HomeMy WebLinkAboutMINUTES - 07131993 - 1.87 TO: BOARD OF SUPERVISORS / ? 7
FROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts AdministratorCosta
DATE: June 18, 1993 0 County
SUBJECT: Approve Contract Amendment Agreement #23-077-3 with
Mt. Diablo Hospital 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 #23-077-3,
effective March 19, 1993, to amend Hospital Agreement (Base Hospital
Designation) #23-077-2 with the Mt. Diablo Hospital District,
(effective June 1, 1992 through June 30, 1994) to designate Mt. Diablo
as the Base Hospital for Zone D.
II. FINANCIAL IMPACT:
This Base Hospital has been receiving a $25, 000 annual payment for its
base hospital responsibilities in Zone C, and will be paid an
additional $25, 000 per year for its Zone D responsibilities. Source
of funding is County Service Area EM-1 (Measure H) funds. There is no
County General Fund impact.
III. REASONS FOR RECOMMENDATIONSIBACKGROUND:
Base hospitals provide on-line and retrospective medical direction and
control to paramedic units and are required as a part of an EMS system
providing Advanced Life Support. Base hospitals provide medical
direction without regard to patient destination, and thus provide
services for patients who may be transported to other facilities. Los
Medanos Hospital, the designated Base Hospital for Zone D, notified
the County that it wished to terminate its base hospital agreement
with the County, effective March 19, 1993 .
Mt. Diablo Hospital agreed to take over Zone D, so that upon approval
of this Amendment, two base hospitals will be serving the County's
four designated base hospital zones, as follows:
Zone A (west county) - John Muir
Zone B (south county) - John Muir
Zone C (north county) - Mt. Diablo
Zone D (east county) - Mt. Diablo
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ATIO OF BOARD COM ITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON 77 17717APPROVED AS RECOMMENDED
OTHER
VOTE OF SUPERVISORS
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 ON THE DATE SHOWN.
Contact: Art Lathrop (646-4690)
CC: Health Services Contracts ATTESTED (-
Risk Management Phil atchelor derk of t e Board of
Auditor-Controller (Accounts Payable) S61j1eIY1S4t �iQ1111I11jlijStf�!
Mt. Diablo Hospital District n
M382/7-83 BY ��G DEPUTY
�oritra- Costa County Standard Form 1/ 7
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 23-077-3
Fund/Org # 7406
Account # 2866
Other #
1. Identification of Contract to be Amended.
Number: 23-077-3
Effective Date: March 19, 1993
Department: Health Services - Emergency Medical Services
Subject: Base Hospital Designation for Zone C
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: MT. DIABLO HOSPITAL DISTRICT (hereinafter
referred to as "Hospital")
Capacity: Local Hospital District
Address: 2540 East Street, Concord, California 94520
Mailing Address: P.O. Box 4110 East Street, Concord, California 94524-4110
3. Amendment Date. The effective date of this Contract Amendment Agreement is
March 19 . 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
Chairman/Designee Deputy
CONTRACTOR
BY ByM
Preside t & CEO Vice-President of Pt. Care Services
(Designate business capacity A) (Designate business capacity B)
Note to Hospital: (1) sign above and have a Notary Public execute the acknowledgement form on
page two and (2) as to your signatures, if a corporation, one signature must be the president,
vice-president, and the other must be the secretary or assistant secretary as required by Civil
Code 51190 and both signatures must conform to designated representative groups pursuant to
Corporations Code 5313.
