8E Consent 2011 0606 - Laserfiche WebLink

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Attachment 11 The Eden Township Healthcare District (ETHD) Vision Statement 1. Assumption of Governance Authoritv of St. Rose Hospital (SRH) and San Leandro Hospital (SLH) The ETHD seeks to return to its elected responsibility and fiduciary role of assessing and attending to the health care needs of the people living within the District. It seeks to assume a governance role and overseeing the operations of SRH and SLH as District Hospitals operating under the authority of the ETHD. Both hospitals are full service acute care hospitals located within the District and are seismically retrofitted through 2030. For this to occur, it is anticipated that SRH will forego its status as an independent community based hospital and join the ETHD as a full service District Hospital. Additionally, the ownership of SLH should likewise be returned to the District, its license as an acute care hospital must be restored, and it should return to service as the second full service District Hospital under tho governance and operational control of ETHD. 2. The Plan The ETHD's plan in providing for the health care needs of the people in the District stands in sharp contrast to what is currently being proposed by Alameda County Medical Center (ACMC) and Sutter Health (Sutter). The ACMC /Sutter proposal calls for SLH to remain open for 5 more years, during which time it would provide ER services and then close to be converted to an acute care rehabilitation hospital. A hybrid approach suggests having one half of the hospitals beds be converted into rehabilitation with the other half remaining as full service acute care hospital beds. Again, after 5 years, acute care hospital services go away and the ER service can component becomes an urgent care center. This in the District's view, while it attempts to address the rehabilitation beds, actually exacerbates the problem of lack of needed services by ultimately taking the ER and the SLH acute care capability out of service. It is clear that there are many unmet needs within Alameda County and ETHD. If those needs are prioritized, in the District's view, emergency room access would rank #1, acute care hospital beds rank #2, acute rehabilitation services is #3, and psychiatric services is #4. That ER services is a great need is evidenced by more than 27,000 visits at SLH in 2009. Likewise, there are 98,000 ER visits that occur annually within the District. It is also a well documented fact that over 80% of the inpatient hospital admissions come from the emergency room. The second greatest need is acute care hospital services. Statistics demonstrate that Alameda County ranks well below the national average of 3.3 beds for every 1,000 residents average, standing at only 2.3 beds per 1,000 residents. Even taking into account the opening of Sutter Castro Valley Medical Center in 2013, the new facility will have 30 fewer acute care beds and a smaller emergency room than the hospital it is replacing. Under such circumstances, 142