April
2017
ACHD Advocate
TopIn this edition
kencohenFrom the Desk of Ken Cohen, Executive Director
ACHD Bylaws
Based upon the ACHD Board of Directors' strategic planning and the recently completed merger of the ALPHA Fund and BETArma, the Board has undertaken a comprehensive review of the Association's Bylaws.  Based upon their review, the Board is now recommending to the ACHD Members the Amended and Restated Association Bylaws for approval by our Member Healthcare Districts, accordingly.  You should have already received your Bylaws/Ballot packet, which were distributed to all active ACHD Members on May 2, 2017.  The Association is dependent upon and strongly encourages you to review this important information, take part in the Member Bylaw Webinar noted below, and return your ballots accordingly. 

Important Dates

Distribution of Bylaws/Ballots                                     May 2, 2017
Member Bylaws Webinar                                             May 8, 2017
Bylaws Ballots Due                                                         June 16, 2017

The Member Bylaws Webinar will include a presentation on the Bylaws, including the specific changes that have been incorporated into the recommended Amended and Restated Bylaws. It will also provide for an interactive opportunity between ACHD Board and Staff, and our Members to fully inform Members, provide any information, and respond to questions.  Due to the number of proposed changes to the Bylaws, I strongly encourage you to register and actively participate in one or both Bylaw Webinars noted above.  Please register for the Bylaws webinar here.

Member Dues
As part of the ACHD Budget for 2018, the Board of Directors has adopted a Membership retention program that includes a significant REDUCTION in Member dues this year.  Members will be notified shortly regarding their individual Association dues for 2018.  Collectively, the reduced dues will save Healthcare Districts nearly $200,000 this fiscal year.  As a mutual benefit non-profit Association, ACHD strives to provide the highest quality of services possible related to: Advocacy, Education, and Member Benefits, and we are continuing to look for meaningful ways to enhance our capabilities. The Board is hopeful that this newly adopted reduction in Member dues will further enhance the value of services Members receive from the Association. 

ACHD Certification
ACHD now has 17 Certified Healthcare Districts; and the number of Healthcare Districts that are seeking this distinction continues to grow.  The list of Certified Healthcare Districts is highlighted on our website here, and the Board continues to encourage Healthcare Districts to demonstrate their transparency and accountability through the Certification process.  To learn more about the certification process, please contact Sheila Johnston


legreportLegislative Update
The Legislature faced its first legislative deadline on April 28, as all fiscal bills had to pass out of their respective policy committees. Here is an update on the key bills ACHD has an active position on:

AB 387 (Thurmond, D-Richmond) requires health care entities to pay allied health students minimum wage for time spent in clinical or experiential training that is required for state licensure. This bill passed out of Assembly Labor & Employment Committee on March 29 and has been placed on the Assembly Appropriations Suspense File due to the large cost associated with it. The Appropriations Committee analysis estimates the increased wages to be $250 million to $300 million in 2018, which "could result in an indirect, unknown but potentially significant ongoing cost pressure on the state Medi-Cal program." ACHD opposes this measure along with a large coalition of hospital and healthcare groups as well as educational institutions. 

AB 893 (Garcia, Eduardo, D-Coachella) was originally intended to authorize Pioneers Memorial Healthcare District to directly employ physicians. The bill was amended on May 1, to study the need for additional residency programs in Imperial County and will be heard in the Assembly Business & Professions Committee next week. We anticipate this bill to be amended again later in the legislative session to provide funding for a new residency program for Pioneers Memorial Healthcare District. ACHD supports this measure. 

AB 979 (Lackey, R-Palmdale) allows special districts to vote on LAFCO representation in a meeting of the county's independent special districts selection committee. This bill was held by the Assembly Local Government Committee and will be amended prior to the bill being heard in Committee next week. We anticipate the original intent of the bill to remain with some additional funding mechanisms for a local vote to occur.  ACHD supports this measure.

