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HomeMy WebLinkAboutMINUTES - 06222004 - C.111-C.115 TO: BOARD OF SUPERVISORS FROM: William Walker, M.D., Health Services Director , Contra By: Jacqueline Pigg, Contracts Administrator Costa DATE: June 8, 2004 County SUBJECT: Approval of Contract#27-589 with Night Owl Pediatrics �^ r SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S): Approve and authorize the Health Services Director, to execute on behalf of the County, Contract 427-589 with Night Owl Pediatrics, a corporation in an amount not to exceed $50,000, to provide professional pediatric urgent care services for Contra Costa Health Plan members, for the period from July 1,2004 through June 30,2005. FISCAL IMPACT: This Contract is funded by Contra Costa Health Plan member premiums. Costs depend upon utilization. As appropriate, patients and/or third-party payors will be billed for services. BACKGROUND/REASON(S)FOR RECOMMENDATIONN: The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Under Contract #27589 the Contractor will provide professional pediatric urgent care services to Health Plan members,through June 30, 2005. CONTINUED ON ATIACHMEN-T;- YFES --SIGNATURE:-- :.� ----RECOMMENDATION OF COUNTY ADMINISTRATOR RECOhIKtIEND#40N OF BOARD COMMITTEE ,--A-PPROVE OTHER € NAT R E ACTION OF BOARP,6 APPROVED AS RECOMMENDED _ _ OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT IS A TUE _ UNANIMOUS (ABSENT ) AND CORRECT COPY OF ANIACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED , JOHN SWEETEN,CK OF THE BOARD OF Contact Person: William Walker,M.D. 370-5007 SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services Dept. (Contracts) Auditor-Controller Risk Management BYLC: tr�u� DEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: William Walker, M. D. , Health Services Director By: Jac Pigg, Jacqueline Contracts .Administrator Onc Contra qDATE: ,1une:9, 2004 C©sta -SUBJECT: Approval of Cancellation Agreement #26-967-6 and County #26-967-7 with Thomas J. McDonald, M. D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION (�,• RECOMMNDED ACTION: Approve and authorize the Health Services Director, or his designee Jeff Smith, M.D. , to execute on' behalf of the County as follows: 1 . Cancellation Agreement #26--967-6 with Thomas J. McDonald, M. D. , (Specialty: Ophthalmology) , a self employed individual, effective on the close of business on May 31, 2004; and 2. Contract #26-967-7 with Thomas J. McDonald, M.D. , (Specialty: Ophthalmology) , a professional corporation, in an amount not to exceed $1, 177, 500, for the provision of professional Ophthalmology services for patients at Contra Costa Regional Medical Center, for the period from June 1, 2004 through May 31, 2007. FISCAL FACT: This Contract is funded by Enterprise I Budget. Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services. BACKGROUND/REASON(S) FOR RECOIr MNDAT I ON(S) : On August 6, 2002, the Board of Supervisors approved Contract #26-967-5 with Thomas J. McDonald, M.D. , to provide Ophthalmology services, including consultation, training, on-call, medical and/or surgical procedures, and clinic coverage, for patients at Contra Costa Regional Medical Center, for the period from August 1, 2002 through July 31, 2005. In consideration of Contractor' s agreement to continue providing services, both parties have agreed to redefine the scope of services under the Contract. This will allow the Contractor to be paid per clinic session instead of a monthly rate and reimbursement for continuing medical education. The Department and the Contractor have mutually agreed to renegotiate the Contract Payment Provisions and the term to reflect the intent of the parties . Therefore, in accordance with Paragraph 3. (Term) of the Contract, the Department and Contractor have agreed to a mutual cancellation of Contract #26-967-5. Approval of Cancellation Agreement #26-967-6 will accomplish this termination. Under Contract #26-967-7, Contractor will provide professional Ophthalmology services, including, consultation, clinic coverage, training, on-call services, and medical and/or surgical procedures, through May 31, 2007 . . .t.