HomeMy WebLinkAboutMINUTES - 09211999 - C158-C162 ............................
r:
TO: BOARD OF SUPERVISORS 5i'
William "calker, M.D. , Health Services Director
FROM- By: Ginger Marieiro, Contracts Administrator Contra
Costa
DATE: September 8, 1999 County
SUBJECT:
Approval of Amendment to Agreement 26-344 with the U. De-Dartlrent of
Veterans Affairs
SPECIFIC REQUEST(S)OR RECO&11MEN DAT€ON$S)&BACKGROUND AND JUSTIFICATION
RECQ ENDED ACS ION:
Approve and: a-uthorize the Health. Services Director, or his
designee (Frank Buglisi, Jr. ) , to execute on behalf of the County, '
Amendment/Modification #4 to Agreement 426--344 (VA #V26-1P-6152)
with the U.S . Department of Veterans Affairs Northern California
Health Care System (VANCHCS) to extend the term of the agreement
from July 31, 1999 through September 30, 1-1999 .
FINANCIAL IMPACT:
„he Agreement is funded in the Health Services Department ' s
Enterprise 1 Budget . '.Yoder the tern: of the agreement, VANCE1CS is
paid a fee for service in accordance W44-th the fee schedule which
is incorporated in the Contract .
The services provided for the County' s patients under this
Contract are bissable to patients and third party payors .
REASONS FOR R CO ATICNSfBAC€ GRO
Or. May 25, 1999, the Board of Supervisors approved Amendment»
Modification #3 (#V612P-6 .52) with the VANCHCS to extend the term
of the agreement through July 31, 1999, to provide specialized
,Speech -Pathology services to County' s patients referred for
treatment by Conga Costa Regional Medical Center physicians .
Approval of this Amendment #26-344-4 , will allow Contractor to
continue providing services at the Fates specified in the original
agreement, through September 30, 1999 .
The Contract documents have a'-ways been: prepared by the Veterans
Admin istrat ion.
CONTINUED ON ATTAC�I�IEN�, v5'GNATi3RE
RECOMMENDATION OF COUNTY ADMINISTRATOR ®y RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON �� �'�^��-`�` c.Y'�s � � APPROVED AS RECOMMENDED CJ`I'HER
VOTE OF SUPERVISORS
6 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (AE3S Nj'L 4 AND CORRECT COPY OF AN ACTION TAKEN
AYES NOES- AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: -- }ABSTAIN: of SUPERVISORS ON T€-1:E DATE SHOWN,
ATTESTED 161a�
PHIL BATCHELOR,CLERK OF THE BOARD OF
Contact Person:
Frank Put 11si (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services(Contracts)
Risk Management
Auditor Controller ��� /��� �� �� DEPUTY
TO, BOARD OF SUPERVISORS
William Walker, M.D. , Health Services44 rector
FROM. By: Ginger Marie'iro, Contracts Administrator � Contra
Costa
DATE, September S, 1999 County
SUBJECT:
Approval of Amendment. to Sharing Agreement #26-346 (Modificatio-n V6125-
6162) with the U.S. Department of Veterans Affairs
SpI cIEIC REQUEST(S)OR RECO #P ENDAT#ON(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Frank Pugli.si, Jr. ', , to execute on behalf of the County,
Amendment/Modif?cation #1 (County #26-346-1) ,, Frith the Tj.S. Department
of Veterans Affairs, Northern California Health Care System (VANCHCS) ,
to amend Contract 26-346, to extend the term of the agreement through
July 31, 2000 .
FINANCIAL IMP&C-T:
This Contract is funded in the Health Services Department' s Enterprise'
I Budget . Under the term of the agreement VAN`CHCS will continue to be
paid a fee for each service in accordance with the attached fee>
schedule, which is incorporated in the Contract .
The services provided for the County' s patients under this Contract are
billable to patients and third party payors .
