To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-901-1 with Shraddha Prakash, M.D.
☒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 Amendment #76-901-1 with Shraddha Prakash, M.D., an individual, effective January 1, 2026, to amend Contract #76-901, to include the performance of administrative duties related to contractor’s provision of medical services for the Rheumatology Unit at Contra Costa Regional Medical Center with no change in the payment limit of $495,000 or term ending January 31, 2028.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $495,000 and is funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC relies on contractors to provide necessary specialty health services to its patients. This Contractor has been providing rheumatology services including, but not limited to: clinic coverage, consultation, training, medical and surgical procedures, and on-call coverage since February 1, 2025.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from solicitation requirements.
On December 17, 2024 the Board of Supervisors approved Contract #76-901 with Shraddha Prakash, M.D., in an amount not to exceed $495,000, for the provision of rheumatology services for CCRMC patients for the period February 1, 2025 through January 31, 2028.
Approval of Contract Amendment #76-901-1 will allow the Contractor to perform administrative duties for the Rheumatology Unit at CCRMC through January 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, necessary administrative for the Rheumatology Unit will not be performed and services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.