Title
Authorize Natividad Medical Center (NMC) to increase the total project cost of the Emergency Department/ Rapid Medical Evaluation (RME), by $50,010 to a revised total project cost of $387,710.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize Natividad Medical Center (NMC) to increase the total project cost of the Emergency Department/ Rapid Medical Evaluation (RME), by $50,010 to a revised total project cost of $387,710.
SUMMARY/DISCUSSION:
The Emergency Department/ Rapid Medical Evaluation (RME) is located in Building 500 on the first floor. RME quickly treats patients that have low acuity medical problems. There are two main components to this minor remodel project:
* The first component is the need for visual access to monitor patients in the waiting room if a patient's condition changes after initial check in. The current layout does not allow clinical staff to actively monitor patient activity in the waiting room. This project will allow for clinical staff to actively monitor the Emergency Department waiting room.
* The project will allow for an increase in triage rooms (increase by 1 triage room) which will reduce patient wait time and improve patient satisfaction.
The Emergency Department/ RME project was approved by the Board of Supervisors in January 2014 at a project cost of $197,200. Since the approval in January 2014, (the project was at the Construction Document phase during this time) there was a change in the Emergency Department leadership. The key stakeholders (doctors and nurses) made changes to the previously approved schematic design to further help triage patients. The changes resulted into an increase in project cost and delays to design and construction document submittal to the Office of Statewide Health Planning and Development (OSHPD). In April of 2014 NMC initiated a Job Order Contract (JOC) with California Plus Engineering to provide a price proposal for the project. Th...
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