AGENDA
CITY OF EL CENTRO
CITY COUNCIL
MONDAY, FEBRUARY 27, 2023
El Centro Regional Medical Center Joint Special Meeting 5:00 PM
EL CENTRO REGIONAL MEDICAL CENTER
1271 ROSS AVENUE
MOB EDUCATION CONFERENCE ROOMS 1 & 2
EL CENTRO, CA 92243
JOINT MEETING WITH
EL CENTRO REGIONAL MEDICAL CENTER
(ECRMC) BOARD OF TRUSTEES
City of El Centro Page 1
Notice is hereby given that the Mayor of the City of El Centro has called a Special Meeting of the El Centro City Council to consider the item(s) on this agenda.
The public may attend in person. Any member of the public attending in person and wishing to make a comment is asked to complete a speaker slip and follow the instructions below regarding “Notice to the Public”. Any member of the public is invited to submit public comments in advance of the meeting to be answered at the meeting. Please email your questions to [email protected] or call 760-337-4515 by February 27, 2023.
COUNCIL MEMBERS, STAFF AND THE PUBLIC MAY ATTEND VIA ZOOM.
To participate and make a public comment in person, via Zoom or telephone, please raise your hand, speak up and introduce yourself.
Join Zoom Meeting:
https://ecrmc.zoom.us/j/86359144724?pwd=cHdFNGprTUh4eUJDZG5keXdXRzNhQT09 Optional dial-in number: 1 (669) 444-9171
Meeting ID: 863 5914 4724 Passcode: 094659
Public comments via zoom are subject to the same time limits as those in person.
Mayor & Council Members may be reached at (760) 336-8989 Mayor: Martha Cardenas-Singh Interim City Manager: Cedric Ceseña Mayor Pro-Tem: Sylvia Marroquin City Attorney: Elizabeth Martyn Evans Council Members: Edgard Garcia City Clerk: Norma Wyles
Tomás Oliva
Sonia Carter
Agenda City Council of the City of El Centro February 27, 2023 City of El Centro Page 2
OPEN SESSION:
CALL TO ORDER:
ROLL CALL BY CITY CLERK:
PLEDGE OF ALLEGIANCE:
PUBLIC COMMENTS:
Any person wishing to address the City Council on any matter on this agenda, is asked to complete a “Speakers slip” and submit it to the City Clerk prior to the start of the meeting. Unless the Mayor extends the time, there is a three-minute time limit of each public comment. No comments on non-agenda items will be heard at this Special Meeting. Our next regular City Council meeting is on March 7, 2023 at 6:00 p.m.
NEW BUSINESS:
1. Letter of Intent with ECRMC and UCSD for Interim Management and Operations pending approval of an Operations and Administrative Support Agreement for the Hospital
PRESENTATION: Mayor Martha Cardenas-Singh
RECOMMENDATION:
Adopt Resolution No. 23- , RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF EL CENTRO APPROVING A LETTER OF INTENT WITH THE EL
CENTRO REGIONAL MEDICAL CENTER AND THE UNIVERSITY OF
CALIFORNIA SAN DIEGO HEALTH FOR INTERIM MANAGEMENT AND
OPERATIONS WHILE AN OPERATIONS AND ADMINISTRATIVE SUPPORT
AGREEMENT IS DEVELOPED
ADJOURNMENT:
Materials related to an item on this Agenda submitted to the City Council after distribution of the agenda packet will be available for public inspection at the Office of the City Clerk, 1275 Main Street, El Centro, California 92243, Monday-Friday during normal business hours.
In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, you should contact the office of the City Clerk at (760)337-4515. Notification at least 48 hours prior to the meeting will enable the City to make reasonable arrangement to assure accessibility to this meeting.
City Council of the City of El Centro Meeting: 02/27/23 05:00 PM 1275 Main Street Department: City Clerk's Office
El Centro, CA 92243 Category: Letter of Intent
Prepared By: Norma Wyles
SCHEDULED Department Head: Norma Wyles
ACTION ITEM (ID # 5864) DOC ID: 5864
Letter of Intent with ECRMC and UCSD for Interim
Management and Operations pending approval of an
Operations and Administrative Support Agreement for the Hospital
CITY MANAGER’S RECOMMENDATION:
Adopt Resolution No. 23- , RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF EL CENTRO APPROVING A LETTER OF INTENT WITH THE EL CENTRO
REGIONAL MEDICAL CENTER AND THE UNIVERSITY OF CALIFORNIA SAN
DIEGO HEALTH FOR INTERIM MANAGEMENT AND OPERATIONS WHILE AN
OPERATIONS AND ADMINISTRATIVE SUPPORT AGREEMENT IS DEVELOPED FISCAL IMPACT:
None
STRATEGIC PLANNING PROGRAM 2022-2027 RELATION:
N/A
DUE DILIGENCE CHECK FOR CONTRACTORS/CONSULTANTS: DID THE
DEPARTMENT VERIFY CURRENT EL CENTRO BUSINESS LICENSE,
CONTRACTORS LICENSE, REFERENCE CHECKS, INSURANCE, ETC:
BACKGROUND:
On or about January 1, 2016, the Parties entered into the initial Amended and Restated Master Management Agreement pursuant to which UCSD made available to ECRMC certain management services. Under the Management Agreement, UCSD provided a CEO to ECRMC but did not provide other management personnel. The Management Agreement was amended eight (8) times with a Ninth Amendment pending when it expired at the end of last year. On or about January 23, 2023, the Parties entered into a management letter agreement pursuant to which UCSD agreed to provide certain leadership consulting services to ECRMC for a limited amount of time not to exceed six weeks.
