Coast Life Support District

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Home Community Healthcare Planning Initiative

Community Healthcare Planning Initiative

In 2009 the District’s After Hours Urgent Care program, provided through a contract with Redwood Coast Medical Services, was ended due to financial unsustainability.  In response to community concerns about local healthcare availability, the leaders of both Coast Life Support District and Redwood Coast Medical Services formed a joint working group to investigate alternatives for improving access to health care services in the District.  In 2011, this effort began with a formal study conducted by the Stroudwater Associates to determine the feasibility of a small community medical center.  This study, while encouraging, was not sufficiently detailed to proceed with a financially viable plan.  The community also stated a strong preference for exploring additional alternatives.  The Stroudwater Report and supplemental materials may be found here (PDF, 1.5 MB).

In late 2013, the joint working group decided to move forward with a closer examination of possible community healthcare models that are both clinically and financially sustainable.  The District contracted with the Camden Group to conduct a detailed study to provide definitive answers to three questions:

  1. Is a Critical Access Hospital clinically and financially sustainable for this community?
  2. Do the financial reports provided by Redwood Coast Medical Services for their Urgent Care program reflect reasonable costs?
  3. What other healthcare delivery model could be supported by this community?

The results of the Camden Group study showed:

  1. A Critical Access Hospital is neither clinically nor financially sustainable;
  2. The reported Urgent Care program costs are reasonable;
  3. The best model for this community would be an expanded outpatient specialty services center, built and staffed through a partnership involving the District, Redwood Coast Medical Services, and a regional tertiary care center hospital.

The Camden Group provided a series of reports to District leadership, beginning with a business plan and situational assessment, and ending with a comprehensive report answering the three basic questions.  These documents are all public record.

The Camden Group business plan for conducting the study may be found here (PDF, 570 KB).

The Camden Group analysis of the Urgent Care costs and requirements was initially released in draft form for board discussion purposes.  Please note this was a pre-decisional document and changed significantly as refinements of assumptions and calculations continued.  The report may be downloaded here (PDF, 292 KB).

The Camden Group Situational Assessment was released in draft form for board discussion purposes.  Please note this was a pre-decisional document and may have changed as refinements of assumptions and calculations continued.  The report may be downloaded here (PDF, 2 MB).

Detailed documents addressing  early findings in expansion of outpatient services and determining Critical Access Hospital feasibility may be downloaded here:

The Camden presentation material and the final Camden report, discussed at the February 24, 2014 CLSD Board Meeting, can be found below:

Community members interested in the future of local healthcare are encouraged to read the Project Summary and Healthcare Options reports.