11. SOURCES: CITY LEVEL City public health department – large cities have their own, counties serve smaller towns Planning and Zoning – can affect hospital or clinic expansion/closures
12. SOURCES: COUNTY LEVEL AGENCIES County public health department – serves smaller cities and unincorporated areas Environmental Services Department – (West Nile, contaminated fountains, etc.) Planning and Zoning – can affect hospital or clinic expansion/closures Mental health services agency
13. SOURCES: COUNTY LEVEL PLAYERS School–based health clinics and nurses County Medical Association or Society – organization of local doctors Community Clinic Association/Consortium – lobbies for and supports local clinics Area Agency on Aging – deals with Medicare, elder abuse issues HICAP Health Insurance Counseling Assistance Program – helps Medicare patients
14. SOURCES: STATE AGENCIES Department of Managed Health Care – regulates HMOs Department of Insurance – regulates other forms of health insurance Health and Human Services Agency – oversees health and social services departments Department of Public Health – deals with outbreaks, food safety, TB, immunizations, etc. Department of Health Care Services (administers Medi-Cal, oversees hospitals)
15. And more state agencies… Office of Statewide Health Planning and Development – state think tank, data bank California Medical Board – oversees doctors California Nursing Board – oversees nurses
16. SOURCES: THE FEDS Regional Center for Medicare and Medicaid Services – investigates fraud, nursing homes, hospitals treating Medicare patients Regional Health and Human Services office –hospital inspection reports
17. SOURCES: OTHER PLAYERS Malpractice lawyers Calif. chapters of specialty boards California Nurses Association – represents registered nurses SEIU Locals – represent nursing aides, health technicians, hospital janitors Think Tanks: California HealthCare Foundation, Kaiser Family Foundation
18. SOURCES: ADVOCATES/LOBBYISTS Health Access – advocacy group Consumer Watchdog – advocacy group California Primary Care Association - represents 600+ community clinics California State Rural Health Association – represents rural clinics and hospitals California Medical Association – represents interests of doctors