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July 26, 2022
ITEM TITLE
Service Agreement: Approve Agreement with Akeso Occupational Healthcare to Provide Medical Services and Access to Care for City Jail Inmates
Report Number: 22-0214
Location: No specific geographic location
Department: Police
Environmental Notice: The activity is not a “Project” as defined under Section 15378 of the California Environmental Quality Act State Guidelines; therefore, pursuant to State Guidelines Section 15060(c)(3) no environmental review is required.
Recommended Action
Adopt a resolution waiving the competitive bidding requirement and approving a sole-source agreement with Akeso Occupational Healthcare to provide medical services and access to care for City jail inmates.
SUMMARY
The Police Department recommends approving an agreement with Akeso Occupational Healthcare to provide medical services to the City Jail.
ENVIRONMENTAL REVIEW
The Director of Development Services has reviewed the proposed activity for compliance with the California Environmental Quality Act (CEQA) and has determined that the activity is not a “Project” as defined under Section 15378 of the State CEQA Guidelines because it will not result in a physical change in the environment; therefore, pursuant to Section 15060(c)(3) of the State CEQA Guidelines, the activity is not subject to CEQA.
Thus, no environmental review is required.
BOARD/COMMISSION/COMMITTEE RECOMMENDATION
Not applicable.
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DISCUSSION
The Police Department operates its own City Jail, which is a 50 -bed Type I facility. The City Jail requires a “responsible physician”, as outlined in California Board of State and Community Corrections (BSCC) Title 15 Minimum Standards For Local Detention Facilities. The “responsible physician” will provide medical evaluations and/or write medical prescriptions as necessary for City Jail inmates, in a manner similar to services provided to the general public.
Akeso Occupational Healthcare (formerly South Coast Medical Clinic) has provided medical services for the City Jail since 2011. The City Council in past years has waived the competitive bidding requirement for its jail medical contract, because the City’s interests are materially better served in making a sole-source award based on its provider’s demonstrated unique performance capabilities. For these reasons, pursuant to Chula Vista Municipal Code sections 2.56.070(B)(3) and (4), t he Police Department again recommends continued services with Akeso Occupational Healthcare due to its existing working relationship and confidence that this company is experienced and staffed in a manner to d eliver the services required to meet the Department’s needs.
Founded in 1981, South Coast Medical Clinic was created for the industrial and service community to provide quality medical care and case management to companies and corporations. Recently, Akeso Occupational Healthcare acquired South Coast Medical Clinic , and streamlined operational improvements to enhance patient outcomes. Open seven days a week with limited waiting time, Akeso Occupational Healthcare offers customized treatment programs which reduce medical costs. The responsible physician assigned to the City Jail, Dr. Jamila Danishwar, MD has been in medical practice over 11 years and is affiliated with multiple hospitals in the area.
The cost of inmate medical services by Akeso Occupational Healthcare is $120.00 for initial inmate visit, $95.00 for follow-up visits, general laboratory fees as needed on a case -by-case basis , and phone consultations not to exceed $10.00 per consultation. Onsite medical services are $105 per hour.
The agreement term with Akeso Occupational Healthcare for inmate medical services will be for an initial period of one (1) year effective July 1, 2022, with renewal options for up to four (4) successive one -year periods upon mutual agreement of both parties.
DECISION-MAKER CONFLICT
Staff has reviewed the decision contemplated by this action and has determined that it is not site-specific and consequently, the 500-foot rule found in California Code of Regulations Title 2, section 18702.2(a)(11), is not applicable to this decision for purposes of determining a disqualifying real property-related financial conflict of interest under the Political Reform Act (Cal. Gov't Code § 87100, et seq.).
Staff is not independently aware and has not been informed by any City Council member of any other fact that may constitute a basis for a decision maker conflict of interest in this matter.
CURRENT-YEAR FISCAL IMPACT
Estimated annual inmate medical service costs of $140,000 are already included in the Jail Enterprise Fund budget. Approval of this resolution has no net fiscal impact to the General Fund.
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ONGOING FISCAL IMPACT
Annual inmate medical service costs will be included in each year’s budget. Any increases in contract pricing must be negotiated between the City and the contractor.
ATTACHMENTS
Attachment 1: Agreement with Akeso Occupational Healthcare to provide medical services and access to care for City jail inmates
Staff Contact: Jonathan Alegre, Police Department