IL,onLra %,osua uounry aLanuarcL rorm L/o/
APPROVALS/ACKNOWLEDGEMENT
Number 23-077-3
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By B
L
signele
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGMENT
State of Wuybgn>A CAPACITY CLAIMED BY SIGNER
County of QMX9A CayTA 0 INDIVIDUAL(S)
[3 CORPORATE
On LCAT( S5 before me, -%DF- gIA stxl%, f) y 'R)we, OFFICER(S)
DATENAME,TITLE OF OFFICER-E.G..*JANE DOE.NOTARY PUBLIC' TITLE(S)
[3 PARTNER(S)
personally appeared MIUAVI, L_ UAW Ajr\Q 4nfM STAMIYL [3 ATTORNEY-IN-FACT
NAME(S)OF SIGNER(S)
[3 TRUSTEE(S)
personally known to me-OR- [3 proved to me on the basis of satisfactory evidence [3 SUBSCRIBING WITNESS
to be the person(s) whose name(s) is/are 0 GUARDIAN/CONSERVATOR
subscribed to the within instrument and ac-
knowledged to me that he/she/they executed 1A OTHER:
the same in his/her/their authorizedC>"�D PA�0 V P
capacity(ies), and that by his/her/their
signature(s)on the instrument the person(s),
orthe entity upon behalf of which the person(s) SIGNER IS REPRESENTING:
acted,executed the instrument. NAME OF PERSON(S)OR ENTITY(IES)
DE ANN H.JONES
",
comm.*990M Witness my hand and official seal.
Z ft
Z - Notary Public-Ccillfoirmle
CONTRA COSTA COUNTY
My Comm.Expires MAY IA,1947
SIGNAidAE OF NOTARY
ATTENTION NOTARY:Although the information requested below is OPTIONAL,it oDuld prevent fraudulent attachment of this oe"ifitate to unauthorized document,
THIS CERTIFICATE Title or Type of Document C423[88111 AMeAbMMT f`WZGMS6T
MUST BE ATTACHED
TO THE DOCUMENT Number of Pages Date otDocument 3-1q-q3
DESCRIBED AT RIGHT: Signer(s)Other Than Named Above
01991 NATIONAL NOTARY ASSOCIATION-SMIRem"Iet Ave.-P.O.Box 7184-Canoga Park,CA 913D4-7184
AMENDMENT SPECIFICATIONS
Number 23-077-3
In consideration for Hospital's agreement to provide additional services
under the Hospital Agreement identified herein, County agrees to designate
Hospital as the Base Hospital for Zone D. County and Hospital agree,
therefore, to modify said Agreement as specified below, while all other parts
of the Agreement remain unchanged and in full force and effect.
1. Modification of Subject. The Subject, specified in Paragraph 1.
(Contract Identification) , is hereby modified to read as follows:
"Subject: Base Hospital Designation for Zones C and D"
2 . Modification of County's Obligations. Paragraph 4 . (County's
Obligations) is hereby modified to read as follows:
114. County's Obligations. County shall designate Hospital as a Base
Hospital for the paramedic units assigned to Zones C and D, as defined
in the Service Plan, subject to all the terms and conditions contained
or incorporated herein. "
3 . Modification of Service Plan.
A. Service Plan Paragraph 1. (Services) is hereby modified to read as
follows:
111. Services. In consideration of the County's designation of
Hospital as the Base Hospital in Zones C and D, Hospital shall
perform the services identified in this Service Plan. Zone C
includes the area served by ambulance units which are assigned to
Concord, Clayton, Martinez, Pacheco, Pleasant Hill, Pinole,
Hercules, Rodeo, or Crockett. Zone D includes the area served by
ambulance units which are assigned to Pittsburg, Antioch, Oakley,
Brentwood, Byron, Discovery Bay or Bethel Island. Services shall be
provided without interruption, 24 hours per day, 7 days per week,
52 weeks per year, for the full term of this Contract. "
B. The amount specified in Service Plan Paragraph 9. (Payments to
Hospital) , subparagraph b. (4) is hereby increased from $25,000 to $50,000.
C. The amounts specified in Service Plan Paragraph 9. (Payments to
Hospital) , subparagraphs c. (1) and (2) are hereby increased from $25,000 to
$50,000.
4 . Modification of Exhibit A (Base Hospital Liaison Physician) . Paragraph
4 . under "RESPONSIBILITIES" is hereby deleted and replaced with a new
paragraph to read as follows:
114. Review written reports at least on a monthly basis for patients who
were seen in the field by paramedics and who were not transported, but
for whom base contact was made. Where base contact was not made for
these patients, reports will not be reviewed by the base. "
Initials•
•Contractor County Dept.