To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #76-579-8 with Jamal J. Zaka, 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 County Contract #76-579-8 with Jamal J. Zaka, M.D., an individual, in an amount not to exceed $1,230,000, to provide pulmonology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period April 1, 2024 through March 31, 2027.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $1,230,000 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 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. Zaka for pulmonary patient care services since April 1, 2017. 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 February 2, 2021 the Board of Supervisors approved Contract #76-579-6 with Jamal J. Zaka, M.D., in an amount not to exceed $900,000, for the provision of pulmonology services at CCRMC and Contra Costa Health Centers, for the period April 1, 2021 through March 31, 2024.
On May 24, 2022 the Board of Supervisors approved Contract Amendment Agreement #76-579-7 with Jamal J. Zaka, M.D., effective March 1, 2022, to increase the payment limit by $90,000, from $900,000 to a new payment limit of $990,000, to provide additional pulmonology services at CCRMC and Health Centers with no change in the term.
Approval of Contract #76-579-8 will allow the contractor to continue providing pulmonology services at CCRMC and Contra Costa Health Centers through March 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the necessary specialty pulmonology 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.