TO: Board of Supervisors
FROM: J.C. Greenberg, Napa County Fire Deputy Chief
REPORT BY: Stacie McCambridge, Staff Services Manager
SUBJECT: St. Helena Hospital, dba Adventist Health St. Helena Job Care Agreement
RECOMMENDATION
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Approve and authorize Agreement No. 260248B with St. Helena Hospital, dba Adventist Health St. Helena Job Care for a 5-year term, to provide occupational health and safety medical services, including pre-placement physical examinations and annual fitness screenings. (Fiscal Impact: $100,000 Expense; Fire Fund; Budgeted; Discretionary)
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BACKGROUND
Job Care Medical Services Program of St. Helena Hospital is a medical provider offering health and safety services including pre-employment physicals, annual fitness screenings, return to work evaluations, and fitness for duty exams. While the County also contracts with The Permanente Medical Group, Inc., this gives our volunteers other options.
County Fire is requesting a service agreement for the term of July 1, 2025, through June 30, 2026, with an additional 5-year roll over clause. Job Care Medical Services Program of St. Helena is a local vendor and County Fire pays this provider monthly based on an agreed upon fee schedule. The effective date reflects dates when the services were provided, which is before the agreement was in place.
Requested Action:
Approve and authorize Agreement No. 260248B with St. Helena Hospital, dba Adventist Health St. Helena Job Care for a 5-year term, to provide occupational health and safety medical services, including pre-placement physical examinations and annual fitness screenings.
FISCAL IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Fire Fund (2100) |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
These services are needed for pre-employment physicals, workers’ compensation treatment exams, return to work evaluations and fitness for duty evaluations. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
These services will be required in future fiscal years and will be budgeted accordingly. |
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Consequences if not approved: |
If these services are not provided, there would be a possibility of pre-existing medical conditions going undetected, which would place the County at risk. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.