Agenda 10/24/2023 Item #16D11 (To authorize payment for veterinarian services that were approved by the Domestic Animal Services)10/24/2023
EXECUTIVE SUMMARY
Recommendation to authorize the expense and payment of up to $8,057.74 for one (1) orthopedic surgery on a
dog that has been adopted, contingent upon payment for the necessary orthopedic surgery, and deem the
expense to have a valid public purpose.
OBJECTIVE: To authorize payment for veterinarian services that were approved by the Domestic Animal Services
Director on June 17, 2022, as part of the adoption agreement.
CONSIDERATIONS: On May 20, 2022, a stray puppy (ID Number A272290) Piper, arrived at Domestic Animal
Services (DAS) at the estimated age of eight (8) months. The adoption for Piper was completed on May 27, 2022.
On June 6, 2022, orthopedic concerns for bilateral tibial crest avulsions, that would require future surgery, we re
identified by the Harborside Animal Clinic veterinarian (Note: Veterinarian services for spay/neuter surgeries were
outsourced due to no in-house veterinarian at this time) while completing the spay surgery prior to Piper being able
to be taken home by the first adopter.
On June 17, 2022, the DAS Director agreed, on behalf of the County, to pay for the first orthopedic surgery
(multiple surgeries would be necessary to resolve the issue). A second consultation was performed, and paid by the
County, confirming the orthopedic diagnosis. The first adopter returned Piper to DAS on June 28, 2022, after the
initial adoption due to the costs that were anticipated for orthopedic concerns. The second adopter brought the
puppy home on July 23, 2022, with the same agreement for the first orthopedic surgery to be paid for by the County
to help the DAS puppy to be adopted. At the time of the adoption, the dog was too young to have the full
evaluation of orthopedic future needs and for the surgery.
As indicated above, the adoption agreement included a commitment by the DAS Division Director that provided:
When the puppy reached the proper age for the orthopedic surgeries, the second adopter began to look for a local
veterinarian who could complete the orthopedic surgery; however, they were unsuccessful in finding a veterinarian
who was local to complete the necessary specialty surgery. A veterinarian that had the necessary surgery skills for
the orthopedic surgeries was located and found in August 2023.
The Board of County Commissioners (Board) has approved the following Resolutions for the DAS Division
donations:
Resolution 2017-104 provides that animals in the care of the Domestic Animal Services Division
are able to receive medical treatment for low cost or free spay/neuter, other minor medical
procedures that may be required, acquisition of equipment and supplies to provide sterilization for
the animal including medications, drugs, diagnostics, and other related costs for sterilization
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10/24/2023
services. This donation fund is limited to sterilization of an animal, costs and related fees, and is
not able to be used for the current orthopedic surgery since it is unrelated.
Resolutions 2006-26 and 2007-54 were approved for a separate donation fund for animals in
Domestic Animal Services Division custody. Additionally, these resolutions were intended for
donations of property, pet food, toys and supplies, and for promoting community awareness for
animals in the custody of the Domestic Animal Services Division. These resolutions did not
contemplate or intend to be used for veterinarian care or medical services, as such, this fund was
not eligible to cover the costs of the orthopedic surgery.
When the DAS Division receives a donation, a letter is sent to the patron for each d onation that states “Financial
donations directly benefit the animals by providing emergency medical care and rehabilitation so that they can be
adopted into new loving homes.” While the donations that have been accepted have been put into restricted funds
that did not allow for medical expenditures, the letter for donors earmarked the funds received to be allowed for the
medical care of animals whether in or out of the DAS Division to facilitate adoptions. The resolution did not
contemplate this earmark; therefore, while the current funds do not allow for the expenditure of the orthopedic
surgery, the donations provided and confirmed via letter do provide that these funds can be used for the purposes of
helping animals get adopted, without limitation of those animals being in the DAS Division Custody. Therefore,
funds limited to the purpose of this one (1) orthopedic surgery should be paid from the earmarked medical
treatment donations that were intended to help the adoption of animals, which is the purpose of the County’s
commitment. The earmarked medical treatment funds were placed into the improper fund with restrictions due to
there being no other fund for these purposes.
