HomeMy WebLinkAboutMINUTES - 06211988 - 1.58 To: BOARD OF SUPERVISORS
FROM: Mark Finucane , Health Services Director
By : Elizabeth A. Spooner , Contracts Administrator Contra
Costa
DATE. June 9, 1988
County
SUBJECT;Approval of Contract #26-163-1 with County of Solano
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Health Services Director to execute on
behalf of the County, Standard Contract 426-163-1 with County of
Solano for the period July 1 , 1988 - June 30 , 1989 in the amount
of $10,000 for provision of obstetrical services for patients
receiving perinatal services through the Solano County
Department of Public Health .
II . FINANCIAL IMPACT :
The County will be billing Medi-Cal for physician services pro-
vided under this Contract and will reimburse Solano County for
their clinical and support staff up to a maximum of $10 ,000 .
However , Medi-Cal reimbursement for care of Solano patients off-
sets the payment to Solano County.
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
On August 11 , 1987 , the Board approved Contract 426-163 with
Solano County, establishing a cooperative perinatal program for
Solano County patients . Approval of Contract #26-163-1 will
continue this program for another year .
Since Solano County does not have a County Hospital , prior to
establishment of this program, low income women did not
generally have easy access to prenatal care and to labor and
delivery services ; therefore , women often did not seek medical
care as early as they should. Under this program, the two coun-
ties have jointly staffed a perinatal clinic in Vallejo for
Medi-Cal and Medi-Cal eligible Solano County clients , who then
travel to Merrithew Memorial Hospital for labor and delivery
services .
In March 1988 , County Health Services established a Prenatal
Patient Tour Program. Under this program, the County provides
transportation for prenatal patients from outlying clinics ,
including the Solano clinic , to tour Merrithew Memorial
Hospital ' s birthing center . This provides opportunity for the
patients to become acquainted and comfortable with theospital.
CONTINUED ON ATTACHMENT; X YES SIGNATURE;
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDA ON OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S).
ACTION OF BOARD ON — JUN 2 1 1988 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
_ I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT _ ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
JUN 2 1 198$..
cc: Health Services (Contracts) ATTESTED _
Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
Contractor
BY DEPUTY
M382/7-83
BOARD ORDER
CONTRACT 426-163-1
COUNTY OF SOLANO
PAGE 2
Hospital staff become acquainted in advance with the patients
who will be coming to the birthing center , enhancing quality and
continuity of care .
During the first year of operation, between 40 and 60 Solano
County women were seen monthly at the Vallejo clinic. Prior to
establishment of the clinic , Solano patients accounted for 11%
of the births at Merrithew. Currently, Solano patients account
for 23% of the total births at the Hospital .
The Department will be returning to the Board in the near future
with a special presentation to commemorate the one-year anniver-
sary of the Clinic , which is August 11 .