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Home My WebLink AboutMINUTES - 07201999 - C145-C149 TO: BOARD OF SUPERVISORS � William Walker, M.D. , H a2t-h Services Director FROM. y: 'Ginger Marieiro, Contracts Administrator '` = �� Contra Costa DATE: my 7, 1999 County SUBJECT:Approval of Contract 26-962 with the Women ' s Cancer Center SPECIFIC QUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION R� RECO ENDATION(g : Approve and authorize the Health Services Director, or his designee, (, 'rank Fuglisi, Jr. ) to execute on behalf of the County, Contract 26-961 with the Women' s Cancer Center (Specialty: obstetric/ Cynecology) , for the period fro:r. May 11 , 1999 through April 30, 20r0, to be paid as follows : a) Obstetric and Gvnecoloc r Surgical. Eroceduree: {1-; For initial surgical procedure performed on sage patient, same day, 9-n xuns€red-fifty percent (150%) in accordance with the medicare Physician's RBRVS Fee Schedule, in effect on the date of surgery; (2) For second surgical procedure perform ed on same patient, same day, one hundrg!• Rercent 100%) in accordance with the Medicare Physician's RBR 7S Fee Schedule, i_n effect on the date of surgery, (3) For any additional surgical procedures performed on same patient, same day, Fifty percent 0% in accordance with the - edicare P'i ician's RBRVS Tree Schedule, in effect on the date of surgery; and h} Contractor's compensation includes payment for the provision of the following professional. services: Pre-operative and post-operative care of patients as necessary, twenty-four hour on-call coverage, and in-service training of Registered Nurses, as scheduled by `o=ty. FISCAL IMPACT: Cost to the County depends upon utilization. AS appropriate, patients and/or third party payors will be billed for services. BACXGRO /REASON(S) FC R RECOMMENDATIQN(S) : For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not of her wise avail ab le in its hospital and clinics. Under Contract 26-- 961, Contractor Will provide Obstetric/Gynecology surgical services, including, but not limited to pre-operative and post.-- operative care of patients, twenty--four hour on-call coverage, and in- service training for Registered Nurses at Contra Costa Regional Medical Center and Contra Costa. Health Centers through April 30, 2000 . CNT€R#E# i ,# 4TfaQH-MEET s GhlA�i3 C g , RECOVMENDAT€C,N CF COUNTY ADV"J NISTRATOR c"tECOM€4 ENDATiON OF BOARD COMMITTEE APPROVE OTHER SIGN _u�sj r ACTION OF BOARD ONw APPROVED AS RECOMMENDED OTHER .. VOTE OF SUPERVISORS -' €HEREBY CERTIFY THAT THIS IS A TRUE - UNANIMOUS (ABSENT - 1 AND CORRECT COPY OF AN ACTION TAKEN AYES: _NOES: __ ANIS ENTERED ON THE MINUTES OF THE.BOARD ABSENT: ABSTAIN:- OF SUPERVISORS ON THE DATE SHOWN. t (- _�,.-, ATT'ESTE Ck PHIL B 1,Ch#�..ERK OF THE BOARD OF SUPERVISORS AND COUN TY ADMINISTRATOR Contactperson. Flank Puglisi, jr. (370-5100) CC: Health Cervices(Contracts) Risk Management ` � Auditor Controller BYZ�, S ,DEPUTY Contractor TO: BOARD OF SUPERVISORS � William Walker, M.D. , Health Services' Director FROM, By: Ginger Marieiro, Contracts AdministratorContra Caste DATE: July 7, 1999 County SUBJECT, Approval. of Contract #23-226-2 with Boehm and Associa es SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION 1RECO - ED AC11ON Approve and au hor:.ze the Health Services Director, to execute on behalf of the County, Contract #23-226-2 with Boehm and Associates, for the per-od. from July 1, 1999 through June 30, 2000, for cons.ulta.tion and technical assistance with regard to Workers ' Compensation and third party liability recovery. FINANCIALIMPACT The. Contractor will be paid on a co;rraissicn basis only for amounts it actually collects . On April 28, -.993, the Board of Supervisors approved. Contract #23- 226-1 with Boehm and Associates, for the period from July 1, 1998 through june 30, 1999, for cons-.1tation and technical assistance with regard to Workers ' Compensation and third Warty liability recovery. Approval of Contract #23226-2 will allow the Contractor to continue to provide professional consultation and technical assistance to the Department ' s Finance Division