. 1979 -10. Resolution;No. 81 -55:. 4,, SOLUTION:AWARD;ING CONTRACT (FOR SAND SEPARATOR, WELL #9) Resolution No. 81 -56; A•. ESOLU.,ION AWARDING CONTRACT FOR AUTOMOBILE Resolution Nos 81 -57 ,:.A USOLUTION SUPPORTING GAS TAX INCREASE AS PROPOSED IN SB 215 AUpon' motion by Councilman Hopkins, seconded by Councilman Roberts, the Consent Calendar was, consisting of Resolutions Nos. 81 -49 through 81 -57, was approved by the following voice Vote: AYES: (3) Hopkins,'Roberts, Stewart NOES: (1) Cavalli ABSBNT: (1);:Carbone Counc�ii�an,.cavalii stated for "the.. record that he had no objection to any of the items-on the Consent Calendar as such, kzut_voted no,b:ecause he..feelsl'that the award of contracts should not.be. placed on the_Consent Calendar. 7'�n� i; i;a:•7�i Z, :';:;;; ra; Tini7' ;S;a'Ci;7'C9:SC7'Ca'C'�,,i:CS�C aw na';Y;a'C; ; +�siiS, 7i iCai'iC't.''iC 7'C "''� (�7iiC iCii"�Ci: a'C ai'lia� Weed Abatement Mayor Stewart opened the scheduled public hearing on Weed Hearing Abatement. City Manager Callinan explained the weed abatement procee4ings. Mayor Stewart asked for comments from the audien Mr. Paul Grp gorian,.5739 Davis Circle, asked for clarification of the.progedures,and City.'Manager Callinan again explained in more detail that the city,.staff would be authorized to abate those:weeos,;whir_h have not"been abated by the time the staff appears to mow them. He also explained that the city routinely mows quite a few, of the large, undeveloped properties and bills the property owners for the'`cost.of the mowing. Mr'. Pete Kassebaum9 793 Lombard Way, was recognized and questic the legality of the city staff mowing weeds on properties whose owners did not receive mailed notices and billing the property owners. City Attorney Flitner explained that the publication of the "Notice to Destroy Weedst °;was ample notice to the public and that the city was .within its rights to do same. There being no further comments from the audience, Mayor Stewar closed the Public Hearing. Resolution;No.. 81 -58,. .RESOLUTION DIRECTING CITY, MANAGER TO ABATE WEEDS was adopted upon motion by Councilman Hopkins, seconded by Councilman Roberts, and unanimous approval. Approving Tow City.,Manager Callinan asked,that the resolution approving tow Service Agreements service agreements be deferred. The Council agreed. ,tstablishirig R'`4_es .for City Manager C ll- inan,r- A-stri4,4ted and briefly explained the Use of City Buildings contents of a resolution which would revise the fee schedule for use of the Community Center Building and other city build - ings., Discussion followed ing. which it' was ,ag-reied that the Council sh6uld study the prQposal''and that it would be schedule Resolution No. 81 -59 Rancho Cotate Music Committee North Bay Health Services Agency Page 3 March 23, 1981 for discussion and action at an April Council meeting. AUTHORIZING APPLICATIONS FOR TRANSPORTATION DEVELOPMENT ACT FUNDS City Manager Callinan explained the resolution. Upon motion by Councilman Hopkins, seconded by Councilman Roberts, and unanimously approved, Resolution No. 81 -59 was adopted..., Mrs. Fran Voets of the Rancho Cotate