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Home My WebLink AboutMINUTES - 07111989 - 1.105 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA Adopted this Order on July 113 1989 , by the following vote: AYES: Supervisors Powers, Fanden, Schroder, McPeak, Torlakson. NOES: None. ABSENT: None. ABSTAIN: None. RESOLUTION N0. 89/451 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective July 1, 1989. , The Health Services Department has sutr�nitted a recommendation to amend the schedule of itemized service rate charges and .-estate unchanged rates for County Health Services adopted by Board Resolution Number 88/554 effective December 1, 1988. The County Administrator has reviewed the recommended amendment and also recommends that the previous rates and amended rates become effective July 1, 1989. These recommendations have been considered by the Board and IT IS BY THE BOARD RESOLVED that an amended and restated schedule of itemized rate charges for the Health Services Department effective July 1, 1989 is established as follows: Service Daily Rate* Medical Ward $ 430 Nursery Bassinet E 250 Intensive Care $1,005 Mental Health S 540 Rehabilitation $ 575 *Includes nursing and related services; excludes ancillaries and professional component. Charge is generated for each day of hospital stay. Unit of Service Total Unit Rate OB Fixed all inclusive* Routine delivery 39075 Routine delivery with tubal ligation 49135 Prior or primary C-Section 60465 *Services included: 1 . Medical/Social Intake and orientation with Medical Social Worker 2. Choice of Family Practice Physician a. all required lab work b. all required tests 3. Nutrition Class 4. Early Pregnancy Class 5. Prepared Childbirth Classes 6. Labor and Delivery care, including ABC or C-Section 7. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby) 8. Neonatal care, including nursery care and pediatric consultation, if needed 9. One PHN home visit 10. One post-partum check with Family Physician, including birth control counseling 11 . Three return well -baby visits with Family_ Physicians ** N/C: No Change (31)BOS RESOLUTION N0. 89/451 -2- ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals $ 50.00 Pharmacy Cost Plus % Cost plus 60% N/C Central Supply Cost Plus % Cost plus 400% N/C Central Supply (Service Units) RVS $ 15.00 Radiology Relative Value Units 23.00 EKG Relative Value Units 8. 75 N/C Laboratory (Hospital & P.H. Lab) Relative Value Units 2.05 Rehab. Therapy OT/PT 30-minute Intervals $ 67.00 Speech 30-minute Intervals $ 67.00 Cardiopulmonary Relative Value Units $ 8. 50 Delivery Room 15-minute Intervals $ 60.00 Surgery Recovery 1st Hour $ 220.00 Each add' l 15 Minutes $ 50.00 Oper�(ing Room Each 15 Minutes $ 80.00 Cast Room Unit $ 80.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES CHARGE Medicine $ 6.50 N/C Surgery $ 161.00 N/C Radiology $ 7.00 N/C Anesthesiology $ 32.00 N/C OUTSIDE SERVICES AND SUPPLIES CHARGE Nuclear Medicine Cost Plus 35% N/C EEG Cost Plus 30% N/C Blood Bank Cost Plus 35% N/C Prosthesis Cost Plus 35% N/C Laboratory Cost Plus CHS* N/C *CHS = Collection and Handling of Specimens AMBULATORY CLINIC RATES CHARGE Professional Use of Outpatient Visits Component Treatment Room Total New Patient Brief $34.00 N/C $29.00 $ 63.00 Limited 44.00 N/C 29.00 73.00 Intermediate 60.00 N/C 29.00 89.00 Extended 77.00 N/C 29.00 106.00 Comprehensive 100.00 N/C 29.00 129.00 RESOLUTION N0. 89/451 (31)BOS1 -3- CHARGE Use of Professional Treatment Outpatient Visits Component Room Total Established Minimal $ 14.00 N/C $ 29.00 $ 43.00 Brief 20.00 N/C 29.00 49.00 Limited 30.00 N/C 29.00 59.00 Intermediate 37.00 N/C 29.00 66.00 Extended 50. 00 N/C 29.00 79.00 Comprehensive 74.00 N/C 29.00 103.00 Dental Care Per Fee Schedule Emergency Room Visits New Patient Brief $ 35.00 N/C $ 40.00 $ 75.00 Limited 46.00 N/C 40.00 86.00 Intermediate 74.00 N/C 40.00 114.00 Extended 97.00 N/C 40.00 137.00 Comp Admit HX & PX 120.00 N/C 40.00 160.00 E stab 1 i,shed Minimal 20.00 N/C 40. 00 60.00 Brief 25.00 N/C 40.00 65.00 Limited 37.00 N/C 40. 00 77.00 Intermediate 59.00 N/C 40.00 99.00 Extended 84.00 N/C 40.00 124.00 Comp Admit HX & PX 100.00 N/C 40.00 140.00 MENTAL HEALTH OUTPATIENT SERVICES UNIT OF SERVICE CHARGE Collateral Visit $ 83.00 N/C Assessment Visit 149.00 N/C Individual Visit 110.00 N/C Group Visit 72.00 N/C Medication Visit 90.00 N/C Crisis Visit 280.00 N/C Day Care, Intensive Visit 136.00 N/C Day Care, Habilitative Visit 83.00 N/C Medical Detoxification UNIT OF SERVICE CHARGE Services (21-day procedure) New Patient (1st 7 days) Visit $15. 