To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #26-346-29 with the U.S. Department of Veterans Affairs
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Amendment Agreement #26-346-29, with the U.S. Department of Veterans Affairs, Northern California Health Care System (VANCHCS), to amend Agreement #26-346-28, effective April 18, 2023, to clarify scheduling procedures with no change to the payment limit of $5,410,174 or term of April 18, 2023 through March 31, 2028 for nuclear medicine services at Contra Costa Regional Medical Center (CCRMC).
FISCAL IMPACT:
Approval of this amendment will not impact the payment limit of $5,410,174 and is funded 100% by Hospital Enterprise Fund I revenues. 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 Agreement #26-346-28 with VANCHCS to provide a full range of Nuclear Medicine Services to County's patients at the VANCHCS Outpatient Clinic in Martinez and CCRMC’s Nuclear Medicine Department, in an amount not to exceed $5,410,174 for the period April 18, 2023 through March 31, 2028. This contract included mutual indemnification to hold harmless both parties for any claims arising out of the performance of this agreement.
Approval of Amendment Agreement #26-346-29 will allow contractor to clarify scheduling procedures through March 31, 2028. This amendment was delayed due to the Division not receiving the amendment document until October 23, 2023.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, VANCHCS will not be able to incorporate clarification of the scheduling procedures.