To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #76-685-4 with Iryna Falkenstein, 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 #76-685-4 with Iryna Falkenstein, M.D., an individual, in an amount not to exceed $2,010,000, to provide ophthalmology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period February 1, 2024 through January 31, 2027.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $2,010,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I revenues. (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 provides ophthalmology services including, but not limited to: clinic coverage, consultation, training, medical and/or surgical procedures, and on-call coverage. CCRMC has contracted with Iryna Falkenstein, M.D. for ophthalmology services since January 2020. 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. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On December 8, 2020, the Board of Supervisors approved Contract #76-685-1 with Iryna Falkenstein, M.D., in an amount not to exceed $1,200,000 to provide ophthalmology services at CCRMC and Contra Costa Health Centers for the period January 13, 2021 through January 31, 2024.
On November 2, 2021, the Board of Supervisors approved Contract Amendment Agreement #76-685-2 with Iryna Falkenstein, M.D., effective November 1, 2021, to increase the payment limit by $210,000 to a new payment limit of $1,410,000, to provide additional ophthalmology services at CCRMC and Contra Costa Health Centers with no change in the term January 13, 2021 through January 31, 2024.
On September 19, 2023, the Board of Supervisors approved Contract Amendment Agreement #76-685-3 with Iryna Falkenstein, M.D., effective October 1, 2023, to increase the payment limit by $180,000 to a new payment limit of $1,590,000, to provide additional ophthalmology services at CCRMC and Contra Costa Health Centers with no change in the term January 13, 2021 through January 31, 2024.
Approval of Contract #76-685-4 will allow contractor to continue to providing ophthalmology services at CCRMC and Contra Costa Health Centers through January 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the necessary specialty ophthalmology 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.