As part of this Agenda, on October 24, 2023, a new fund is being established for d onations of medical treatments
and services. The donation fund referenced below will continue to be used for donations of property, pet food, toys
and supplies, and for promoting community awareness for animals in the custody of the DAS Division. Other
expenditures for animals are being paid for with budgeted allocations from the General Fund, as intended by the
Board Resolutions.
The Corporate Compliance and Continuous Improvement Division is currently working with DAS for financial,
procurement, and general operations for process improvement and implementation of additional controls and have
implemented and are revising current operations to help prevent reoccurrences. Additionally, the Corporate
Compliance team is continuing to be actively engaged in the DAS Division and is providing the Division training
for process improvements.
FISCAL IMPACT: Funds in an amount up to $8,057.74 are available in Domestic Animal Services Donation
Fund (1135), Cost Center 155414 for the one (1) orthopedic surgery that the County committed to paying.
GROWTH MANAGEMENT IMPACT: None.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires a majority vote for
approval. -JAK
RECOMMENDATION: To authorize the expense and payment of up to $8,057.74 for one (1) orthopedic surgery
on a dog that has been adopted, contingent upon payment for the necessary orthopedic surgery, and deem the
expense to have a valid public purpose.
Prepared By: Megan Gaillard, Division Director, Corporate Compliance and Continuous Improvement Division
ATTACHMENT(S)
1. Piper ACCESS Estimate Aug 2023 (PDF)
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10/24/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.D.11
Doc ID: 27018
Item Summary: Recommendation to authorize the expense and payment of up to $8,057.74 for one (1) orthopedic
surgery on a dog that has been adopted, contingent upon payment for the necessary orthopedic surgery, and deem
the expense to have a valid public purpose.
Meeting Date: 10/24/2023
Prepared by:
Title: Manager Corp Compliance and Continuous Improvement – Corporate Compliance and Continuous
Improvement
Name: Megan Gaillard
10/18/2023 2:08 PM
Submitted by:
Title: Manager Corp Compliance and Continuous Improvement – Corporate Compliance and Continuous
Improvement
Name: Megan Gaillard
10/18/2023 2:08 PM
Approved By:
Review:
Domestic Animal Services Marcy Perry Additional Reviewer Completed 10/18/2023 2:38 PM
Procurement Services Vanessa Miguel Level 1 Purchasing Gatekeeper Completed 10/18/2023 2:46 PM
Public Services Department Todd Henry PSD Level 1 Reviewer Completed 10/18/2023 3:50 PM
Procurement Services Megan Gaillard Procurement Director Review Skipped 10/18/2023 2:24 PM
Operations & Veteran Services Jeff Weir OVS Director Review Completed 10/18/2023 4:12 PM
Unknown Sarah Hamilton Additional Reviewer Completed 10/18/2023 4:12 PM
Public Services Department Tanya Williams PSD Department Head Review Completed 10/18/2023 4:52 PM
Office of Management and Budget Megan Gaillard Level 3 OMB Gatekeeper Review Skipped 10/18/2023 4:37 PM
Corporate Compliance and Continuous Improvement Megan Gaillard Additional Reviewer Completed
10/18/2023 4:53 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 10/18/2023 4:56 PM
