Date: June
20, 2000 Summary: Recommendations:
2) Direct the Chief Administrative Officer to pursue external funding sources, specifically working with local hospitals and healthplans and report back to the Board in 90 days.
3) Direct the Chief Administrative Officer to work with local community clinics and urgent care facilities to compile a list of health plans that each facility will accept and include this information in the Public Education plan.
Fiscal Impact: BACKGROUND:
It is estimated that between 60-80 percent of those utilizing this region's hospital emergency rooms are not emergencies. At the same time, it is not uncommon for local hospital emergency rooms to be on bypass, which means that the emergency room is full except for the most critically injured. By decreasing the use of non-emergency use, our hospital emergency rooms will be better able to care for people in need of emergency care.
A part of the solution is getting the word out to discourage people from using the emergency room for their non-emergency health care needs. It is critical that this region's already limited resources be used in the best manner possible and that people use the hospital emergency room only for true emergencies. It is equally important to use a doctor, urgent care, or family health center for non-emergencies or primary healthcare needs.
However, also critical in this process is the acceptance of most insurance plans by our local community clinics and urgent care facilities. In order for any public education campaign to be successful, it is imperative that insurance plans be accepted by local clinics and urgent care facilities. Today's action will also compile a list of health plans that each facility will accept and include this information in the Public Education plan.
Today will begin the process to work together as a region to change behavior and increase awareness of those who have healthcare needs. By creating a public education campaign, everyone in this region will benefit from the results. Residents will get more appropriate care without waiting in long lines. Our emergency rooms will be better able to care for the true emergencies that enter their doors. And, precious healthcare dollars will be saved by less use of expensive emergency room visits.
Residents of San Diego County are fortunate to have a world-class emergency medical services system to assure that ambulances and highly-skilled health professionals are available when needed. Hospitals and emergency rooms of the highest caliber are available for everyone. However, San Diego County's impressive safety net of emergency services is in jeopardy. The fine balance of supply and demand on which the emergency medical system operates is fragile, and is being tested like never before. Today's action is the first step in preserving this critical service. I urge your support.
Respectfully submitted,
DIANNE JACOB
To: Board of Supervisors
Subject: Working Together for Responsible Emergency Room Care
It is estimated that between 60-80 percent of those utilizing this region's hospital emergency rooms are not emergencies. At the same time, it is not uncommon for local hospital emergency rooms to be on bypass, which means that the emergency room is full except for the most critically injured. By decreasing the use of non-emergency use, our hospital emergency rooms will be better able to care for people in need of emergency care. This action will also create greater efficiencies and cost savings in the region's healthcare delivery system.
CHAIRWOMAN DIANNE JACOB:
1) Direct the Chief Administrative Officer to work with local hospitals, healthplans, community clinics, urgent care facilities, physicians and Fire District representatives to develop a plan for a public education campaign to decrease hospital emergency room use for non-emergencies and report back to the Board in 90 days with recommendations.
There is no fiscal impact as a result of this request.
Every day, more than 2,500 San Diegans call 911 for medical help, ride in an ambulance, or are treated in an emergency room. Injuries are assessed, illnesses treated, lives saved.
Chairwoman
CLINICAS DE SALUD DEL PUEBLO
1166 "K" Street
P.O. Box
Brawley, CA 92227
(760) 344-6417
Administration (760) 344-9951
Fax (760) 344-5840
Chief Executive Officer: Louis Lerma
Blythe Family Health Center
321 Hobsonway, Suite C & D
Blythe, CA 92225
(760) 922-4981 Fax (760) 922-4442
Brawley Family Clinic
1166 "K" Street (Admin)
900 Main Street (Clinic)
Brawley, CA 92227
(760) 344-6471 Med Records 351-1540
Fax (760)344-8410
Calexico Health Center
223 West Cole Road
Calexico, CA 92231
(760) 357-2020 Fax (760) 357-1056
El Centro Health Clinic
1271 Ross Avenue, Suite A
El Centro, CA 92243
(760) 352-2257 Fax (760) 352-2468
Mecca Health Clinic
65-100 Date Palm, Suite L
Mecca, CA 92254
(760) 396-1249 Fax (760) 396-1253
Niland Health Clinic
309 East Main Street
P.O. Box 268
Niland, CA 92257
(760) 359-0110 Fax (760) 359-3629
W.I.C. Nutrition Center - Brawley
561 "E" Street
Brawley, CA 92227
(760) 344-5950 Fax (760) 344-0061
W.I.C. Nutrition Center - Calexico
223 W. Cole Road
Calexico, CA 92231
(760) 768-5330 Fax (760) 768-5333
W.I.C. Nutrition Center- El Centro
370 Aurora, Suite B
El Centro, CA 92243
(760) 337-9199 Fax (760) 337-9096
Winterhaven Clinic
676 Baseline Road
Winterhaven, CA 92283
(760) 572-2700 Fax (760) 572-2705
COMPREHENSIVE HEALTH CENTER
Administrative Office Only
446 26th Street #101
San Diego, CA 92102
231-3200 Fax 231-3212
Executive Director: Nora Faine, M.D.
