Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-4_94-cv-02307/USCOURTS-cand-4_94-cv-02307-29/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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IN THE UNITED STATES DISTRICT COURTS

FOR THE EASTERN DISTRICT OF CALIFORNIA

AND THE NORTHERN DISTRICT OF CALIFORNIA

RALPH COLEMAN, et al.,

Plaintiffs, No. CIV S-90-0520 LKK JFM P (E.D. Cal.)

v.

ARNOLD SCHWARZENEGGER,

et al.,

Defendants.

/

MARCIANO PLATA, et al.,

Plaintiffs, No. C 01-1351 TEH (N.D. Cal.)

v.

ARNOLD SCHWARZENEGGER,

et al.,

Defendants.

/

CARLOS PEREZ, et al.,

Plaintiffs, No. C 05-5241 JSW (N.D. Cal.)

v.

JAMES TILTON, et al.,

Defendants.

/

Case 4:94-cv-02307-CW Document 1295 Filed 03/13/08 Page 1 of 6
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JOHN ARMSTRONG, et al.,

Plaintiffs, No. C 94-2307 CW (N.D. Cal.) 

v.

ARNOLD SCHWARZENEGGER, ORDER TO SHOW CAUSE

et al.,

Defendants.

/

The Receiver in Plata, the Special Master in Coleman, and the Court Representatives in

Perez and Armstrong have presented to the judges in the above-captioned cases an agreement

that they have reached during the coordination meetings that they have held to date. The

agreement, which is attached to this order, is presented to the undersigned for review and

approval.

Good cause appearing, IT IS HEREBY ORDERED that the parties in the abovecaptioned cases are granted until March 28, 2008 to show cause why the attached agreement

should not be adopted as an order of the court. Any response to this order to show cause shall be

filed in each of the above-captioned cases and served on all of the parties to all of the cases and

on the Receiver, the Special Master, and the Court Representatives. Thereafter, the request for

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approval of the agreement will be taken under submission for individual and joint consideration

by the undersigned.

IT IS SO ORDERED.

DATED: 03/13/08 

LAWRENCE K. KARLTON

SENIOR JUDGE

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

DATED: 03/13/08 

THELTON E. HENDERSON

UNITED STATES DISTRICT JUDGE

NORTHERN DISTRICT OF CALIFORNIA

DATED: 03/13/08 

JEFFREY S. WHITE

UNITED STATES DISTRICT JUDGE

NORTHERN DISTRICT OF CALIFORNIA

DATED: 03/13/08 

CLAUDIA WILKEN

UNITED STATES DISTRICT JUDGE

NORTHERN DISTRICT OF CALIFORNIA

Case 4:94-cv-02307-CW Document 1295 Filed 03/13/08 Page 3 of 6
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ONE PAGE AGREEMENT ON PILOT PROGRAM FOR 

CHIEF EXECUTIVE OFFICER

Health Care Manager

INTRODUCTION

Currently, there is no civil service position or classification for the chief health care

manager/administrator in the prisons. The role is being filled on an acting basis by individuals in

various classifications, generally by the Chief Medical Officer.

On April 13, 2007, the Receiver filed a motion for waiver of state law permitting him to hire

career executive appointees to remediate gross inadequacies in the current management and

supervision of the medical health care delivery system. The chief executive position in the adult

prisons was among those discussed by the Receiver in his motion.

The Receiver’s motion proposed the hiring of civil service employees so they can be integrated

into the state system. He proposed that the applicant pool be open to any person (rather than

limited to current civil service employees) and that all appointees serve at-will. The Receiver

stated further that he would work with the State Personnel Board and Department of Personnel

Administration to develop job descriptions, qualifications, classifications and competitive salary

ranges.

Prior to court action on the Receiver’s motion, the State Personnel Board and Receiver entered

into a stipulated agreement filed with the Plata Court. 

