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HomeMy WebLinkAboutMINUTES - 11181986 - 1.78 1_U78 W TOi `. BOARD OF SUPERVISORS n F (�wtra FRoM: Mark Finucane, Health Services Director uV By: Elizabeth A. Spooner, Contracts Administratorbsta DATE: November 6, 1986 Coi t SUBJECT: Approval of Veterans Administration Contract Amendment 1126-023-31 with v Veterans Administration Medical Center and Amendment of Previous Board Orders SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: 1. Approve amendment of August 5, 1986 Board Order, authorizing execution of Contract 1126-023-29 with Veterans Administration Medical Center , to correct the term of the Contract as stated on said Board Order to October 1, 1986 through September 30, 1987, consistent with the terms of the Contract which was executed by the Veterans Administration. 2. Approve amendment of October 14, 1986 Board Order with the Veterans Administration Medical Center authorizing Contract Amendment Agreement 1126-023-30 to show a payment limit decrease of $34,500 to a new total payment limit of $65,500. 3. Approve and authorize the Chairman to execute on behalf of the County, Veterans Administration Contract Amendment 1126-023-31 with Veterans Administration Medical Center effective August 1, 1986 through September 30, 1986 to bridge the period between the expiration of the prior Contract Extension 1126-023-28, on July 31, 1986 (approved by the Board on July 8, 1986) and the October 1, 1986 effective date of Contract 1129-023-29 with a payment limit increase of $15,660. II. FINANCIAL IMPACT: 1. Amendment of the August 5, 1986 Board Order will not change the $100,000, twelve-month payment limit of Contract 1126-023-29, already approved by the Board. 2. Contract Amendment Agreement 1126-023-30 deletes Neurology Consultation and EEG Interpretation, services which are now being provided by U.C. Davis under Contract 1126-151. Amendment of the October 14, 1986 Board Order, which was originally based on deletion of these services for ten months, will decrease the twelve-month payment limit of the Contract by $34,500 to a new total payment limit of $65,500 rather than the $70,500 contract payment limit indi- cated on the Board Order. 3. Approval of Contract Amendment Agreement 1126-023-031 will increase the prior contract payment limit by $15,660 to a new total payment limit of $140,940 for the 18-month term of the contract. This does not represent an increase in fees or monthly payment amounts. CONTINUED ON ATTACHMENT: ___ YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATI OF BOARD C111MMITTEE APPROVE OTHER SIGNATURE S : ACTION OF BOARD ON APPROVED AS RECOMMENOEO OTHER VOTE OF SUPERVISORS 1 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 E SHOWN. JRTG: Health Services (Contracts) N OV $ 1986 Cc: County Administrator ATTESTED Auditor-Controller PHIL BATCHELOR. CLERK OF THE BOARD OF Contractor SUPERVISORS AND COUNTY ADMINISTRATOR BY �- DEPUTY 'g2.'7-83 Board Order Veterans Administration Medical Center Page 2 III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On August 5, 1986 the Board approved Contract 426-023-29 with Veterans Administration Medical Center for the provision of nuclear medicine studies, spe- cialized laboratory tests, and neurology consultation and EEG interpretation. This Contract was executed by the County and then sent to the Veterans Administration Medical Center for their signature. The Veterans Administration Medical Center returned the signature copy to the County, and it was later discovered that the Veterans Administration had, in accordance with instructions from Washington, D.C., changed the term of the Contract from August 1, 1986 through July 31, 1987 to October 1, 1986 through September 30, 1987, but had inadvertently failed to advise the County. This left a gap, from August 1, 1986 through September 30, 1986, wherein there was no written authority for the Veterans Administration to provide, and the County to receive, services. The intent of County and the Veterans Administration has been to continue, uninterrupted, the services which have been provided under Contract for a number of years, and therefore, the purpose of this Board order is to correct the term authorized on the Board's Order of August 5, _ 1986, and the payment limit approved on the Board's Order of October 14, 1986, and to provide authorization for the services provided by the Veterans Administration Medical Center for the County during the period from August 1, 1986 through September 30, 1986. EAS:gm