Music Committee appeared before the City Council to request permission for the Rancho Cotate,High. School band to use Camino Corto for practice each day for 1/2 hour to 45 minutes. After a discussion, the Council recommended that the band look into using the driveway in the new Community Center as a more feasible place to practice so as not to. disturb local residents. Mrs. Voets agreed to look into the prospect of using same. City Manager Callinan introduced Mr. Lee Dickerson,-who-repre- sents the North Bay Health Services Agency in Petaluma. Mr. Dickerson read a statement, a copy of which is attached to the original set of these minutes. Upon conclusion of Mr. Dickerson's presentation, discussion was held on the feasi- bility of Rohnert Park having its own hospital in:the future and the obstacles which must be overcome in doing so. During the discussion, Mr. Dickerson suggested that a member of the City Council join the agency's governing body and urged the city to use the agency staff in its endeavors to investigate a hospital project. Councilman Cavalli At this point in the meeting, the time being approximately leaves 8:40 p.m., Councilman Cavalli left the Council Chambers. Communications Communications per the attached outline were brought to the attention` *f_,thp City Council. No action was taken on any communications except as specifically noted in these minutes. Mayor Stewart commented on the communications received from anonymous persons and noted that it was difficult to take action without knowing who to contact. Councilman Roberts noted the request from the YWCA and City Manager Callinan clarified that this was the balance of the request for funds for the Women's Emergency Shelter for the second,half of the fiscal year which was previously approved by the City Council in the 1980 -81 budget. Councilman Cavalli At this point in the meeting, the time being approximately returns 8:45 p.m., Councilman Cavalli returned to the Council Chambers. City Manager's City Manager Callinan reported on a cash contribution of Report $2,000.00 from Mr. Olaf Gross, a local developer; the.contri- bution being made towards the stadium project. City Manager Callinan advised that an appropriate letter of thanks would be sent to Mr. Gross., Councilman Roberts At this point in the meeting, Councilman Roberts left the Leaves Council Chambers, the time being approximately 8:48 p.m. Page 4 March 23, 1981 Resolution No. 81 -60 A RESOLUTION OFFERING THE BOY SCOUTS OF AMERICA A SITE FOR AN ADMINISTRATION BUILDING. Councilman Roberts Returns City Manager Callinan, referring to his Council Meeting Memo dated March 19,, 1981, and ,a copy of the site plan for H. Park which was on display, explained Resolution No. 81 -60. Councilman Roberts returned to the Council Chambers at this point in the meeting, the time being Tproximately 8:52 p.m. Upon motion by Councilman Hopkins, seconded by Councilman Roberts, and unanimously approved, Resolution No. 81 -60 was adopted by title. , Snyder Lane Update City Manager Callinan reported on the status of the Snyder Lane project and stated that a meeting was being set up