Comprehensive Health Center
1855 First Avenue, Suite 300 A
San Diego, CA 92101
235-4211 Fax 235-4517
Comprehensive Health Center
3177 Ocean View Blvd
San Diego, CA 92113
231-9300 Fax 232-5922
Comprehensive Health Center
286 S. Euclid Avenue, Suite 302
San Diego, CA 92114
527-7330 Fax 266-0211
EAST COUNTY COMMUNITY CLINICS
East County Community Health Center
855 East Madison Avenue
El Cajon, CA 92020
440-2751 Fax 440-2945
Executive Director: Tracy Ream
El Capitan Family Health Center
10039 Vine Street
Lakeside, CA 92040
390-9975 Fax 390-8721
La Mesa Community Health Services
7339 El Cajon Blvd Suite I
La Mesa, CA 91941
668-6280 Fax 668-0769
ESCONDIDO COMMUNITY HEALTH CENTER
Administrative Office Only
201 East Grand, Suite 2D
Escondido, CA 92025
(760) 737-2030 Fax (760) 737-2024
Executive Director: Tracy Ream
Escondido Community Health Center
(Main Site)
460 North Elm Street
Escondido, CA 92025
(760) 737-2000 Fax (760) 737-2039
Escondido Community Health Center
401 East Valley Parkway
Escondido, CA 92025
Appointment Line (760) 737-2008
Dental Department (760) 737-2018
Center for Woman's Health
(760) 737-2020 Fax (760) 741-9380
Escondido Community Health Center
(Adult Care)
141 North Fig Street
Escondido, CA 92025
(760) 737-7896 Fax (760) 737-7898
Temecula Family Health Center
41002 County Center Drive #310
Temecula, CA 92591
(909) 694-5200 Fax (909) 694-5206
Mountain Valley Health Center
16650 Highway 76
Pauma Valley, CA 92061
(760) 742-9919 Fax (760) 742-9923
FAMILY HEALTH CENTERS OF SAN DIEGO
1809 National Avenue
San Diego, CA 92113
234-8171 Fax 237-1856
Executive Director: Fran Butler-Cohen
Beach Area Family Health Center
3705 Mission Blvd
San Diego, CA 92109
(858) 488-0644 Fax (858) 488-0331
Chase Avenue Family Health Center
1111 West Chase Avenue
El Cajon, CA 92020
593-3131 Fax 593-9164
Downtown Family Health Center
1145 Broadway
San Diego, CA 92101
233-3055 Fax 233-3067
Grossmont Spring Valley Family Center
8788 Jamacha Road
Spring Valley, CA 91977
667-6737 Fax 462-5584/462-0725
Hillcrest Dental Clinic
2850 Sixth Avenue, #205
San Diego, CA 92103
683-7595 Fax 683-7590
Logan Heights Family Counseling Center
2204 National Avenue
San Diego, CA 92113
685-1650 Fax 232-7011
Logan Heights Family Health Center
1809 National Avenue
San Diego, CA 92113
234-8171 Fax 237-1856
KidCare Express
Mobile Medical Unit
1643 Logan Avenue
San Diego, CA 92113
895-8121 Fax 895-8121
North Park Family Health Center
Ciaccio Memorial Clinic
3544 30th Street
San Diego, CA 92104
683-7555 Fax 683-7570
Sherman Heights Family Health Center
450 24th Street
San Diego, CA 92102
230-0474 Fax 230-0473
Teen Health Center
1643 Logan Avenue
San Diego, CA 92113
239-0268 Fax 239-1015
IMPERIAL BEACH HEALTH CENTER
600 Palm Avenue #108
Mailing Address: P.O. Box 459
Imperial Beach, CA 91933
429-5387 Fax 429-6457
Executive Director: Connie Kirk
INDIAN HEALTH COUNCIL
Golsh Road & Highway S-6
P.O. Box 406
Pauma Valley, CA 92061
(760) 749-1410 Fax (760) 749-2151
Executive Director: Deven Parlikar
Indian Health Council
P.O. Box 10
Santa Ysabel, CA 92070
(760) 789-9061 Fax (760) 789-0079
LA MAESTRA FAMILY CLINIC, INC.
