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File #: 12-1555    Version:
Type: Agenda Item Status: Approved
File created: In control: Board of Supervisors
On agenda: 7/15/2014 Final action: 7/15/2014
Title: Health and Human Services Agency, Public Health Division, recommending the Board approve and authorize the Chair to sign Amendment I to Memorandum of Understanding 466-M1311 with Marshall Medical Center, Inc., to incorporate updated standard County language, as well as amending and replacing Exhibit A, updating the “in kind” services being provided by Marshall Medical Center. FUNDING: Fee for Service, Property Tax and Special Tax Assessment.
Attachments: 1. 2A - Approved CRS, 466-M1311, A1, 7-15-14, 2. 2B - Marshall, 466-M1311, A1, 7-15-14, 3. Executed Amendment I to 466-M1311 (BOS 7-15-14), 4. A - EMS Plan Update, 5. B - Trauma Plan Update, 6. C - Approved CRS EMS Plan, 7. D - Approved CRS Trauma Plan, 8. E - Approved CRS 466-M1311, 9. F - 466-M1311, 10. Executed MOU 466-M1311
Related files: 18-0336
Title
Health and Human Services Agency, Public Health Division, recommending the Board approve and authorize the Chair to sign Amendment I to Memorandum of Understanding 466-M1311 with Marshall Medical Center, Inc., to incorporate updated standard County language, as well as amending and replacing Exhibit A, updating the “in kind” services being provided by Marshall Medical Center.

FUNDING: Fee for Service, Property Tax and Special Tax Assessment.
Body
Fiscal Impact/Change to Net County Cost
There is no change to Net County Cost associated with this Amendment I to Memorandum of Understanding (MOU) 466-M1311.

Background
On March 19, 2013, the Board of Supervisors approved MOU 466-M1311 with Marshall Medical Center, Inc., (Marshall) which set the rates for interfacility transport services provided to Marshall at 110% of the applicable rates as defined by the Centers for Medicare & Medicaid Services for Northern California (available at www.palmettogba.com). During the development of MOU 466-M1311, consideration was given to the many services Marshall provides in collaboration with the County to ensure the highest level of Prehospital Advanced Life Support services on the West Slope of the County. These “in kind” services are listed on Exhibit A to that MOU 466-M1311; however, during the course of the past year it has become apparent that redefinition was required with regard to these “in kind” services. Amendment I to MOU 466-M1311 updates the listing of “in kind” services to ensure clarity with regard to recognizing the collaborative relationship between the County and Marshall.

Reason for Recommendation
Approval of this Amendment I to MOU 466-M1311 redefines the “in kind” services provided by Marshall that were considered in the establishment of the rate structure for interfacility transfers. Specifically, language identifying the availability of nurses to accompany patients on critical care transfers has been removed.

Clerk of the Board Follow up A...

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