with Supervisor Rudee to discuss same. Hospital Planning City Manager Callinan referred to his Council Meeting Memo dated March,19, 1981 suggesting a committee should be estab- lished to expedite progress towards getting a hospital established., .Resolution No. 81 -61 RESOLUTION ESTABLISHING AN AD'HOC COMMITTEE FOR THE IMPROVEMENT OF HEALTH SERVICES. Upon motion of Councilman Roberts, seconded by Councilman Hopkins, and unanimously approved, Resolution No. 81 -61 was adopted by title. Councilman Hopkins made the motion that Dr. Don Davis and Councilman Roberts be appointed to the Ad Hoc Committee. Said motion was seconded by Councilman Cavalli and'was unanimously approved; Ladybug Pool City Manager Callinan reminded the City Council of the Dedication dedication ceremonies for the`new Ladybug Swimming Pool to be held on March 28, 1981. LCC Meeting -Napa City Manager Callinan brought to the attention 9f the Council the upcoming League ofCalifornia Cities, Redwood Empire .Division,.meeting to be held in Napa on April,:ll, 1981. Joint School City Manager Callinan informed the City Council that a joint Board Meeting meeting with,the school board is scheduled to be held at Zane's Restaurant on April 20th. Stadium Update City Manager Callinan gave an update on the progress of the stadium, noting that work had slowed due to the recent rains. City Attorney's City Attorney Flitner presented a draft of an ordinance pro- Report hibiting the placing of material on windshields and the hand delivering of materials. The ordinance will be further dis- cussed and scheduled.for introduction at the next regular Council meeting. Page 5 March 23, 1981 Matters from Councilman Roberts reported on the Santa Rosa Memorial Councilmen Hospital Long Range Planning Sub - Committee meetings and displayed a current report of said sub - committee and said the City Council would be provided copies of same. Councilman Hopkins expressed his concern over the lack of bicycle citations being given and noted there were none issued in February according to the Department of Public Safety Monthly Report City Manager Callinan stated that he has already spoken to the Director of Public Safety on this matter and that action will be taken. Mayor Stewart stated that she noted a number of vehicles with only one headlight and a number of cars on the streets need- ing repairs and suggested that more citations be given to curb these incidents. Unscheduled Public Pete Kassebaum, 793 Lombard Way, representing the residents on Appearances the north end of Lombard Way, presented their complaints on rental properties not being maintained, the number of vehicles being parked on the street, the failure of the Public Safety Department to enforce ordinances pertaining to vehicles being worked on, noise late at night, etc. He stated that he felt citizens should not have to appear at a City Council meeting to get these minor things taken care of. Discussion followed, during which City Manager Callinan stated that "No All Night Parking" signs could be posted in front of the residents' homes if they desired to keep the number of cars on the streets reduced