OTM
For many years the County and U.S . Department of Veterans Affairs has
maintained a mutual sharing agreement which has rade a-rai.lable to the
County specialized medical services not otherwise available 'due to lack
of resources, ecluiprent, and personnel . These services included'
specialized labs ratory testing, radiology services, nuclear medicine'
studies, CT scans, MRI ' s, dermatology, gastroenterology, urology,
audiology and speech, and ophthalmology services. The County provided
Emergency Room, treatment and inpatient care, including certain
ancillary services, for VA-referred patients .
On September 1, 1998, the Board of Supervisors approved. Sharing
Agreement 26-346 with VANCHCS (under the auspices of the. VANCHCS
Nuclear Regulatory Commission License) to provide a ' full range of
Nuclear Medicine Services to County' s patients at the VA Outpatient
Clinic in Martinez and/or the Contra Costa Regional Medical Center' s
Nuclear Medicine Department .
Approval of Modification #1 (County ##26-346-1) will, allow VANCHCS to',
continue providing nuclear medicine services through July 31, 2000 .
The Contract documents have always been prepared by the Veterans '
Adim-4 nistration.
1"a
RECOMMENDATION OF COUNTY ADMINISTRA c'OR � � RECOMINIENDATION OF BOARD COMMITTEE
�,L APPROVE OTHER
Zw -- -
z
ACTION OF BOARD APPROVED AS RECON ENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRIM
UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NQ S: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE HATE SHOWN.
ATTESTED
x_3~ 5 , sf
PE#II. ATCI E C ,CLERK F THE�ARD OF
k rank Pugl s i, u r. (313-51001 SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person:
CC: Health Services(Contracts)
lfisk Management � �
VNuclea,Medicine Services FEE SCHEDULE
B, OPTION 1. 811199 -713110
m�w
Services provided at Services provided at
PROCEDURES VAOPC CCRMC
CPT Est. Unit Est. Unit
Item# Code Deetript€ens Oty, Fries Total Price Oty. Price Total Price
76475 Bone Densit?! 25 1,178 4,461 0,
2 I.f 78006 Thyroid S 1-131 155 310 168 337
3 78007 T1 yresld€ €-123 85 166 14,091 180 1,618
t 4 78f11 Thyroid Scars Ccr39s Flow— 154 0 0 167 0
5 78018:Cancer Survey 0 342 0 0 371 €3
6 780 s8 8 Thyrold Scan(MIBI) 0 342 0 0 371 0
7 78070 Parathyrtsld Scan 0 140 0 0 182
9 78122 RSC l a s 267. 8 289 0
9 :8195 Lymph Scan 2 277 554 0 301 0
1t, 782051 Hemangidrrsa Scan SF CT(w178202) 0 352 0 a 382 0
11 78295 L,ver/Sp€een Scan SPECT 0 352 0 IJ 382 0<,
12 78-2115 Liuer/Spiesrs Scan Planar —13 183 2,384 1 199 199
13 78220 HIDA 33 224 7,389 4 243 972
14 78223 HIDA wl EF 0 244 G, 0 265 0
IA 7825a Fsoph. Moblity 0 198 a 0 215 0
!6 78262 gastric R flax 0 264 0 287 0;
17 `8264 gastric Empty 21 264 5,553Eto
287 574
18 782.70 Schilling$,stage 1 03' 0 1 31 0
19 78271 Sal'€€€ings Stage€€and 111 0 98 0 El 107 0
20 78278 t3€Bleed 0 317 0 0 344 0`
21 76290,mackels 0 202 0--E €3 219 0
22 78305 Bone,Ltd': 0 244 0 0 26.5 0
23 783136 Scsrte,sJV.3 273 277 7x,661' 34 301 9;€31
24 78315.fnrs�s: Ltt1 +,'r�ls� 4 313 1,252 0 343 0
25 78315 Bone,1'" 8 wlFlow 0 313 0 0 34-01 0
26 78320 Bone Spect 4 373 1,491 47 404 1,617
27 78460 Persantine Myov'€lar ar* 0 249 0 0 270 0
2f 7$460 Treadmill Myov Planar' 0 249 0. 0 270` 03
20 78460 Dobutam'ne T1-201 Planar* 0 249 0 0 270 0
30 784130 24 rss TIp2E31 f�€arsar{Adst.j 0 179 0 0 194 0
L:::]-22
f 78461 P�Ianar,ersantine T1-201 0 394 - G 0 428 0
784 1 Planar Mycv€des# 0 324 0 €4 35278464 SPECT addit.TL-201 0 436 0 £3 473' 0
34 78 364 Treadmill Myov SPECT* 0 506 0 13 549 0.
