To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment #76-658-11 with ECG Management Consultants, LLC
☒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 Agreement #76-658-11 with ECG Management Consultants, LLC, a limited liability company, effective October 1, 2024, to amend Contract #76-658-10, to increase the payment limit by $133,500, from $275,000 to a new payment limit of $408,500, with no change in the term June 15, 2024 through June 14, 2027.
FISCAL IMPACT:
Approval of this Amendment will result in additional expenditures of up to $133,500 and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Contractor has provided consultation and technical assistance with regard to best practices for clinical operations ambulatory clinics, appointment unit, materials management, benefits, productivity levels and performance for physicians at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, since June 15, 2019.
On March 19, 2024, the Board of Supervisors approved Contract #76-658-10 with ECG Management Consultants, LLC, in an amount of $275,000, for the provision of consultation and technical assistance with regard to reviewing compensation, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers, for the period June 15, 2024 through June 14, 2027.
Approval of Contract Amendment #76-658-11 will allow the Contractor to provide additional management consulting services through June 14, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, CCRMC will not have access to Contractor’s services including consultation and technical assistance with regard to best practices for clinical operations ambulatory clinics, appointment unit, materials management, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers.