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HomeMy WebLinkAboutMINUTES - 09212004 - C.55-C.59 TO: BOARD OF SUPERVISORS FROM: William Walker,M.D.,Health Services Director Z Contra By: 'Jacqueline Pigg,Contracts Administrator , Costa DATE: September 8, 2004 r County SUBJECT: Approval of Contract#74-232 with River Oak Child Development SPECIFIC REQUEST(S)OR RECOMMENDATION(5)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS): Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on behalf of the County, Contract #74-232 with River Oak Child Development, a non-profit corporation, in an amount not to exceed $85,419,to provide Therapeutic Behavioral Services (TBS) for the period from September 1, 2004 through June 30, 2005. This Contract includes a six-month automatic extension through December 31, 2005 in an amount not to exceed$56,946. FISCAL IMPACT: This Contract is funded 50% by Federal FFP Medi-Cal Funds, 40% by State EPSDT f rods, and 10%by Mental Health Realignment. CHILDREN'S IMPACT STATEMENT: This program supports the following Board of Supervisors' community outcomes: "Children Ready For and Succeeding in School"; "Families that are Safe, Stable, and Nurturing"; and"Communities that are Safe and Provide a High Quality of Life for Children and Families". Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale(CAFAS). BACIKGROUND/REASON{S)FOR RECOMMENDATION{S): The State Department of Mental Health has been working in collaboration with the County's Mental Health Division to establish a mandated program to provide Therapeutic Behavioral Services (TBS) to children ages 0-21 years of age, who participate in the Early and Periodic, Diagnosis, and Treatment (EPSDT) Supplemental Specialty Mental Health services. This program will provide services to eligible Medi-Cal beneficiaries under 21 years of age who meet the Mental Health Plan medical necessity criteria, who are members of the certified class and who meet the criteria for needing these services. Under Contract #74-232, River Oak Child Development will provide Therapeutic Behavioral Services(TBS)to County referred clients,ages 0-21 years of age through June 30, 2005. CONTINUED ON ATTACHMENT' YE -SIGNATURE ^`t ±✓1 i 4-'" RECOMMENDATION OF COUNTY ADMINISTRATOR RE MM °�IDATEON OF BOARD COMMITTEE —'APPROVE OTHER o .. s SIGN ACTION OF BOARD APPROVED AS RECOMMENDED ' OTHER a` 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—.,,... "' �' y`✓ 1'' s JOHN SVVtETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Donna Wigand,LCSW 957-5111 f; CC: Health Services Dept. (Contracts) �! Auditor-Controller a: Risk Management BY �1y DEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: f Centra William Walker,M.D., Health Services Director Costa DATE: By: Jacqueline Pigg, Contracts Administrator �yCounty September S, 2004 J o SUBJECT, Approval of Contract#24-794-5(6)with Alta Bates Medical Center for its Herrick Hospital SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECON MENDATION(S): Approve and authorize the Health Services Director, or his designee (Donna Wigand) to execute on behalf of the County, Contract #24-794-5(6) with Alta Bates Medical Center for its Herrick Hospital, a non-profit corporation, in an amount not to exceed $254,000, to provide inpatient psychiatric hospital services for the period from July 1, 2004 through June 30, 2006. FISCAL IMPACT: This Contract is 100% funded by State Managed Care Allocation Funds. BACKGROUND/REASON(S)FOR RECOMMENDATIONIS): Chapter 633, Statutes of 1994, AB 757, authorized the transfer of state funding for Fee-For- Service/Medi-Cal (FFS/MC) acute psychiatric inpatient hospital services from the Department of Health Services to the Department of Mental Health (DMH). On January 1, 1995, the DMH transferred these funds and the responsibility for authorization and funding of Medi-Cal acute psychiatric inpatient hospital services to counties that chose to participate in this program. On August 12, 2003, the Board of Supervisors approved Contract #24-794-5(5) with Alta Bates Medical Center for its Herrick Hospital for the period from July 1, 2003 through June 30, 2004, for the provision of inpatient psychiatric hospital services. Approval of Contract#24-794-5(6)will allow the Contractor to continue providing services through June 30, 2006. CONTINUED QN T T• YES SIGN6IURE UU y RECOMMENDATION OF COUNTY ADMINISTRATOR RE iMM�t4C7ATION OF BOARD COMMITTEE PP�tOVEOTHER SIGNATURE(S): ACTION OF BOARD - , s ..tv t'� ;''? y� ` « .� ,;frsr APPROVED AS RECOMMENDED ` OTHER VOTE OF SUPERVISORS ' 1 HEREBY CERTIFY THAT THIS IS A TRUE _y 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. ATTESTS[)-,Y' s JOHN; WEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMIN ISTRATOR Contact Verson: Donna Wigand 957-5111 CC: Health Services Dept. (Contracts) 3F` Auditor-Controller Risk Management !'._.. zDEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: William Walker, M.D., Health Services Director Contra By: Jacqueline Pigg, Contracts Administrator Costa DATE: September 8, 2004 y County A ' SUBJECT: Approval of Contract#24.920-7 with Fred Finch Youth Center CS7 SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECONEV BNDATION(S): Approve and authorize the Health Services Director or his designee (Donna Wigand) to execute on behalf of the County, Contract#24-920.7 with Fred Finch Youth Center, a non-profit corporation, in an amount not to exceed $194,262, for the period from July 1, 2004 through June 30, 2005, to provide an intensive day treatment program and medication support services for Seriously Emotionally Disturbed children at Fred Finch Youth Center Residential/Day Treatment Programs. This Contract contains a six-month automatic extension through December 31, 2005 in an amount not to exceed $97,131. FISCAL IMPACT: This Contract is funded 50% by Federal Financial Participation, 46% by State EPSDT and 4% from other participating Regional Centers and Counties funds. CHILDREN'S IMPACT STATEMENT: This mental health day treatment program supports the fallowing Board of Supervisors community outcomes: „Children ready for and succeeding in school","Families that are safe,stable and nurturing",and"Communities that are safe and provide a high quality of life for children and families". Expected program outcomes include all goals identified by Children's Statewide System of Care guidelines including a decreased use of acute care systems and placement at discharge to a lower level of care. BACKGROUND/REASON(S)FOR RECOMMENDATION(S): This Contract meets the social needs of County's population in that it provides mental health services, including: assessments;individual,group and family therapy;and medication support for Seriously Emotionally Disturbed(SED) and developmentally delayed middle and high school aged children and their families. On August 5, 2003, the Board of Supervisors approved Contract#24-920.6 with Fred Finch Youth Center, for the period from July 1, 2003 through June 30, 2004, to provide