Agenda

Return

C. 45

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	March 14, 2017

Contra

Costa

County

Subject:

Amendment #26-745-7 with Medical Solutions, LLC (dba Nebraska Medical Solutions Staffing, LLC)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/14/2017

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:	Anna Roth, 925-370-5101
cc:	K Cyr 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: March 14, 2017
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 #26-745-7 with Medical Solutions, LLC (dba Nebraska Medical Solutions Staffing, LLC), a Limited Liability Company, effective February 1, 2017, to amend Contract #26-745-6, to increase the payment limit by $1,400,000, from $2,000,000 to a new payment limit of $3,400,000, with no change in the original term of July 1, 2016 through June 30, 2017.

FISCAL IMPACT:

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

BACKGROUND:

On May 10, 2016, the Board of Supervisors approved Contract #26-745-6 with Medical Solutions, LLC (dba Nebraska Medical Solutions Staffing, LLC) for the provision of temporary nursing and medical staff services for Contra Costa Regional Medical Center and Health Centers (CCRMC) and the County’s Detention Facilities, for the period from July 1, 2016 through June 30, 2017. At the time of negotiations, the payment limit was based on target levels of utilization. However, the utilization during the term of the agreement was higher than originally anticipated. Approval of Contract Amendment Agreement #26-745-7 will allow the Contractor to provide additional hours of temporary nursing and medical staff services through June 30, 2017.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the County will not be able to utilize this Contractor for additional hours of service at CCRMC.