AB 994 (Muratsuchi, D-Manhattan Beach) authorizes Beach Cities Health District to utilize the design-build process for a construction project on a pilot basis. This bill passed out of the Assemlby Local Government Committee last week on a 5-1 vote with the Chair, Cecilia Aguiar-Curry casting the "no" vote. ACHD supports this measure, which will be heard in Assembly Appropriations Committee next. 

AB 1612 (Burke, D-Inglewood) removes the physician supervision requirement for certified nurse midwives. This bill passed out of the Assembly Business & Professions Committee last week with much discussion and passion on both sides of the debate. ACHD supports this measure, which will be heard in Assembly Appropriations Committee next.    

AB 1728 (Committee on Local Government) requires Healthcare Districts to: 1. create and maintain a website, which must include contact information for the district 2. annually adopt a budget 3. annually adopt policies for providing assistance or grant funding to ensure funding is spent on health care services consistent with the mission and purpose of the District. This bill passed out of the Assembly Local Government Committee last week on consent. ACHD supports this measure, which will be heard Assembly Appropriations Committee next.

SB 448 (Wieckowski, D-Fremont)  establishes new audit requirements for special districts, creates new categories of "inactive" and "idle" districts and amends the dissolution process for these new categories of districts, and requires counties to include additional information on the county tax bill related to the services provided in the county. This bill passed out of the Senate Governance & Finance Committee last with some amendments requested by the Committee. ACHD remains opposed to this measure, which will next be heard in Senate Appropriations.   

SB 554  (Stone, R-Temecula) was originally intended to authorize nurse practitioners to perform certain functions without the supervision of a physician.  This bill was amended on April 17 to address prescribing privileges for nurse practitioners and physician assistants. ACHD is now neutral on this measure. 

SB 793 (Hill, D-San Mateo) authorizes Beach Cities Health District and Peninsula Healthcare District to utilize the design-build process on a pilot basis.  This bill passed out of the Senate Governance & Finance Committee on April 17 and can be heard on the Senate Floor as early as next week. ACHD supports this measure.

For more bills ACHD has a position on, find our Legislative Reports on our website, here

Little Hoover Commission
As previously reported, the Little Hoover Commission decided to table the draft report on special districts for the time being, as many Commissioners voiced concern about special districts and support for broader reforms. The Commission has since decided to move forward with a small and targeted roundtable meeting in June. ACHD is continuing to work with CSDA on a response to this meeting as well as strategies to address issues brought up by Commissioners.  Stay tuned for updates on details and the outcome of the future meeting.

Please contact Amber King at (916) 266-5207 with questions or comments.
 

thankyouThank You for Attending Legislative Day

Thank you to all that attended our Legislative Day on April 3-4 in Sacramento. This year we had over 60 attendees from 25 Healthcare Districts in attendance. Attendees heard from ACHD's Advocacy Team on legislative issues facing Healthcare Districts, a panel of experts on the Affordable Health Care Act and its implications for California, and ACHD's Public Relations firm on key messaging points to communicate to their policy makers. 

Additionally, we were pleased to visit with a record number of Legislators who attended our Legislative Reception. Attendees also awarded ACHD's 2016 Legislator of the Year Awards to Senator Ben Hueso (D-San Diego) and Assemblymember Jim Wood (D-Healdsburg). Senator Hueso authored legislation in 2016 to provide design build authority to specific Healthcare Districts.  Assemblymember Wood successfully authored legislation in 2016 to provide Critical Access Hospitals with the authority to directly employ physicians.   

Assemblyman Jim Wood

    Senator Ben Hueso

Please enjoy the gallery of photos from this year's event on our website.

Save the date for ACHD's 2018 Legislative Day on April 16-17, 2018 at the Hyatt Regency Sacramento.  

annualAnnual Meeting Registration is Open!
 

The Association's Education Committee has planned the 65th Annual Meeting with a focus on preparing Healthcare Districts for the challenges ahead and the role of District's in the face of change.  Our program is designed to inspire innovation and motivate Districts to prepare for the future. 
 