an intensive day treatment program and medication support services for seriously emotionally disturbed children at its Fred Finch Youth Center ResidentiaVDay Treatment Programs. Completion of this Contract was delayed due to the complexity of the negotiation process with the Contractor.Approval of Contract#24.920-7 will allow the Contractor to continue with no interruptions in services,through June 30,2005. r � CONTINUED ON ATTACHMENT' YES SIi3NAT RF• _ RECOMMENt3A'iION OF COUNTY ADMINISTRATOR RECO N TION OF BOARD COMMITTEE 'APPROVE OTHER P S Y CGNA RE ACTION OF BOARD O f € a-fi, c�3 ¢ {?'' APPROVED AS RECOMMENDED Z OTHER - — - -•-*� VOTE,OF SUPERVISORS f 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ' !V_ ) 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. V ATTESTED! JOHN SWEETEN,CLERK OF THE.BOARD OF ; SUPERVISORS AND COUNTY ADMINISTRATOR Contract Person: Donna Wigand, L.C.S.W. 957--5111 CC: Health Services Dept. (Contracts)/ Auditor-Controller r Risk Management BYDEPUTY Contractor YO: BOARD OF SUPERVISORS FROM: William Walker, M. D. , Health Services Director - Contra By: Jacqueline Bigg, Contracts Administrator Costa DATE, September 9, 2004 County SUBJECT: Approval of Sharing Agreement Amendment #26-346-5 (Modification V612S-6162) with the U.S. Department of Veterans Affairs SP'ECIF'IC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECQNNDAT IM(S) : Approve and authorize the Health Services Director, or his designee (Jeff Smith, M. D. ) , to execute on behalf of the County, Amendment/Modification #1 (County #26-346-5) , with the U. S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS) , to amend Contract #26-346-4, to extend the term of the agreement through July 31, 2005 . FISCAL IMPACT: This amendment is funded in the Health Services Department ' s Enterprise T Budget. Under the term of the agreement VANCHCS 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. RBACKGIto TNDIRE ASON M MR Cg1&ZNDATI0N(S) : For many years the County and U.S. Department of Veterans Affairs has maintained a mutual sharing agreement, which has made available to the County specialized medical services not otherwise available due to lack of resources, equipment, and personnel. These services included specialized laboratory testing, radiology services, nuclear medicine studies, CT scans, MRT ' 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 August 12, 2003, the Board of Supervisors approved Sharing Agreement #26-346-4 with VANCHCS (under the auspices of the VANCHCS Nuclear Regulatory Commission License) , for the period from August 1, 2003 through July 31, 2004, 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, (Amendment #26-346-5) will allow VANCHCS to continue providing nuclear medicine services in accordance to the attached rates, through July 31, 2005. The Contract documents have always been prepared by the Veterans Administration. NT RECOMMENDATION OF COUNTY ADMINISTRATOR RECON I{v ND *#ON OF BOARD COMMITTEE �.� APPROVE OTHER V Ott A'Ay Rr l ACTION OF BOARD APPROVED AS RECOMMENDED :A ' OTHER VOTE-.OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT AND r'.!�-} 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 JOHN SlYVEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Jeff Smith, M.D. (3?0--5113) n. CC: Health Services Dept. (Contracts) j Auditor-Controller % f Risk ManagementgBY_ .