Share to Facebook Share to Twitter Bookmark and Share
File #: 2022-1045    Version: 1 Name:
Type: Resolution Status: Action
File created: 1/4/2022 In control: Board of Commissioners
On agenda: 2/16/2023 Final action:
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

                                    

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.