HomeMy WebLinkAboutMINUTES - 01171989 - 1.5 (3) 1-050
To; ` BOARD OF SUPERVISORS
FROM: Mark Finucane , Health Services DirectorU�
Contra
By : Elizabeth A. Spooner , Contracts Administrator Costa
DATE: January 4, 1989
County
SUBJECT: Approval of. Contract Amendment Agreement 4626-109-15 with
Staff Builders Services , Inc.
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SPECIFIC REQUEST(S) ORRECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Health Services Director to execute on
behalf of the County, Contract Amendment Agreement 4626-109-15 ,
effective November 11 , 1988 , with Staff Builders Services , Inc .
to amend Contract 4626-109-12 (as amended by Contract Amendment
Agreement 4626-109-13) 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 $60 ,000 , from $75 ,000 to a new total payment limit
of $135 ,000 .
II . FINANCIAL IMPACT :
This contract is fully funded in the Health Services Department
Budget for 1988-89 through salary savings generated from vacant
Registered Nurse positions .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
On October 25 , 1988 , the Board approved Contract Amendment
Agreement 4626-109-13 with Staff Builders Services , Inc. ,
increasing the payment limit of Contract 4626-109-12 , which was
approved by the County Administrator ' s Office and executed by
the Purchasing Agent , to provide for an increased level of tem-
porary licensed nursing personnel to assist M6-rrithew Memorial
Hospital and Clinics during peak loads , temporary absences and
emergency situations .
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 budget constraints and the
nationwide shortage of nurses , the Department has had to rely
heavily on nursing registries in order to provide adequate
patient care during this crisis . This unanticipated rise in the
census has also made accurate projection of expenditures
impossible . The purpose of Contract Amendment Agreement
4626-109-15 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: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDA 10 OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED o 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.
-JAN 17 1989
cc: Health Services (Contracts) ATTESTED _
Risk Management PHIL BATCHELOR. CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
E3Y � ,DEPUTY
M382/7-83
BOARD ORDER
Contract Amendment ; Agreement 4426-109-15
Page 2
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At the same time that the Department is seeking to increase the
payment limit of Contract #26-109-12 (as amended by Contract
Amendment Agreements 4426-109-13 and 4426-109-15) , we are
requesting; by separate Board Order , renewal of this Contract
with Staffi Builders Services , Inc . ( Contract 4426-109-14) for an
additional six months .
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