-_ DEPUTY Contractor 26-346-5 Nuclear Medicine Services FEE SCHEDULE OPTION 1: 8/1104-7/31/05 OUTPATIENT INPATIENT Item# PROCEDURES Cost of SelvI Cost of Services Performed at VACIPC 1 CPT Code Description Martinez Performed at CCE2MC 2 76075 Bone[Density $205 $0 3 78056 Thyroid U&S 1-131 $178 $225 4 78007 Thyroid U&S 1-123 $190 $241 5 78011 Thyroid Scan Tc99m Flow $177 $224 6 78018 ancer Survey $392 $457 7 78018 WB Thyroid Scan(M#Bi) $392 $497 8 78070 Parathyroid Scan $161 $204 9 78122 RBC Mass $305 $387 10 78195 Lymph Scan $317 $402 11 78205 Hemangloma Scan SPECT(w/78202) $403 $511 12 78205 Liver/Spieen Scan SPECT $403 $511 13 78215 Liver/Spleen Scan Planar $210 $266 14 78220 HIDA $256 $325 15 78223 HIDA w/EF $280 $355 16 78258 Esoph.Motility $226 $287 17 78262 Gastric Reflex $303 $383 18 78264 Gastric Empty $303 $383 19 78267 C14 breath test $116 $0 20 78270 Schillings,Stage 1 $108 $136 21 78271 Schillings,Stage It and lit $113 $143 22 78278 G1 Bleed $392 4465 23 78290 Meckels $232 $293 24 78305 Bone,Ltd $279 $3541 25 78306 Bone,WB $317 $402 26 78315 Bone,Ltd w/Flow $359 $455 27 78315 Bone,WB w/Flow $359 $455 28 78320 Bone Spect $427 $540 29 78460 Persantine Myov Planar* $285 $362 30 78465 Treadmill Myov Planar* $285 $362 31 78460 Dobutamine Tl-201 Planar* $285 $362 32 78465 24 hr 71-201 planar(Add t.) $206 $260 33 78461 Planar Persantine00-1* $451 $571 34 78461 Planar Myov Best $371 $470 35 78464 SPECT a dlt.T'L-251 $499 $633 36 78464 Treadmill Myov SPECT' $580 $734 37 78464 Rest Myov SPECT* $580 $734 38 78464 Persantine MyovSPECT* $580 $734 39 78464 24 hr L-201 SPECT $499 $633 40 78465 Thaillum or Myoview Treadmill Test* $885 $1,122 41 78465 SPECT Rest TL-201 $805 $909 42 78465 SPECT[Dobutamine TL-201 or Myoview* $885 $1,122 SPECT Persantine,Adenenosine or Myoview 43 78465 w/TL-201* $885 $1,122 44 78466 PYP Mydcardlai In arction Planar $208 $264 45 78469 PYP MytocaMial infarction Scan $377 $478 46 78472 GWMS $400 $507 47 78473 Exercise GWMS* $678 $859 48 78478 Myocardial Perfusion Study wMali Motion $140 $?77 49 78481 GWMS w/1st Pass $383 $485 50 78483 Ex GWMS wl?st Pass* $656 $831 51 78580 Lung Perfusion $260 $328 C. IOPTION 1: 8/1/04-7/31105 Nuc Fees Mod S.xis V261S-6982,Modificadon#3, 5131101 Nuclear Medicine Services FEE SCHEDULE item# PROCEDURES OUJgTP TIENT INPATIENT CPT Code Description Unit Price Unit Price 52 78583 Lung Mantification $260 $328 53 78585 Lung V/Gt $415 $525 54 78594 Lung Vent(addit.) $335 $424 55 78606 Cerebral Plow and Scan $277 $351 56 78630 5sterriogram $348 $442 57 78650 CSP Leak Study $320 $405 58 78707 Renal Scan-Baseline $335 $424 59 78707 rLasix Menai([nc]Lasix) $358 $453 60 76709 Captopril Renal(Inc Captopril) $358 $453 61 78800 Octreoscan Ltd 2 view $250 $316 62 78800 Oncoscint Ltd 2 view $250 $316 63 78801 Ga-67 Ltd $309 $392 64 78802 Ga-67 WB $392 $497 65 78802 UEreoscan WB $392 $497 66 78802 Oncescint WB $392 $497 67 78803 Ga-67 SPECT $468 $593 68 78803 i5ctreoscan SP T $468 $593 69 78803 Oncoscint SPECT $468 $593 70 78805 to-111 WBC Ltd $255 $324 71 78806 In-111 WBC WB $445 $563 72 78806 1n-1 I 1 W13C SPECT(a dit) 445 $563 73 79000 Hyperthyrold Therapy Initial $293 $370 74 79001 Hyperth rold Therapy Additional $156 $198 75 79030 Thyroid Therapy-Ablation 315 $399 76 79(135 "fhyrold Therapy Cancer $347 $440 77 79100 -32 Therapy $254 $323 78 79401 Sr-89 Therapy $256 $270 79 78890 Computer Processing(<30 min) $0 $0 80 78891 Computer Processing(>30 min) $0 $0 81 99241 We Consultation-15 minutes $71 $91 82 99242 5 five onsultation-30 minutes $110 $138 83 99243 (Office Consultation-40 minutes $143 $181 *Includes 93016&93018 Item# ISOT OPESISUPPLIES