35 78 644 Rest Myov SPECT* €3 506 0 €} 543 _
_76--W-84-64 ersantine Ivlyov PECTR 0 506 01 0 549 0
37 7e4 4X24 Isr TL-201 SPECT 0 436 0 0 473 0,
38 78465 Thallium Treadmill fest` 89 773 68,615 9 839 7,549
39 ; 78465 SPECT Rest T'L-201 � 0 703 0770 753, 0
46 78465 SPECT Dobutamine TL-2 31` 0 7731 0 0 839 0
41 78465 SPECT Persantine TL-201 --i-99 773 153,868 22 : 839 18,452
42 ` 78466 1PYP Myocardial Infarction Planar l 0 `182 a G; 0 137; 00j
43 78469 F'!P fs yuca5ai its€archon Scars � 0 330• 0 €3 388 .-.
NIUC-98-TL-01.xis Revised{811/98}
tvuciear-Medidne Services EEE SCHEDULE
B. OPTION 1: 8/1699 -7131/0
Services provided at Services provided at
PROCEDURES VAOPC CCRMC
CPT , Est. Unit St. Unit
Item# Cutts Description Qty, Price Total Price Qty, Price Total Price
44 a 78472}GWMS 5,, 349 1,744 1 378 3?
4711473 Exert€se^W€ S* 0 592 03 0 642
46 78478 Myocardial Perrcrsion Study ui0a<1 Motio £3 122 0 6 132 0
47 73461 'G71V MS w1'1 st Pass 0 334 0 0 362 0
48 78483 ExGy M w/IstPass* 0 5,21 0 0 621 0
49 785803 Lurg I'arfusior� 0 226 03 0 245 0
50 ' 78580'Lung Quantification 0 226 a3 245 03
51 78586 i u g VII 49 362 5 392 1,362
_5_2__T 7€3594 Lung Vent(addit.) fl 232 0 9 317 0
53 786036 Cerebral How and Scar: 242 0 i 0 262 03
54 ?863O cisternogram - -- A 3{35 0 03 331 0
w5 78656 CSF Leah study t3 2?9 0 Q 3033 0
r 56 7E57037 4ena1 Scai-Saseiine 25 293 7326 3 318 954
57 78707 Lasix Renal(Incl Lasix) €# 312 0 0 338 0
58 797139,Captopril Renal(in-Captopril) 6 312 0 0 338 0
59 788036 Octreoscan Ltd 2 view 6 -219 0 0 2'�7 03
603 7038€313 Can( cirt Ltd 2 views 0 219 9 0` 237 E3
61 78801 Ca-67 Ltd 0 2713 0 0 293 5
62 788032 Ga-67 16 342 5,472 0 2 # 371 742
63 892 CtctrW3sic-in WB t3 342 03 6
7`8 37 4
a4 78802#Oncoscint WB 13 351 f3 t4 371 0
65 78303 Gni-67 SPECT 0 ' 4039 {3 a 444 61
66 78803 Octreoscan SPECT 0 4039 0 0 444 03
67 : 73863 iOncoscint SPECT 13' 409 0 9 444 0
68 788035 in-1'1 WBC Ltd 0 223 0 ; 6 .242 0
69 78806 In-111 WBC WB 12 388 4,653 1 421 421
70 788O6 €n-191 WBC SPECT(addit) 0 388 0 0 429 0
71 73690 Hyperthyroid Therapy Initial 18 255 4,592 2 ' 277
72 790302 Ty—p;rthyroid Therapy Additional 01 136 0 9 148E4553
73 79030'Thyroid Therapy-; lation 0 275 0 0 298
74 79035 Thyroid Therapy Cancer i3 30.E 0l 329° 03
75 • 7910x0 P-32 Therapy 6 222 0 0 241 03
76 79401 Sr-89 Therapy 0 0 01 0 03 03
77
788913 Corrtpute.=Processing{c312 min', f3 00 €3 1 0C
78 i 78891 Computer Processing(>30 min) 0 0 0_7 0 03 rJ
