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HomeMy WebLinkAboutMINUTES - 02141989 - 1.4 (2) 1-040 TO.. BOARD OF SUPERVISORS Mark Finucane , Health Services Director Contra FROM: By : Elizabeth A. Spooner , Contracts Administrato r @ Costa DATE: February 6, 1989 County Approval of Contract Amendment Agreement #26-176-2 SUBJECT: with Family Ways SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION : Approve and authorize the Health Services tirector to execute on behalf of the County , Contract Amendment Agreement 426-176-2 , effective January 1 , 1989 , with Family Ways to amend Contract 426-176 (as amended by Contract Amendment Agreement #26-176-1 ) to provide for an increased level of nursing registry services at Merrithew Memorial Hospital and Clinics . This amendment increases the payment limit of the Contract by $75 , 000 , from $100 ,000 to a new total payment limit of $ 175 ,000 . II . FINANCIAL IMPACT : This contract is fully funded in the Health Services Department Budget for FY 1988-89 through salary savings generated from vacant Registered Nurse positions . III . REASONS FOR RECOMMENDATIONS/BACKGROUND : On November 8 , 1988 , the Board approved Contract Amendment Agreement 426-176-1 with Family Ways , increasing the payment limit of Contract #26-176 , which was approved by the County Administrator ' s Office and executed by the Purchasing Agent , to provide for an increased level of temporary licensed nursing personnel to assist Merrithew Memorial Hospital and Clinics during peak loads , temporary absences and emergency, situations . Family Ways is a nursing registry which specializes in nurses trained for labor and delivery, post-partum, and newborn nursery. During the term of this Contract , the Department has been experiencing a situation in which the inpatient census has risen to an historical high. Because of a nationwide shortage of nurses , the Department has had to rely heavily on nursing registries in order to provide patient care in accordance with Title XXII . The unanticipated rise in the number of babies being born at the Hospital has made accurate projection of expenditures impossible . The purpose of Contract Amendment Agreement 426-176-2 is to again increase the contract payment level to cover the cost of the additional nursing services which have been required to take care of County ' s patients . / CONTINUED ON ATTACHMENT: YES SIGNATURE' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT ON OF BOARD CO MITCTPPl"E000"E^^^�s��� APPROVE OTHER . SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED lt'11� OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X 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. FEB 14 1989 cc: Health Services (Contracts) ATTESTED Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR Contractor QY �� ,DEPUTY M382/7-83