Fief# Description(GPT/HCPCS) Unit Price 84 00001 178990 A4641 Tc99m MAG3 $199 85 00002 178M A4641 Tc99m MAA $25 86 00003 78990 A4641 Tc99m SC $25 87 00004 78990 A4641 Tc99m DTPA $62 88 00005 78990 A4641 Tc99m Choletec 62 89 00006 78990 A4641 1-123 200 uCi $100 90 00007 78990 A4641 1-131(1-10 mCI) $233 91 00008 178990 A4641 1-131(ea addl mCi) 13 92 00009 78990 A4641 IN-111 DTPA(1vi) $618 93 00010 78990 A4641 IN-111 WBC(per labeling) $495 94 00011 7 990 A4641 Xenon(10mCltvl) $25 95 00012 78990 X4641 Ga67(6 mCi) $117 Nuc Fens Mod 3.xis V20IS-8182,Modification#3, 5/31101 Nuclear Medicine Services FEE SCHEDULE Item# ISOTOPESISUPPLIES Ref# Description(CPTIMCPCS) Unit Price 96 00013 78990 A4641 DlCOPAC(1 kt) $308 97 00014 78990 X47941 Ultratag(1 kt) $85 98 00015 78990 A4641 0treoscan/dose $1,469 99 00016 178990 A4641 TcO4(30 mCl) $13 100 00017 78990 A4641 Bulk Tc04 $28 101 00018 78990A4641 Prostascint $1,841 102 00019 78990 A4641 T39m CEA $1,707 103 00020 78990 A4642 3ncoscint $1,623 104 00021 78990 X9_502 T-3 9m Ryoview 105 105 00022 17890 X9503 Tc9grn MDP $3g 106 00023 78,390 A9505 TL-201 {3 mC1) $ 107 00024 78990 A9500 5-89 Chloride(4 mCi) $3,524 108 40025 M96 Adenosine(per 6 mg) $31 109 00026 30280 Aminophylline(to 250 mg) $ 110 00027 31245 Persantine(10 mg)(Per) $ 111 00028 IJ1550 DoWtamine(per 250 mg} $28 112 00029 10obutamine Pack $81 113 00030 CCK/Morphine $78 114 00031 78990 A4641 Chromium 51/Ascorbic Acid $1.207 MEQ€ SERVICES AT VAOPC Item# GPT CODI Description 115 Head and Neck 116 70336 TMJ's $491.62 117 70544 Orbit,Pace&Neck WILT $509.78 118 70542 Orbit,face&Neck With $522.77 119 701543 Orbit face, &Neck w/&wID $941.21 120 70551 Brain-Incl Sella&[AC's $509.78 121 70552 Brain-with contrast only $615.10 122 70553 Brain-wl&wlo $953.01 123 Sine and Pelvis 124 72141 C-S €ne $575.75 125 72142 C-S ine with $682.98 126 72156 C-Sine with and without $971.24 127 72146 T-S ine $575.75' 128 72147 T-Spine with $682.98 129 72157 T-Spine with and without $971.24 130 72148 L-S ine $575.75 131 72149 L-S Ine with $682.25 132 72158 L-S ine with and without $970,24 133 74181 Kidneys with and without $562.23 134 74182 Abdomen-adrenals, kidneys_ $529.49 Liver and pancreas 135 74183 Abdomen with and without $948.74 136 72195 Polvis Includes hips $442.70 137 72136 Pelvis-wlcontrast $562.23 138 72197 Pelvis-with and without $948.74 139 Upper Extremities 140 73218 Non-Joint without $436.28 1411 73219 Non-Joint with $522.77 142f 73221 Non-Joint with and without $390.48 Nuc Fees Mod 3,xis V261"162,Modification#3, 5131/01 Nuclear Medicine Services FEE SCHEDULE 143 73221 Shoulder,elbow and wrist without $390.48 144 73222 Shoulder,elbow and wrist with $522.77 145 73223 Shoulder,elbow and wrist,w&w€t1 $941.21 146 Lower Extremities 147 73718 Non-Joint without $436.28 148 73719 Non-Joint with $522.77 149 73720 Non-Joint with and without $390.48 150 73721 Knee,Ankle, Foot $390.48 151 73722 Knee,Ankle, Foot with $522.77 152 73723 Knee,Ankle, Font with and without $941.21 153 MR An' i+o ra h 154 79544 Head without $450.91 155 70545 Heat!with $450.91 156 70546 Head with and without $861.22 157 70547 Neck without $861.22 158 7054$ Neck with $861.22 159 70549 Neck with and without $861.22 160 73225 Upj2er extremitt wl or without $450.91 161 73725 Lower extremi wl or without $450.91 162 74185 Abdomen with and without 458.4 163 76375 Corona[,sajittal,, multi €anar,ob)€ ue $128.31 164 3d reconstruction 165 A4647 Supply of earamagnetic Contrast materia AT COST e.g.Gadolinium ADDITIONAL -Te-m# PROCEDURESIMISCELLANEOUS OUTPATIENT INPATIENT CPTIHCPCS Code Description Unit Price Unit Price 166 78701 1Renal Imaging,statics w/vasc flaw $256 $292 167 78185 Spleen Imaging wlflow $174 $201 168 78195 Lymphatic&lymph Node Imaging $335 $381 169 78206 Liver PEUT w1flow(Hemangloma) $421 $438 170 78305 Bane Imaging Mult.Areas $288 $327 171 78456 Acute Venous Throm,Imaging,Peptide $315 $359 172 78480 Wail motion w/Eject€on Fraction $144 $164 173 78596 jPulmonary Cluarrt tativelt0 .Function $533 $604 174 78710 Kidney Spect $192 $500 175 78715 Kl ney,Vascular Flow Only $121 $137 176 78740 Ureteral Reflux(Voiding Cystogram) $173 $198 177 78760 `testicular imaging w/o Vascular Flow $215 $245 178 78761 Testicular Imaging wNdscular Flaw $252 $286 179 A4641 99mTc Glucoheptanate $27 180 A4641 99mTc MSA $138 181 A9502 99mTc stamlbi $112 182 A9504 99m Te A citude ACL.ITECT $451 TECHNICAL1PROFESSIONAL SUPP70RT Professional Fee for Radiation Safety Officer 183 (RSO)(per hour) $106 Nuclear Medicine Technical Support/After 184 Hours Support Fee(per hour) $52 185 Medical Physicist Support Fee(per hour) 133 Medical Physics Technician Support Fee(per 186 hour) 1 $93 Nuc Fees Mod 3.x1a V261S-8162,Modification/}3, 5/31/01 , Nuclear Medicine Services FEE SCHEDULE Facility Use;Fee(to be paid to CCRMC by VA for use of CCRMC space and equipment)(Per 187 procedure) $146 Nuc Fees Mod 3.xls V2815-8182,ModlficaWn#3, 5/31/01 TO: BOARD OF SUPERVISORS FROM. William Walker,M.D.,Health.Services Director � Contra By: Jacqueline Pigg, Contracts Administrator Costa DATE: September 9, 2004 County T SUBJECT: Approval of Contract#23--366 with Ecology and Environmental,Inc. SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECOMME,NDATIONN: Approve and authorize the Health Services Director, or his designee (Art Lathrop) to execute on behalf of the County, Contract #23-366 with Ecology and Environmental, Inc., a corporation, in an amount not to exceed $102,157, to provide emergency management consulting and training services to facilitate a Countywide Exercise Plan for hospitals, clinics, Public Health, the EMS System, and others with regard to the First Responder Awareness, First Responder Operations, Decontamination, and Train the Trainer Projects,for the period from August 1,2004 through August 31,2005. FISCAL IMPACT: 100%Funded by Federal California Cooperative Agreements Funds. BACKGROUND/REASON(S)FOR RECOMMENDATION(: Under Contract #23366, Ecology and Environmental, Inc. will assist in the development of a Hospital Emergency Disaster Preparedness Program for the County hospital and clinics, Public Health Division, EMS Division and others County facilities. Contractor's activities will include but are not limited to conducting a needs analysis, assisting the EMS Director in the development and implementation of a countywide emergency training/exercise program, provide reports to the EMS Director, and provide management consulting services regarding emergency planning through August 31, 2005, r t CONTINUED ON_ T� TAC} I T ✓{� � RECOMMENDATION OF COUNTY ADMINISTRATOR REO MEN16ATION OF BOARD COMMITTEE -`APPROVE _OTHER l G NATURES :' _r.. y ACTION OF BOARDN APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT :/yC,51.e 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 JOHN SWEETEN,CLERK OF THE BOARD OF 1 Contact Person: Art Lathrop646-4690 SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services Dept. (Contracts) Auditor-Controller Disk Management BY �r\ DEPUTYContractor