and assured Mr. Kassebaum that his complaints would be followed up on. Clara Brown of the Rohnert Park Cultural Arts Commission appeared before the City Council to advise them that the commission had not been notified of the deadline to appoint persons to the Sonoma County Arts Council, which is March 31, 1981. Adjournment There being no further business, Mayor Stewart adjourned the meeting at 10:00 p.m. to 7:30 p.m. Monday, April 6, 1981. APPROVED: Deputy City Jerk Roberts THE PURPOSE OF BOTH THE Ff-,-DERAL AND STATE LAWS IS TO; Impj7,,OVE 'FlIE HEALTH OF AR11:A 1", ES 1 DEITI'S.; Z� r), RES TRAIN INCRFASES IN HEALTH CARE COSTS., 3. PREVENT UNNECESSARY DUPLICATION OF HEALTH FAC1LITIFMS AND HEALTH SERVICES; Af\Pl INCREASE ACCESS TO HEALTH CARE SERVICES PARTI(IX)LARLY FOR RURAL /,-V4D INNER CITY POPULAT IONS, THE I\K�RTH PAY I-IEIALTH SYSTEfl; AGENCY IS ONE OI=L ]h SUCH AGENCIES IN CALIFORNIA AND 2W NAT IONvIlDE, IN CAL IFORINIA, THERE IS ALSO A STATE HEALTH PLANNING AGENCY TI-AT HAS rANY OF THE' SN,lE RESPONSIBILITIES AS DO THE LOCAL ORGANIZATIONS,/,, I -+lAKING BODY IS IN TERMS OfF ORGANI71%TIONAL STRU(C'Tl_Jp\E,, THI AGENCY S POLICY UP OF 30j MDN 3ER5 REPRESENTING THE FVV.jOR CONS1,PIER AND HEALTH CARE PROVIDER INTERESTS IN THE TI REIE COUNTY NORTH BAY AREA, THIS GOVERNING BODY HAS 16 COINStIIER (TI-!AT IS, INDIVIDUALS WI-10 DO t\V)T RECEIVE INCOME FR(ll THE DELIVERY OF HEALTH CARE SERVICES AND A HEAL-11-1 CARE PROVIDER MEMBERS, 4,r J.r G. BODY THE NORTH BAY HEALT Y s) H itnS AGEINCY I S A PUBLIC REGIONAL PLANK! I NG THAT WAS CREATED IN 1976 TllZOUGH A JOINT EXERCISE OF PC)vqERS AGREEMENT AMONG THE COUNTIES OF SONOMA., NA')A, AND 1301--ANO6 THE AGENCY WAS FORVED TO CARRY OUT THE REQUIRIE--MLENTS OF PU143LIC LAtq 93-64lo THE NATIONAL HEALTH PLANNING AND RESOURCES DEVELOPMENT ACT, THE AGENCY ALSO OPERIVI'ES UtZER THE AUTHORIT'Y OF STATE HF"m-TH I'll.,J\NNING LAW) AB /11M I, ALFFHORIED BY NOW SENATOR BARRY KEENE, THE PURPOSE OF BOTH THE Ff-,-DERAL AND STATE LAWS IS TO; Impj7,,OVE 'FlIE HEALTH OF AR11:A 1", ES 1 DEITI'S.; Z� r), RES TRAIN INCRFASES IN HEALTH CARE COSTS., 3. PREVENT UNNECESSARY DUPLICATION OF HEALTH FAC1LITIFMS AND HEALTH SERVICES; Af\Pl INCREASE ACCESS TO HEALTH CARE SERVICES PARTI(IX)LARLY FOR RURAL /,-V4D INNER CITY POPULAT IONS, THE I\K�RTH PAY I-IEIALTH SYSTEfl; AGENCY IS ONE OI=L ]h SUCH AGENCIES IN CALIFORNIA AND 2W NAT IONvIlDE, IN CAL IFORINIA, THERE IS ALSO A STATE HEALTH PLANNING AGENCY TI-AT HAS rANY OF THE' SN,lE RESPONSIBILITIES AS DO THE LOCAL ORGANIZATIONS,/,, I -+lAKING BODY IS IN TERMS OfF ORGANI71%TIONAL STRU(C'Tl_Jp\E,, THI AGENCY S POLICY UP OF 30j MDN 3ER5 REPRESENTING THE FVV.jOR CONS1,PIER AND HEALTH CARE PROVIDER INTERESTS IN THE TI REIE COUNTY NORTH BAY AREA, THIS GOVERNING BODY HAS 16 COINStIIER (TI-!AT IS, INDIVIDUALS WI-10 DO t\V)T RECEIVE INCOME FR(ll THE DELIVERY OF HEALTH CARE SERVICES AND A HEAL-11-1 CARE PROVIDER MEMBERS, m THE CONSUMER 11-3,1BERS OF THE AGENCY REPRESENT THE MAJOR POPULATION GROUPS OF THE REGION INCLUDING SENIOIRS AND MINORITY GROUPS AS WELL AS BUSINESS, LABOR AND LOCAL GOVERNMENT INTEIRESTS, THE ILI PROVIDER MEMBERS INCLUDE