50 N/C New Patient (days 8-12) Visit 10.00 Readmitted Patient (days 1-12) Visit 10.00 Physician Re-examination Visit 19.00 DUI Program 1st Offender Person $475.00 2nd Offender Person 1,175.00 HOME HEALTH AGENCY SERVICE UNIT OF SERVICE CHARGE Skilled Nursing Visit $ 96. 50 Physical Therapy Visit 92.00 Speech Pathology Visit 102.00 Occupational Therapy Visit 96. 50 Medical Social Service Visit 140.00 Home Health Aide Hour 39.00 ** No Change RESOLUTION NO. 89/451 (31)BOS3 -4- PUBLIC HEALTH PROGRAM FEE Family Planning Pregnancy Test $11 .00 Non Eligible 80.00 New membership - first year Non Eligible 75.00 Annual membership renewal Male visits and supplies 8.00 Child Screening $ 2.50 Children up to 2 years of age under 200% of poverty 10.00 Children up to 2 years of age over 200% of poverty 10.00 Children between 2 qnd 12 years of age under 200% of poverty 15.00 Children between 2 and 12 years of age over 200% of poverty 12.50 12 years of age and older under 200% of poverty 20.00 12 years of age and older over 200% of poverty 20.00 Sports physicals and new grade school PX Immunization a. Typhoid $10.00 Each b. Stamping of International Travel Cards 3.00 Each T.B. Skin Testing (P.P .D. ) $ 5.00 Includes reading but no charge for contacts Venereal Disease $20.00 Medication for sexually transmitted diseases 20.00 V.D. Clinic attendance for any sexually transmitted disease Nutrition Services $18.00 Per hour consultation fee lab Tests Gardnerella culture $19.50 Each Yeast culture NO CHARGE *** Quantitative VDRL 6.50 Each Qualitative VDRL 6.00 Each MHATP 20.50 Each Saline wet mount 16.00 Each KOH wet mount 16.00 Each Gram stain 16.00 Each Darkfield 26.00 Each Beta lactamese screen 12 .50 Each Screen 1 organism 19.50 3 standard PTV Chlamydia Culture - Iso 18.00 8 standard PTV Chlamydia direct 13.50 8 standard PTV KOH fungus 16.00 5 standard PTV Herpes direct 18.50 9 standard PTV Herpes Iso 28.50 13 standard PTV Treponema MHA-TP 20.50 4 standard PTV RESOLUTION N0. 89/451 (31)BOS4 Lab Tests (continued) Hepatitis panel B. surface antibody 16.50 Each B. core antibody 18.50 Each B. surface antigen 18.00 Each I gm. anti A 17.50 Each E Antigen 18.00 Each E Antibody 18.00 Each Routine culture - aerobic 47.00 Each General culture - anaerobic 47.50 Each Elderly Flu Shots Voluntary Contributions *** done in conjunction with Gardnerella culture WAIVER. The Health Officer may waive any of these fees in any individual case inw ich he determines that the advancement and protection of the public health will be better served thereby and that these considerations outweigh the County financial interests in collecting the fee. 1 hereby certify that We is a bus aid oorreot copy of an action temn and entered on the minutes of the Bond of Bup.nleors JUL dM 1 ATTE8IEO J U 989 PML BATCHELOR.Clerk of the Board at supe woo and County Administrator gl, .Deputy RESOLUTION N0. 89/451 Orig: County Administrator cc: Health Services Director County Council County Auditor County Probation Officer (31)BOS5 ajcL��®E TO: BOARD OF SUPERVISORSE:....----... Phil Batchelor, County Administrator '. `" ,. Contra FROM: Costa . a June 30, 1989 �`�; _ ,;�� County DATE: Rent for the California Conservation Corps SUBJECT: SPECIFIC REQUEST(S)OR RECOMMENDATION(S)6 BACKGROUND AND JUSTIFICATION RECOMMENDATION Authorize the Auditor-Controller to pay $10,000 to the Richmond Unified School District for 1989-90 rent for the former Fairmede School for use by the California Conservation Corps. FINANCIAL IMPACTS The funds are budgeted in the General Services Department budget for' the rental costs for 1989-1990. BACKGROUND The County signed a Participation Agreement with the Richmond Unified School District to subsidize the State of California in a portion of the rental payments for the California Conservation Corps when they moved to Richmond. The Board must agree and approve of the subsidy each year for the five year term of the agreement. CONTINUED ON ATTACHMENT: _YES SIGNATURE: -RECOMMENDATION OF COUNTY ADMINISTRATOR -RECOMMENDATION OF BOARD CO MITTEE APPROVE -OTHER J SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER - VOTE OF SUPERVISORS XI 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. County Administrator JUL 111989 CC: Richmond Unified School District ATTESTED General Services PHIL BATCHELOR,CLERK OF THE BOARD OF Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR M382 (10/88) BY ,DEPUTY