Agenda

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C. 40

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	October 20, 2015

Contra

Costa

County

Subject:

Contract Amendment #26-563-9 with Total Renal Care, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/20/2015

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Anna Roth, 925-370-5101
cc:	J Pigg N Rios

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: October 20, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract Amendment Agreement #26-563-9 with Total Renal Care, Inc., a corporation, effective September 1, 2015, to amend Contract #26-563-5 (as amended by Contract Amendment Agreements #26-563-6, #26-563-7, and #26-563-8), to increase the Contract Payment Limit by $924,000 from $940,000 to a new total payment limit of $1,864,000, with no change in the original term of July 1, 2011 through June 30, 2017.

FISCAL IMPACT:

This contract amendment is funded 100% Hospital Enterprise Fund I. (No rate increase)

BACKGROUND:

On August 2, 2011, the Board of Supervisors approved Contract #26-563-5 (as amended by Amendment Agreements #26-563-6, #26-563-7 and #26-563-8) with Total Renal Care, Inc., to provide blood services including, but not limited to, dialysis, renal replacement and apheresis therapies for inmates/patients at the Martinez Detention Facility for the period from July 1, 2011 through June 30, 2017. At the time of negotiations, the County did not include enough funds in the contract to cover cost and the target levels of utilization expected through June 30, 2017. Approval of Contract Amendment Agreement #26-563-9, will allow Contractor to continue to provide the essential medical needs for incarcerated inmates/patients at the Martinez Detention Facility, through June 30, 2017.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, Contractor will not receive payment for additional blood treatment services provided at the Martinez Detention Facility.

CHILDREN'S IMPACT STATEMENT:

Not applicable.