FOUR PHYSICIANS, JFYIO HOSPITAL ADM INISTIVJORS), TWO NURSES AND A DENTIST, IN TERMS OF GEOGRAPHIC REPRESENTATION, THE GOVERNING-, N)DY HAS 16ME-�MBERS FROM SgICM- COUNTY INCLUDING PETER ME CORM ICK AND BILL. MASON FROM ROHNERT PARK NINE MEMBERS FROlM SOLANO COUNTY AND FIVE MEMBERS FROM NAPA COUNTY, THESE INDIVIDLALS ARE APPOINTED FOR A TWO YEAR TERM BY A GROUP M,1\1.')E UP OF TWO SUPERVISORS FROM EACIH OF THE T11REE COUNTIES AND A CITIZEN-AT--LARGE FROM EACH COUNTY- THE GOVERNING BODY MEETS ` MONTHLY AND AC]"S ON ALL POLICY MATTERS BEFORE THE AGENCY ALL MEIZIERS SESE" RVE C0�11-'IENSATION FOR THEIR SERVICES BtJT ARE REIMBURSED THEIR EXPENSES, THE DETAILET-) WORK OF THE ORGANIZVJION IS CONDUCTED BY THREE MAJOR COMMITTEES '�HWE f�V\KE-UP IS SIMILAR TO TFIAT OF THE GOVERNING BODY, OVERALL, THE ORGANIZATION APPROXIMATELY 12-0 LOCAL. CITIZENS INVOL.VED IN I. TS ACT IVI-11-THES ON AN ONGOING IV\SIS AS Fi'vR AS THE AGENCY S FUNDING IS CONCERNED, h-M-81 Burx-,ET FOR lliE 1. -- I FUNDING ly- S Of,'C,f,,N I 7-AT I (X'l I S ��' �73 WO NINETY PERCENT OF THE AGL-`.NCY'S FU )ING COtl: FROl"ll THE FEDERAL GOVERNVlENT AND 1.0 PERCENT FROM STATE, GOVEFWA-.-NT' OUR 1981-32 Bl-flrXiET IS EXPEI-""Til) TO BE APPROXIMAWELY ',B(yl),0W' . THE AGENCY L1,1PLOYS EIG.-fl' PROFESS IONAL AND FOUR CLERICAL STAFF ARE DIREC"I'LY ACCOW-ABLE TO THE GOVERNING BODY, THE MJOR ACTIVITIES OF 'THE AGENCY ARE IN THE AREA OF HEALTH PLANNING., RESOURCES DEVELOPMENT OR IMPLEMENTATION OF THE HEALTH f--ILJ\N, AND THE REVIEM OF CJ\PITAL EXPENDITURES BY HEALTH FACILITIES, ALL OF 'THE AGEIIK-,Y `S ACTIVITIES ARE GUIDED BY THE LOCAL.. HEALTH PLAN WHICH WAS FIRST DEVELOPED IN 1.977 AND HAS BEEN UPDATED AND [REVISED EVERY YEAR SINCE 'THEN. THIS PLAN DEALS W FTH TWO MJOR AREAS INCLUDING ( I ) THE HEALTH OF THE PEOPLE OF THE AREA AND (2) THE HEALTH Uv'RE FACILITIES Pm) SERVICES WHICH ARE NEEDED IN THE AREA. THE HEAL —fl-i OF AREA RESIDENTS IS ANLAYZED IN TERMS OF THE CAUSES OF DEATH AND ILLNESS AND SPECIFIC PROGRAMS ARE REC(MENDED FOR DEALING WITH THE LFADING HEALTH PROBLEIAS OF -fl-IE AREA WITH RESPECT TO HEALTH SERVICES AND FACILITIES, THE PLAN IDENTIFIES THE NEED FOR SERVICES BASED ON SUCH FACTOIRS AS 'THE EXPECTED INCIDENCE OF ILLNESS, HISTORICAL. USE OF SERVICES,, POPULATION GIRUVFFH,F REASONABLE' ACCESS TIME., COST OF SERVICES AND EFFICIEN7 USE OF HE'ALTH RESOURCES, THE NEEQ FOR SERVICES MS ED ON THESE FACTOR'S IS THE.N COMPARED TO MAT EXISTS IN THE AREA AND RECOl,PIEM)ATIONS FOR CHANGE (EITHER AN INCREASE OR DECREASE IN THE SUPPLY OF SE'l , RVICES OR A CHANGE IN THE WAY IN WHICH SERVICES ARE PROVIDED,)! AIRE THEN CITED, AS I SAID EARLIER, THIS PLAN IS REVIEWED AND REVISED EVERY YEARa THE AGENCY IS PLANNING CUVITTEE HAS THE RESPONSIBILITY FOR DRt\FTING THE DOCLPIENT. THE CCTTIIT-TEE MEE-TS APPROXIKATELY .10-15) TIMES, PER YEAR TO REVIEW NEW DATA, HEAR INPUT FRONI THE PUBLIC AND DETE14,11NE I-m THE PLAN SK)ULD BE C'rV-\NlG[-z'I). THE DOCMIENT IS *THEN REVIEWED BY THE PUBLIC IN A -4- SERIES OF PUBLIC HEARINGSfv-:'j IS 74`E-jv REVISED AND ADOPTED BY THE AGENCY'S GOVERNING BODY, IN ORDER TO BE USED AS THE BASIS FOR THE AGENCY' S