File #: 07-550    Version:
Type: Agenda Item Status: Approved
File created: 3/26/2007 In control: Board of Supervisors
On agenda: 4/17/2007 Final action: 4/17/2007
Title: Public Health Department recommending Chairman be authorized to sign Budget Transfers for reimbursement to California Forensic Medical Group (CFMG) and payment to other medical professionals and facilities for emergency medical services provided to County Inmates; and recommending funding in the amount of $41,667 for excess insurance coverage and an adjustment in the amount of $23,298 to Probation's Juvenile Hall budget. (4/5 vote required) RECOMMENDED ACTION: Approve. FUNDING: General Fund.
Attachments: 1. Budget Transfers, 2. Supporting Docs 1, 3. Supporting Docs 2, 4. Contract Compensation Summary
Title
Public Health Department recommending Chairman be authorized to sign Budget Transfers for reimbursement to California Forensic Medical Group (CFMG) and payment to other medical professionals and facilities for emergency medical services provided to County Inmates; and recommending funding in the amount of $41,667 for excess insurance coverage and an adjustment in the amount of $23,298 to Probation's Juvenile Hall budget. (4/5 vote required)
RECOMMENDED ACTION: Approve.

FUNDING: General Fund.

Body
BUDGET SUMMARY:
Total Estimated Cost $305,103

Funding
Budgeted $
New Funding $
Savings $
Other - GF Contingency $305,103
Total Funding Available $305,103
Change To Net County Cost $0


Fiscal Impact/Change to Net County Cost: $240,138 will be paid to CFMG and other medical professionals reimbursing them for costs incurred in treating County inmates. $41,667 will be used to pay for an insurance premium to cover costs of inmate hospitalization which exceed the contracted cap amount between County and CFMG. $23,298 is an increase to the Juvenile Hall budget to account for medical, dental, and lab services; this budget modification is due to an increase in the Medical Consumer Price Index (CPI), which was not accounted for during the normal budget process. The total of $305,103 is coming from the General Fund Contingency account.

Background: The current agreement between the County and CFMG, which designates CFMG as the administrator of healthcare needs for County inmates, holds CFMG liable for inpatient care up to $15,000 per person per episode. However, there were two incidents where the cost for emergency and specialty inpatient care exceeded that amount. Those occurrences required services which were provided by a number of medical professionals and facilities listed below:

Anthony Field, M.D.
Barton Healthcare System
Barton Hospital - Facility Fees
Carson Surgical Group Carson T...

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