To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #26-785-7 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 Amendment Agreement #26-785-7 with Urmila Bajpai-Pillai, M.D, an individual, effective July 1, 2024, to amend Contract #26-785-6 to increase the payment limit by $330,000, from $1,020,000 to a new payment limit of $1,350,000, to provide additional rheumatology care services including section chief administrative duties at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, with no change in the term of June 1, 2023 through May 31, 2026.
FISCAL IMPACT:
Approval of this Amendment will result in additional $330,000 as budgeted by the Department and funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to limited number of specialty providers available within the community, CCRMC and Health Centers rely on contracts to provide necessary specialty health services to their patients. This contractor has been providing rheumatology specialty services, including but not limited to: clinic coverage, consultation, training, medical and surgical procedures, and administrative support services since November 2014.
This contract was 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 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, for the provision of rheumatology care services including, but not limited to clinic coverage, consultation, training and medical and/or surgical procedures at CCRMC and Contra Costa Health Centers, for the period from June 1, 2023 through May 31, 2026.
Approval of Amendment Agreement #26-785-7 will allow the contractor to provide additional rheumatology care services at CCRMC and Contra Costa Health Centers through May 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, patients requiring rheumatology care services at CCRMC and Contra Costa Health Centers will not have increased wait times which negatively impact patient health.