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





  • Community input received on proposed health club and pool facility in Rancho Santa Fe
    About 100 Rancho Santa Fe residents showed up on Friday, Oct. 17, for a health club and pool community meeting, the last outreach before ballots were mailed on Monday, Oct. 20. On the ballots, members are being asked whether the Rancho Santa Fe Association should spend $350,000 on a professional planning phase for the potential new community amenity. RSF Ass […]
  • Czech violin duo to perform at Village Church in Rancho Santa Fe
    In cooperation with the Consulate General of the Czech Republic, the Czech School San Diego hosts a free classical violin concert by internationally recognized Czech violin player Jaroslav Svecený and his daughter, Julie Svecená, who are on a tour of the United States. The concert will be at 7 p.m. Oct. 27 in the Village Church. The father-daughter duo will […]
  • Rancho Santa Fe weekly sports update
    Torrey Pines defeated Canyon Crest Academy 4-3 in a Palomar League opener for both teams on Oct. 9. Alayna Tomlinson and Farah Farjood each scored two goals to lead the Falcons. Samantha “Sammy” Cirino added one goal and one assist. […]