Newly elected, as well as experienced trustees and executives will want to attend our Annual Meeting.  Networking with colleagues and sharing best practices will help elevate Healthcare District performance to the next level.  This year's meeting will include wellness activities that will create a new level of energy! 

Join us for what will be our best educational event ever!

Our Annual Meeting will take place September 12-September 14, 2017, at the  Kona Kai Resort and Spa   in San Diego.  

 

Schedule of Events

September 12, 2017
6:00 pm
Healthcare District Networking: Experience San Diego!

September 13, 2017
8:30 am
Women's Leadership Breakfast featuring Keynote Speaker Mayor Mary Salas of Chula Vista! 
10:15 am
Healthcare District Team Building (Wellness Focused)
12:00 pm
General Session Welcome Lunch
Gyre Renwick, Head of Healthcare, Government & Education Partnerships, Lyft
1:45 pm
Breakout Sessions
Session 1: Lessons Learned from Recent MSR Processes
Speakers: Linda Wagner, Seneca Healthcare District
Cheryl Fama, Peninsula Healthcare District
Richard Berksen, Berksen Associates
Mark Bramfitt, Sonoma County LAFCO
Ted Owens (Moderator), Tahoe Forest Health System
Session 2: The Board and Policy-making: Getting Clear on the Roles
Speaker: Brent Ives, BHI Consulting
4:00 pm
Wellness Activity in Guided Mindfulness
5:30 pm
District and Trustee of the Year Awards Reception

September 14, 2017
7:00 am
General Breakfast
8:30 am
State of the Association
10:15 am
General Session: Covered California: Adapting for the Future
Speaker: Burt Margolin, Margolin Group
11:45 am
General Lunch Session: Website Compliance
Speakers: Bobbi Palmer, Fallbrook Regional Health
Sloane Dell'Orto, Streamline
1:30 pm
BETA Eminent Lecturer Sponsored Speaker: Compose Your World
Speaker: Kai Kight

3:15 pm
Breakout Sessions
Session 1: Strategic Thinking Board Action Plan
Speaker: Robert Nelson, Nelson Strategic Thinking
Session 2: The State of Behavioral Health in California
Speaker: Sheree Lowe, VP of Behavioral Health, California Hospital Assocation
4:40 pm Closing Remarks

Costs:
  • Member: $800/attendee
  • Non-Member: $1500/attendee
  • Guest of Member: $250 (Meals only)
  • Guest of Non-Member: $750 (Meals Only)
Note: Registration fees include all meals.
   
Please contact
  Sheila Johnston   with any questions.
 

nominationsCall for Nominations - Submit Your Forms Today for Healthcare District and Trustee of the Year!
ACHD would like to request nominations for District and Trustee of the Year.  Each year, the Education Committee solicits nominations to recognize the work of Districts and Trustees in the community.  Awards will be presented at the 65th Annual Meeting, taking place September 12-14, 2017, at the Kona Kai Resort and Spa in San Diego.

District of the Year
The ACHD District of the Year Award recognizes a District that has identified one or more initiatives implemented to improve the health and well-being of the communities served. Districts must demonstrate that the initiative(s) implemented achieved a healthier community.

Complete the District of the Year Nomination form   here. 

Trustee of the Year
The ACHD Trustee of the Year Award recognizes a Trustee who has made notable impacts in the District through notable, significant achievements in governance, strategic planning/partnering, stakeholder relationships, leadership and/or finance.  Eligible Trustees include current Trustees and Trustees that have served since May 2016.

Complete the Trustee of the Year Nomination Form here.

Please contact Sheila Johnston with any questions.


committeeApply Today to Serve on an ACHD Committee!

Each year, ACHD solicits Members to participate on standing committees. The commitment is for one year and committees generally meet between 3 and 5 times per year.

