To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #26-745-22 with Medical Solutions L.L.C.
☒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 #26-745-22 with Medical Solutions L.L.C., a limited liability company, in an amount not to exceed $3,500,000 to provide temporary registered nursing and specialty nursing services at Contra Costa Regional Medical Center (CCRMC), Contra Costa Health Centers, and County Detention Facilities for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual service expenditures of up to $3,500,000 and will be funded as budgeted by the department in FY 2025-26 by Hospital Enterprise Fund I.
BACKGROUND:
This Contract meets the social needs of County’s population by providing temporary medical staffing services for CCRMC, Contra Costa Health Centers, and County’s Detention facilities. Contractor is able to provide coverage during peak workloads, temporary absences and emergency situations at CCRMC, and the County’s Detention Facilities and has been contracted with the County since July 1, 2013.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. CCRMC and Contra Costa Health Center’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. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On April 22, 2024, the Board of Supervisors approved Contract #26-745-21 with Medical Solutions L.L.C. in an amount not to exceed $3,500,000 for the provision of temporary nursing and medical staff services for CCRMC, Health Centers and County Detention Facilities, for the period July 1, 2024 through June 30, 2025.
Approval of Contract #26-745-22 will allow Contractor to continue to provide temporary registered nurses, and specialty nursing services at CCRMC, Contra Costa Health Centers and County Detention Facilities, through June 30, 2026. This contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, patients at CCRMC, Contra Costa Health Centers and County Detention Facilities will not have access to Contractor’s services, which may increase wait time for services.