For more information visit bethesdacommunity.org.

In the midst of contract negotiations

“a physician vacancy does not mean that there is a clinical vacancy, nor that care is compromised.” – Kim McCarl, CCHS

“A bigger medical and dental staff would help alleviate some of the load that our current employed members are carrying.” – Dr. David MacDonald, President, PDOCC

By Allen D. Payton

Last month the Physicians’ and Dentists Organization of Contra Costa (PDOCC) released data showing a high number of doctor vacancies in Contra Costa County Health Services.

According to a Feb. 16, 2023, PDOCC press release, based on county data, there are currently 83 out of 285 employed positions listed as vacant in Contra Costa Health Services, a 29 percent vacancy rate in the system. That includes 27 vacant positions in family medicine and primary care adult medicine, 5 vacant dentist positions and 5 vacant OB/GYN positions. With 19 vacant psychiatrist positions, only 27 percent of employed psychiatry positions are currently filled. 11 vacant employed positions in the emergency department – half of the department’s employed positions – means the county is unable to safely staff the emergency room.

Since November, 5 emergency department doctors have left county employment. The county interviewed and offered positions to 21 new emergency department applicants, but the offer was declined by every applicant.

The problem is expected to get a lot worse in 2024 when Contra Costa County will need an additional 40 primary care providers to care for 30,000 new Medi-Cal patients being added to the county’s health services due to an agreement between the county and California’s Department of Health Services.

The problem continues to worsen. Contra Costa County Health Services added 12,200 patients in the last two months, while only adding 1 new primary care physician. The result is that the average primary care physician employed by the county now has almost 200 more patients on their panel than at the end of 2022. There are no new primary care physicians anticipated to join county employment before July 2023.

On average, the county has only been able to fill three primary care doctor vacancies annually over the last three years.

In response, CCHS Communications Officer Kim McCarl, said doctor shortages are a nationwide challenge, are not compromising care, and confirmed that negotiations between the union and county “are underway”.

She wrote, “We value the medical staff who work across our department.

Health systems across the country are struggling to recruit and retain medical staff at all levels. Contra Costa Health is no different.

It’s important to note that a physician vacancy does not mean that there is a clinical vacancy, nor that care is compromised. We are confident that the right provider is caring for the right patient in the right way at Contra Costa Regional Medical Center and Health Centers every day.

We provide flexibility in work schedule, an emphasis on proactive care, and mission-oriented work that helps us recruit and retain physicians who want to practice in an integrated environment. It’s not uncommon for our physicians to be expert in many areas of clinical medicine which our system values.

We value physicians who embrace our mission and choose to work for Contra Costa Health on a full-time, permanent basis but we also welcome doctors who take a less traditional approach to their careers by working part time or in partnership with other health care entities. These approaches help to alleviate the burnout that has been so costly to hospitals and healthcare systems since the height of the pandemic.

We are proud to be home to one of the most highly rated family medicine training programs in the country. We recruit well-trained physicians who are familiar with our system from each graduating class.

Recruitment and retention of physicians is a top priority at Contra Costa Health. We will continue to explore ways to fill every vacancy across our healthcare system.”

Doctors, Dentists Disagree

That opinion, however, is not shared by the county’s doctors and dentists or by best practice standards for patient care.

The severe shortages most certainly impact patient care, including the time a physician can devote to each patient along with the availability of appointments, according to county doctors.

Contra Costa County’s own policies recommend no more than 1,500 patients to a primary care physician’s panel (the number of patients assigned to a physician). Currently the average panel size for Contra Costa’s employed primary care physicians is 1,879.

“County leaders may be willing to turn a blind eye to severe staffing shortages, but doctors care too much about our patients to let the problem go unaddressed any longer,” said Dr. David MacDonald, PDOCC President. “We hear from patients all the time about how difficult it is for them to schedule appointments in our system. When they finally get an appointment, it is rarely for the amount of time they need because doctors are overstretched and taking on more patients because of all the vacancies. The patients who rely on Contra Costa County Health Services for care should not have to settle for less time and attention than patients in other systems or ones with private healthcare.”