The Governance Committee has started the process of constituting Board Committees for 2017-2018. Member District Trustees and Executives who have an interest in being considered for a committee assignment are requested to register their interest by completing this form, along with a brief statement of why they are interested in the committee, to 
Sheila Johnston   by Friday, June 16, 2017.

NOTE: All committees meet in person at least twice annually and at various other times by conference call. In-person meetings generally meet in Sacramento; however, locations may vary.  

Those who wish to continue serving on a committee must re-submit their interest forms.  

To submit your interest form, please click here.

consentRequest for Electronic Consent Forms
In order to comply with current law, we require your consent to send you electronic communication.  At your convenience, please review and return the electronic consent form to me by email or fax.  You may fax the form to 916.266.5201 or send by email.  Access the consent form here.

Please contact Sheila Johnston with any questions.


kurtKurt Hahn, Friend of Northern California Healthcare Districts, Dies at 78
Kurt Hahn, Healdsburg's finance director for 22 years and author of its redevelopment agency,  died on April 8. He was 78.  After retiring from the city in 1999, Hahn went on to serve for 15 years on the board of directors of the North Sonoma County Healthcare District and the Healdsburg District Hospital until retiring again in 2014.
 
To read the full article of Kurt Hahn's life and career, please click here.



ICYMIIn Case You Missed It... Healthcare District News from Around the State


Petaluma teen saves a life with CPR 
Thirteen-year-old Lucy Decker was at a rowing event in Oakland last month when a spectator suddenly collapsed, apparently having a heart attack. A concerned crowd of onlookers gathered around, while one man stepped forward and started performing CPR.  The problem, though, was the bystander was doing it all wrong. Click here to read the full article.

Seneca Healthcare District celebrates National Doctors' Day
The Seneca Healthcare District decided that National Doctors' Day, March 30, was a prime opportunity to recognize and thank the doctors that serve the Lake Almanor community.  Click here to read the full article.

A home away from home for patients and families of El Camino Healthcare District
Amid a massive construction overhaul of El Camino Hospital's Mountain View campus, hospital officials are considering a small but compassionate addition to the plans: a home for patients to stay.    Click here  to read the full article.

Grossmont Healthcare District Navy veteran honored for donating organs
A U.S. Navy veteran from Spring Valley who served his country for more than 30 years also saved dozens of lives.  John O'Loughlin was honored Wednesday with a flag-raising ceremony at Sharp Grossmont Hospital.  Click here to read the full article

Palomar Health offers free, healthy cooking classes
A new, free healthy cooking class launched this month at Palomar Medical Center Poway, with this month's session focused on heart-healthy eating and decreasing inflammation.   Click here to read the full article.

Fallbrook Regional Health District Wellness Walk
Approximately 30 residents participated in the April Wellness Walk sponsored by Fallbrook Regional Health District (FRHD) and led by Erica Williams, SIFT LLC/Fallbrook Village Fitness.   Click here to read the full article.

2017 Healthcare Heroes Award Winners Announced
The Grossmont Healthcare District is proud to announce the honorees for its 2017 Healthcare Heroes awards. The recipients are unsung volunteers of all ages and walks of life who serve in health care in San Diego's East Region community.  Click here to read the full article.

diabetesMaking the Diabetes Heart Connection

On May 3, 2017, ACHD staff attended "Making the 
Diabetes Heart Connection" Capitol luncheon, hosted by the  Partnership to Fight Chronic Disease.  Research reveals that people with Type 2 diabetes are twice as likely to develop a chronic cardiovascular disease. Assemblymember Blanca E. Rubio (D-Baldwin Park), Chair of the Assembly Health and Human Services Committee, made remarks on how diabetes impacts the State budget. This awareness-raising event also featured professors, public health advocates, clinicians, and a patient with first-hand experience of living with both diabetes and a heart condition. To watch a video of the event's inspiring speakers, click here.

