1. SCVHHS fy18 budget requests
Health & Hospital Committee
04/26/17

2. 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.

3. Investment in better health since 2010FY FY
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

4. Budget development
Objectives and Assumptions

5. 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

6. 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

7. Budget proposals & themes

8. 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

9. 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

10. 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

11. 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

12. Growth & Learning Public Health Advance QI & workforce development
Valley Health Plan
Resource improvement, recruitment & retention

13. 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

14. 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