HomeMy WebLinkAboutMINUTES - 06181985 - 1.47 TO: BOARD OF SUPERVISORS t
FROM: Mark Finucane, Health Services Director Contra.
By: Elizabeth A. Spooner, .Contracts Administrator40 Costa
DATE: May 23, 1985 County
SUBJECT: Approval of Contract #26-109-9 with Bay Nurses, Inc.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chairwoman to execute on behalf of the County, Contract
#26-109-9 with Bay . Nurses, Inc. in the amount of $80,000 for the period
July 1, 1985 - June '30, 1986 for provision of on-call Registered Nurses through
this temporary help firm - nursing registry.
II. FINANCIAL IMPACT:
Funding for this service will be included in the FY 1985-86 Department Budget.
Actual cost to County depends upon utilization. As appropriate, patients and/or
third-party payors will be billed for services. The FY 1984-85 contract payment
limit was $60,000, and the FY 1985-86 payment limit is $80,000. This increase is
primarily due to three factors: Potential increased usage based on the prior year's
historical data with regard to patient census and staffing levels; increased costs
of contracting due to contractor's increased hourly rates; and increased use of
this contractor because the Department intends to use two contract registeries
instead of three instead of three as was done during the prior fiscal year.
Registered Nurses under this contract will only be used during peak loads created
by fluctuating patient census, in emergency situations, and to cover temporary
absences of staff nurses or unfilled staff positions.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
County Hospital requires services of on-call Registered Nurses during peak loads,
in emergency situations, and to cover temporary absences of staff nurses. A
contract with a nursing registry is the most expeditious method of filling this
need. The department has contracted with several such temporary help firms for
nursing services. On September 18, 1984 the Board approved Contract #26-109-8 with
Bay Nurses, Inc. (nursing registry) for on-call Registered Nurses. Contract
#26-109-9 continues this service. The increased billing rate per hour for tem-
porary work by a Registered Nurse under this contract is as follows:
FY 84-85 FY 85-86
Classification Shift Hourly Rate Hourly Rate
Registered Nurse 7 a.m. - 3:30 p.m. $22.7950 $ 23.1375
Registered Nurse 3 p.m. - 11:30 p.m. $ 23.8863 $ 24.2450
Registered Nurse 11 p.m. - 7:30 a.m. $ 24.8563 $ 25.2288
The only other change from last year's contract is the designation of Independence
Day as a holiday (with payments at one and one-half times the normal billing rate)
for a total of seven holidays per year.
This document has been approved by the Department's Contracts and Grants
Administrator in accordance with the guidelines approved by the Board's Order of
December 1, 1981 (Guidelines for contract preparation and processing, Health
Services Department).
DG:sh
CONTINUED ON ATTACHMENT: YES SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME TION OF BOAWD eOMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
_Y UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS N THE DATE SHOWN.
ORIG: Health Services (Contracts) p / � -
CC: County Administrator ATTESTED O
Auditor-Controller Phil B chelor, Clerk of the Board of
Contractor Supervisors and County Administrator
M382/7-83 BY
DEPUTY