ACTIVITIES., THE PLAN MUST BE APPROVED BY THE STATE AND MUST MEET FEDERAL REQUIREMENTS FOR A LOCAL PLAN. ONCE TIME NECESSARY APPROVALS HAVE BEEN GRANTED, THE- AGENCY ATFEMPTS TO CARRY OUT THE PRIORITY PROGFWIS CITED AS NEEDED IN THE Pf,.AN, SINCE THE AGENCY IS NOT GIVEN FUNDING TO DEVELOP OR EXPAND NEEDED FROGRAJ,�S, WE RELY ON THE COOPERATION OF LOCAL GROUPS TO SEE THAT THE PLAN IS CARRIED OUT. FOR THE PAST FOUR YE-ARS, THE AGENCY ilAS A-Ff'EMPTED TO FOSTER PROGRI-\MS WHICH PROMOTE T F HEALTH AND PREVENT DISt:-ASE, THE REASONING BEI i T IND SUCH PRIOIRITIES IS ' - 1AT , IN THE LONG RUTJ, THE ONLY EFFECTIVE WAY TO IMPROVE HEALT11-1 AND REDUCE T1--iE COST OF HEALTH CARE IS TO PREVENT 1L.1-NESS, IN SONOlvVk COUNTY, THE AGENCY HAS BEEN WORKING WITH LOCAL. SCHOOLS TO DEVELOP A HEA—TH EDUCATION CURRICULUIll T11kr CAN BE TALK,[ff IN THE PUBLIC SCHOOLS IN t7l ' I S F FORT ITS PERIOD OF NINDLING FINANCIAL SUPPORT TO THE SCIADOLS. vl-1 E- INVOLVES SC1,K)OL ADMINISTRATORS, TEACHERS AND PTA ANOTHER OF OUR EFFORTS IS TO FOSTER THE DEVELOF-11ENT OF PHYSICAL ACT IviTY PROGRAMS THiJ WILL TEACH SFUDENTS LIFEL..Cft--,', HABITS OF PHYSICAL ACTIVITYs 'TO THIS END, A PHYSICAL ACTIVITY FORUM IS TIEING HELD IN PETALAMN ON APRIL 4TH AND WILL INCLUDE A PRESENTATION BY A MEMBER OF` THE,', PRESIDENT I S COUNCIL ON PHYSICAL FITNESS, THE FORLX IS CO—SPONSORE-D BY SON4,Vk STATE UNIVI'T,SITY) CLOVER DAIRY, SONOMA CO(A\1TY OFFICE OF EfA.K.-ATION"AND OTHERS, MS. BONNIE LLFT-TREI.J.. FROM ROHNERT PARK HAS I-)EIN V[R'Y ACTIVE IN —ITT'. PL-ANNINC., OF THE FOR(14, THE THIRD MAJOR FUNCTION OFTHE AGENCY, ITYd"OF RPVlLM}NG CAPITAL Ex- PENDlTURE3 BY HEALTH FACILITIES, IS THE MOST WIDELY MI}WN AND CONTROVERSIAL ACTIVITY 0F THE ORGANIZATION. UNDER B0T[-1 FEDERAL AND STATE LAW, PROPOSAI_S FOR THE DEVELOPMENT OF NEW HE/\LTl{ FACIL{T{E3, EXPANSION OF EXISTING HEALTH FACILITIES men/^ R THE EXPEND OF � ��0 /0u 'h 'v N rAx�N`Y � � P ROJE[T MUST GO THROUG}( THE LOCAL P[8NNING AGENCY FOR REVIEW AND TU[K)UGH THE STATE FOR APPROVAL. THIS PROCESS/ CALLED OF NEED REVIEW/ l3 REQUIRED IF /\ f- AC l3 T0 BE ilCEN3ED IN THIS STATE AND RECEIVE MEDI-CAL AND MEDICARE REIMURSEPIENT, THIS TYPE OF REVIEW IS REQUIRED BY LJ\W FOR SEVERAL REASONS AS FOLLOWS, l �� � THE TAXPAYER, THR0GOH GOVER��ENTv PAYS FOR APPRO�}��T�-Y �� PERCENT OF HOSPITAL SERVICES. 2 I-10SPITALS ARE REHI'U.IURSED F'OF,' CJ\RE ON THE BASIS OF THE COST OF PROVIDING . . SERVICES, Tl-RS, THE COST OF CMS-HRUK-TING FACILITIES A10 SERVICES AS WELL AS OPERATING COSTS WILL IBE RECAPTURE) T|f-�O[K�H PATIENT Cl-iARGES ox^ REGARDLESS OF WHETHER Ti<E FAClLITY DR SERYlC� {� REALLY �EEIX�)� W/�� v 1K)SPITALS ARE NOT PRICE (.XlllPE'fETIVE. -1-1-1AT IS, CONSLM-A�S DO NOT ,ELECT A �-OSPFII'AL ON THE BASIS OF PRICE AND FACILATIE UAVE STRONG lNCENTIVES TO KEEP COsTS DOWN, GIVEN THESE ("i-MACTERISTICS OF HOSPITAL OPERATION, BOTH CONGiRESS AM) THE STATE LEGISL.ATUR\E f"ELT 'I]" APPROPRIATE TO CONTROL HOSPITAL COSTS BY REQUIRING _6_ BE DEVELOPED, THE CERTIFICATE OF NEED PROCESS RMIRES AN APPLICANT TO DEVELOP AN APPLICATION WHICH ADDRESSES 17 CRITERIA FOUND IN LNVI AND REGUI-ATION, THE APPLICATION IS REVIEWED 13Y