Agenda

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C. 71

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	April 25, 2017

Contra

Costa

County

Subject:

Amendment #26-473-23 with SHC, Inc. (dba Supplemental Health Care)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/25/2017

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 Marcy Wilhelm Tasha Scott

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: April 25, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or designee, to execute a contract with SHC Services, Inc. (dba Supplemental Health Care) in an amount not to exceed $5,361,907, for temporary nursing and medical care services at Contra Costa Regional Medical, Health Centers Clinics and Detention Facility for the period April 1, 2017 through March 31, 2018.

Since the County is still engaged in the meet and confer process with Teamsters, Local 856, this contract will exclude from the rate sheet work performed by classifications represented by Teamsters. Once an agreement is reached with Teamsters, a separate contract request will be submitted to the Board for approval and authorization.

FISCAL IMPACT:

Upon approval, the Department may incur contractual expenses of up to $5,361,907 during the proposed contract period, which would be funded 100% by Hospital Enterprise Fund I revenues.

BACKGROUND:

On May 12, 2015, the Board of Supervisors approved Contract #26-473-21 (as amended by Amendment Agreement #26-473-22) with SHC Services, Inc. (dba Supplemental Health Care), for the period from April 1, 2015 through March 31, 2017, for the provision of temporary nursing and therapy services at Contra Costa Regional Medical Center, Health Centers and Detention Facility. Despite significant efforts to permanently fill vacant positions, the County continues to face a shortage of permanent personnel and per diems to cover necessary shifts in the Health Services Department.

On March 12, 2016, the County notified the appropriate unions regarding the need to renew this contract. Teamsters, Local 856 responded with a request to meet and confer over this renewal. While the County continues the meet and confer process with Teamsters, the Department requests to execute a contract renewal that excludes from the rate sheet work performed by classifications represented by Teamsters. This will allow the Department to continue utilization of contracted services, ensure continuity of patient care, and prevent disruptions of Expressive Arts Therapy services.

CONSEQUENCE OF NEGATIVE ACTION:

The County will not have access to agency staff needed to support the Department's efforts at maintaining staffing levels, as needed to respond to ongoing and emergent patient care needs.