DATE: March 13, 2007
TO: Board of Supervisors
SUBJECT: Resolution Opposing UCSD’s “New Vision for Healthcare”
The health and well being of all County residents lies at the core of our mission to serve the public.
Our County population is expected to hit 3.9 million by 2020. The most recent statistics indicate that more than 686,000 residents in the region receive Medicare or Medi-Cal and it is estimated that more than 500,000 are entirely uninsured. The University of California at San Diego (UCSD) Medical Center is an award-winning hospital that has historically served the uninsured and underinsured of San Diego and Imperial counties with outstanding service and quality care. Located in Hillcrest, UCSD Medical Center is home to 385 inpatient beds and a Level I trauma center designated to serve much of the Central and South regions of San Diego County. UCSD’s “New Vision for Healthcare” is a roadmap for the future of the hospital at both locations, Hillcrest and La Jolla. Included in that roadmap is a plan to move all 385 inpatient beds from UCSD Medical Center Hillcrest to its La Jolla campus, starting in 2014.
Today’s action would oppose UCSD’s planned relocation of 385 inpatient beds from their Hillcrest campus to their La Jolla campus.
VICE CHAIRMAN GREG COX
- Adopt the resolution of the Board of Supervisors opposing UCSD’s “New Vision for Healthcare” and urge UCSD to examine other options that will keep a significant inpatient presence at their Hillcrest campus.
- Direct the CAO to send the resolution to all members of the University of California Regents.
There is no fiscal impact.
In 2005, the University of California at San Diego (UCSD) unveiled their “Vision for Healthcare”, a roadmap for the future of their hospital. UCSD currently serves a substantial number of the region’s poor and uninsured residents, some 21,000 patients a year who depend on services at their acute care hospital in Hillcrest as well as their La Jolla facility. UCSD has proposed relocating its trauma center and inpatient beds from Hillcrest to an expanded Thornton Hospital in La Jolla, leaving a free standing emergency room as one of the main functions of the Hillcrest campus, for which legislative approval is currently required.
The “Vision” has raised the issue of where and how patients who live in Central and South San Diego County specifically will be affected by the relocation of hospital beds. There is concern about how trauma patients will be impacted by having only one of the five adult trauma centers south of Interstate 8 remain open, when over 40 percent of the region’s trauma patients originate from this area.
The health and well being of all County residents lies at the core of our County mission to serve the public. Working to ensure that low-income residents can access appropriate and affordable healthcare is critical to that mission.
Our County population, currently larger than 20 states, is expected to hit 3.9 million by 2020. The most recent statistics indicate that more than 686,000 residents in the region receive Medicare or Medi-Cal and it is estimated that more than 500,000 are entirely uninsured. UCSD’s proposed “New Vision for Healthcare” has the potential to greatly impact access to high quality care these residents now receive at an accessible location in Hillcrest.
I urge your support in opposing UCSD’s “New Vision for Healthcare” and making our position known to the Regents of the University of California.
Supervisor, First District