<. te�14 -,--'RECOMMENDATION OF COUNTY ADMINISTRATOR RE 411ATION OF BOARD COMMITTEE - APPROVE "OTHER I R ACTION OF BOAR /O APPROVED AS RECOMMENDED �` OTHER 1'j VOTE OF SUPERVISORS UNANIMOUS (At3SENT L I HEREBY CERTIFY THAT THIS IS A TRUE _ � I: f ) 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. ATTESTED JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person, (3 7 0-51�.3) CC: Health 5ervi sZTep o s r cts j. D. Auditor-Controller Risk Management BYCa ti *_t�c,��pvS DEPUTY Contractor — TO: BOARD OF suPERvrsOas FROM. William Walker, M. D. , Health Services Director By: Jacqueline Pigg, Contracts Administratorr ` Contra Costa DATE: June 9, 2004 County Approval of Cancellation Agreement #26-969-4 and Co _ ct -'SUBJECT.- 26-969-5 with Gupta Etwaru, M. D. C,,f1 SPECIFIC REQUEST(S)Clic RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECONMENDEL) ACTION: Approve and authorize the Health Services Director, or his designee Jeff Smith, M.D. , to execute on behalf of the County as follows: 1 . Cancellation Agreement #26-969-4 with Gupta Etwaru, M.D. , (Specialty: Ophthalmology) , a self employed individual, effective on the close of business on May 31, 2004; and 2 . Contract #26-969-5 with Gupta Etwaru, M.D. , (Specialty: Ophthalmology) , a professional corporation, in an amount not to exceed $1, 042, 500, for the provision of professional Ophthalmology services for patients at Contra Costa Regional Medical Center, for the period from June 1, 2004 through May 31, 2007 . FISCAL IMPACT: This Contract is funded by Enterprise I Budget. Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services. BACXGROUND/REASON(S) FOR RECOI NDAT I ON(S) : On September 16, 2003, the Board of Supervisors approved Contract #26-969-3 with Gupta Etwaru, M.D. , to provide Ophthalmology services, including consultation, training, on- call, medical and/or surgical procedures, and clinic coverage, for patients at Contra Costa Regional Medical Center, for the period from September 1, 2003 through August 31, 2004 . In consideration of Contractor' s agreement to continue providing services, both parties have agreed to redefine the scope of services under the Contract. This will allow the Contractor to be paid per clinic session instead of a monthly rate and reimbursement for continuing medical education. The Department and the Contractor have mutually agreed to renegotiate the Contract Payment Provisions and the term to reflect the intent of the parties . Therefore, in accordance with Paragraph 3. (Term) of the Contract, the Department and Contractor have agreed to a mutual cancellation of Contract #26-969--3. Approval of Cancellation Agreement #26-969-4 will accomplish this termination. Under Contract #26-969-5, Contractor will provide professional Ophthalmology services, including, consultation, clinic coverage, training, on-call services, and medical and/or surgical procedures, through May 31, 2007 . i CONTINUED ON ATI CHUENT` YES s RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM NDA4N OF BOARD COMMITTE �flPROVE OTHER SLG £� o- lel ACTION OF BOARD N f APPROVED AS RECt�MMENDEO �� OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ( V ) 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. ATTESTED - r t� o JOHN SWEETEN,CLERK OF THE BO RO OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Je S t h, . D D. (3 7 0-511.3) CC: Health Services ept. (Contracts) Auditor-Controller Risk Management 13Y o—1�, L t, ti/ . DEPUTY Contractor TO: BOARD OF SUPERVISORS � �J FROM: William Walker, M. D. , Health Services Director By Jacqueline Pigg, Contracts Administrator Contra � Costa DATE: .June 9, 2004 County SUBJECT: Approval of Contract Cancellation Agreement #26-379-6 � with Fernando Garcia (DBA Life Saver Education) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION REO j2re j DFn ACTION N. Approve' and authorize the Health Services Director, or his