79 199241 fsff€ceCorisi 10 #5 rnirnutes 2 62 124
80 99242 Office Consu#tatiari-30 minutes 2 96 192 €3 194 0
899243:C7ce Consu€taticrn-40 irnutes2 924 249 €3 135 13
PROCEWRES SUBTI �TAL —$377,904--- X45,346
Ci ITi ATIENT AND€NPA` iENT
4
Pi�03CED1�£PEs TOTAL $423,2501
*Imides 33c #6 930318
Revised(811198)
Nuclear Mledicire Services FEE SCHEDULE
. t�rTION 1: 811199 - 713V00
Eat. Unit
Item# Ref# Description(CPT/HCPCS) Qty, Price "foetal Price
82 3 £7G1 7139953 A4641 Tc99m iv1A5-3 w 165 4,614
F84
935192 789957 A4641 T c99m� 21 x,112
5369133.789953A464 Tc99€n C36 21 783; 00004 78990 A4641 Tc99m C PA 13 2 53
86 00005 78990 A4641 Tc99m Choletec 37 52 1,966
87 030006 78990 A4641 i-123 200 uCi 94 83 7,842
8 5539177 7t399fl A4641 1-131(1-5 rni) 26 82 1,548
89 5353 798 78996 A4641 1-131(ea adds Ci) 2 3 15} 2t3fi
90 09{;69 78990 A4641 1N-111 DTPA(1v1) 0 515 G
91 91 0157 78990 A4641 IN-1 s 1 WBC(per labeling) 13 412 5,356
92 100011178990 A4641 Xenon(I G Citvi) 54 21 1,112
93 535751/2 78996 A4641 Ga67(6 mC!) 18 97 1,743
9400013 789957 A4641 Rubratope(1 lit) 3 155 464
98 0535314 76990 A4641 Ultratag(1 kt) � 71 E3
96 0535315 78990 A4641 Otreoscanldose 53 1,224 9 L4=
i 97 +11, 1316 76990 A4641 Tc04(353 mCj) 0 10 53
9870£317 789953 A464, Bulk Tc04 6 24 57
99 957018 78990 A4641 reStascint 0 1,535 53
1€30 00019 18990A4641 Tc99m CEA 0 1,422 0
1€-1 5153€329 789-'4--0 A4642 t✓ncosccmt a 052 0
162 90621 789953 A9 532 Tc99m A95,02 88 t3 ,
l 1533 357622 78990 A9503 Tc99m MDP 397 32 9,803
1€34 ' €33023 7899:7 A95i75 TL-201 (3:d i) 319 55 17,414
1575 1353€)24 7899 5 A9t35353 a69 Chloride{4 n1C1) 6 2,936 5} m
106 00025 J01 50 Adenosine(per 6 mg) 6 26 0
167 69026 35326£3 Aminophy.line(to 2553 ung) 398 2 829
1536 53531327 J1245 Persantine(10 g) 221 21 4,641
109 00028 tarnine,(per 259 mg) 9 23 0 S 3
1 1 7 5305329 Cabutarnire Paoli g 67 9
111 535}53353 CCl{!lvlerphlne 6 65 389
11200031 789953 A4641 Chromium 511Ascorbiv Acid Q 3,9fl5 5)
l GTS 3P S
TOTAL $w9,853
MISCELLANEOUS
isotope Charges for Equipment Calibration
113 at CCRMC(Estimated) 500
ETOTAL(from Page 6) 3419,577
OPTION YE R I -GRAND TOTAL ;
,(Outpat( nt,linpatientli otopes)
$Z8 3 1533
NUC-98-TC-09.xis Revised(819198)
{
TO: BOARD OF'SUPERVISORS V m
William Walker, M.D. , Health Services Director
FROM By: Cinder Marieiro, Contracts Administrator
Contra
Caste
DATE: September s, 1999 County
SUBJECT: Approval- ciMcDonald, M.D.
