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fully quantifiable. These may include certifications that the OCHCA <br />may hold that provide opportunities for additional funds or eligibility <br />for certain grant awards <br />Based on reviewing the County’s workload data, HMA will propose a <br />potential geographic catchment area for consideration under the proposed <br />regional health models. This proposal will consider both the potential <br />boundaries and the functions that may be possible under a regional health <br />model. <br />This work stream will also include a summative review of the County’s <br />COVID-19 response specifically focusing to what degree the County’s <br />approach addressed issues unique to Santa Ana and/or engaged <br />representatives from the City of Santa Ana. This will be based on a review <br />of published reports by OCHCA and interviews with key stakeholders. <br />Deliverables: Summary memo/presentation of current service level, cost <br />and revenue; summative review of OCHCA COVID-19 response <br />4. Comparative <br />Analysis and <br />Forecasting <br />The final element of the analysis will be to capture data from comparative <br />cities on their operation of a municipal public health development to <br />provide the basis for the City of Santa Ana cost, staffing, and revenue <br />projections. Three cities in Southern California provide examples: <br />Pasadena and Long Beach, which operate mandated functions, and <br />Vernon, which operates a limited scale public health department. <br />Pasadena and Long Beach directly provide services and contract with the <br />County, nonprofits, and other partners in fulfilling their public health <br />responsibilities. <br />Comparative data from all three cities will be captured to the degree <br />available to understand: <br /> Cost and staffing levels and ratio <br /> Revenue streams <br /> Benefits and challenges of the municipal health department <br />The comparative analysis will capture both quantitative and qualitative <br />data. Quantitative data will be used to capture staffing and revenue <br />estimates such as the number of inspections, permits, and related <br />revenue. Qualitative data captured through interviews with key city staff in <br />Long Beach and Pasadena will help identify and elevate key <br />considerations for the City of Santa Ana. <br />Using the data gathered from the County and comparable municipalities, <br />HMA will create a forecasting model to project the staffing, costs, and <br />revenue related for the three models: full service; limited service, and <br />regional health model. This forecasting model will rely on assumptions <br />based on the experience of other municipalities such as ratio of staffing to <br />inspections, frequency of inspections, fees associated with inspections, <br />staffing required for core functions, and potential grant funding. The model <br />will provide the basis for the projections included in the draft and final <br />model. <br />EXHIBIT 1