In addition to the primary care vacancies, there are 5 vacant dentist positions and 5 vacant OB/GYN positions. With 19 vacant psychiatrist positions, only 27 percent of employed psychiatry positions are currently filled. 11 vacant employed positions in the emergency department – half of the department’s employed positions – means the county is unable to safely staff the emergency room.

The problem is expected to get exponentially worse in 2024 when Contra Costa County will need an additional 40 primary care providers to care for 30,000 new Medi-Cal patients being added to the county’s health services due to an agreement between the county and California’s Department of Health Services.

PDOCC is calling on county leaders to be proactive by filling the position vacancies which will improve patient care and support county revenues. “It’s hard to believe that Contra Costa County is not working more closely with our union to help it become more attractive and competitive in retaining and recruiting medical and dental talent. I believe the county is moving in the wrong direction and I’m concerned that patients are being put at risk,” MacDonald said.

PDOCC members are currently in negotiations with county management towards a new contract. Issues raised in negotiations by PDOCC members include high patient caseloads, insufficient time for administrative tasks, long waits for primary care appointments and specialty referrals, chronic short staffing and high turnover – all of which combine to negatively impact patient care and health impacts. PDOCC members also state that burnout is at an all-time high.

County Health, PDOCC Respond to Questions

Questions were sent to both McCarl and the union’s spokesman asking if the PDOCC is in the midst of contract negotiations with the county and if so, is this an effort to obtain an increase in compensation for its members.

While McCarl responded, “Yes, negotiations are underway” she did not respond to the additional question about their criticism.

The questions were also sent Tuesday afternoon to PDOCC president, Dr. MacDonald with the .

He responded, “PDOCC is engaged with Contra Costa County in negotiations at the level of state mediation. We have one more session to go.

We are focused on improving patient care and making the workplace in Contra Costa Health Services (CCHS) more sustainable.

We have to be able to hire new medical and dental talent, so compensation has to be more market competitive. This would also help with retention. A bigger medical and dental staff would help alleviate some of the load that our current employed members are carrying. The situation at this time is untenable. And, per an agreement between CCHS and the state’s Department of Health Services, CCHS will become the single system to provide care for MediCal patients in the county (aside from small fraction of MediCal patients covered by Kaiser). This will mean for an additional 30,000 new patients into our system as of January 1, 2024. We’re not ready for that. We will need an additional 40 new primary care providers to handle the influx of new patients. The County is nowhere close to hiring that many (I believe the County has 3 new providers scheduled to start after July of this year).

In addition, half of our emergency department employed positions are vacant. This means that the County partially fills the gap with very expensive temp doctors. We think it would be smarter for the County to take the funds doled out to temps and invest that money in committed, dedicated and County career minded docs who will be here for the long term.

Another issue is that our primary care providers need more protected time to manage their patient panels. The in-basket work – lab follow up, med refills, answering patient calls & emails, etc., has been escalating. Our physicians take this work home with them and it takes away time from their families and individual restorative activities.

All of this after the three-year pandemic onslaught has left our physicians and dentists suffering more from burnout than ever before. The County must step up, be proactive, and work with our union on how to achieve meaningful improvements that will enhance patient care and move our system in the right direction.”

Joined by Common Cause, Consumer Watchdog for media briefing on “what’s at stake if big money wins lawsuit to terminate anti-corruption law”

On Monday, March 6, 2023, a coalition of policy experts, including representatives from Common Cause and Consumer Watchdog, joined State Senator Steve Glazer (SD7, D-Contra Costa) held a briefing on the special interest lawsuit to terminate SB 1439, what they refer to as “a common sense anti-corruption law that would help end the cycle of scandals caused by special interests’ massive campaign contributions to the local officials they have business before.”

