HomeMy WebLinkAboutMINUTES - 08111992 - 1.82 To: BOARD OF SUPERVISORS 1 . 821 ,4
FROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: August 5, 1991 09 Cour ty
SUBJECT: Approval of Orthopedic Specialist Contract #26-909 with
Avrum V. Gratch, M.D.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee,
(Frank Puglisi, Jr. ) to execute on behalf of the County, Orthopedic
Specialist Contract #26-909 with Avrum V. Gratch, M.D. (Specialty:
Orthopedics) for the period August 1, 1992 through July 31, 1995 (and
automatically renewed from year to year thereafter unless sooner
terminated as provided under the terms of the Contract) , to be paid as
follows:
a. For the first year of this Contract, $17, 625 per month, payable
at the rate of $8, 812 .50 twice monthly, not to exceed a 12-month
total payment limit of $211, 500;
b. For the second year of this Contract, $18, 506 per month, payable
at the rate of $9, 253 twice monthly, not to exceed a 12-month
total payment limit of $222 , 072 ; and
C. For the third year of this Contract, $19, 432 per month, payable
at the rate of $9 ,716 twice monthly, not to exceed a 12-month
total payment limit of $233 , 184 .
d. For each year thereafter, subject to approval by the Board of
Supervisors, Contractor's payment will be based on the prior
year's compensation plus a cost-of-living adjustment computed
according to the formula used for physician-employees of County,-
plus a performance increase, at the discretion of County, based
on evaluation of factors such as Contractor's clinical
competence, productivity and efficiency.
II. FINANCIAL IMPACT:
Cost to the County depends upon utilization. As appropriate, patients
and/or third party payers will be billed for services.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For a number of years the County has contracted with Medical and
Dental Specialists to provide specialized professional services which
are not otherwise available in its hospital and clinics.
Under Contract #26-909, Contractor will provide inpatient and
outpatient orthopedic consultation, inpatient orthopedic procedures
and on-call coverage services for Merrithew Memo rLsPital.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM D TION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED _� OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN./.
l /�?
CC: Health Services (Contracts) ATTESTED // %v2
Risk Management Phil Batchelor,&rk of the Board of
Auditor-Controller SuYervisors and CcuntyAdministrator
Contractor
M382/7-83
BY DEPUTY