To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment/Extension #76-876-2 with Al Bast Medical Corporation
Recommendation: Choose an item.
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment/Extension #76-876-2 with Al Bast Medical Corporation, a corporation, formerly Basma Al Bast, M.D., effective September 1, 2026, to increase the payment limit by $670,000, from $1,530,000 to an amount not to exceed $2,200,000, and to extend the termination date from September 30, 2027 to September 30, 2028 for additional cardiology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $670,000 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 rely on contractors to provide necessary specialty health services to its patients. This Contractor provides cardiology services including, but not limited to, clinic coverage, consultation, training, medical and surgical procedures, and on-call coverage. Contractor has been providing these services to County since October 2024.
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 600.3 CCRMC Physician services are exempt from solicitation requirements.
On October 22, 2024, the Board of Supervisors approved Contract #76-876 with Basma Al Bast, M.D., in an amount not to exceed $1,530,000 for the provision of cardiology services at CCRMC and Contra Costa Health Centers, for the period October 1, 2024 through September 30, 2027.
Approval of Contract Amendment/Extension #76-876-2 will allow the Contractor to provide additional cardiology services through September 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment/Extension is not approved, the necessary specialty cardiology 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.