HomeMy WebLinkAboutMINUTES - 07091996 - C51 C . 51
TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director
- Contra
Costa
DATE: June 13, 1996 County
SUBJECT: Approval of Contracts Amendments with Avrum Gratch, M.D. , and Jason
Appel,. 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, Contract
Amendment Agreement #26-909-3 with Avrum Gratch, M.D. and Contract
Amendment Agreement #26-895-10 with Jason Appel, M.D. (specialty:
Orthopedics) , effective January 15, 1996, to increase the monthly
rates as specified in the Contracts .
II . FINANCIAL IMPACT:
Cost to the County depends upon utilization. A's appropriate, patients
and/or third party payors will be billed for services .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND:
On January 16, 1996, the Board of Supervisors authorized reduction of
certain Medical Specialist Contracts and cancellation of Contract #26-
905-7 with Dr. Howard Sturtz . Subsequently, Dr. Sturtz agreed to
provide needed orthopedic coverage at the Richmond Health Center and
the Board approved Contract #26-905-8 on April 2, 1996, for the period
from April 1, 1996 through March 31, 1997, in the amount of $40, 000 .
This Contract was funded entirely by an additional reduction of
$40, 000 ($20, 000 each) from two other Contract Orthopedic Surgeons
(Drs . Gratch and Appel) .
In May, Dr. Sturtz informed the Department he was no longer available
to provide professional services for the Department, effective close
of business on May 31, 1996 . Therefore, the Department is requesting
that Contract Amendment Agreement #26-909-3 with Avrum Gratch, M.D.
and Contract Amendment Agreement #26-895-10 with Jason Appel, M.D. , be
approved to increase their monthly rates as specified in the
Contracts, to restore them to their .prior funding levels . The
Department is concurrently requesting approval of Mutual Cancellation
Agreement #26-905-9 with Dr. Sturtz .
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION,OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIG' ATURE(S)
ACTION OF BOARD ON Mut 0 is" APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
X UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: II AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Frank Puglisi (370-5100) W09
CC: Health Services (Contracts) ATTESTED
Risk management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Administrator
Contractor
M382/7-83 BY _- DEPUTY