To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #76-560-9 with Esther Kwon, M.D.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract Amendment #76-560-9 with Esther Kwon, M.D., an individual, to amend Contract #76-560-8, effective July 1, 2025, to include an additional 24-hour on-call coverage rate for podiatry services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the payment limit of $630,000 or term ending September 30, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will not result in an increase to the original payment limit which is funded 100% by Hospital Enterprise Fund I revenues. (Additional rate)
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 specialty health services to its patients. This Contractor has been providing podiatry specialty services including, but not limited to: clinic coverage, consultation, training, medical and surgical procedures, and on-call coverage since October 1, 2016.
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 600.3 CCRMC Physician services are exempt from solicitation requirements.
On October 22, 2024, the Board of Supervisors approved Contract #76-560-8 with Esther Kwon, M.D., in an amount not to exceed $630,000, for the provision of podiatry services at CCRMC and Contra Costa Health Centers, for the period October 1, 2024 through September 30, 2027.
Approval of Contract Amendment #76-560-9 will allow the Contractor to provide additional podiatry services at CCRMC and Contra Costa Health Centers through September 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the additional podiatry services needed for patient care will not be provided and may cause a delay in services to CCRMC patients.