To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-410-5 with La Clinica de La Raza, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #26-410-5 with La Clinica de La Raza, Inc., a non-profit corporation, to provide transfer and coordination of care for patients requiring emergency medical care at Contra Costa Regional Medical Center (CCRMC) for the period March 1, 2026 through February 29, 2028.
FISCAL IMPACT:
This is a non-financial agreement.
BACKGROUND:
The goal of this Care Transition Agreement is to provide continuity of care for La Clinica de La Raza, Inc. patients who are treated at CCRMC and ensure that these patients are connected with their primary medical home after a hospital visit. The County has been contracting with La Clinica de La Raza, Inc. to provide transfer and coordination of care services for patients requiring emergency medical care at CCRMC, while fostering a deep understanding of the organization’s mission, values and long-term objectives since March 2016.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor will cooperate and participate in the County’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. This Contract is exempt from the solicitation requirements of Admin Bulletin 600.3, as this is a non-financial agreement.
On March 5, 2024, the Board of Supervisors approved Contract #26-410-4 with La Clinica de La Raza, to provide transfer and coordination of care for patients requiring emergency medical care at CCRMC, for the period March 1, 2024 through February 28, 2026.
Approval of Contract #26-410-5 will articulate the roles of the parties with regard to transfer and coordination of care for patients who have been hospitalized at CCRMC, through February 29, 2028. This Contract includes mutual indemnification to defend, indemnify, and hold harmless both parties for any claims arising out of the performance of this Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the transfer and coordination of care for these patients may not be in compliance with all applicable Federal and State statutes and regulations, including the Emergency Medical Treatment and Labor Act (EMTALA).