Agenda

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C. 44

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	November 1, 2016

Contra

Costa

County

Subject:

Amendment Agreement #26-346-19 with the U.S. Department of Veterans Affairs

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/01/2016

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:	Tasha Scott M Wihelm

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: November 1, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute on behalf of the County, Amendment Agreement #26-346-19, with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS), effective October 31, 2016, to amend Sharing Agreement #26-346-14 (as amended by Amendments #26-346-15 through #26-346-18), to increase the payment limit by $800,000 from $2,361,000 to a new total of $3,161,000 and extend to termination date from October 31, 2016 to December 31, 2017.

FISCAL IMPACT:

This Amendment Agreement is funded in the Health Services Department's Hospital Enterprise Fund I Budget. 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 U.S. Department of Veterans Affairs have 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 March 19, 2013, the Board of Supervisors approved Sharing Agreement #26-346-14 (as amended by Amendment Agreements #26-346-15 through #26-346-18) with VANCHCS (under the auspices of the VANCHCS Nuclear Regulatory Commission License) to provide a full 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 October 31, 2016, including continuation of mutual indemnification to hold harmless both parties for any claims arising out of the performance of this agreement.

Approval of Amendment Agreement #26-346-19 will allow Contractor to continue providing nuclear medicine services to Contra Costa Regional Medical Center’s Nuclear Medicine Department through December 31, 2017.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, County's patients will not receive specialized nuclear medicine services.

CHILDREN'S IMPACT STATEMENT:

Not applicable.