Agenda

Return

C.35

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 7, 2020

Contra

Costa

County

Subject:

Amendment Agreement #26-346-24 with the U.S. Department of Veterans Affairs

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/07/2020

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Jaspreet Benepal, 925-957-5741
cc:	L Walker M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 7, 2020
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of County Amendment Agreement #26-346-24, with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS), effective September 1, 2019, to amend Agreement #26-346-21 (as amended by Amendment Agreements #26-346-22 and #26-346-23) to increase the Payment Limit by $594,640 from $989,737 to a new Payment Limit of $1,584,377 for nuclear medicine services at Contra Costa Regional Medical Center (CCRMC) with no change in the term of April 1, 2018 through March 31, 2020.

FISCAL IMPACT:

This Amendment Agreement is funded 100% by Hospital Enterprise Fund I. The services provided for the County's patients under this Contract are billable to patients and third-party payors.

BACKGROUND:

For many years, the County and VANCHCS have maintained a mutual sharing agreement, which has made specialized medical services available to the County which otherwise would not be available due to lack of resources, equipment, and personnel. These services included specialized laboratory testing, radiology

BACKGROUND: (CONT'D)

services, nuclear medicine studies, computerized tomography (CT) scans, magnetic resonance imaging (MRI), dermatology, gastroenterology, urology, audiology and speech, and ophthalmology services. The County provides Emergency Room treatment and inpatient care, including certain ancillary services, for VANCHCS referred patients.

On March 27, 2018, the Board of Supervisors approved Agreement #26-346-21 (as amended by Amendment Agreements #26-346-22 and #26-346-23) with VANCHCS to provide a full range of Nuclear Medicine Services to the County's patients at the VANCHCS Outpatient Clinic in Martinez and CCRMC’s Nuclear Medicine Department, for the period from April 1, 2018 through March 31, 2020. This contract included mutual indemnification to hold harmless both parties for any claims arising out of the performance of this agreement.

Approval of Amendment Agreement #26-346-24 will allow Contractor to provide additional nuclear medicine services through March 31, 2020.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, VANCHCS will not be able to continue to provide nuclear medicine services to CCRMC patients.