Public Decision Event Atlas
Events encoded: 12 | Event | Function | County | Completeness | Final authority / status | Control signal | |---|---|---|---:|---|---| | Fresno extends adult-jail CFMG agreement under Hall continuity pressure | CONTRACTING / GOVERNANCE | Fresno | 5/5 | Fresno County Board of Supervisors | Strong COUNTY contracting authority; does not resolve CFMG/Wellpath professional-control issues. | | Fresno formalizes staffing reimbursement consequences for CFMG vacancies | PHYSICIAN / CLINICAL STAFFING | Fresno | 4/5 | County Board for contractual minimums/remedies; internal final physician staffing authority remains separately governed by MSA. | County can impose staffing floors/economic consequences; this is distinct from physician-reserved workload or internal staffing judgment. | | Fresno approves new Juvenile Justice Campus CFMG agreement | CONTRACTING | Fresno | 5/5 | Fresno County Board of Supervisors | Multi-department County recommendation and Board approval demonstrate client-side institutional authority. | | Monterey replaces long-running CFMG/Wellpath arrangement through competitive RFP | CONTRACTING / PROVIDER REPLACEMENT | Monterey | 5/5 | Monterey County Board / procurement process | Strong evidence that County can replace CFMG/Wellpath through procurement. | | Placer transitions from CFMG to new correctional-health provider | CONTRACTING / PROVIDER REPLACEMENT | Placer | 4/5 | Placer County | Independent County purchasing authority. | | Santa Barbara CQI deficiency-to-corrective-action process | QUALITY IMPROVEMENT / GOVERNANCE | Santa Barbara | 5/5 | Multi-actor MAC approval process | Public example of shared quality-governance authority rather than unilateral enterprise action. | | Santa Barbara incorporates backup on-call psychiatrist requirement into Wellpath contract | MENTAL HEALTH POLICY / CONTRACT GOVERNANCE | Santa Barbara | 5/5 | County contract authority | Concrete example of external oversight recommendation becoming a binding contractor requirement. | | Santa Barbara declines blanket psychiatric-evaluation rule in favor of clinical indication | CLINICAL REFERRAL / PROFESSIONAL DISCRETION | Santa Barbara | 5/5 | County/Sheriff response preserves clinical-factor standard; individual final clinician not identified. | Important public example where an external administrative recommendation was rejected specifically to preserve a clinical-indication standard. | | Santa Barbara accepts recommendation to strengthen outside-record acquisition | MEDICAL RECORDS / POLICY | Santa Barbara | 5/5 | County contract/oversight plus Wellpath policy implementation | Shows County oversight can drive enterprise policy/process revision while preserving clinical-indication language. | | Santa Cruz historical CFMG local medical peer-review process | PEER REVIEW | Santa Cruz | 3/5 | Professional-review mechanism established; final sanction/veto actor open. | Supports existence of genuine CFMG professional-review machinery at site level. | | Bankruptcy court authorizes continued Wellpath professional-corporation obligations | BANKRUPTCY / PC OPERATIONS | Statewide / enterprise | 5/5 | Bankruptcy court for bankruptcy relief; does not alter internal professional authority by itself. | Shows enterprise economic/operational integration while retaining separate PC identity. | | Federal court corrects prior CFMG/Wellpath name-change assumption | ENTITY IDENTITY | Monterey | 5/5 | Federal court as to case record/caption understanding | Strong identity correction; operational integration remains a separate question. |
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