HomeMy WebLinkAboutMINUTES - 11152005 - C82-C86 V �
To: BOARD OF SUPERVISORS
William Walker,M.D.,Health Services Director •��
FROM: By: Jacqueline Pigg, Contracts Administrator ,;
1 Contra
--� Costa
DATE: NmEmbp-r 2� 200j
- County
SUBJECT: Approval of Contract#26-184-18 with Quest Diagnostic Inc.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RFjj:0MMFNDAT1QN,tQ'%-
Approve and authorize the Health Services Director, or his designee (Jeff Smith, M.D.), to execute
on behalf of the County, Contract #26-184-18 with Quest Diagnostic Inc., a corporation, in an
amount not to exceed $300,000, for the provision of outside clinical laboratory services for Contra
Costa Regional Medical Center and Contra Costa Health Centers,, for the period from November 1,
2005 through October 31,2006.
SCAT,IME CT: -
This Contract is 100% funded by Enterprise I Funds. As appropriate,patients and third party payors
will be billed for services.
ACKrxR01JND/RFAS0N(S)EOR RECOMMENDATTON(Sl:
On January 25, 2005, the Board of Supervisors approved Contract#26-184-17 with Quest Diagnostic
Inc., for the period from November 1, 2004 through October 31, 2005, for the provision of outside
clinical laboratory services.
These laboratory tests require equipment not available at Contra Costa Regional Medical Center's
laboratory and are rarely requested tests. Because of the large number and diversity of laboratory
tests used by the medical community to make diagnoses, most hospitals have to utilize outside
laboratories as it is too cost prohibitive to provide all tests on site. Contra Costa County has used the
services of outside laboratories for over twenty-five years.
Approval of Contract #26-184-18 will allow Quest Diagnostic Inc., to continue providing services
through October 31,2006,
CONTINUED ON ATTACHMENT: YES SIGNATURE: � '
_RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM END ION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURES):
ACTION OF BOARD N Q APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
� I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
YES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
1
ATTESTED
JOHN SWEETEN,CLERK OF THE BOARIJ OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Jeff Smith, M.D. (370-5113)
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY �1 - DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
s.
FROM: Contra
William Walker,M.D.,Health Services Director
Costa
BY: Jacqueline Pigg, Contracts Administrator ' ""
DATE: November 21, 2005 ;;� County
SUBJECT:
*4V
Approval of Contract#26-491-2 with Pharmacy Healthcare Solutions
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOlVIlVIENDATIONf S):
Approve and authorize the Health Services Director, or his designee(Jeff Smith,M.D.)to execute on
behalf of the County., Contract#26-491-2 with Pharmacy Healthcare Solutions, a Limited Liability
Partnership, to provide professional reimbursement recovery services for Contra Costa Regional
Medical Center and Contra Costa. Health Centers, for the period from October 1, 2005 through
September 30, 20060
FISCAL IMPACT:
This is a contingency fee contract funded in the Enterprise Fund I Budget. Contractor will be paid
33% of the amount of savings accruing to the County. This Contract may result in a savings in the
acquisition cost of pharmacy products.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
Pharmacy Healthcare Solutions provide services to facilitate reimbursement from pharmaceutical
manufacturers for products provided to indigent or unfunded patients. On May 45 2004,the Board
of Supervisor approved Contract#26-491 (as amended by Administrative Amendment Agreement
#26-491-1) with Pharmacy Healthcare Solutions, to provide indigent drug recovery
reimbursement services for Contra Costa Regional Medical Center, for the period from May 1.
2004 through September 30, 2005. This indigent recovery program will allow the County to
recover approximately 33%-40% of the cost of certain branded drugs dispensed to its indigent
population.
Approval of Contract#26-491-2 will allow the Contractor to continue to provide services through
September 30, 20060
CONTINUED ON ATTACHMENT: YES SIGNATURE:
/'RECOMMENDATION OF COUNTY ADMINISTRATOR R C MM DATION OF BOARD COMMITTEE
I
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARDUN APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENTAND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
kool�
ATTESTED 0 ( e2
JOHN SWEETEN,CLERK OF THE BOARD OF/
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact PersonJeff Smith, M.D. (370-5113)
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
William Walker,Health Services Director •�' ••;
FROM: • _ -� • Contra
By: Jacqueline Pigg,Contracts Administrator
Its
October 26, 2005 -- COSta
DATE: � -
-a.; County
SUBJECT:
Approval of Contract Amendment Agreement#76-521-2 with Nanda K. Sinha,M.D.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATTO :
Approve and authorize the Health Services Director, or his designee (Jeff Smith, MD), to execute on
behalf of the County, Contract Amendment Agreement #76-521-2 with Nanda K. Sinha,, M.D., aself-
employed individual, effective December 13, 2005, to amend Contract #76-521 (as amended by
Amendment Agreement#76-521-1), to increase the Payment Limit by$70,000 from $355,000 to a new
total Payment Limit of$425,000 with no change in the original term from March 15, 2004 through
March 3 1,2006.
FISCAL IMPACT:
This contract is 100%funded by Health Services Department Enterprise I budget.
