To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #76-808-1 with David Gurley, 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 County Contract #76-808-1 with David Gurley, M.D., an individual, in an amount not to exceed $250,000, to provide emergency medicine physician services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period October 1, 2024 through September 30, 2025.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $250,000 and will be funded as budgeted by the department 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on Contracts to provide necessary specialty health services to their patients. This Contractor has been providing emergency medicine physician services since December 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. Contractor’s emergency medicine physician services include, but are not limited to clinic coverage, consultation, training, medical and/or surgical procedures Per Administrative Bulletin 600.3 CCHP physician services are exempt from solicitation requirements.
On December 13, 2022, the Board of Supervisors approved Contract #76-808 with David Gurley, M.D., in an amount not to exceed $225,000, to provide emergency medicine physician services at CCRMC and Contra Costa Health Centers , for the period of December 1, 2022 through November 30, 2023.
Approval of this Contract #76-808-1 will allow the Contractor to provide emergency medicine physician services at CCRMC and Contra Costa Health Centers for the period October 1, 2024 through September 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, patients requiring emergency medicine physician services at CCRMC and Contra Costa Health Centers will not have access to Contractor’s services, which may increase wait time for services.