COMPLETED BOARD ORDER�",2�27
Before the Board of Supervisors in and for the
County of Monterey, State of California
Budget No: 09/10-013
a. Authorize the Information Technology Department ITD) to provide requested
services to Natividad Medical Center NMC) for the additional time periods
indicated in the following;
b. Amend the 1930-8137 ITD Fiscal Year FY) 2009-10 budget to reflect
increased expenditures and $173,540 of additional offsetting revenue being
received from NMC for one month of information technology services to be
rendered between July 1 and July 31, 2009 4/5th vote required);
c. Amend the 1930-8140 ITD FY 2009-10 budget to reflect increased
expenditures and $278,945 of additional offsetting revenue being received from
NMC for six months of phone service rendered between July 1 and December
31, 2009 4/5th vote required);
d. Amend the 1930-8137 ITD FY 2009-10 budget to reflect increased
expenditures and $135,228 of additional offsetting revenue being received from
NMC for one time costs to separate Natividad Hospital data network from
County data network 4/5th vote required); and
e. Direct the Auditor/Controller to increase estimated revenue and appropriations
by $587,713 in ITD as detailed in the Board Order.
Upon motion of Supervisor Parker, seconded by Supervisor Salinas, and carried by those
members present, the Board hereby:
a. Authorized the Information Technology Department ITD) to provide requested services to
Natividad Medical Center NMC) for the additional time periods indicated in the following;
c. Amended the 1930-8137 ITD Fiscal Year FY) 2009-10 budget to reflect increased
expenditures and $173,540 of additional offsetting revenue being received from NMC for
one month of information technology services to be rendered between July 1 and July 31,
2009(4/5 th vote required);
c. Amended the 1930-8140 ITD FY 2009-10 budget to reflect increased expenditures and
$278,945 of additional offsetting revenue being received from NMC for six months of phone
service rendered between July 1 and December 31, 2009 4/5th vote required);
d. Amended the 1930-8137 ITD FY 2009-10 budget to reflect increased expenditures and
$135,228 of additional offsetting revenue being received from NMC for one time costs to
separate Natividad Hospital data network from County data network 4/5th vote required);
and
e. Directed the Auditor/Controller to increase estimated revenue and appropriations by
$587,713 in ITD as detailed below:
Increase Estimated Revenue and Appropriations as Follows:
Account Description Amount Action
001-1930-8137-7304 Inter Fund Reimbursement $308,768 Increase
001-1930-8137-6111 Salaries $247,015 Increase
001-1930-8137-6408 Minor Computer Software $61,753 Increase
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COMPLETED BOARD ORDER�",2� 27
001-1930-8140-7304 Inter Fund Reimbursement $278,945 Increase
001-1930-8140-6111 Salaries $223,156 Increase
001-1930-8140-6231 Communications Charges $55,789 Increase
PASSED AND ADOPTED this 21St day of July, 2009, by the following vote, to wit:
AYES: Supervisors Armenta, Salinas, Calcagno, Parker
NOES: None
ABSENT: Supervisor Potter
1, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in
the minutes thereof of Minute Book 75 for the meeting on July 21, 2009.
Dated: July 22, 2009 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
12
By
Deputy
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SIGNED BOARD REPORTX��",5�MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: July 21, 2009 AGENDA NO.: Consent 27
SUBJECT: a. Authorize the Information Technology Department ITD) to provide
requested services to Natividad Medical Center NMC) for the additional
time periods indicated in the following;
b. Amend the 1930-8137 ITD FY2009/10 budget to reflect increased
expenditures and $173,540 of additional offsetting revenue being received
from NMC for one month of information technology services to be
rendered between July 1 and July 31, 2009 4/5th vote required);
c. Amend the 1930-8140 ITD FY2009/10 budget to reflect increased
expenditures and $278,945 of additional offsetting revenue being received
from NMC for six months of phone service rendered between July 1 and
December 31, 2009 4/5th vote required);
d. Amend the 1930-8137 ITD FY2009/10 budget to reflect increased
expenditures and $135,228 of additional offsetting revenue being received
from NMC for one time costs to separate Natividad Hospital data network
from County data network 4/5th vote required); and
e. Direct the Auditor/Controller to increase estimated revenue and
appropriations by $587,713 in ITD as detailed in the attached Board Order.