through June 30, 2000 . RI CO1+MENDATION OF COUNTY ADM,1NISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ON ��' � I,-, �� 4 t' �3 �� _ APPROVED AS RECOMMENDEDa OTHER l€R VOTE Or:SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNAI PVOUS (,ASSENT .1 `' 1 AND CORRECT COPY OF AN ACTION TAKEN AYES:_ NOES: AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: ABSTAIN: OF SUPERVISORS ON THE BATE SHOWN. ATTEST D � . f PHIL BAT 3I I CLERK OF THE BOARD Of atrick Godley (370-5007) SUPERVISORS AND COUNTY ADMINISTRATOR Contact Berson: CC; Health Services(Contracts) Risk Management Auditor Controller �Yf �� , � � DEPUTY Contractor TO. BOARD OF SUPERVISORS William Walker, M.D. , Health Services Director FROW y; Ginger Ma.rieiro, Contracts Administrator r .y� Contra : 4n Costa DATE. ;duly 7, 1999 COLunty ai,BJECr,Approval of Contract 426-374 with STAT Nursing Services SPE6WO REMMBT�S)Oda RECi3i�MENi�Bi`riONP)&B�ACKGROUNO AN€�Ji#xti6ATZN k2ECO ENDATION{ Approve and authorize the Health Service Director or his Designee (Frank Puglisi, jr. ) , to execute on behalf of the County, Contract 26-374 with STAT Nursing Services, in the amount of $150, 000, for the period from June 1, 1999 through May 31, 2000, to provide nursing registry services at Contra Costa. Regional Medical Center and. Contra Costa Hearth Centers . FI CA IMPACT This Contract is funded by the Health Services Department ° s Enterprise I . B.+B'S6.sZS'GY.t4.\/ C i6.d.ESSOif 1 �gR .&1 ECOMMSai�f�id,X3�TAV#�ti i.'} a For several years the County has contracted with nursing registries to provide tewporary licensed nursing personnel to assist Contra Costa Regional Medical Center and Contra Costa Health Centers during peak loads, temporary absences and emergency situations in critical areas . There is a nationwide nursing shortage, and in spite of persistent efforts to recruit nurses, the Department has experienced great difficulty in falling any vacant positions. Therefore, the Department has had to rely heavily on the registry services in order to provide quality nursing care for patients . Under Contract 26-374, STAT Nursing Services will provide nursing registry services through May 31, 2000 . RECOMMENDATION of COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD CN : "I �2 i r , l APPROVED SSS RECOMMENDED � OTHER _ VOTE of SUPERASORS I HEREBY CERTIFY THAT THIS I5 A TRUE UNANIMOUS (ABSENT ANG CORRECT COPY OF AN ACTION TAKEN AYES:, NOES: - - _ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: __ ___—ABSTAIN: - - - of SUPERVISORS ON THE ELATE SHOWN, ATTESTED PHIL BATCHELOR,CLERIC OF THE:.BOAR}of SUPERVISORS AND COUNTY ADMINISTRATOR CoMawPamow Frank Pugiisi, Jr. (370-5 .00) CC: Health Services(Contracts) Risk Management -� Auditor Controller By - - - DEPUTY Contractor TO. BOARD OF SUPERVISORS William Walker, M.D. , :health Serviced Director FROM: By. Ginger Marieiro, Contract A ministrator Contra Costa DATE: July 7, 1999 CCiunty Approval of Contract. #26-934--2 with Clark Tsai, M.D. iP-ECIFIC iE—QUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND 3USTIFICATBt3N Approve and authorize the Health Services Director, or his designee, (Frank Puglisi, Jr. ) to execute on behalf of the County, Contract 026-934-2 with Clark Tsai, M.EL {Specialty. Ophthalmology) , for the period from July 2, 1999 through September 30, 1999, to be paid in accordance with the attached rave schedule . QSCAL-IM ACT: Cast to the County depends upon utilization. As appropriate, patients and/or third party payers will be billed for services . REAS C S FOR RECCMMENDATIONS/BA,CK ROUND; 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 . On April 6, 1999, the Board of Supervisors approved Contract #26- 934-1 with Clark Tsai, M.D. , for the provision of Ophthalmology services for Contra Costa. ;regional Medical Center and Contra Costa Health Centers, for the period from April 1, 1999 through June 30, 1999 . Approval of Contract #266934-2, will allow Dr. Tsai, to continue providing Ophthalmology services through September 30, 2999 . CONT3NUEC3 O TA I`i�, T. 61$a YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF B'.3P.RD COMMITTEE APPROVE THER ` � ACTION OF BOARD ONS{:e d�, �' : � tt a f -- 11FPR1 VEDAS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ASSENT-„ � AND CORRECT COPY OF AN A:FICO TAK N AYES: NOES. AND ENTERER ON THE MINUTES OF THE BOARD ASSENT; , ABSTAIN: _ OF SUPERVISORS ON THE DATE SHOWN. ATTESTED PHIL BATCAEI.OR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Frank Pug lisp, jr. (370-5100) CC. Health Services(Contracts) Risk Management -� ; ' � Auditor Controller By y i �°� ,DEPUTY Contactor r Board Order Page 2 a. $13 , 750 . 