To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-768-14 with Frederick J. Nachtwey, M.D.
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #26-768-14 with Frederick J. Nachtwey, M.D., an individual, effective November 1, 2026, to amend Contract #26-768-11 (as amended by Contract Amendments #26-768-12 and #26-768-13) to increase the payment limit by $150,000, from $900,000 to an amount not to exceed $1,050,000, with no change in the term ending October 31, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional contractual service expenditures of up to $150,000 and will be funded as budgeted 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers relies on contractors to provide necessary specialty health services to its patients. Contractor will provide pulmonology services including, but not limited to: clinic coverage, performing sleep studies, bronchoscopies, consultation and on-call coverage for the Critical Care Unit. CCRMC has been contracting with Dr. Nachtwey for pulmonary patient care services 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. 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 600.4, CCRMC Physician services are exempt from Solicitation requirements.
On November 12, 2024, the Board of Supervisors approved Contract #26-768-11 with Frederick J. Nachtwey M.D., in an amount not to exceed $600,000, for the provision of pulmonary services at CCRMC and Contra Costa Health Centers, for the period November 1, 2024 through October 31, 2027.
On April 15, 2025, the Board of Supervisors approved Contract Amendment #26-768-12 with Frederick J. Nachtwey M.D., effective April 1, 2025, to include pulmonary function testing for pulmonary services at CCRMC and Contra Costa Health Centers with no change in the payment limit or term.
On June 24, 2025, the Board of Supervisors approved Contract Amendment #26-768-13 with Frederick J. Nachtwey M.D., effective June 1, 2025 to increase the payment limit by $300,000 from $600,000 to an amount no to exceed $900,000, for additional pulmonary services at CCRMC and Contra Costa Health Centers with no change in the term.
Approval of Contract Amendment #26-768-14 will allow the Contractor to provide additional pulmonology services through October 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, Contractor will not be able to provide additional pulmonary services needed for patient care and will create increased wait times due to the limited number of specialty providers available within the community.