File #: 24-835    Version: 1 Name:
Type: Agreement Status: Agenda Ready
File created: 7/23/2024 In control: BOARD OF SUPERVISORS
On agenda: 8/6/2024 Final action:
Title: Approve First Amendment to the Agreement by and between California Forensic Medical Group, Inc. ("CFMG") and the County of Lake for Medical Services in Lake County Detention Facility for an increase of 4.7% and a new base sum of $4,132,876.50 for the period of January 1, 2024 through December 31, 2024 and authorize the CAO and Chair to sign
Sponsors: Administrative Office
Attachments: 1. CFMG Amendment 1_08062024, 2. CFMG Compensation Adjustment_02272024, 3. CFMG.Wellpath_Agreement_12202022
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Memorandum

 

 

Date:                                          August 6, 2024

 

To:                                          The Honorable Lake County Board of Supervisors

 

From:                                          Susan Parker, County Administrative Officer

 

Subject:                     Approve First Amendment to the Agreement by and between California Forensic Medical Group, Inc. ("CFMG") and the County of Lake for Medical Services in Lake County Detention Facility for an increase of 4.7% and a new base sum of $4,132,876.50 for the period of January 1, 2024 through December 31, 2024 and authorize the CAO and Chair to sign

 

Executive Summary:

As your Board is aware, on February 27, 2024, your Board ratified the two-year compensation adjustment for the medical services in the Lake County Detention Facility agreement with California Forensic Medical Group (CFMG).

 

Like many other medical providers, CFMG is facing a shortage of Registered Nurses (RN) and has requested their Agreement with the County of Lake be amended to allow use of Licensed Vocational Nurses (LVNs) in place of RNs.  Since LVNs are compensated at a lower rate, CFMG has agreed to credit the County for any difference in cost on their next monthly bill, pending your Board’s approval.

 

Per Section 56 of the agreement, the base compensation amount and per diem shall be adjusted each year consistent with the prior year's annual average percentage of the Medical Care Component of the Consumer Price Index ("CPI") for Urban Consumers, not to exceed 5.0%.

 

Overall Compensation (Agreement Section 5) has been increased by 4.7%.  Moving forward, annual increases will be tied to the Medical Index of the Consumer Price Index, not to exceed 5%. Application of the 4.7% increase revises the base annual amount for professional health care services rendered at the Lake County Adult Correctional Facility beginning January 1, 2024, through December 31, 2024, from $3,947,351 to $4,132,876.50. The per diem will adjust from $4.50 to $4.71.

 

If not budgeted, fill in the blanks below only:

Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ 

 

Purchasing Considerations (check all that apply):                                           Not applicable

Fully Article X. <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI>- and/or Consultant Selection Policy <http://lcnet.co.lake.ca.us/Assets/Intranet/Policy/Policies+$!26+Procedures+Manual/Ch4_2021v2.pdf>-Compliant (describe process undertaken in “Executive Summary”)                     

Section 2-38 <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI> Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)                     

For Technology Purchases: Vetted and Supported by the Technology Governance Committee <http://lcnet.co.lake.ca.us/Assets/Intranet/Intranet+Forms/Information+Technology/AdvPlan.pdf> (“Yes,” if checked)

Other (Please describe in Executive Summary)

 

Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply):                                                                Not applicable

Well-being of Residents                                           Public Safety                                                                Disaster Prevention, Preparedness, Recovery                     

Economic Development                                           Infrastructure                                                                County Workforce                     

Community Collaboration                      Business Process Efficiency                      Clear Lake                                                               

 

Recommended Action:  Approve First Amendment to the Agreement by and between California Forensic Medical Group, Inc. ("CFMG") and the County of Lake for Medical Services in Lake County Detention Facility for an increase of 4.7% and a new base sum of $4,132,876.50 for the period of January 1, 2024 through December 31, 2024 and authorize the CAO and Chair to sign.