To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-799-2 with Jeffrey M. Pierce, M.D.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #76-799-2 with Jeffrey M. Pierce, M.D., an individual, in an amount not to exceed $280,000, to provide obstetrics and gynecology (OB/GYN) services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers for the period November 1, 2026 through October 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $280,000 over a two-year period and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary OB/GYN services for its patients. CCRMC has contracted with Dr. Pierce for OB/GYN services since October 1, 2022.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Per Administrative Bulletin 600.4, CCRMC Physician services are exempt from Solicitation requirements.
On November 28, 2023, the Board of Supervisors approved Contract #76-799-1 with Jeffrey M. Pierce, M.D., in an amount not to exceed $420,000, for the provision of OB/GYN services at CCRMC and Contra Costa Health Centers for the period November 1, 2023 through October 31, 2026.
Approval of Contract #76-799-2 will allow the Contractor to continue providing OB/GYN services at CCRMC and Contra Costa Health Centers through October 31, 2028. This contract also contains an indemnification provision and obligates the County to indemnify and defend Contractor, as it would a County employee, under the Tort Claims Act in performing medical services under the contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, patients requiring OB/GYN services will not have access to Contractor’s services and may experience delays in acquiring services.