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C. 70
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: July  24, 2018
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendment Agreement #26-346-22 with the U.S. Department of Veterans Affairs

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   07/24/2018
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, 925-370-5100
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:     July  24, 2018
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment Agreement #26-346-22 with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS), effective April 1, 2018, to amend Sharing Agreement #26-346-21 to modify the Rate Schedule to include rates for services at Contra Costa Regional Medical Center with no change in the original contract payment limit of $3,321,000 and no change in the original term of April 1, 2018 through March 31, 2021.

FISCAL IMPACT:

This amendment agreement is funded 100% by Hospital Enterprise Fund I. The services provided for County 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 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 the Contra Costa Regional Medical Center's (CCRMC) Nuclear Medicine Unit, through March 31, 2021. 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 #26-346-22 will allow the contractor to add rates for services provided at CCRMC’s Nuclear Medicine Department through March 31, 2021.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, County's rate schedule will not be included in the contract.

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