HomeMy WebLinkAboutMINUTES - 04152008 - C.55 TO: BOARD OF SUPERVISORS Contra
FROM: William Walker,M.D.,Health Services Director Costa
By: Jacqueline Pigg, Contracts Administrator
DATE: April 2, 2008 County
SUBJECT: Approval of Sharing Agreement(Amendment)#26-346-10 with the U.S. Department of Veterans
Affairs
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Jeff Smith, M.D.), to execute on behalf
of the County, Sharing Agreement (Amendment) #26-346-10, with the U.S. Department of Veterans Affairs,
Northern California Health Care System (VANCHCS), effective December 31, 2007,to increase the payment
limit by $350,000 from $1,800,000 to a new total payment limit of$2,150,000 and to extend the term of the
Agreement from December 31, 2007 through March 31,2008.
FISCAL IMPACT:
This Amendment is 100% funded in the Health Services Department's Enterprise I Budget. Under the term
of the agreement VANCHCS will continue to be paid a fee for each service in accordance with the attached
fee schedule,which is incorporated in the Contract.
The services provided for the County's patients under this Contract are billable to patients and third parry
payors.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S):
For many years the County and U.S. Department of Veterans Affairs has maintained a mutual sharing
agreement, which has made available to the County specialized medical services not otherwise available due to
lack of resources, equipment, and personnel. These services included specialized laboratory testing, radiology
services, nuclear medicine studies, CT scans, MRI's, dermatology, gastroenterology, urology, audiology and
speech, and ophthalmology services. The County provided Emergency Room treatment and inpatient care,
including certain ancillary services, for VA-referred patients.
On September 19, 2006, the Board of Supervisors approved Sharing Agreement#26-346-8 and#26-346-9, with
VANCHCS (under the auspices of the VANCHCS Nuclear Regulatory Commission License) to provide a full
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE O ER
SIGNATURES
ACTION OF BOAR 0 APPROVED AS RECOMMENDED X_ OTHER
VOTEOFSUPERVI ORS I HEREBY CERTIFY THAT THIS IS A TRUE
A,,,
UNANIMOUS (ABSENT IA 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 `--
Contact Person: Jeff Smith,M.D. (370-5113) lJOHN C LLEN, CLERK OF T14E BOAR OF
CC: Health Services Department (Contracts) SUPERVISORS AND COUNTY ADMINISTRATOR
Auditor Controller
Contractor BY D ` — PUTY
Board Order
Page 2
#26-346-10
range of Nuclear Medicine Services to County's patients at the VA Outpatient Clinic in Martinez and/or the
Contra Costa Regional Medical Center's Nuclear Medicine Department,through December 31, 2007.
The purpose of this Agreement (Amendment) is to continue the Contract so that services are not disrupted,
thereby allowing VANCHCS and the County 90 days to negotiate terms and conditions. The parties have
reached a new agreement,with is in the process of being finalized.
Approval of Sharing Agreement(Amendment) #26-346-10 will allow VANCHCS to continue providing nuclear
medicine services to Contra Costa Regional Medical Center's Nuclear Medicine Department through March 31,
2008.