TITLE
Recommendation to authorize City Manager to increase Blanket Purchase Order Agreement No. BPPD13000023 with Decton, Inc., dba Clinical Staffing Services of Santa Ana, CA; BPPD13000004 with Dr. Maryam Abdelnaby, of Torrance, CA; BPPD13000010 with Dr. Melvin Webb, of Seal Beach, CA; and BPPD13000006 with
Dr. Sophia Momand, of Rancho Palos Verdes, CA, for providing jail inmate physician and relief nursing services, by $125,000, for a total aggregate annual amount not to exceed $475,000 for the period ending September 30, 2015. (Citywide)
DISCUSSION
City Council approval is requested to increase existing contracts with Decton, Inc., dba Clinical Staffing Services; Dr. Maryam Abdelnaby, Dr. Melvin Webb, and Dr. Sophia Momand, for providing jail inmate physician and relief nursing services.
During fiscal years 2007 through 2012, the City’s cost for providing basic and emergency health care for in-custody inmates through off-site medical services provided by local community hospitals (i.e., Community Hospital of Long Beach) and other medical centers (i.e., St. Mary Medical Center, Long Beach Memorial Medical Center) averaged approximately $603,000 annually. These costs included urgent care, prescription and non-prescription medications, ambulatory care service, emergency treatment, radiology, laboratory and diagnostic tests, imaging/x-rays, as well as security and administration costs associated with transporting inmates/arrestees to and from off-site medical facilities.
To align with the City’s goal of achieving cost savings through efficiencies, on September 18, 2012, the City Council awarded contracts to ten service providers for the Long Beach Police Department’s In-Custody Jail Inmate Medical Program. The objective of this program is to operate an on-site jail health care program in a cost-effective manner and in accordance with California Code of Regulations, Title 15, Article 1, Medical/Mental Health Care Services.
Under the program, the City contracted with multiple medical providers consisting of nursing agencies, independent contractor physicians and nurses selected from a number of proposers who participated in a formal procurement process conducted in April 2012. The program ensures on-site physician and relief nurses are available at all times to provide basic health care, emergency and non-emergency medical treatment to sick-call requests from jail inmates/detainees housed in the City jail. Multiple on-site medical providers are necessary in order to avoid any disruption in services. In years one and two of the program, contract expenditures averaged approximately $382,000 per year. However, in this current third year of the contract, jail medical service cost will exceed the annual contract authority of $350,000 by $125,000. This is due to the increase in service providers’ hourly rates and additional hours required for relief nurses due to a vacancy of one budgeted nurse position in the City jail.
In October 2012, individual blanket purchase orders were issued for each of the awardees, pursuant to City purchasing guidelines, with an aggregate total authority of $350,000. City Council action is requested to authorize an additional amount of $125,000, increasing the total annual contract authority to not exceed $475,000. City Council action is also requested to reallocate the total authority to four of the original ten service providers awarded contracts as recommended. Staff is currently working on a new procurement process and intends to award new contracts prior to the expiration of the current agreement.
This matter was reviewed by Deputy City Attorney Kendra Carney on June 17, 2015, and by Budget Management Officer Victoria Bell on June 26, 2015.
TIMING CONSIDERATIONS
City Council action to authorize contract amendments is requested on August 18, 2015, to facilitate ongoing medical service to Jail inmates.
FISCAL IMPACT
The requested additional contract authority of $125,000 is budgeted in the General Fund (GF) in the Police Department (PD). There is no local job impact associated with this recommendation.
SUGGESTED ACTION
Approve recommendation.
Respectfully Submitted,
ROBERT G. LUNA
CHIEF OF POLICE
APPROVED:
PATRICK H. WEST
CITY MANAGER