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Feasibility and Fiscal Evaluation for a Municipal Public Health Agency <br />August 17, 2021 <br />Page 2 <br />1 <br />9 <br />5 <br />4 <br />Four cities in the State of California have their own health departments: Pasadena <br />(established in 1892), Long Beach (established in 1906), Vernon (established in 1986), <br />and Berkeley (established in 1880). <br />On April 13, 2021, the City released a Request for Proposals (RFP) for feasibility and <br />fiscal evaluation services for a municipal public health agency for Santa Ana. A total of <br />191 professional consultants were notified. Health Management Associates (HMA) was <br />the sole respondent to the RFP. <br />Upon an internal review of the HMA proposal and an interview, staff determined that this <br />firm is qualified to respond effectively to the proposed scope of services: <br />Identify the full range of specific public health services the Orange County Health <br />Care Agency (OCHCA) provides to Santa Ana residents and businesses and their <br />legally required mandates. <br />Identify OCHCA current service levels in comparing to local needs in each of the <br />mandated services. <br />Identify any OCHCA services above and beyond mandated services, and the <br />service levels they provide in each to Santa Ana residents. <br />Identify all funding sources for operation of the OCHCA. <br />Identify all state and federal mandates and statutes for the operation of a municipal <br />public health agency. <br />Review public health regulations (Health and Safety Code, California statues and <br />orders of the California Department of Public health, etc.) and identify a strategy <br />to qualify for funding for the creation of a public health agency. <br />Provide a statistically valid evaluation of the current health assessment for Santa <br />Ana residents and a narrative of the specific health issues facing the Santa Ana <br />residents, leading to the identification of public health priorities for the City of Santa <br />Ana. <br />Identify and evaluate service areas required to create and operate a municipal <br />health care agency. Develop three models: full-service municipal health agency, <br />basic limited municipal health agency (which could include limited services <br />provided by the City and remaining services provided by the County of Orange), <br />and regional health model. Each model should identify recommended staffing and <br />facilities, certification requirements, the process to form each agency, challenges <br />and opportunities, as well as funding sources available. <br />Assist in the development of recommendations of public health policies and plans <br />necessary to operate a public health agency in the City of Santa Ana. <br />Identify the pros and cons of creating our own public health agency. <br />Assist in the development of public health programs for the City of Santa Ana. <br />Map out the transition plan and timing for transition. <br />Provide a final document analyzing the feasibility and specific steps for the creation <br />of a public health agency for the City of Santa Ana, including a realistic timeline.