To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #26-774-10 with Robert Buckley, 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 Amendment Agreement #27-774-10 with Robert Buckley, M.D., an individual, effective March 1, 2024, to amend Contract #26-774-9, to modify the rates to include a reimbursement option for Electronic Health Record (EHR) documented during orthopedic clinic coverage at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers patients, with no change in the original payment limit of $750,000, and no change in the original term of November 9, 2022 through November 8, 2025.
FISCAL IMPACT:
Approval of this amendment will result in no change to the budgeted expenditures of up to $750,000 and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers relies on contracts to provide necessary specialty health services to its patients. This contractor has been providing orthopedic services, including but not limited to: clinic coverage, consultation, training, and administrative duties in the orthopedic clinic at CCRMC and Health Centers since July 2014. 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 in January 2024.
On November 8, 2022, the Board of Supervisors approved (1) Cancellation Agreement #26-774-8 with Robert Buckley, M.D., effective at the end of business on November 8, 2022; and (2) Contract #26-774-9 with Robert Buckley, M.D., in an amount not to exceed $750,000, for the provision of orthopedic services at CCRMC and Health Centers, for the period November 9, 2022 through November 8, 2025.
Approval of Contract Amendment Agreement #26-774-10 will allow the contractor to continue to provide orthopedic services and modify the rates to include a payment option for EHR documented during orthopedic clinic, through November 8, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this amendment is not approved, contractor would not have the option to be reimbursed for clinic sessions by EHR documented clinic encounter as agreed to by the parties.