HomeMy WebLinkAboutMINUTES - 09141993 - 1.123 f' •
It A;23
TO* • BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director 4w )4 Contra
By: Elizabeth A. Spooner, Contracts AdministratoCOSta
DATE: September 1, 1993 40 County
SUBJECT: Amendment of Board Order Approving the Exchange of Use Contract
#26-023-48 with the Department of Veterans Affairs
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Amend the Board of Supervisors Order, dated May 11, 1993 , which
authorized the Health Services Director or his designee (Frank
Puglisi, Jr. ) to execute on behalf of the County, Exchange of Use
Contract #26-023-48 with the Martinez Veterans Administration
Outpatient Clinic for the period from April 1, 1993 through March 31,
1994, to change the term of the Agreement to July 15, 1993 through
June 30, 1994 , with fixed rates for Fiscal Years 1994-95 and 1995-96,
for provision of certain specialized medical services by each party.
II. FINANCIAL IMPACT:
This Contract is funded in the Health Services Department's Enterprise
I Budget. Under the . terms of this . Exchange of Use Contract, the
County's Merrithew Memorial Hospital will provide certain medical
services for VAOPC patients, and VAOPC will provide certain medical
services for the County's patients. Each party will be paid a fee for
service in accordance with the fee schedules incorporated in the
Contract. The Department of Veterans Affairs has approved rates
through June 30, 1996 for certain procedures.
The services provided for the County's patients under this Contract
are billable to patients and third party payors.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For many years, the County maintained a contractual relationship with
the Martinez Veterans Administration Medical Center, (U.S. Department
of Veterans Affairs) through a mutual sharing agreement, which has
made available to the County specialized medical services not
available at Merrithew Memorial Hospital and Clinics due to lack of
resources, equipment, and personnel. The prior agreement expired
December 31, 1992 .
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME ATI N OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ace
t i993
ACTION OF BOARD ON APPROVED AS RECOMMENDED -, OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: G. -11T,a,,NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: TL AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Frank Puglisi, Jr. (370-5100) OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTEDE_P 14 1993
Risk Management Phil Batchelor,Clerk of the Board of .
Auditor-Controller Supervisors and County Administrator
Contractor
M362/7-e8 BY DEPUTY
Amended Board Order
Agreement #26-023-48
Page 2
The Martinez Medical Center closed and therefore inpatient services
are no longer available, but under this new sharing agreement, the
Department of Veterans Affairs Northern California System of Clinics
(VAOPC) will continue to provide specialized laboratory testing,
radiology services, nuclear medicine studies, CT scans, MRI's,
dermatology, gastroenterology, urology, audiology and speech, and
opthalmology services for the County. The County will provide
Emergency Room treatment and inpatient care, including certain
ancillary services, for VAOPC-referred patients.
Contract documents have always been prepared by the Veterans
Administration and require final approval from the Department of
Veterans Affairs in Washington, D.C. At the time that your Board
approved the sharing agreement on May 11, 1993, the local VA did not
have final approval of the rates from Washington, and the VA was
unable to provide services for the County during the time period
originally approved by your Board.
The VAOPC has now received Federal approval of fee rates for most of
the services to be provided for the County, and in the Federal
contracting process, the contract term changed from April 1, 1993
through March 31, 1994 to July 15, 1993 through June 30, 1994 .
Federal approval of the rates for nuclear medicine studies has not yet
been received, but upon receipt of those rates, the Department intends
to request your Board's approval and authorization to contract for
nuclear medicine studies for the time period designated by the Federal
Department of Veterans Affairs.