To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #26-604-19 with Michael C. Gynn, 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 Amendment Agreement #26-604-19 with Michael C. Gynn, M.D., an individual, effective July 1, 2024, to amend Contract #26-604-18, to provide additional general surgery services including the addition of department head duties at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, with no change to the original payment limit of $1,650,000 or term of January 1, 2024 through December 31, 2025.
FISCAL IMPACT:
Approval of this Amendment will not result in additional contractual service expenditures and will be funded as budgeted 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Due to limited number of specialty providers available within the community, CCRMC and Health Centers rely on contractors to provide necessary specialty health services to their patients. This contractor has been providing general surgery services, including but not limited to: clinic coverage, consultation, medical and/or surgical procedures, administrative duties and on-call coverage for CCRMC patients since June 2007. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and 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 January 19, 2024, the Board of Supervisors approved Contract #26-604-18 with Michael C. Gynn, M.D., in an amount not to exceed $1,650,000, for the provision of general surgery services for CCRMC and Health Center patients, for the period January 1, 2024 through December 31, 2025.
Approval of Contract Amendment #26-604-19 will allow the Contractor to provide additional general surgery including the addition of department head duties with no change in the original payment limit of $1,650,000 or term of January 1, 2024 through December 31, 2025. The Amendment was delayed due to ongoing negotiations between Division and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, certain specialized general surgery services for CCRMC patients will not be provided and may cause a delay in services to the County.