Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a Physician Services Agreement with Lucile Salter Packard Children’s Hospital at Stanford (LPHC) to provide physician services in perinatology for the term October 1, 2017 to September 30, 2020, for a total contract amount not to exceed $360,000.00; and
b. Authorize the Director of Health or the Assistant Director of Health to sign up to three (3) future amendments where the amendments do not exceed 10% of the total contract amount ($36,000.00) per each amendment and do 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 or Assistant Director of Health to execute a Physician Services Agreement with Lucile Salter Packard Children’s Hospital at Stanford (LPHC) to provide physician services in perinatology for the term October 1, 2017 to September 30, 2020, for a total contract amount not to exceed $360,000.00; and
b. Authorize the Director of Health or the Assistant Director of Health to sign up to three (3) future amendments where the amendments do not exceed 10% of the total contract amount ($36,000.00) per each amendment and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates nine community clinic sites designated as Federally Qualified Health Center Look-Alikes (FQHC-LA). Under the direction of the County and governance of the Community Health Center Board, the clinics provide preventative, primary, and specialty medical care services. Since October 1, 2008, LPHC has provided specialty services in perinatology for high risk obstetrical patients in the clinics, which has improved clinical care and outcomes with the patient population. Clinic Services and LPCH desire for a new Agreement to update provisions, since the current agreement is from 2008. This new Agreement maintains the existing level of specialty services and has no change to compensation.
Approval of the recommended action will maintain clinic-based access to high quality specialty perinatology services for patients and will also help alleviate hardship for patients that lack the transportation and/or financial resources to travel out of Monterey County for these services.
This Agreement supports the Monterey County Health Department 2011 - 2015 Strategic Plan initiatives: 2) Enhance community health and safety by emphasizing prevention; 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one or more of the ten essential public health services, specifically: 3) Inform, educate and empower people about health issues; and 7) Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel and the Auditor-Controller have reviewed and approved the Agreement as to legal form and fiscal provisions. Risk Management has reviewed and accepts the non-standard provisions.
FINANCING:
Sufficient funds are available in the Clinic Services Bureau, Health Department FY17-18 Adopted Budget 4000-HEA007. This Agreement is funded by revenues generated from Medi-Cal and Medicare. There is no fiscal impact to the General Fund resulting from approval of this Agreement.
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: Sheena Morales, Management Analyst III, x1393
Approved by: Elsa M. Jimenez, Director of Health, x4526
Attachments:
Agreement is on file with the Clerk of the Board