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meeting, please contact the office of the City Clerk (951) 694 -6444. Notification 48 hours prior to a meeting will
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AGENDA
TEMECULA CITY COUNCIL
AN ADJOURNED REGULAR MEETING
CITY COUNCIL CHAMBERS
43200 BUSINESS PARK DRIVE
AUGUST 20, 2009 — 7:00 PM
At approximately 9:45 P.M., the City Council will determine which of the remaining agenda items
can be considered and acted upon prior to 10:00 P.M. and may continue all other items on which
additional time is required until a future meeting. All meetings are scheduled to end at 10:00 P.M.
CALL TO ORDER: Mayor Maryann Edwards
Prelude Music: Earlene Bundy
Invocation: To be announced.
Flag Salute: Council Member Naggar
ROLL CALL: Comerchero, Naggar, Roberts, Washington, Edwards
PUBLIC COMMENTS
Next in Order:
Ordinance: 09 -07
Resolution: 09 -75
A total of 30 minutes is provided so members of the public may address the Council on
items that appear within the Consent Calendar or ones that are not listed on the agenda.
Speakers are limited to two (2) minutes each. If you desire to speak to the Council on
an item which is listed on the Consent Calendar or a matter not listed on the agenda, a
pink "Request to Speak" form should be filled out and filed with the City Clerk.
When you are called to speak, please come forward and state your name for the record.
For all Public Hearing or Council Business matters on the agenda, a "Request to Speak"
form must be filed with the City Clerk prior to the Council addressing that item. There is
a five minute (5) time limit for individual speakers.
CITY COUNCIL REPORTS
Reports by the members of the City Council on matters not on the agenda will be made at
this time. A total, not to exceed, ten (10) minutes will be devoted to these reports.
CITY COUNCIL BUSINESS
1
1 Health Care Workshop
RECOMMENDATION:
1.1
Discuss all appropriate issues associated with the delivery of health care services to
the community and provide direction to staff as necessary. Specifically, the
following three items:
1. Status update on the approval /opening of the new Rancho Springs
Hospital Emergency Room
2. Status update on the Medicare /Medicaid situation on the existing Rancho
Springs Hospital facility & Inland Valley Medical Center and regulatory
approval affecting the California Department of Public Health (DPH) review
3. Status update and timeline on the approval of plans for the Temecula
Regional Hospital by the Office of Statewide Health Planning and
Development (OSHPD)
CITY MANAGER REPORT
CITY ATTORNEY REPORT
ADJOURNMENT
Next regular meeting: City Council Regular, Tuesday, August 25, 2009, at 5:30 P.M., for a
Closed Session, with the regular session commencing at 7:00 PM, City Council Chambers,
43200 Business Park Drive, Temecula, California.
NOTICE TO THE PUBLIC
The agenda packet (including staff reports) will be available for viewing at the Main Reception at City Hall (43200 Business Park
Drive, Temecula) or at the Temecula Library (30600 Pauba Road, Temecula) after 4:00 PM the Friday before the City Council
meeting. At that time, the packet may as well be accessed on the City's website — www.cityoftemecula.orq
Supplemental material received after the posting of the Agenda
Any supplemental material distributed to a majority of the City Council regarding any item on the Agenda, after the posting of the
Agenda, will be available for public review at the Main Reception at City Hall (43200 Business Park Drive, Temecula — 8:00 —
5:00 PM). In addition, such material will be made available on the City's web — www.cityoftemecula.orq — and will be available
for public review at the respective meeting.
If you have any questions regarding any item of business on the Agenda for this meeting, please contact City Clerk's
Department — 951- 694 -6444.
2
COUNCIL BUSINESS
ITEM NO. 1
CITY OF TEMECULA
AGENDA REPORT
TO: City Manager /City Council
FROM: Shawn Nelson, City Manager
DATE: August 20, 2009
SUBJECT: Health Care Workshop
Prepared by: Aaron Adams, Assistant City Manager
Approvals
City Attorney
Director of Finance
4e.,
City Manager
00L
RECOMMENDATION: That the City Council discuss all appropriate issues associated with
the delivery of health care services to the community and provide direction to staff as necessary.
Specifically, the following three items:
1. Status update on the approval /opening of the new Rancho Springs Hospital Emergency
Room
2. Status update on the Medicare /Medicaid situation on the existing Rancho Springs Hospital
facility & Inland Valley Medical Center and regulatory approval affecting the California
Department of Public Health (DPH) review
3. Status update and timeline on the approval of plans for the Temecula Regional Hospital
by the Office of Statewide Health Planning and Development (OSHPD)
BACKGROUND: Several recent public discussions and community concerns has
prompted the need for a town hall meeting to include appropriate State officials in an effort to better
understand this very serious situation. The above mentioned items represent the agenda for the
discussion.
The Rancho Springs Medical Center expansion includes a new $53 Million, 72,000 sq ft fully
equipped emergency room, NICU, women's health center completely furnished and available for
immediate use. This expansion process took seven (7) years to complete since the plans were first
submitted to OSHPD. The expansion wing was approved for occupancy in January 2009 and yet
remains unavailable to Southwest Healthcare and for the good of patient care for the residents of
our region.
It has been recently reported that the U.S. Centers for Medicare and Medicaid Services have
required that Southwest Healthcare Systems hire a monitor (for 6 months) to conduct a "top to
bottom" inspection of both operating hospitals which include Inland Valley Medical Center and
Rancho Springs Hospital. This compliance is necessary for Southwest Healthcare Systems to
continue to receive funding from Medicare and Medicaid patients. It is unclear if this need for
compliance has jeopardized the California Department of Public Health's (DPH) ability to conclude
their investigation or regulatory approval.
The Temecula Regional Hospital was approved by the Temecula City Council on January 24, 2006.
As a result of a challenge on this project, the City Council then approved a supplemental
environmental impact report (SEIR) on January 22, 2008. This 320 -bed facility has been planned to
be constructed on Temecula Parkway just west of Margarita Road and south of Deportola.
OSHPD Project #HS052415 -33; Facility #18167 was first submitted to this regulatory agency on
October 11, 2005. This project has been in for review with OSHPD for over 3 years and 9 months.
City staff has been advised that the geo- technical report has been in review and sent to Sacramento
for further review. It is our understanding that the California Geological Survey has reviewed and
approved the geo - technical study but OSHPD has not.
Structural plans have been basically approved for the facility but cannot receive final approval until
the geo- technical report is accepted by OSHPD.
Health and safety of the residents of Temecula falls within the purview of the City of Temecula.
Accessibility to quality healthcare is paramount for not only the City of Temecula but for the region,
therefore, it is our expectation that this town hall workshop provide accurate information and realistic
timelines for the delivery of such medical facilities that they remain on track without the burdens of
administrative bureaucracy.
The City has requested a formal presentation and update on the above mentioned items by officials
from Southwest Health Care Systems with a request for a follow up presentation by Assembly
Member Jeffries. California Assembly Member's Nestande, Benoit, and Senator Hollingsworth and
representatives from the Governor's Office, as well as, 3 District Supervisor Jeff Stone have also
been invited to participate in the overall presentation. In addition, invites were extended to the City
of Murrieta as well as representatives from the regulatory agencies of the California Department of
Public Health (DPH) and Office of Statewide Health Planning and Development (OSHPD).
FISCAL IMPACT: None