REASONS EOR RECOMMENDATIONS/RACKGR(IIJN11:
On February 24, 2004, the Board of Supervisors approved Contract #76-521 (as amended by
Amendment Agreement #76-521-1) with Nanda K. Sinha, M.D., for the period from March 15, 2004
through March 31, 2006, to provide orthopedic surgery services for patients at Contra Costa Regional
Medical Center including,but not limited to,clinical coverage and consultation.
Approval of Contract Amendment Agreement#76-521-2 will allow the Contractor to provide additional
Orthopedic services for patients at the Contra Costa Regional Medical Center',through March 31,2006.
QONTINUED ON ATTACHMENT: YES SIGNATURE: �
CT
u/�RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
✓APPROVE OTHER
SIGNATURE(S)::-0
ACTION OF BOARD / '=1 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
—µo`/ 1 HEREBY CERTIFY THAT THIS IS A TRUE
"A
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 Al)
JOHN SWEETEN,CLERK OF THE B ARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Jeff Smith (370-5113)
CC: Health Services Dept. (Contracts)
Auditor-Controller
c
Risk Management BY �- � DEPUTY
Contractor
To: BOARD OF SUPERVISORS
William Walker, M.D. Health FROM: Services Director
By: Jacqueline Pigg, Contracts Administrator '' -` :� ';• Contra
Costa
�o
DATE: N uliventer 2 2005
County
SUBJECT:
Approval of Contract#27-566-2 with Ellen Lent Wunderlich
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee (Ric-hard Harrison)to execute on
behalf of the County, Contract#27-566-2 with Ellen Lent Wunderlich,, aself-employed individual, in an
amount not to exceed$103,168, to act as the Clinical Program Coordinator for the Contra Costa Health
Plan, for the period from December 1, 2005 through November 30, 2006.
FISCAL IMPACT:
This Contract is funded by 100%Contra Costa Health Plan member premiums.
BACKGROUND/REASON(S) F011 RECOMMENDATION(S):
On November 30, 2004, the Board of Supervisors approved Contract#27-566-1 with Ellen Lent
Wunderlich to provide consultation and assistance to Contra Costa Health Plan(Health Plan)to act as the
Clinical Program Coordinator including,but not limited to, assisting Health Plan Director to facilitate
health care cost projections, claims and pharmacy cost analysis and provider recruitment, retention,
orientation,through November 30, 2005.
Approval of Contract#27-566-2 will allow the Contractor to continue to provide Clinical Program
Coordination for the Health Plan, through November 30, 2006.
1
NTIN ED ON ATTACHMENT: YES SIGNATURE:
✓RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM DA NOF BOARD COMMITTEE
APPROVE OTHER
SIGNATURES):
ACTION OF BOARD N APPROVED AS RECOMMENDED � OTHER
VOTE OF SUPERVISORS
HEREBY CERTIFY THAT THIS IS A TRUE
Z_111-. ..IJNANIMOUS (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
JOHN SWEETEN,CLERK OF THE ARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Richard- rison (313-6008)
CC: Health Services Dept. cTs�j
Auditor-Controller /
Risk Management BY O l'--�--�' DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
8.
FROM:
William Walker,M.D., Health Services Director .- -;�:,� ;. Contra
By: Jacqueline Pigg, Contracts Administrator
- --� Costa
DATE: November 1, 2005 I County
SUBJECT: Approval of Contract Amendment Agreement#27-598-2 with Epstein,Becker&Green,P.C.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)8 BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Rich Harrison) to execute on
behalf of the County, Contract Amendment Agreement #27-598-2 with Epstein, Becker & Green,
P.C,, a corporation, effective September 1, 2005 to amend Contract #27-598, (as amended by
Contract Amendment Agreement #27-598-1) to increase the total payment limit by $85,000 from
$210,000, to a new total of$295,000 with no change to the original term of the contract through
November 3 0,2005.
FISCAL IMPACT:
This Contract is funded 100%by Health Plan member premiums.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
Epstein, Becker& Green, P.C., has one of the largest national law practices devoted to health care
law. Their clients include HMOs, PPOs, IPAs, group health insurers, hospital systems and a
variety of other managed care related companies. In addition to their background in managed
care litigation, they have extensive expertise in health care transactional and regulatory law,
including issues involving the Knox-Keene Act, Medicare issues and a wide variety of subscriber
and provider contract issues.
On November 30, 2004,the Board of Supervisors approved Contract#27-598,, with Epstein, Becker
& Green, P.C., (as amended by Contract Amendment Agreement #27-598-1) for the period from
December 1, 2004 through November 30, 2005 to provide the Department with temporary
specialized legal services regarding Managed Care issues, including the Medi-Cal Local Initiative
Health Plan contract and ongoing litigation concerning Health-Plan rate issues.
Utilization during the term of the agreement was actually higher than originally anticipated.
Approval of Contract Amendment Agreement #27-598-2 will allow the Contractor to provide
additional consultation to CCHP and HSD staff on Heath Plan related projects through November 30,
2005.
C�_ IA A. P-00
CONTINLJED ON ATTACHMENT: YES SIGNATURE:
i/RECOMMENDATION OF COUNTY ADMINISTRATOR RECO )NDA414 OF BOARD COMMITTEE
ao��APPROVE OTHER
SIGNATURES):
ACTION OF BOARD N / APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
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
J
JOHN SWEETEN,CLERK OF THE BO D OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Rich Harrison 313-6008
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BY DEPUTY
Contractor