Agenda

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C.48

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	February 14, 2012

Contra

Costa

County

Subject:

Amendment #26-701-2 with Medicus Emergency Room Medicine Services West, LLC

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/14/2012

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

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

ABSENT:

Gayle B. Uilkema, District II Supervisor

Contact:	David Goldstein, MD, 370-5525
cc:	Tasha Scott Demetria Gary

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: February 14, 2012
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 #26-701-2 with Medicus Emergency Room Medicine Services West, LLC, a limited liability company, effective January 1, 2012, to amend Contract #26-701 (as amended by #26-701-1), to increase the payment limit by $225,000, from $275,000 to a new payment limit of $500,000 with no change in the original term of August 1, 2011 through July 31, 2012.

FISCAL IMPACT:

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

BACKGROUND:

On August 16, 2011, the Board of Supervisors approved Contract #26-701 (as amended by Amendment Agreement #26-701-1) with Medicus Emergency Room Medicine Services West, LLC, for the period from August 1, 2011 through July 31, 2012, for the provision of temporary physicians to cover during vacation, sick leave, and extended leave relief for County-employed physicians in the Emergency Room at Contra Costa Regional Medical Center and Contra Costa Health Centers.

BACKGROUND: (CONT'D)

Approval of Contract Amendment Agreement #26-701-2 will allow the Contractor to provide additional temporary physician services for the Emergency Room at Contra Costa Regional Medical Center and Contra Costa Health Centers, through July 31, 2012.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, patients in the Emergency Room will experience longer wait times, could leave without being treated or be diverted to other Hospitals due to lack of physician coverage during staff absences and peak loads. Additionally, other Contractors who provide locum tenens physicians are not able to provide emergency physicians at this time.

CHILDREN'S IMPACT STATEMENT:

Not applicable.