Office of Management and Budget Christopher Johnson Additional Reviewer Completed 10/18/2023 5:05 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 10/18/2023 5:31 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 10/24/2023 9:00 AM
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Advanced Critical
Care, Emergency
and Specialty
Services
10465 Southern
Boulevard
Royal Palm Beach,
Florida, 33411
Ph: 561 774 8855
Fax:
Email:
info@accessvet.com
BILL TO
Smith, Mary Jo
7645 Rozzini Lane
Naples, Florida, 34114
Estimate
85414(1691208000)
Smith, Mary Jo
Piper (121050)
DESCRIPTION QTY TOTAL
Idexx - CBC/Comp Profile/UA 1 → 1 $328.24 → $328.24
VR - Radiographs- Extremity (Per Limb)(2 view)2 → 2 $428.40 → $428.40
VR CT Scan w/o Contrast (Per Site)1 → 1 $577.50 → $577.50
VR CT Scan - Each Additional Site 1 → 1 $199.50 → $199.50
VR CT Interpretation- 1 -2 Sites 0 → 1 $0.00 → $285.00
ADD ON STAT-VR CT Interpretation 0 → 1 $0.00 → $154.06
Omnipaque Iohexal 240mg/mL Inj. per mL 10 → 10 $73.63 → $73.63
Maropitant(Cerenia)10mg/mL Inj. (Per mL)1 → 1 $84.51 → $84.51
Methadone 10mg/mL Inj. (Per mL)1 → 1 $103.63 → $103.63
Midazolam 5mg/mL Inj. (Per mL)1 → 1 $43.11 → $43.11
Propofol Blue 10mg/mL Inj. (Per mL)10 → 10 $74.93 → $74.93
Board Certified Anesthesiologist-Level 1 0 → 1 $0.00 → $570.00
Standard Anesthesia Fee(1- 3 hours)1 → 1 $470.00 → $470.00
Patella Luxation-Bilateral 1 → 1 $1890.00 → $1890.00
O.R. Disposables 1 → 1 $260.00 → $260.00
Force Triad 1 → 1 $220.00 → $220.00
Autologous Conditioned Plasma 2 → 2 $400.90 → $400.90
IV Catheter, T-port, IV line, Ext set 1 → 1 $89.25 → $89.25
Plasmalyte A 1L (Per Bag)1 → 1 $39.28 → $39.28
Syringe Pump Monitoring per 12 hours 2 → 2 $58.80 → $58.80
IV Pump Monitoring Per 12 hours 2 → 2 $63.00 → $63.00
Hospitalization-Standard Care Per 12 hours 2 → 2 $294.00 → $294.00
Pharmacy- Large 1 → 1 $600.00 → $600.00
Treatment Range 0 → 1 $0.00 → $750.00
$6298.68 → $8057.74Subtotal
$0.00Tax
$6298.68 → $8057.74Total
$6043.31Required Deposit
This estimate is not a firm quote and as such is subject to change due to unforeseen circumstances. Due to the complex nature
of most cases we see, the final charges may vary from this estimate. We do require a deposit of 75% of the high end at the time
16.D.11.a
Packet Pg. 1257 Attachment: Piper ACCESS Estimate Aug 2023 (27018 : DAS Surgical Treatment)
Advanced Critical
Care, Emergency
and Specialty
Services
10465 Southern
Boulevard
Royal Palm Beach,
Florida, 33411
Ph: 561 774 8855
Fax:
Email:
info@accessvet.com
BILL TO
Smith, Mary Jo
7645 Rozzini Lane
Naples, Florida, 34114
of approval of this estimate.
We will make every effort to inform you should your pet's changing condition require substantial procedures or diagnostic work
not outlined in the above estimate.
As part of our ongoing commitment to your pet's health, we encourage you to call if you have any questions. Please call the
hospital at 561 774 8855.
*Updates are available for hospitalized patients between 10AM - 10PM*
*Your pet may receive sedation at the doctor’s discretion to facilitate diagnostics / treatment and ease patient
stress.*
I have read, understand and accept the estimate and terms above.
Owner (or agent of the owner) signature:
#WEBFORM-SIGNATURE#
Date: 08-18-2023
16.D.11.a
Packet Pg. 1258 Attachment: Piper ACCESS Estimate Aug 2023 (27018 : DAS Surgical Treatment)