The coalition debuted an interactive website to find localized data on the prevalence of diabetes and cardiovascular disease in your community: cardiodiabetesmap.com The Type 2 Diabetes (T2D) with Cardiovascular Disease (CVD) map provides insight on the impact of T2D with CVD on the Medicare population in the United States. The interactive map allows you to investigate the prevalence of these diseases at the state, county and congressional district-level, explore the health burden associated with these diseases, and learn about their financial impact. 

ACHD continues to participate in public health and wellness discussions and looks forward to assisting Districts in their efforts to improve the health of your communities. 
For more information, please contact Annie Hohn or Zoe Kipping.  


CSDARegister Today for CSDA's Legislative Days
You are cordially invited to
Special Districts Legislative Days

May 16-17, 2017, at the Grand Events Center in Sacramento

A dynamic two-day conference, Special Districts Legislative Days (Legislative Days) provides attendees with the opportunity to hear from and interact with statewide policymakers and legislators, as well as to network and discuss district challenges with local and state elected officials. Legislative Days includes keynote addresses from California's highest office-holders, including Pedro Nava, Chair of The Little Hoover Commission, as well as moderated panel discussions with the state's leading experts covering the most pertinent issues facing each type of special district.
 
Register online today to attend Legislative Days.


CAPPJoin CAPP Today!
                                                

The Association of California Healthcare Districts (ACHD) is a member of  Californians Allied for Patient Protection (CAPP), the coalition created to protect access to health care through California's Medical Injury Compensation Reform Act (MICRA).  ACHD continues to strongly support the preservation of MICRA. 

In 2014, California voters definitively rejected Proposition 46, an attempt by the trial lawyers to quadruple MICRA's non-economic damages cap.  Had this ballot measure passed, California would have seen higher health care costs and decreased access to care, especially among vulnerable populations who are most in need. Despite this victory, the battle to protect MICRA continues.
 
ACHD is strongly urging its members to individually become supporters of the CAPP coalition.
 
There is no cost to be a member of CAPP, and you will be in good company.  Seven out of 10 Board Members are already CAPP members, with more than 1,000 other organizations representing community clinics, hospitals, physicians, nurses, EMTs, labor unions, local governments, dentists and other health care providers. A complete coalition list can be found on the CAPP website at www.micra.org .
 
As a CAPP member, you will receive quarterly newsletters with updates on legislative activities concerning MICRA and direct access to the CAPP staff to be your one stop resource on MICRA. Additionally, CAPP holds events for legislators in their legislative district and CAPP members are invited to attend free of cost.
 
Please take a moment to complete and return the CAPP Coalition Sign-Up Form .  Thank you for endorsing this important organization and its goal to preserve MICRA.
 

onehundredmillion100 Million Healthier Lives
The 100 Million Healthier Lives (100 MHL), created by the Institute for Healthcare Improvement (IHI), is an unprecedented collaboration of change agents who are fundamentally transforming the way we think and act to improve health, wellbeing and equity.  ACHD would like to provide you with information should your Healthcare District wish to join the 100 MHL Movement.
 
Why 100 Million Healthier Lives?
The time is right for a major leap forward in the creation of health, wellbeing, and equity. The rising tide of chronic disease, an aging population, structural inequity in health outcomes (despite advances in health care), and technology demand a fundamentally different approach, one which brings us together across sectors to address the physical, social and behavioral contributors to health together.   By choosing an audacious goal -- 100 million people living healthier lives by 2020 -- that no one group can achieve alone, we are committing to unprecedented collaboration, a humble spirit of learning, innovation and improvement, and systemic change to create an equitable health and wellbeing system.


Why Healthcare Districts?
Healthcare Districts are in a perfect position to impact the health of the people they serve. They are a trusted organization in the community and have the infrastructure to reach their members. They have a great potential to change lives in the community, especially among the most vulnerable populations such as children, seniors, and socioeconomically disadvantaged. Healthcare Districts also have an obligation to give back through improving the health of their community members.
 
View the 100 Million Healthier Lives Movement  informational booklet here .
 
Contact Sheila Johnston with any questions or concerns.
 

Resources