THE LOCAL PLANNING AGENCY IN A PUBLIC ME 17-Y OR SERIVICES i ETING, THIS REVIEW IS BASED ON THE NEED FOR THE FACILITY AS Sil-MN IN THE LOCAL PLAN, THE EXPEC"I'M DEMAND FOR THE FACILITY, ITS EFFECT ON HEALTH CARE COSTS, T'HE RANGE AND QUALITY OF SERVICES To BE PROVIDED AND SEVERAL OTHER FACTORS, A RECOIMENDAT ION FOR APPROVAL OR DENIAL OF T I HE APPLICATION IS THEN MADE BY THE AGENCY'S GOVERNING BODY AND FORWARDED TO THE STATE, THE STATE THEN CARRIES OUT ITS OWN REVIEW PROCESS INCL_UDIING A PUBLIC HEARING AND ACTS TO EITHER APPROVE OR DENY THE APPLICATION, ALTHOUGH,lTiE AGENCY HAS SEVERAL OTHER FUNCTIONS,, THE THREE I HAVE OtMANED ARE CERTAINLY THE tMf' ­ IMPORTANT, Mq I WOULD LIKE TO ADDIRESS IM . CALL INAN ; S V T QUE'TION CONCERNING THE AGENCY' S I PeJS ON THE LONG TERM NEED FOR HEALTH FACILITIES IN THE ROHNERT PARK AREA, T11E SERVICES THAT I WOULD LIKE TO T ADRESS INCLU13E A GENERAL HOSPITAL, SKILLED NURSING FAC 11 _.lTY AND OUTPA T I ENT CARE, GENERAL KOSPITAL I fV SURF 1 41AT YO ARE AWARE THE AREA'S CM0f HEALTH PUN ICES NOT SHCM A NEED FOR A NEW OR EXPiMED HOSPITAL IN SONOflA COUNTY. ESTABLISHING A HOSPITAL IN ROHNERT PARK 1­0 SERVE THE ROHNERT PMl\`-COTATI AREA WOULD, I THINK, BE AN UPHILL BATTLE FOIR THE FOLl_()WlN()' REASONS: -7-- DEMAND FOR SERVICES "1977AINDICATES THAT 1-65.1 ROHNERT A STUDY 'It CONDUCTED BY THE AGENCY PAR K-COTATI RESIDENTS WERE HOSPITALI'ZED IN SONOMA COUNTY HOSPI'TALS IN fl-Ild YEAR, 'THIS NLJVD-[,-,.R OF PATIENTS WOULD FILL APPROXIMAJELY 25 BEDS PER DAY, TI-ilS DATA IS NOW BEING UPDATED FOR 1930 AND PRELIMINARY FIGURES INDICATE APPROXIMATELY 2050 ROHNERT PARK--CoTATI RESIDEN7TS WERE 1-110SPITALIZED LAST Y[-WR, THESE PATIENTS FILLED ABOUT 31. BEDS PER DAY IN THE COUffTY. EVEN WITH SUBSTANTIAL GPml-i IN THE AREA, WHICH WILL UNDOUBTEDLY OCCUR, Ti-IE UTIL17ATION OF A HOSPITAl- IN THE AREA WOULD BE I,VVRGINAL AND CARE WOULD BE EXPENSIVE BECAUSE OF LOAF VOLt.W"lE- i THIS Laq UTILIZATION OF SERVICES APPEARS TO BE A RESULT OF SEVERAL FACTORS INCLUDING; A, APRROXII'IATELY 14 PERCENT OF THE AREAS POPULATION ARE KAISER ME1"'U3ERS COXIPAPRED TO ABOUT PERCENT OF THE COUNTY AS A WHOLE, B. 'THE ROHNERT PARK-C(YTATI POPULATION 'IS SaMEWHA-T YOUNGER Tfiql THE COUNTY AS A WHOLE Atlj` THEREFORE USES FEWER SERVICES, All IL C. S(X� E PEOPI-E M-0 CCNvll,,ff'E 'TO THE CITY MAY BE PURCHASING HEA-1 TH SER,VICES FZHERE_ -I -HEY T-'IORK PZATHER THAN VviiERE. 'THEY LIVE, 2 AVA I LAB I IL ITY OF SERVICLS IN SANTA ROSA AND PETALUKA '�A ,q)(ST EXPERTS AGREE A 30-J-15 MINUTE 'IT VEL TIME 1^0 A HOSPITAL SHO(A-D IRE USED FOR PLANNING1 FACILFTIFS, THE Rl."SIDEN7T'S OF ROHNERT PARK AND CO'[ATI HAVE SIX fVJSPITALS AVAILABI-E WITHIN .15-30 MINUTES, THESE SIX }1OSPITA[S HAVE (�)0 BEDS WIlTCH OPFR/TED AT PERCENT —7. 