Another major purpose of this Agreement is to support and address healthcare needs within the Imperial Valley and stabilize workforce and physician issues.
DISCUSSION:
Given the benefits ECRMC and the City have realized from the leadership consulting services provided by UCSD and the ongoing challenges at ECRMC, the Parties now 1 Packet Pg. 3
Action Item (ID # 5864) Meeting of February 27, 2023
propose to enter into an agreement pursuant to which UCSD will take over actual management and operations of the Hospital, subject to the ultimate oversight of the ECRMC Board of Trustees and subject to the terms and conditions of a definitive agreement (the “Operations and Administrative Support Agreement” or “OAS Agreement”) to be negotiated between the Parties within the time frames set out herein. Nothing in this Letter of Intent is intended in any way to affect any pending healthcare district legislation or a proposed special tax levy; and Nothing in this Letter of Intent impacts the ongoing physician services agreements between UCSD and ECRMC.
CONCLUSION:
Recommend adoption of Resolution No. 23- , RESOLUTION OF THE CITY
COUNCIL OF THE CITY OF EL CENTRO APPROVING A LETTER OF INTENT WITH
THE EL CENTRO REGIONAL MEDICAL CENTER AND THE UNIVERSITY OF
CALIFORNIA SAN DIEGO HEALTH FOR INTERIM MANAGEMENT AND
OPERATIONS WHILE AN OPERATIONS AND ADMINISTRATIVE SUPPORT
AGREEMENT IS DEVELOPED
ATTACHMENTS:
• UCSD LOI resolution LM 2.23 (DOCX)
• Letter of Intent (PDF)
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1 02/2023/cdz/A22-0221/Reso/LetterofIntent_CEOC/ECRMC/UCSDH RESOLUTION NO. 23–
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF EL CENTRO APPROVING A
LETTER OF INTENT WITH EL CENTRO REGIONAL MEDICAL CENTER AND THE
UNIVERSITY OF CALIFORNIA SAN DIEGO HEALTH FOR INTERIM MANAGEMENT
AND OPERATIONS WHILE AN OPERATIONS AND ADMINISTRATION SUPPORT
AGREEMENT IS DEVELOPED
WHEREAS, there have been a number of financial issues at El Centro Regional Medical Center and a need for consistent leadership and operational control with the ultimate authority of the City and ECRMC;
WHEREAS, therefore the Parties to the Letter of Intent (LOI) have discussed how to put in place interim assistance for the Hospital, while negotiating a longer-term Operations and Administrative Support Agreement consistent with the provisions of federal, state and local law, City ordinances and the ECRMC bylaws; and
WHEREAS, the LOI sets out the interim management and operations approach consistent with the January 23, 2023 letter agreement between ERMC and UCSD and expands on that approach during its 3-month term; and WHEREAS, the City’s role under the LOI is consistent with its powers and responsibilities as to ECRMC; and
WHEREAS, the LOI is intended to meet the immediate needs of the public for ongoing availability and quality of healthcare services and to support the Hospital workforce while the Parties negotiate the Operations and Administrative Support Agreement and work with the bondholder, Preston-Hollow; and WHEREAS, the LOI was discussed at a duly noticed special meeting of the City Council (jointly with the ECRMC Board) where all those wishing to speak regarding the LOI were heard; and
WHEREAS, the City Council finds that its approval of said the LOI is in the best interests of the City, its residents, those who require healthcare, and the staff and physicians at the Hospital.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF EL CENTRO, CALIFORNIA, DOES HEREBY RESOLVE AS FOLLOWS:
1. That the foregoing is true, correct and adopted.
2. That the City Council does hereby approve LOI attached and incorporated in Exhibit “A”, a copy of which is on file in the office of the City Clerk.
3. That the Mayor is authorized to sign the LOI and the Interim City Manager
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Attachment: UCSD LOI resolution LM 2.23 (5864 : Review & Approval of Letter of Intent) 2 02/2023/cdz/A22-0221/Reso/LetterofIntent_CEOC/ECRMC/UCSDH or designee hereby is authorized to take all steps necessary to implement it.
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Attachment: UCSD LOI resolution LM 2.23 (5864 : Review & Approval of Letter of Intent) 3 02/2023/cdz/A22-0221/Reso/LetterofIntent_CEOC/ECRMC/UCSDH PASSED AND ADOPTED at a special meeting of the City Council of the City of El Centro, California held on the 27
th day of Feb., 2023.
CITY OF EL CENTRO
By
Martha Cardenas-Singh, Mayor
ATTEST:
By
Norma Wyles, City Clerk
APPROVED AS TO FORM: Office of the City Attorney
By
Elizabeth L. Martyn, City Attorney
STATE OF CALIFORNIA )
COUNTY OF IMPERIAL ) ss
CITY OF EL CENTRO )
I, Norma Wyles, City Clerk of the City of El Centro, California, do hereby certify that the foregoing Resolution No. 23-____ was duly and regularly adopted at an adjourned regular meeting of the City Council of the City of El Centro, California, held on the 27th day of Feb. , 2023 by the following vote:
AYES:
NOES:
ABSENT:
ABSTAINED:
By
Norma Wyles , City Clerk
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Attachment: UCSD LOI resolution LM 2.23 (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)
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Attachment: Letter of Intent (5864 : Review & Approval of Letter of Intent)