4185 Fairmount Avenue
San Diego, CA 92105
Administration 584-1612
Clinic 280-4213 Fax 281-6738
Executive Director: Zara Marselian
LINDA VISTA HEALTH CARE CENTER
6973 Linda Vista Road
San Diego, CA 92111
Administration (858) 279-9676
Fax (858) 279-0377
Executive Director: Roberta L Feinberg, M.S.
MID-CITY COMMUNITY CLINIC
4290 Polk Avenue
San Diego, CA 92105
Administration 563-0507
Fax 563-0015
Executive Director: Roberta L. Feinberg, M.S.
MOUNTAIN HEALTH CENTER
aka Southern Health Services
31115 Highway 94
Campo, CA 91906
Administration 478-5254 Fax 478-9164
Clinic 478-5311 Fax 478-2267
Executive Director: Judi Isbell
Jacumba Mountain Health Center
44460 Old Highway 80
P.O. Box 188
Jacumba, CA 91934
766-4071 Fax 766-4128
Pine Valley Mountain Health Center
28876 Old Highway 80
P.O. Box 1450
Pine Valley, CA 91962
473-7696 Fax 473-7699
NORTH COUNTY HEALTH SERVICES
150 Valpreda Road
San Marcos, CA 92069
(760) 736-6700 Fax (760) 736-6782
Executive Director: Irma Cota
North County Health Services/
Carlsbad Family Medicine
3050 Madison Ave.
Carlsbad, CA 92008
(760) 720-7766 Fax (760) 720-7204
North County Health Services/
San Marcos Health Center
150 Valpreda Road
San Marcos, CA 92069
(760) 736-6700 Fax 736-6782
North County Health Services/ Mission Mesa Women's Health
2210 Mesa Drive, Suite 5
Oceanside, CA 92054
(760) 757-5841 Fax (760) 967-4863
North County Health Services/
Mission Mesa Pediatrics
2210 Mesa Drive, Suite 12
Oceanside, CA 92054
(760) 966-3306 Fax (760) 966-3310
North County Health Services/
Encinitas Health Center
629 Second Street
Encinitas, CA 92024
(760) 753-7842 Fax (760) 753-7259
North County Health Services/
Encinitas Women's Health
332 Santa Fe Drive, Suite 150
Encinitas, CA 92024
(760) 943-9994 Fax (760) 943-1661
North County Health Services/ Oceanside Health Center
408 Cassidy Street
Oceanside, CA 92054
(760) 757-4566 Fax (760) 757-3004
North County Health Services/
Ramona Health Center
217 East Earlham
Ramona, CA 92065
(760) 789-1223 Fax (760) 789-3152
OPERATION SAMAHAN
2743 Highland Avenue
National City, CA 91950
474-2284 Fax 474-3919
Executive Director: Joel San Juan
Mira Mesa Health Clinic
10737 Camino Ruiz #100
San Diego, CA 92126
(858) 578-4220 Fax (858) 578-4417
PLANNED PARENTHOOD
Administrative Office Only
1075 Camino Del Rio South, #200
San Diego, CA 92108
683-7526 Fax 291-0255
Executive Director: Mark Salo
Planned Parenthood/Chula Vista
Family Planning & Prenatal
1295 Broadway #201
Chula Vista, CA 91911
585-4779 Fax 585-3806
Planned Parenthood/
College Avenue
4575 College Avenue, Suite B
San Diego, CA 92115
286-6004 Fax 286-0937
Planned Parenthood/El Cajon
Family Planning & Prenatal
330 S. Magnolia Avenue #101
