Agenda

Return

C. 56

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 9, 2019

Contra

Costa

County

Subject:

Amendment Agreement #26-346-23 with the U.S. Department of Veterans Affairs

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/09/2019

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:	Marcy 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: April 9, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment Agreement #26-346-23, with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS), effective April 1, 2019, to amend Sharing Agreement #26-346-21 (as amended by #26-346-22) to increase the payment limit by $515,737 from $474,000 to a new payment limit of $989,737 for nuclear medicine services at Contra Costa Regional Medical Center (CCRMC) and to extend the term through March 31, 2020.

FISCAL IMPACT:

This amendment agreement is funded 100% by Hospital Enterprise Fund I. 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 VANCHCS 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, computerized tomography (CT) scans, magnetic resonance imaging (MRI), dermatology, gastroenterology, urology, audiology and speech, and ophthalmology services. The County provides Emergency Room treatment and inpatient care, including certain ancillary services, for VANCHCS referred patients.

On March 27, 2018, the Board of Supervisors approved Sharing Agreement #26-346-21 (as amended by Amendment Agreement #26-346-22) 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 VANCHCS Outpatient Clinic in Martinez and/or CCRMC’s Nuclear Medicine Department, for the period from April 1, 2018 through March 31, 2019. This agreement includes mutual indemnification to hold harmless both parties for any claims arising out of the performance of this agreement.

Approval of Amendment Agreement #26-346-23 will allow Contractor to continue to provide services at CCRMC’s Nuclear Medicine Department through March 31, 2020.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, VANCHCS will not be able to continue to provide nuclear medicine services to CCRMC patients.