0Q per month, for consultation, training, and medical and/or surgical procedures, NOT TO EXCEED 41,25a ; b• $200.._00 per occurrence when Contractor is rewired to come to the Hospital during on-call hours, not to exceed $800 . 00 per month, and NOT TO EXCEED 2,400 . 0G, C. $330 . 00 per occurrence when Contractor is required to come to the Hospital during ors-call hours for a surgical procedure; and d. 1) An amount NOT TO EXCEED 1150=og to reimburse Contractor for costs associated with the Medical Staff credential process incurred by Contractor, during the term of this Contract and approved, by the Health ,services Director or his designee including, but not limited to the Executive Director of the Contra Costa Regional medical Center and Contra Costa. Health Centers . (2) in addition., Contractor .is entitled to non-cumulative paid vacation and medical education leave, not to exceed a total of one (1) week. For the period from. :duly 1, 1999 through September 30, 1999, Contractor may use up to one and one half 11 . 5) days .for personal leave. Under this Contract, and upon prior approval of the Executive Director of Contra Costa. Regional Medical Center and Contra. Costa. Health Centers (CCRMC) , Contractor may use up to a total of one and one half (1 . 5) personal leave days. Contractor' s salary set forth above includes compensation for said non- cumulative vacation leave, medical education leave, and personal leave. TO: BOARD OF SUPERVISORS $ FROM. William calker, M.D. , Health Services Director ' - BY: Linger Marieiro, Contracts Administratorontra DATE: July 7, 1999 Costa County SUBJECT: Approval of Contract Amendment Agreement #22-351-8 with the City of Richmond (Fire Department) SPECIFIC€2EQUESTIS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: .Approve and auth orize b he Health Services Director or pis designee (",ewis Pascalli) , to execute on behalf of the County, Contract Amendment Agreement #22-351.-8 with the City of Richmond (Fire Department) , effective June 30, 1999, to amend the Contrast #22-351-7, to increase the automatic extension payment lmm- by 54 , 0100 from $108, 000 to a new automatic extension payment limit of $162 , 000" and to extend the term. through December 31., 1999 . FINANCIAL IMPACT: This Contract is included in the Health Services Department' s Budget and is funded by AH 2185 inspection fees . REASONS FOR REQOMME�AT� �� On March 17, 1998, the Board of Supervisors approved. Contract 22-351.-7 with the City of Ric=h-mond (Fire Department) , for the period from July 1., 1937 through June 30 , 1998 (which included a one-year autorrat1c extension thro�gn June 30, 1999) , to provide Hazardous Materials training services . This purpose of this amendment is to extend the Contract so that services are not disrupted, pending final negotiations between the Department° s Hazardous Materials Divisions and the City of Riphm7ond. Approval of Contras: Amendment Agreement '#'22-351- will allow the Contractor to continue providing services under the automatic extension, through December 31, 1999. CONTiNUED ON ATTACHMENT: SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE _LC- APPROVE OTHER 9 - ACTION OF BOAR ON APPROVED AS RECOMMENDED _ _ OTHER VOTE OF SUPERVISORS i HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSEI�T�� _ AND CORRECT COPY OF AN ACTION TAKEN AYES: NNE& b AND ENTERED ON THE MINUTES of THE.BOARD ABSENT: ABSTAIN:,: OF SUPERVISORS ON THE DATE SHOWN, tr _ ATTESTED_ I�HIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Lewis Pascalll (646-2286) CC: City of R cnr,-fond i?ealth Services Dept (Cont-races) BY 1 " { f t!'' _ DEPUTY