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Home My WebLink AboutMINUTES - 05111993 - 1.46 1 -=46 114 TO: BOARD OF SUPERVISORS FROM: Mark. Finucane, Health Services Director ii,,— �� Contra By: Elizabeth A. Spooner, Contracts Administrato Costa DATE: April 23, 1993 County SUBJECT: Approve Contract Amendment Agreement #23-055-10 with San Ramon Valley Fire Protection District SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Contract Amendment Agreement #23-055-10 to amend Ambulance Service (Novation) Agreement #23-055-9 with the San Ramon Fire Protection District, effective April 1, 1993 , to increase the rates which the Fire District may charge to patients and to expand the schedule of fees for patients who use their services. II. FINANCIAL IMPACT: This is a non-financial agreement; the rates being revised are those which the Fire District charges to patients who use their ambulance services. There is no County General Fund impact. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On February 2 , 1993 , the Board of Supervisors approved Ambulance Service (Novation) Agreement #23-055-9 with San Ramon Valley Fire Protection District to provide emergency ambulance services in County Emergency Response Area 4 for the period from January 3 , 1993 through January 2, 1994, with a four-month automatic extension through May 2, 1994. The Agreement contains provision for the Fire District to charge patients for certain services at fee rates in accordance with a fee schedule attached to the Agreement as Exhibit B. The current charges consist of "flat rate" charges for advanced life support care and for basic life support care. The Fire District has requested an expanded schedule of rates for services and supplies. Approval of this Contract Amendment Agreement #23-055-10 will provide an itemized schedule of charges which will serve to maximize third party reimbursements and are consistent with those charged by other ambulance providers in the area. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEAT N OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) 44 ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) 1 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. Contact: Art Lathrop (646-4690) CC: Health Services (Contracts) ATTESTED011J a San Ramon. Valley Fire Protection -- District Phil Batchelor, erk of the Board of .. upen►i;►�rs�IId Countjt Adtninisttala M382/7-88 BY DEPUTY Cbntr\;?t Costa CountyJNT 4 6 Standard Form 1/87 CONTRACT AMENDMENT AGREEM (Purchase of Services) Number 23-055-10 Fund/Org # 7406 Account # as coded Other # 1. Identification of Contract to be Amended. Number: 23-055-9 Effective Date: January 3 , 1993 Department: Health Services - Emergency Medical Services Subject: Emergency Ambulance Services (Emergency Response Area 4) 2 . Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as follows: Contractor: SAN RAMON VALLEY FIRE PROTECTION DISTRICT Capacity: County governmental district Address: 800 San Ramon Valley Boulevard, Danville, California 94526 Mailing Address: 1500 Bollinger Canyon Road, San Ramon, California 94583 3. Amendment Date. The effective date of this Contract Amendment Agreement is April 1, 1993 4. Amendment Specifications. The Contract identified above is hereby amended - as set forth in the "Amendment Specifications" attached hereto which are incorporated herein by reference. 5. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COSTA, CALIFORNIA ATTEST: Phil Batchelor, Clerk of BOARD OF SUPERVISORS the Board of Supervisors and County Administrator By Chairman/Designee Deputy CONTRACTOR By 66ByXXY.MvM�� =,Xy.X FIRE CHIEF XXXxxxX '= (Designate business capacity A) (Designate business capacity B) Note to Contractor: For corporations(profit or nonprofit),the contract must be signed by two officers. Signature A must be that of the president or viccpresideut and Signature B must be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313). All signatures must be acknowledged as set forth on page two. Contra Costa County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 23-055-10 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED Desig ee ,APPROVED: COUNTY ADMINISTRATOR By ACKNOWLEDGEMENT State of California ACKNOWLEDGEMENT (By Corporation, Partnership, or Individual) County of CONTRA COSTA The person(s) signing above for Contractor, personally known to me in the individual or business capacity(ies) stated, or proved to me on the basis of satisfactory evidence to be the stated individual or the representative(s) of the partnership or corporation named above in the capacity(ies) stated, personally appeared before me today and acknowledged that he/she/they executed it, and acknowledged to me that the partnership named above executed it or acknowledged to me that the corporation named above executed it pursuant to its bylaws or a resolution of its board of directors. Dated: April 22, 1993 [Notarial Seal] =SEALL'" " NIE!? Not Public/Depu C my Clerk ,� ' ROTLIFORNOkCOUNrir a MyCOEC.16,1994 -2- 1 . AMENDMENT SPECIFICATIONS Number 23-055-10 In consideration for Contractor's willingness to continue providing enhanced services under the Contract identified herein,; County agrees to approve Contractor's request for new rates for patient charges. County and Contractor agree therefore to amend said Contract as set forth below, while all other parts of the Contract remain unchanged and in full force and effect. Revised Exhibit B. Exhibit B. of Ambulance Services Agreement #23-055-10 is hereby deleted and replaced with Revised Exhibit B. (Patient Charges) which is attached hereto and incorporated herein by reference. Initials: Contractor County Dept. J REVISED EXHIBIT B PATIENT CHARGES Base Rate, BLS $300.00 Base Rate, ALS 500.00 Mileage - local total charge* 45.00 Mileage - non-local (per mile) 9.00 Oxygen Administered 40.00 BLS Supplies Aspiration Supplies (Disposable) 15.00 Oral Airway 5.00 Nasal Airway 5.00 Ambubag (Disposable) 40.00 Blanket, Emergency (Disposable) 10.00 Burn Sheets (Sterile) 10.00 Cervical Collar - rigid (Disposable) 35.00 Sterile Water (500 ml bottle) 10.00 Sterile Saline (500 ml bottle) 10.00 Sterile dressings 5.00 Arm Splint (Disposable) 5.00 Leg Splin (Disposable) 5.00 Cold Pack (Disposable) 5.00 OB Kit (Disposable) 15.00 Bedpan (Disposable) 5.00 Urinal (Disposable) 5.00 Emesis Basin (Disposable) 5.00 Transport Bag (Disposable) 5.00 Infection Control Kit (Disposable) 15.00 Glucose Paste 15.00 ALS Su lies Esophageal Airway 30.00 Endotracheal Tube 30.00 Nebulizer 7.50 D5W IV Solution 50.00 Lactated Ringers IV Solution 50.00 Defibrillation Pads (Adult) 10.00 Defibrillation Pads (Pedi) 5.00 EKG Electrodes (Disposable) 10.00 Intravenous Medication (per dose) 11.00 -1- REVISED EXHIBIT B Sublingual Medication (per dose) 11.00 Aerosol Medication (per dose) 12.50 Oral Medication (per dose) 15.00 Pleural Decompression Kit (Disposable) 25.00 Cricothyroidotomy Kit (Disposable) 30.00 Intraosseous Kit 35.00 *Includes transport from in zone to San Ramon Regional Medical Center, Kaiser Walnut Creek; John Muir Medical Center, and ValleyCare Medical Center. —2—