County to reform in-home care program

A $325 million county program that provides care for the elderly and disabled will undergo reform under a plan adopted Tuesday by the San Diego County Board of Supervisors.

The board unanimously approved a plan to reform the troubled In-Home Supportive Services Program.

Critics of the program call it wasteful, fraud-ridden and ineffective for the patients it was designed to help.

The basic idea of IHSS is to provide care for severely impaired people in the comfort of their homes instead of at medical facilities, which would be more costly for taxpayers.

California pays most of the cost of IHSS, but Supervisor Dianne Jacob estimated earlier this year that the county was on the hook for $43 million because state funding fell short.

“It’s a state program that’s out of control, that’s gone beyond its original intention,” Jacob said.

She said no one with the program has any accountability.

Only about 5,000 patients in the county meet the criteria for IHSS, the supervisor said. However, there are 25,000 recipients of such services in the county, according to Pam Smith, the county’s director of Aging and Dependent Care.

Workers who help the patients do not undergo background checks, and there is no review of their timecards, Smith said.

Reforms approved by the supervisors will include background checks and fingerprinting for those on the IHSS payroll, she said.

Smith said $1.4 million in state funds are available for the county to make home visits to make sure IHSS patients are receiving the necessary care.

Supervisor Pam Slater-Price said there are limits to the public’s largesse, and that annual increases in IHSS costs are diverting money from other programs designed to help seniors and children.

The county reforms are in line with changes being made in the program at the state level.

Related posts:

  1. Group calls for health care reform
  2. State proposes borrowing millions from SD City and County
  3. County to eliminate 27 positions
  4. County gets unexpected doses of flu vaccine
  5. Community View: To Obama: The right medicine for reform

Short URL:

Posted by on Nov 3, 2009. Filed under Archives. You can follow any responses to this entry through the RSS 2.0. You can leave a response or trackback to this entry

Leave a Reply



Bottom Buttons 1

Bottom Buttons 2

Bottom Buttons 3

Bottom Buttons 4

Bottom Buttons 5

Bottom Buttons 6



  • La Jolla Library welcomes new chief Shaun Briley
    For La Jolla Riford Library’s new head librarian, Shaun Briley, books have been a part of his life and career, in some form or another, every step of the way. […]
  • Tangerine trees, marmalade skies for Beatles-inspired Patrons of the Prado gala in Balboa Park, San Diego
    “Lucy in the Sky with Diamonds” was the theme of the Patrons of the Prado gala on July 12, 2014 in Balboa Park, San Diego. Beatles-inspired music came from Wayne Foster Entertainment. Sandy Redman and Jeanne Jones served as event chairs. 2014’s beneficiaries are the Reuben H. Fleet Science Center, San Diego Museum of Art and The Old Globe Theatre. […]
  • La Jolla’s Best Bets for events July 31- Aug. 7
    Museum of Photographic Arts (MOPA) offers a crash course in starting a photography collection 6 p.m. Thursday Aug. 7. at the Ligne Roset Showroom, 7726 Girard Ave. MOPA assistant curator Chantel Paul and director of jdc Fine Art Jennifer DeCarlo will share professional insights. […]




  • It’s no stretch for Rancho Santa Fe yoga instructor to ‘give back’
    As one of North County’s most prolific yoga instructors, Stacy McCarthy doesn’t just teach yoga, she lives the yoga lifestyle. Selfless service, or seva in Sanskrit, is an important concept of yoga — one that the Rancho Santa Fe resident practices daily. “When we give and we give from the heart, there’s nothing more gratifying than that,” McCarthy said. […]
  • Rancho Santa Fe resident’s Gen 7 wines earn top honors
    Rancho Santa Fe resident Tim Bacino’s Gen 7 Wines is on a hot streak, his varietals winning several awards this summer in California wine competitions. […]
  • Torrey Pines High School baseball alum Taylor Murphy excelling in pro ball
    It was during a breakout senior year at Torrey Pines High that Taylor Murphy first popped up on the radar of professional scouts. Shortly after graduation, Murphy was selected by the San Diego Padres in the 40th round of the June 2011 amateur draft. He declined, honoring a commitment to the University of the Pacific. Three years later, Murphy got another sho […]