Public Hearing: YES ☐ NO ☒ Department: Chief Executive Office
SUBJECT:
Title
Commission District(s): All Commission Districts
To Renegotiate the 1984 Grady Operating Agreement between DeKalb County, Fulton County, and the Fulton-DeKalb Hospital Authority
Body
Information Contact: Zachary L. Williams, COO/Executive Assistant
Phone Number: 404-371-2881
PURPOSE:
To consider authorizing the renegotiation of the 1984 Grady operating agreement between DeKalb County, Fulton County, and the Fulton-DeKalb Hospital Authority.
NEED/IMPACT:
Since 1984, the current contract has been extended 4 times to allow for changes brought about by the enactment of the Affordable Care Act in 2010. It relies on a fee for service model in which the counties commit to reimburse Grady for the costs of indigent care incurred by their residents. Much has changed in the provision of healthcare and the needs of county residents since the 1984 contract was executed. Therefore, a modern operating agreement needs to be developed and implemented. It is expected that a new contract will contemplate these changes.
To that end an initial proposed term sheet is attached. Terms and parties may be added or deleted as negotiations proceed.
FISCAL IMPACT:
To be determined.
RECOMMENDATION:
Recommended Action
To direct the Chief Operating Officer to negotiate terms of a new operating agreement that reflects the current medical and healthcare delivery landscape and to provide the Board of Commissioners with updates every two months during that process.