designee (Kathryn Grazzini) , to execute, on behalf of the County, Contract Cancellation Agreement #26-379-6, a mutual consent cancellation, to cancel Contract #26-379-5 with Fernando Garcia (DBA Life Saver Education) , effective at 12 : 00 midnight on June 30, 2004 . FISCAL IMPACT: This Contract was included in the Health Services Department Enterprise I budget. BA 6ROUN_Q/MAS 1q(S) FOR Mr.QM=ATI0N t S) On August 12, 2003, the Board of Supervisors approved Contract #26-379-5 with Fernando Garcia (DBA Life Saver Education) , for the period from August 1, 2003 through July 31, 2005, for the provision of instruction of American Heart Association-approved Cardiopulmonary Resuscitation (CPP.) courses including, but not limited to, Basic Life Support, Advanced Cardiac Life Support (ACTS) and Advanced Pediatric Cardiac Life Support (APCLS) Courses for Contra Costa Regional Medical Center staff, In accordance with the Paragraph S. (Termination) of the General Conditions, the Department and the Contractor have agreed to a mutual cancellation of this Contract, and approval of Contract Cancellation Agreement #26-379-6 will accomplish this termination. CONTINUED ON ATTACHMENT: YES SIGNATURE: --RECOMMENDATION OF COUNTY ADMINISTRATOR RECQ�MIy1END�fION OF BOARD COMMITTEE 7-APPROVE OTHER ' 4 ACTION OF BOARD APPROVED AS RECOMMENDED �C OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT T141S IS A TRUE UNANIMOUS (ABSENT�R� �) 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. ATTESTED-_ -__ YIQ L.t , JOHN SWEETEN,CLE K OF THE BOARD OF Contact person: G r a z z i n i (370-5120) SUPERVISORS AND COUNTY ADMINISTRATOR �r CC: Health Services Dept.�8�AV its) Auditor-Controller Risk Management By. DEPUTY Contractor TO: BOARD OF SUPERVISORS Contra FROM: JOHN SWEETEN, COUNTY ADMINISTRATOR4: Costa LATE: June 22, 2004 SUBJECT: Extension of Financial Advisory Services Contract O Counly 6111S SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. APPROVE and AUTHORIZE the County Administrator or his designee to extend the Contract with Tamalpais Advisors, Inc. (TAI) for financial advisory services to extend the term of the contract from June 30, 2004 to June 30, 2005. FINANCIAL IMPACT: The cost of financial advisory services is covered in the Cost of issuance included in each bond issue. Fess are negotiated for each borrowing transaction based upon the size and complexity of the transaction. tither special bond related projects are billed on an hourly basis and charged to occupants of the property for which the bond was issued. BACKGROUND While the County does not currently anticipate issuing bonds in this period, the services of Tamalpais Advisors Inc. are needed on an occasional basis to prepare presentations to rating agencies. Additionally, it is important to retain a firm with these particular skills to ensure that the County stays updated on advantageous market trends and to assist in the evaluation of financing ideas that are presented to staff by underwriters from time to time. TAI is a small, woman-owned business whose staff has worked with the County for the past decade in the issuance and sale of the County's annual tax and revenue anticipation notes, periodic lease revenue bond issues and its three pension obligation bonds. The staff assigned is extremely familiar with the County and is able to prepare the required legal and rating agency documents related to these issues with a minimum of time and cost. They are also familiar with the County's outstanding bonds and have proven to be an invaluable resource to staff responsible for the ongoing management of the Coup debt. C;V/CONTINUED ON ATTACHMENT: YES SIGNATU E: ~�`"kECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME TI NOF BOARD COM _4e—APPROVE OTHER SIGNATURE(S): ACTION OF BOA D� N !"MIAL Q It APPROVE AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT t f 1 AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: �ry ATTESTEDL LL- CONTACT: Laura Lockwood JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Cc: BY r DEPUTY