On September 11, 2007, the Plata Court issued its Order Adopting August 20, 2007 Stipulation

Between Receiver and State Personnel Board (“Order”). The Order sets forth a pilot program to

test the effectiveness of the stipulated hiring mechanism for medical health care

executives/administrators within CDCR for three prisons. The core elements of the mechanism

call for the use of new civil service classifications with minimum qualifications that the Receiver

concurs are essential for developing and maintaining a constitutionally adequate medical care

system. Candidates with the requisite qualifications from inside and outside the state service

may apply. Individuals can be appointed on a limited term (non-tenured) basis for up to two

years, during which the incumbent will be subject to discipline for cause or release without

cause. Once permanent status is acquired, it will be followed by a one-year probationary period. 

ISSUES & AGREEMENTS

1. Nature of Position 

A. Health care services at each adult institution will be administered

by a single manager/administrator, i.e., Chief Executive Officer

(CEO) responsible for health care delivery systems within one or

more specified institutions as a means of ensuring coordinated

multi-functional services and interdisciplinary interactions within

the prison that are vital to a managed care delivery system. As

such, the CEO will be responsible for directing the entire health

care program at the institution(s), including medical, pharmacy,

nursing, mental health and dental services.

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B. The CEO will provide the day-to-day management and supervision

of all health care operations at the institutional level. S/he will

manage/supervise administrative support functions and/or monitor,

plan and evaluate those functions that are required for healthcare

insofar as they are acquired through staff directed by the wardens,

including business services (procurement, space, equipment and

supply management), personnel, budget and accounting program

support, and security/custody.

C. Those from within the same clinical disciplines supervised by the

CEO at the regional and/or statewide level (e.g., nursing, medical,

mental health and dental) will assist the CEO, and provide

functional guidance to members of their professions insofar as it

concerns such matters as clinical standards, clinical protocols,

clinical policies and the quality of services being delivered by

members of their professions at the institution level.

D. The CEO will act as the hiring authority for medical as determined

by the Receiver, and for mental health and dental care as

determined by CDCR.

E. The CEO will evaluate the performance of subordinates based on

standards, processes and consultations as determined by the

Receiver for medical personnel and CDCR for mental health and

dental personnel.

F. CEOs’ direct supervisors will be the Regional Health Care

Program Administrator for their prisons, who, like the CEOs,

receive direction and are responsible for the delivery of care

consistent with the expectations of the Receiver and the CDCR

Chief Deputy Secretary, Division of Correctional Health Care

Services.

2. New classification development

The Plata receivership is the project lead for development of the new CEO classification. The

Receiver’s staff has shared the class specification with the Chief Deputy Secretary of the CDCR

Division of Correctional Healthcare Services (DCHCS), who will in turn be responsible for

ongoing communicating with Perez, Coleman and Armstrong representatives.

The Plata receivership will present the class specification to the State Personnel Board for

review and approval pursuant to the “Order Adopting August 20, 2007, Stipulation Between

Receiver and State Personnel Board.”

The CEO minimum qualifications will include significant experience in, and understanding of,

the management of large, complex organizations delivering health care services. Clinical

experience will not be a prerequisite.

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3. Salary setting

The Plata receivership will have a salary survey conducted and will provide the results to the

Chief Deputy Secretary of the CDCR Division of Correctional Healthcare Services, before

proceeding to the Department of Personnel Administration with a salary-setting request.

4. Recruitment and Selection at Pilot Project Institutions

The Plata receivership and the DCHCS Chief Deputy Secretary (or designee) shall jointly select

which three prisons shall participate in the pilot project after discussion in the Armstrong,

Coleman, Perez and Plata formal coordination meeting forum. 

The Receiver (or designee) and the Chief Deputy Secretary of the DCHCS shall jointly engage

in CEO recruitment and selection.

5. Performance Evaluations

The CEOs will be evaluated by the Regional Health Care Program Administrators based on the

expectations of the Receiver and the CDCR Chief Deputy Secretary, Division of Correctional

Healthcare Services.

6. Tenure

It is anticipated that the individuals selected will first be appointed on a two-year limited term

basis, and that the granting of permanent status shall be based on agreement of the Plata

receivership and the DCHCS Chief Deputy Secretary (or designee) that an individual’s

performance merits a permanent appointment.

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