Approval- Contract 2S-967 with Thomas J.
SPECIFIC REQUEST(S)OR R C83MMEAIBAT€ONIS)&BACFCGI:tGIIIAID AND JUSTIFICATION -
RECOMMENDATION(S) -
Approve
ECf3 E ?ATIO ( ) rApprove and authorize the Health Services Director, or his designee',
(Frank Puglisi, Jr. ) to execute on behalf of the County, Contract
26-967 with `.i:`horra.s J. McDonald, M.D. , (Specialty: Ophthalmology;
for the period from, August 1, 1999 through July '?W, 2000, in the
amount of $195, 000 .
FISCAL IMPACT:
Cost to the County depends upon utilization . As appropriate,
patients and/or third party payors will be billed for services.
BACKGROUND/REASON(S) FOR RECOMMENDATIONS :
For a number of years the County has contracted with Medical and
Dental Specialists to provide specialized professional, services
which are not otherwise available in its hospital and clinics .
Under Contract 26-967, Dr. Thomas J. McDonald will provide
OL,hthalmology services for Contra Costa Regional Medica? Center and
Contra Costa Health Centers through July 31, 2000
Cf3 € #A€3#EB 91 ATT C €tail NT: yZ — _ € NAS
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD Ct3lU€€U#ITTEE
APPROVE —OTHER
SIC A__1URF S): d
ACTION OF BOARD ON- �e: 6_ 22 `f APPROVED AS RECOMMENDEDn /
/`� � OTHER
VOTE OF SUPERVISORS
I,HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ASSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AAIB ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED" ? ✓d �;.
PHIL BATCHELOR,CLERK OF THE.BOARD OF
SUPERV€SOR>AAIB C € NTY ADMINISTRATOR
Co�ItectPerscyrt: M�'xa.y:fs PI:aI?si (370-5100)
CC: Health Services(Contracts)
Risk Management
Audkor Controller By
Contractor
DEPUTY
TO: . 3t.«A(711 /S$ y +�yel i�{{''��yU�+�PivaiY.�4yd3b7B.6 M.D. ,
��6��r3r g^� p�'�^y 6' ryCzyServices
'._^f e� <>;•f'6'«�1'f�y�?+:( Director y,.p�^t¢..y-y
YM.L l.va knq. Y�a1tCe.r, M.L. , Hea:s.t.h Ser V..�4r L..tom.. d.J,�3.i+4.4.Vr
FROM- By. Cih.ger Marieiro, Contracts A:dmini.strator Contra
Costa
DATE, September 3, 1999 Count
SUBJECT: Approval of Contract #26-965 with Thomas N. Paige, M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECCMATICN(S)
Approve and authorize the Health Services Director, or -is desmgnee,
(Frank Pugl si, Jr. ) to execute on behalf of the County, Contract
26-963 with. Thomas N. Paige, M.D. , (Specialty; Dermatology) for
the period from October 1, 1999 through September 30, 2€00, to be
painas follows
.
33.33 per :vont h, for the provi si,on of Dermatology services
,including consultation, clinic coverage, training, and medical
and/or surgical procedures, NOT TO EXCEED jjQP,£l€ 0
Cost to the County depends upon utilization. As appropriate,
patients and/or third party payors will be billed for services.
BACKGRCUND/REASO ( ) FOR RECOMMENDPd'I`IQNS a
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 26-968, Dr, "Phomas N. Paige wil. prC3�"'Ji'de Dermatology
services for Contra Costa Regional Medical Center and Contra Cost
Health Centers 'through September 30, 2000 .