Authored by Contra Costa State Senator Steve Glazer and signed into last year, SB1439 prohibits a local elected official from voting on a matter if they have received a contribution from the party to the matter or their agent of more than $250 during the 12 months prior to the date a final decision is made on the matter. It also prohibits local officials from receiving a contribution of more than $250 in the 12 months after the proceeding from party to the matter or the party’s agent. But the bill also allows an official to return a contribution to avoid violating the new law and still vote on the matter.

According to Common Cause which proposed the bill, California law prohibited anyone seeking a contract, permit, or license from the government from making a campaign contribution of more than $250 to the officials responsible for decisions about that contract, permit, or license. The limitation applied while the contract, permit, or license was pending and for three months after. But local elected officials were exempted from the law. The bill extended the prohibitions from three to 12 months and included local elected officials.

The panel of policy and democracy experts warned the public of the high-stakes consequences of the special interest lawsuit, by eight trade associations and two Sacramento area local elected officials, to terminate SB 1439 at a virtual press conference. The legislation, signed into law last year, is a common-sense, anti-corruption law that would help end the cycle of scandals caused by special interests’ massive campaign contributions to local officials they have business before.

The panel discussed the urgent need to uphold the lawful, long-overdue legislation that holds local leaders accountable to the people they serve, not to special interests. Local stakeholders illustrated how special interests meddling in local politics hinders democracy and harms our communities.

Regarding the urgent need to protect SB 1439:

“We have become numb to the legal corruption that has enveloped our democracy. Pay-to-play is antithetical to an honest and ethical government, and it should be rooted out and killed like a cancer that has affected the body politic,” said Glazer.

“The influence-peddling community wants the opposite – greasy contributions that taint decisions that should be exclusively in the public’s interest. The status quo is shameful, and it is bigger than the corruption we are trying to root out – it is the confidence of our citizenry in whether people can have faith in our democracy,” he added.

Regarding the importance of expanding our anti-corruption laws: 

“California’s local governments have been plagued by scandals in which special interest entities pump campaign cash to the local government officials who determine their fate on licenses, permits, and contracts. The examples are endless – SB 1439 is a common sense, narrowly tailored solution to an acute and documented problem to protect our communities,” said Jonathan Mehta Stein, Executive Director of California Common Cause. “It has been tried in other states and in a long list of California cities, and it has never been knocked down because of legal challenges. We trust SB 1439 will succeed in the courts.” 

Regarding how SB 1439 expands the Political Reform Act: 

“SB 1439 is one of the most significant pieces of legislation in the last 10 years. It gets right to the heart of the corruption problem – people think that elected officials are acting in the best interest of their contributors, not in the public interest. This law expands the purposes of the Political Reform Act and is a major effort to correct this problem and public perception, thus the law should be upheld by the courts,” said Bob Stern, policy expert and principal co-author of the Political Reform Act of 1974.

Regarding how big money in our local politics hurts our communities: 

“Supporting SB 1439 as a bill was an easy choice for us – we see and feel regularly the impact of corporate money in the Inland Empire. Increasingly, it’s felt that regardless of how loudly residents and voters push back against certain kinds of local projects, developer money will always drown out our voice,” said Sky Allen, Executive Director of Inland Empire United. “Over the past 20 years, the Inland Empire has become the largest logistics hub in the world – so instead of green space and local businesses, we’re surrounded by massive warehouses and, as a result, we breathe some of the worst air and are offered fewer quality jobs. Laws like AB 1439 give us hope that moving forward, the scales will be more balanced.” 

Regarding how big money in our local politics hurts consumers: 

“Local politicians have tremendous influence and direct impact on the policies that impact consumers the most, like zoning laws, environmental regulations, and business licensing. When corporations and wealthy individuals use their financial resources to influence local elections and create favor with local elected officials, they successfully steer public policy in ways that are sympathetic to their own interests at the expense of consumers as a whole,” said Ben Powell, Staff Attorney for Consumer Watchdog. “Laws like SB 1439 address this by ensuring that local politicians are working in favor of the public interest, not bids for re-election or trading favors with wealthy donors.”

