Title
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to the Employee Agreement (Physician) with Dr. Radner, a physician who is qualified and licensed to practice medicine or other health care profession in the State of California, to render and perform medical or other health care services under the direction and designation of the Employer, on an “at-will” basis, as the Tuberculosis Controller, in the Public Health Bureau, adding three years for a full revised term of October 9, 2021 through September 30, 2026, and adding $187,479.24 for a revised total agreement amount not to exceed $312,465.40; and
b. Approve and authorize the Director of Health Services or designee to sign up to two future amendments which does not exceed 10% ($32,247) of the original contract amount and does not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to the Employee Agreement (Physician) with Dr. Radner, a physician who is qualified and licensed to practice medicine or other health care profession in the State of California, to render and perform medical or other health care services under the direction and designation of the Employer, on an “at-will” basis, as the Tuberculosis Controller, in the Public Health Bureau, adding three years for a full revised term of October 9, 2021 through September 30, 2026, and adding $187,479.24 for a revised total agreement amount not to exceed $312,465.40; and
b. Approve and authorize the Director of Health Services or designee to sign up to two future amendments which does not exceed 10% ($32,247) of the original contract amount and does not significantly change the scope of work.
SUMMARY DISCUSSION:
The Health Department Public Health Bureau’s Tuberculosis Control Unit provides leadership and resources to prevent and control tuberculosis (TB) within Monterey County. Each local health jurisdiction in California engages the services of a licensed physician with experience in infectious diseases to act as the jurisdiction’s TB Controller. The TB Controller provides expert consultation to the medical community on the appropriate protocols and care of persons diagnosed with or suspected to have active TB and latent TB infection. The TB Controller also provides guidance to local health department staff on infection control, testing and treatment protocols, outbreak management, and case management services. Allen Radner, MD, has served as the County of Monterey TB Controller since July 2016. The Public Health Bureau seeks to extend the current agreement with Dr. Radner to continue critical TB prevention and control services.
This work supports the County of Monterey Health Department 2018-2022 Strategic Plan Goals: 2. Enhance public health and safety through prevention, 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports five of the ten essential public health services, specifically: 1. Assess and monitor population health status, factors that influence health, and community needs and assets, 2. Investigate, diagnose, and address health problems and hazards affecting the population, 3. Communicate effectively to inform and educate people about health, factors that influence it, and how to improve it, 7. Assure an effective system that enables equitable access to the individual services and care needed to be healthy, and 8. Build and support a diverse and skilled public health workforce.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel has reviewed and approved this Agreement as to legal form. Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions.
FINANCING:
There is no impact to the General Fund. Appropriations for this Agreement are included in the Health Department’s FY 2023-24 Adopted Budget (001-4000-8124-HEA003).
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services, promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses, and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Veronica Salinas, Management Analyst I, 755-4630
Approved by:
______________________________Date: _________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment:
Amendment No. 1
Exhibit A
Original Agreement