1�DO OF THEIR CAPACITY IN ���u. � � ) RANGE OF SERVICES AYA}[/\B�E / A SMALL HOSPITAL IN TOIV\Y^S C(111P[EX MED{CA[W0R[D SIMPLY CANNOT PROVIDE ALL THE SPECIALTY SERVICE,") Rl'-'QUlRED BY A POPULATION, TMU3/ IF A HOSPITAL WERE ESTABLISHED IN ROHNERT PARK' MVkN'Y PEOPLE MOULD STILL CONTINUE TO TRAVEL TO SANTA R0SA OR OTHER AREAS FOR CARE, A SIGNIFICANT PORTION OF THE CARE FOR CANCER/ HEART DISEASE AND EVEN OBSTETRICS WOULD PROBABLY HAVE TO OCCUR IN SANTA ROSA OR PETALiX11A, AS AN EX/y1PLE^ M0RE SE:BASTOP0L RESIDENTS ARE HOSPITALIZED IN SANTA R0SA T|K\N IN THE I-13SPl77\L IN THAT C[XT1UNlTY. FOR THE-SE REASONS IT WOULD BE DIFFICULT FOR, A NEW 11)SPITAL IN ROHNERU PARK TO GAIN PLMINlNG APPROVAL- WITHIN THE NEXI- FEN YEARS. H)WEVER/ AS [ NOTED UARLIER� THE AREA HEALTH PLAN IS REVISED E8[H Y[M AND AS NEW INFORMATION IS FORTf-K,I'0�;1ING IT WILL BE INICORPORA-TED INTO THE PLAN4 .. WITH RESPECT TO A SKILL.-ED NDRS[NG FACILITY, THE PICTURE is S0MBwixT BET[ER" WITHIN TIHE NEX-F 3-jil YEARS IT APPEARS THAT THE [ROHNEf;ff PARK COTATI MEA COLA�} SUPPORT A FACILITY T�-lAJ WOULD BE ECONOMICALLY FEASIBLE TO OPERATE PPROXH10ELY 00 DEDr\ . BECAUSE THE L-ENGT|| OF STAY IN THIS TYPE OF FACILITY IS OVER A YFM, THE ADVANTAGE 01" I.-OCATING SUCH A FA(-".I[-I'rY IN THE ARE.A Vk)ULD BE Ti-V\T FR\IENDS AND RELAT IVES COULD VISIT PATIENTS KORE FR�QUE�� ]F ��Y HERE �T RE��RED T0 �l� � ��A R�A � �A��. _ #lTH RE3PE[T TO OUTPATIENT MEDICAL SERVICES/ THE ROUNERT PARK-00TATI AREA APPEARS TO BE RELATIVELY WELL-SERVED BY PHYSICIANS PRACTICING IN THE AREA BOTH FULL AND PART TIME AND BY DOCTORS AVAILABLE IN SANTA RO3A AND pETALUMA. WE ARE AWARE THAT BOTH SANTA RO3A /1E.MlORIAL HOSPITAL AND PETALM4 VALLEY HOSPITAL ARE >K[[ERESTED IN ESTABLISHING AN URGENT CARE - OUTPATIEff CLINIC IN RDHNERT PARK, THE OF ONE SUCH CLINIC IN THE AREA WJi81) APPEAR TO BE. A G0OD APPROACH TO RESOLVING ll1E PROBLEM OF PATIENTS T|k\T REQUlRF URGENT 1`�iIT NOT B4ERGENCY SERVICES, PARTICULARLY AFTER NOR>�\� PHYSICIAN OFFICE HOURS AND NGEK[ND3, SUCH A CLINIC S�0ULD ' ' BE CONSIDERABLY LESS EXPENSIVE THAN /\ HOSPITAL EMERGENCY ROOM IN EITHER PETALU"A OR SANTA ROSA/ND WOULD/ OF COURSE, BE READILY AVAILABLE, THE FINAL QUESTION THAT MR, CALLINAN REQUESTED THAT I ADDRESS IS WIN ONE CAN GET IN%Y}LYED IN THE AGENCY, { THINK THERE ARE SEVERAL WAYS IN HHTCH THE COUNCIL OR ITS REPRESENTATIVES CAN GET INVOLVED IN THE AGENCY AS FOLLOWS; l T THINK THE AGENCY'S GOVERNING BODY NOULD Dl'-' WAPPY TO HAVE A NFYtm---R OF THE COUNCIL OR YOUR REPRESENTATIVE SERVE ON THE AGENCY'S PLANNING C0141lTTEE. THIS C(114ITTEE l3 WFORTANT BECAUSE IT DOES LOOK AT THE LONG T[R�[ARE HEALFH NEEDS OF THE AREA. 2 MAINTAIN CL0SEi� COMA[-1 NlTH THE RDHNERT PARK RESIDENTS THJ SERVE ON THE AGENCY 'S GOVERNING IX�]Y SO THAT THEY HAVE A FULL UNDERSTANDING OF YOUR CONCERNS, 5 lTHINK AME-TlNG0F SEVERAL 0F THE AGENCY'S GOVERNING BODY MEML)ERs FROM SONOMA COUN'[Y AND THE COUNCIL WOULD BE HELPFUL, I COULD ARRANGE -10-- SUCH A MEETING AT YOUR CONVENIENCE, VIAT I ON MA, KE USE 01 THE AGENCY S S­fAFF TO PROVIDE YOU WITH INFOP HiEN YOU ARE DEALINGG WI I.1 HEALTH CARE ISSUES VIE CAN REPT)ILY PROVIDE YOU OR YOUR STAFF WITH THE HEAt TH CARl'. INFORI%'ATION VIE HAVE ON THE AREA I THE FUTURE,, I WILL MAKE SURE YOUR STAFF HAS THE AGENDAS OF ALL A AGENCY MEETINGS AND WILL PROVIDE ANY MCK—UP INFORIMION YOU SUG)GEST, IN CLOSING, I WOULD LIKE TO THANK THE COUNCIL FOR YOUR TWI TAT ION TO BE HERE TON IGH'T AND FOR YOUR PATIENCE IN HEARING MY REPWXSn I WOULD BE HAPPY TO RES[X-)Rl,) TO YOUR QUESTIONS.