To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-785-9 with Urmila Bajpai-Pillai, 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 #26-785-9 with Urmila Bajpai-Pillai, M.D., an individual, in an amount not to exceed $1,450,000, to provide rheumatology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center, for the period June 1, 2026 through May 31, 2029.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $1,450,000 over a three-year period and will be funded 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 contractors to provide necessary specialty health services to its patients. This Contractor has been providing these services at CCRMC and Contra Costa Health Centers and fostering a deep understanding of the County’s organizations, mission, values, and long-term objectives since November 2014.
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 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On May 23, 2023, the Board of Supervisors approved Contract #26-785-6 with Urmila Bajpai-Pillai, M.D., in an amount not to exceed $1,020,000 to provide rheumatology services, for the period from June 1, 2023 through May 31, 2026.
On July 9, 2024, the Board of Supervisors approved Contract Amendment #26-785-7 with Urmila Bajpai-Pillai, M.D., to increase the payment limit by $330,000 to a new payment limit of $1,350,000 to provide additional rheumatology care services including section chief administrative duties with no change in the term ending May 1, 2026.
Approval of Contract #26-785-9 will allow the Contractor to continue providing rheumatology services through May 31, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty rheumatology 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.