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MINUTES - 08111998 - C71-C75
TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director Contra Ginger Marieiro, Contracts Administrator �" Costa DATE: August 3, 1998 County SUBJECT: Approval of Contract Amendment Agreement #26-936-1 with Kevin Beadles, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr'. ) to execute on behalf of the County, Contract Amendment Agreement ##26-936-1, effective July 1, 1998, to amend Medical Specialist Contract #26--936 with Kevin Beadles, M.D. (Specialty: Ophthalmology) , to modify Subparagraph l .b. of the Additional Provisions to read, as follows : "b. $200 . 00 per occurrence when Contractor is required to come to the Hospital during on-call hours for non-surgical procedures, not to exceed $1,400 .00 per month, and not to exceed a total payment limit of $16, 800.00 annually; " FISCAL IMPACT: This Contract Amendment Agreement #26-9361, increases the monthly payment limit for additional on-call services from $800, to a new total of $1, 400 per month, thereby increasing the annual payment limit for on-call from $9, 600 to a new total of $16, 800 per year. With the exception of the non-surgical on-call rate, set forth above, there are no other changes to the original Contract agreement . BACKGROUND/REASON(S) FOR RECOMMENDATIONS : On August 6, 1998, the Board of Supervisors approved Medical Specialist Contract #26-936 with Kevin Beadles, M.D. , for the period from August 1, 1996 through July 31, 1999, to provide Ophthalmology services for patients at Contra Costa Regional Medical Center. The need for Ophthalmology services has increased, and as a' result, Dr. Beadles has agreed to provide additional services for plastic surgery eye cases. Approval of Contract Amendment Agreement #26-936-1 will allow Dr. Beadles to be paid for the additional services he is providing, at County' s request . CO INU D O ATTAC SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SLQNATLIRE(S):ezz�4, 4,/_�� ACTION OF BOARD ON '; ��.d� Epi w APPROVED AS RECOMMENDED " VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE ' UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. r' 3 ATTESTED ' �" •`` , «-' _i y P_„ BATCHELOR;X RK OF THEBOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank Puglisi (370-5100) CC: Health Services(Contracts) Risk Management s Auditor Controller BY ,r r � . 1" ., DEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director r Contra Ginger Marieiro, Contracts Administrator Costa DATE: July 29, 1998 County SUBJECT: Approval of Unpaid Student Training Agreement #22-153-5 with San Francisco State University SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(SY: Approve and authorize the Health Services Director, or his designee (Wendel Brunner, M.D. ) , to execute on behalf of the County, Unpaid Student Training Agreement #22-153-5 with San Francisco State University for the period from July 1, 1998 through June 30, 2001, for provision of clinical field experience for nursing students. FISCAL IMPACT: None. BACKCROUNI REASON(SI FOR RECOMMENDATION(S) : The purpose of this agreement is to provide San Francisco State University nursing students with the opportunity to integrate academic knowledge with application skills and attitudes at progressively higher levels of performance requirements and responsibility. Supervised field work experience is considered an integral part of both', the educational and professional preparation. The Department can provide the requisite field education, while at the same time, taking advantage of the students' services to clients. Approval of Unpaid Student Training Agreement #22-153-5 will allow Contractor's students to receive clinical field instruction and experience in nursing through June 30, 2001. CONTINUED ON ATTACHMENT:----- YES SIGtl&TUREJti RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGN d f=4 'k� Z& ACTION OF BOARD ONZ/ of APPROVED AS RECOMMENDED ;< QT8 VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE lw UNANIMOUS {ABSENT 1 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED ,sem. ✓ p✓ � "` PHIL BATCHE#. R ,CLERK OF TH BOARD OF Contact Person: Wendel Brunner, M.D. (313-6712) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor =:.rte TO: BOARD OF SUPERMSORS 713 William Walker, M.D. , Health Services Director FROM: By: Ginger Mar eirc, Contracts Administrator '� �.; Contra Costa DATE: July 29, 1998 County SUBJECT:Approval of Amendment #26-933-3 with Anthony Cheng, . , Curtis Chang, M.D. ; Paul H. Kwok, D.O. ; Robert J. Lindsay, M.D. ; Craig Nielson, M.D. ; Mark Vukalcic, M.D. ; and Daryl Smith, M.D. ; SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION REM MEND&TION(_S) : .Approve and authorize the Health Services Director,' or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Amendment #26- 933-3 , effective July 1, 1998, to amend Contract #26-933 with Anthony Cheng, M.D, ; Curtis Chong, M.D. ; Paul H. Kwok, D.O. , Robert J. Lindsay, M.D. , Craig Nielsen, M.U. , Mark Vukalcic,< M.I . ; and Daryl Smith, M.D. ; (specialty: Anesthesiology) ; to add Christopher Chen, M.D. , to the agreement; and to increase the Contract Payment Limit by 4, 687, 524 from $4, 265, 132, to a new total payment limit of $8, 952, 6556 and to extend the term of the agreement through June 30, 2001 . FISCAL IMPACT: Cast to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services . BACIK GRC3UND/REASON(S) FQR REC©MMENDATION(S) On February 27, 1996, the Board of Supervisors approved Contract #26--933 (as amended by Contract Amendment Agreements #26-933-1 and #26-933-2) with the above named physicians for provision of Anesthesiology Services for the period from January 1, 1996 through October 31, 1999 . In October 1997, the Department engaged in the use of services for consultants to review the operations of the Operating Room and Anesthesiology staffing. The consultants have therefore completed the review and as a result, the following recommendations are conclusive: 1) to increase the staffing from the current 4 . 75 FTE to 6 . 50 FTE; 2) to increase the compensation in the monthly salary to reflect level market rates; and 3) utilize one anesthesiologist to provide back-up call service to the Obstetrics unit, as well as one for General Surgery. Approval of Amendment #26-933--3 will allow the services of one additional physician, to provide 24-hour call to the Obstetric unit and continue the contractor' services through June 30, 2001 . CONTINU912 QN AE6CHMNT: SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE _-OTHER I `7 ACTION OF BOARD ON s ✓f APPROVED AS RECOMMENDED hr Y C+H" ,9 VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ASSENT_____) AND CORRECT COPY OF AN ACTION WAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE[DATE SHOWN. ATTESTED PHI BATCH, `+CLERK OF THe BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR ContectPerson: Frank Puglisi (370-5100) CC: Health Services(Contracts) Risk Management Auditor Controller By �"���a�'. ' ��`-�,�� `,DEPUTY Contractor n '' TO: EtC)Aftt3 OF StiP'lrFtVlSt)Ft5 FROM- William Walker, M.D. , Health Services Director By: Ginger Marieiro, Contracts Administrator Contra Costa DATE: J'ulu 29, 1998 County SUBJECT: Approval of Contract Amendment Agreement #23-241-1 with Albert William Borden SPECIFIC REQUESTJS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS Approve and authorize the Health Services Director to execute on behalf of the County, Contract Amendment Agreement #23-241-1 with Albert William Borden, effective August 1, 1998, to increase the Contract payment limit by $74, 000, from $25, 000 to a new total of $99, 000 . FISCAL IMPACT: Funding for this Contract is included in the Department ' s Enterprise I budget . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : In April 1998, the County Administrator approved and the Purchasing Services Manager executed. Contract #23-241. with Albert' William Borden, for the period from May 4, 1993 through April 30, 1999, to provide consultation and technical assistance with regard to programming and analysis services to the Department ' s Information Systems Unit . Approval of Contract Amendment Agreement #23-241-Twill allow the Contractor to provide additional services through April 30, 1999 . CONTINUED N ATTACHMENT: SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE „OTHER r ACTION OF BOARD ON ,! Z�z�� � APPROVED AS RECOMMENDED' .gam VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ASSENT 1 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIL SATO_ R,CLERK Of T BOARD OF Contact Person: William Walmer, M.D. (370.5010) SUPERVE SAND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management .. Auditor Controller PUTY Contractor �f TO: BOARD OF SUPERVISORS V FROM: William Walker, M.D. , Health Services Director '� -}� Contra By: Ginger Marieiro, Contracts Administrator Costa DATE: July 29, 1998 County SUBJECT: Approval of Contract #26--939--2 with Wendy Eberhardt, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECO MMTNDATION(S) : Approve and authorize the Health Services Director or his designee (Frank Puglisi, Jr. ) , to execute on behalf of the County, Contract #26-939-2 with Wendy Eberhardt, M.D. in the amount of $61, 080, for the period from September 1, 1998 through August 31, 1999, to provide geriatric psychiatry services at the West County Older Adults Clinic. FISCAL IMPACT: Cast to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services . REASONS FOR RECOMMMMATIONS/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 Health Centers. On September 9, 1997, the Board of Supervisors approved Medical Specialist Contract #26-939-1 with Wendy Eberhardt, M.D. to provide specialized professional geriatric psychiatric services to County' s patients at the West County Older Adults Clinic, for the period from September 1, 1997 through August 31, 1998 . Approval of Contract #26-939-2 will allow the Contractor to continue to provide professional psychiatric services through August 31, 1999 . C I U D ON A fi' SIGNATURE- RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER �r ACTION OF BOARD ON f ff'i •� ✓.•s, 'j APPROVED AS RECOMMENDED %'� GT}{E VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE "' UNANIMOUS (ABSENT } AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED r' /a` ✓'i �/ �*�' PHIL BATCHELOR,CLERK OF THE SOARL2 OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person, Frk �u 1, LTr. (370-5100) CC: Health Services ontracts) Risk Management fs may" Auditor ControllerDEPUTY Contractor