“It’s imperative that we ensure local elections stay equitable for everyone. When big money comes into play, socioeconomic barriers are strengthened and the community is ultimately the one who loses,” said Emmanuel Estrada, Mayor of Baldwin Park. “In Baldwin Park, we enacted a local ordinance barring city contractors from directly donating to candidates and adding stricter contribution limits. When we sent it to the voters to reinforce the ordinance, over 80 percent were in favor, illustrating the massive desire to remove the influence of big money from our local politics.”

California Fair Political Practices Commission Chair, Richard C. Miadich, who was unable to attend the briefing said, “We’re disappointed to learn a lawsuit has been filed regarding SB 1439 after the Commission voted unanimously to support it and months after it unanimously passed the legislature and was signed by the Governor.”

“It also comes months after we’ve begun issuing guidance, gathering public input and crafting regulations to implement the law. We’ll continue doing just that and will continue to enforce the law unless and until a court ruling says otherwise,” he added.

To watch the full briefing, click here. 

Allen D. Payton contributed to this report.

 

 

By Antioch Police Department

Another illegal unregistered firearm seized by Officer Milner. Last night, March 6th, at around 6:50 pm Officer Milner stopped a vehicle near Days Inn on Auto Center Drive for several vehicle code violations. The driver was a 19-year-old male who lived in Richmond.

Officer Milner saw the pictured marijuana in plain view and knew the driver was under the age of 21, which is a violation of Health and Safety code 11357. Officer Milner searched the vehicle and the driver. The pictured firearm was in his possession, and he was arrested for various firearm related offenses.

Great work by Officer Milner.

APD PIO Ashley Crandell said they are not releasing the suspect’s identity.

We are hiring Police Trainees, Academy Students, Academy Graduates, and Laterals – if you want to help him make a difference in our community and cover him on traffic stops. We encourage you to visit our website, www.joinantiochpd.com to learn more.

Allen D. Payton contributed to this report.

The East Bay Regional Park District is looking to hire over 50 new lifeguards for the 2023 swim season at its 12 East Bay swim facilities, which include lakes, lagoons, and swimming pools. All new lifeguard positions are seasonal, full-time positions from May through September. Anyone ages 16 and over before April 22, 2023, are encouraged to apply. Starting pay is $20.78 per hour. Applications will be accepted through March 27, 2023.

There are six lifeguard testing dates scheduled in March. Participants will be asked to swim 550 yards in under 10 minutes, carry a rescue board 50 feet, retrieve three dive rings under four to seven feet of water, tread water for two minutes using only their legs, and retrieve a 10-pound brick from underwater. There will also be a short informal interview after successful completion of the swim test on the same day.

Testing Schedule:

•    Saturday, March 11, at Buchanan Pool, Pittsburg

•    Sunday, March 12, at Granada High School Pool, Livermore

•    Saturday, March 18, at San Leandro High School Pool, San Leandro

•    Sunday, March 19, at Granada High School Pool, Livermore

•    Saturday, March 25, at Buchanan Pool, Pittsburg

•    Sunday, March 26, at Castro Valley High School Pool, Castro Valley

Participants who pass the tests will be invited to the Park District’s Lifeguard Academy beginning Saturday April 22, 2023, where they will receive paid training and certification in open water lifeguarding. The Lifeguard Academy takes place over five consecutive weekends in April and May, with the swim season beginning in late May for most facilities.

“Working as a lifeguard is one of the few ways a young adult can give back to their community and learn about public service,” said East Bay Regional Park District Aquatics Manager Pete DeQuincy. “Promoting water safety and educating park visitors on how to safely recreate in, on, and around water is paramount in what a lifeguard does.”