DEPARTMENT: Information Technology Department
RECOMMENDATION
It is recommended that the Board of Supervisors:
a. Authorize the Information Technology Department ITD) to provide requested services to
Natividad Medical Center NMC) for the additional time periods indicated in the following;
b. Amend the 1930-8137 ITD FY2009/10 budget to reflect increased expenditures and $173,540
of additional offsetting revenue being received from NMC for one month of information
technology services to be rendered between July 1 and July 31, 2009 4/5th vote required);
c. Amend the 1930-8140 ITD FY2009/10 budget to reflect increased expenditures and $278,945
of additional offsetting revenue being received from NMC for six months of phone service
rendered between July 1 and December 31, 2009 4/5th vote required);
d. Amend the 1930-8137 ITD FY2009/10 budget to reflect increased expenditures and $135,228
of additional offsetting revenue being received from NMC for one time costs to separate
Natividad Hospital data network from County data network 4/5th vote required); and
e. Direct the Auditor/Controller to increase estimated revenue and appropriations by $587,713 in
ITD as detailed in the attached Board Order.
SUMMARY
The FY2009/10 Adopted budget for the Information Technology Department ITD) does not
provide for the delivery of information technology services and support to the Natividad Medical
Center NMC) following June 30, 2009. Due to the ongoing progress of the delegations of
authority, the executive management of NMC has requested that the delivery of those services and
support be extended for an additional one; month of IT service through July 31, 2009, an additional
six months of phone service through December 31, 2009, and a one time cost covering the
separation of NMC data network from the County data network. The recommended amendment of
the 1930 FY2009/10 budget will provide the authority for the necessary resources to provide the
requested services and to recover the associated costs from NMC.
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SIGNED BOARD REPORTX��",5�DISCUSSION
lTD's FY2009/10 budget was adopted by the Board of Supervisors based upon the premise that the
previously adopted NMC Delegations of Authority would be implemented by July 1, 2009 and
after that date NMC would no longer be utilizing ITD services.
On June 25, 2009, the Information Technology Department received a memorandum via email
from Natividad Medical Center requesting the extension of additional services and support from
ITD until July 31, 2009. The services requested and authorized to be performed were: Health
System Programming, Hospital report creation and maintenance, System Programmer
Microsystem support, Information Security services, Win2000 and WinXP device support, County
data network access, Internet access, email accounts, server hosting, data storage, website hosting,
and Enterprise. The costs for those services and support vary slightly from month to month
depending upon actual use, but are estimated to reach a total of $173,540 for the one month
extension. Note that the service authority regarding the Enterprise charge is covered under a
separate MOU between the County and NMC for a longer extension.
On June 22, 2009 the Information Technology Department received a memorandum via email
from NMC requesting the extension of phone service for six months through December 31, 2009.
This is estimated to reach a total of $278,945.
On June 25, 2009, the Information Technology Department received a memorandum via email
from Natividad Medical Center requesting the one time cost associated with separation of NMC
data network from County data network. This is estimated to reach a total of $135,228.
This amendment for additional services supplements the reduced level of service to NMC that the
Board has previously approved and offsets the cost of service provision with revenue from NMC.
It is therefore recommended that the Board of Supervisors amend the Information Technology
Department FY2009/10 budget as detailed in the attached Board Order to reflect the services listed
above to NMC
OTHER AGENCY INVOLVEMENT
NMC has approved the provision of service by ITD and has authorized the work to be performed.
FINANCING
The FY 09/10 ITD adopted budget anticipated no work program in support of NMC, therefore a
budget amendment is needed to correct this situation.
Virgil Schwab 759-6923
Director of Information Technology
Date:
cc: Lew Bauman, County Administrative Officer
Charles J. McKee, County Counsel
Michael Miller, Auditor Controller
Harry Weis, Natividad Medical Center CEO
2
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