El Cajon, CA 92020
442-9444 Fax 442-6398
Planned Parenthood/Encinitas
332 Santa Fe Drive Suite 120
Encinitas, CA 92024
(760) 634-8333 Fax (760) 634-8339
Planned Parenthood/Escondido
Family Planning & Prenatal
215 S. Hickory Street #112
Escondido, CA 92025
(760) 738-7770 Fax (760) 489-0986
Planned Parenthood/Hillcrest
3500 Fifth Avenue #102
San Diego, CA 92103
296-6312 Fax 296-0112
Planned Parenthood/Indio
81695 Highway 111, Suite 21
Indio, CA 92201
(760) 775-0777 Fax (760) 775-0577
Planned Parenthood/Kearny Mesa
7526 Clairemont Mesa Blvd
San Diego, CA 92111
(858) 278-5281 Fax (858) 278-1515
Planned Parenthood/Mira Mesa
10737 Camino Ruiz #220
San Diego, CA 92126
(858) 566-4223 Fax (858) 566-7264
Planned Parenthood/
Mission Valley
1075 Camino del Rio South, #330
San Diego, CA 92108
683-7538 Fax 291-0117
Planned Parenthood/Oceanside
2110 South Coast Highway Suite F
Oceanside, CA 92054
(760) 757-7905 Fax (760) 722-2401
Planned Parenthood/Pacific Beach
1602 Thomas Avenue
San Diego, CA 92109
(858) 272-1912 Fax (858) 272-6534
Planned Parenthood/Southeast SD
Family Planning & Prenatal
220 Euclid Avenue #40
San Diego, CA 92114
262-3941 Fax 262-7928
SAN DIEGO AMERICAN INDIAN HEALTH CENTER
2630 First Avenue
San Diego, CA 92103
234-2158 Fax 234-0206
Executive Director: Ron Morton
San Diego American Indian
Health Center
3812 Ray Street
San Diego, CA 92104
298-9090 Fax 298-0677
SAN YSIDRO HEALTH CENTER
4004 Beyer Blvd
San Ysidro, CA 92173
428-4463 Fax 428-2625
Executive Director: Ed Martinez
Chula Vista Family Clinic
865 Third Avenue, Suite 133
Chula Vista, CA 91911
498-6200 Fax 427-0135
National City Family Clinic
1136 "D" Avenue
National City, CA 91950
336-2300 Fax 474-3722
San Diego Mental Health
1568 6th Avenue
San Diego, CA 92101
235-2600 Fax 696-9573
San Ysidro Mental Health
4032 West Beyer Blvd
San Ysidro, CA 92173
428-5561 Fax 662-0423
SCRIPPS OTAY FAMILY HEALTH
1637 Third Avenue
Chula Vista, CA 91911
425-1780 Fax 425-5072
Executive Director: Maria Rubio
SOUTHERN INDIAN HEALTH COUNCIL
4058 Willows Road
Alpine, CA 91901
445-1188 Fax 445-7957/4131 (Director's)
Executive Director: Joseph Bulfer
Southern Indian Health Council
36190 Church Road
Campo, CA 91906
478-2225 Fax 478-2288
SYCUAN MEDICAL/DENTAL CLINIC
5442 Dehesa Road
El Cajon, CA 92019
445-1643 Fax 445-9764
Executive Director: Charlotte Quiroga
VISTA COMMUNITY CLINIC
1000 Vale Terrace
Vista, CA 92084
Appointment Line (760) 631-5220
(760) 631-5000 Fax (760) 726-2730
Executive Director: Barbara Mannino
Vista Community Clinic West
517 North Horne Street
Oceanside, CA 92054
(760) 631-5250 Fax (760) 721-5649
Tri-City Community Health Center
161 Thunder Drive #212
Vista, CA 92083
(760) 631-5030 Fax (760) 941-2641