Lifeguards can work at any of the Park District’s swim facilities in various cities in Alameda and Contra Costa counties, such as Antioch, Concord, Livermore, Hayward, Castro Valley, Oakland, Alameda, and Berkeley.

For information and how to apply, visit www.ebparks.org/public-safety/lifeguard/jobs.

The East Bay Regional Park District is the largest regional park system in the nation, comprising 73 parks, 55 miles of shoreline, and over 1,300 miles of trails for hiking, biking, horseback riding, and environmental education. The Park District receives more than 25 million visits annually throughout Alameda and Contra Costa counties in the San Francisco Bay Area.

Advises residents how to stay safe, offers list of free sandbag locations

By Kelly Kalfsbeek, Community & Media Relations Coordinator, CCC Public Works

Contra Costa County Public Works maintenance crews have been clearing storm drains, catch basins, roadside ditches, monitoring and maintaining flood control channels and stocking sandbag stations in preparation of the coming storms. We encourage our customers to take steps to protect themselves and their property as well.

Please clear drains/gutters, watch for fallen/falling trees/limbs and other debris and look for trouble spots. If you are concerned about flooding visit: www.contracosta.ca.gov/sandbags to find your nearest sandbag station. Sand and sandbags are free, please bring a shovel.

During stormy weather, we encourage the driving public to avoid traveling on the roadways unless necessary due to localized flooding, downed trees, and hazardous situations. Do not attempt to cross flooded roads and if the power is out, treat all traffic signals like stop signs. We also advise residents to stay out of the creeks and flood control channels.

For road closure updates & other important information follow us on Twitter @cccpublicworks: https://twitter.com/cccpublicworks

For winter storm preparedness tips & resources-including flood forecasting tools visit: www.contracosta.ca.gov/stormprep

To report a service issue such as a clogged catch basin or drainage inlet, in unincorporated Contra Costa County, please call the Public Works Maintenance Division at 925-313-7000 during work hours and after hours call Sheriff’s Dispatch at 925-646-2441. To learn how you can report service issues to us from your mobile device using our free Mobile Citizen App visit: 

www.contracosta.ca.gov/MobileCitizen

About Contra Costa County Public Works Department:

Contra Costa County Public Works Department (CCCPWD) maintains over 660 miles of roads, 150 miles of streams, channels, and other drainage and over 150 County buildings throughout Contra Costa County. CCCPWD provides services such as Parks and Recreation, Sandbag Distribution and Flood Control throughout unincorporated areas of Contra Costa County.  CCCPWD operates two airports, Buchanan Field Airport in Concord, and Byron Airport in Byron. For more information about CCCPWD, please visit us at: www.cccpublicworks.org

 

To evaluate reforms, in coordination with state Department of Justice

The BART Police Department and the California Department of Justice (Cal DOJ) have entered into a Memorandum of Understanding (“MOU”) to work with BART PD to independently evaluate the reforms put in place by BART PD and the BART Board of Directors, with the goal of improving BART PD policies where applicable and providing documented reports of BART PD’s progress to the community.

BART riders and community stakeholders are invited to register for and participate in a Zoom session this Thursday, March 9 at 6:30 pm where members of the evaluation team will hear the perspectives of community members on their relationships with BART PD. The listening session will include a virtual community meeting with breakout sessions.

Visit here to register for the event.

Sesión de escucha de la comunidad: convocada por el Departamento de Justicia de California y el Departamento de Policía de Bay Area Rapid Transit (BART)

 

 

By Antioch Police Department

Join us for the 117th installment of the Neighborhood Cleanup Program on March 11, 2023, from 9:00 am – 11:00 am. Volunteers should meet at the parking lot of Chichibu Park which is on the corner of Acorn Road and G Street.

Investing time into cleaning up our neighborhoods instills a sense of community pride. Partner with us and help make a difference in Antioch.  Signup, via Facebook or just show up.