Agenda

Return

C. 28

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 8, 2022

Contra

Costa

County

Subject:

Amendment #26-745-18 with Medical Solutions, LLC (dba Nebraska Medical Solutions)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/08/2022

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, 925-370-5101
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: March 8, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #26-745-18 with Medical Solutions, LLC (dba Nebraska Medical Solutions), a limited liability company, effective March 1, 2022, to increase the crisis rates for temporary nurse staffing services at Contra Costa Regional Medical Center (CCRMC), Contra Costa Health Centers and County’s Detention Facilities with no increase in the payment limit of $4,800,000, and no change in the original term of July 1, 2021 through June 30, 2022.

FISCAL IMPACT:

This amendment will not impact the contractual service expenditures in an amount not to exceed $4,800,000 for fiscal year 2021-2022 and is funded 100% by Hospital Enterprise Fund I. (Rate increase)

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, crisis rates will not be increased and hard to fill positions will continue to go unstaffed.

BACKGROUND:

This contract meets the social needs of the County’s population by providing temporary nursing services for CCRMC, Contra Costa Health Centers, and the County’s Detention facilities. The contractor is able to provide coverage during peak workloads, temporary absences and emergency situations at CCRMC, Contra Costa Health Centers and the County’s Detention Facilities and has been contracted with the County since July 1, 2013.

On June 8, 2021, the Board of Supervisors approved Contract #26-745-17 with Medical Solutions, LLC (dba Nebraska Medical Solutions) for the provision of temporary nursing and medical staff services for CCRMC, Health Centers and the County’s Detention Facilities, for the period from July 1, 2021 through June 30, 2022.

Approval of Contract Amendment Agreement #26-745-18 will allow the contractor to continue to provide temporary medical staffing services through June 30, 2022. This amendment includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).

Due to Contra Costa County still being in the midst of the COVID-19 pandemic, CCRMC, Health Centers and Detention Facilities continue to experience a shortage in nursing staff due to multiple staff taking time off for COVID-19 isolations and illnesses. The County is challenged by the lack of agency nurses being available and willing to work on current billed rates, therefore the division is requesting to amend this contract to increase the crisis rates to retain agency nursing staff at CCRMC, Health Centers and Detention Facilities.