To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-706-3 with Janet M. Goldman, 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 #76-706-3 with Janet M. Goldman, M.D., an individual, in an amount not to exceed $500,000, to provide maternal fetal medicine services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period October 1, 2026 through September 30, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $500,000 over a two-year period and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Due to limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to their patients. This contractor has been providing maternal fetal medicine services, including but not limited to: clinic coverage, consultation, phone consultation for labor and delivery, procedures, training and administrative duties for CCRMC patients since October 1, 2020.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and 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 October 3, 2023, the Board of Supervisors approved Contract #76-706-1 with Janet M. Goldman, M.D., in an amount not to exceed $735,000, for the provision of fetal medicine services at CCRMC and Contra Costa Health Centers, for the period October 1, 2023 through September 30, 2026.
On January 13, 2026, the Board of Supervisors approved Contract Amendment #76-706-2 with Janet M. Goldman, M.D., effective January 1, 2026, to increase the number of allowable administrative duty work hours for the provision of fetal medicine services at CCRMC and Contra Costa Health Centers, with no change in the payment limit of $735,000 or term ending September 30, 2026.
Approval of Contract #76-706-3 will allow the Contractor to continue providing maternal fetal medicine services through September 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If the Contract is not approved, certain specialized maternal fetal medicine services at CCRMC and Contra Costa Health Centers will not be provided and may cause a delay in services provided.