7 l
CI3 T� INUE .N ATTACHMENT: SIG A€ R L ' 3
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE /OTHER
SIG1
s1 '
ACTION OF BOARD ON APPROVED A5 RECOMMENDED OTHER
VOTE OF SUPERVISORS
a HEREBY CERTIFY THAT THIS IS A TRUE
f
UNANIMOUS (AS sEl T_Ie! ' l 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 BATCHELOR,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person, Frank Pugh is,i, Jr. 370--510(7}
CC: Health SepAc (Contracts)
Risk Management
Auditor Controller By— > ,� �� ,DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
WilliatT Walker, M.D. , Health Services Director
FROM. By Ginger Marieiro, Contracts Administrator Contra
Costa
DATE. September- 8, 1999 County
SUBJECT: Approval of Contract #26-910-10 with Violet S al l.horne, M.D.
SPECIFIC REQUEST(S)OR R C&'?P,MENDATION(SI&BACKGROUND AND JUSTIFICATION
RECON .TIC (S) :
Approve and authorize the Health Services Director, or his designee,
(Frank P glisi, Jr. ) to execute can behalf of the County, Contract 26-
910-10 with Violet Smallhorne, M.D. (Species a ty: Surgical services) ,
for she period from August 1, 1999 through July 31, 2002, to he paid
in accordance with the attached Fee Schedule.
FISCAL IMPACT:
Cost to the County depends upon utilization. As appropriate, patients
and/car third party payors will be billed for services .
BACKGROUND/REASON(S) FOR RECO E ATION(S) c
On January 1.9, 1999, the Board of Supervisors approved Contract #26-
910-9, with Violet Sma:llhorne, M.D. , for to provision of professional
surgical services for Contra Costa Regional Medical. Center and Centra
Costa Health: Centers through January 31, 2000
Due to a recent study by the Medical Group Management Association
(MG': ) Physician Compensation Survey with regard to the salaries of
;medical and surgicalsub-specialist, the Department is currently re-
negotiating Contract Payment Provisions for the medical and surgical.
sub-specialist . County and Contractor have mutually agreed to
terminate the existing services under Contract #26-910-9 and to
substitute Contract #26-910-10 in its place .
Approval of Contract 26-910-10 will reflect an increase in salary
consistent with the MGMA Physician Compensation Survey, allowing Dr.
Small ho ne to CCitltin e providing services through July 31, 2002 .
CONTINUED ON ATTACHMENT: YESxx
RECOMMENDATION OF COUNTY ADMINISTRATOR _ RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ZA
S ..:.__�
!
ACTION OF BOARS 01•IY.��€'� ?�2� ='r' � / AP€'F2O'JcD:4S RECL?MRtlEhtDE{3 __,� OTHER
VOTE of SUPERVISORS
4
13€Ar #€ I S {ABSENT I HEREBY CERTIFY THAT THIS IS ATRUE
3 AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: ANIS ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOIWN.
PITA.�ATCHELbfl,CI rERK OF THE BOARD of
S-UPERVISORS AND COUNTY ADMINISTRATOR
ContactPerson: Frank P:z l is l', j r. (370-5100)
CC: Health Services(Contracts)
Risk Management �r
Auditor Controller BY. `_ t z -s EPu I
Contractor
Page
Board Order
#26-910-10
Bee Schedule
a. $13.115 . 00 payable upon execution of Contract;
b. For consultation, training, medical and/or surgical procedures,
Contractor shall be paid as follows:
(1) $17, 083 .33 per month, for the period from August 1, 1999
through July 31, 2000, not to exceed a total of aA , 000;
(2) $17,595. 83 per month, for the period from August 1, 2000
through July 31, 2001, not to exceed a total of 1211, 151;
(3) $18,;123 .75 per month, for the period from August 1, 2001
through Jury 31, 2002 , not to exceed a total of 1217,485;
and
C. For on-Carl:
(1) 11 ,200 .00 per month for on-call coverage, not to exceed, an
annual total of 114,400, and
(2) 450.Q per occurrence when Contractor is required to cope
to the Hospital during on-call hours for a surgical
procedure; and
d. in addition, County shall pay Contractor an amount NOT TO EXCEED
255,000y . 00 to cover expense of Malpractice Insurance coverage for
treating n Count¢.y r. s patients .
In the event that Contractor worts less than a gull month at Contra
Costa Regional Medical Center and Contra Costa Health Centers, County
shall prorate payments to Contractor for that Month, plus