To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #26-602-22 with Traditions Psychiatry Group, P.C. (dba Traditions Behavioral Health)
☒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 #26-602-22 with Traditions Psychiatry Group, P.C. (dba Traditions Behavioral Health), a professional corporation, in an amount not to exceed $55,600,000, to provide physician management and psychiatric staffing for the Inpatient Psychiatric Crisis Stabilization Unit at Contra Costa Regional Medical Center (CCRMC), the County’s Main Detention Facilities and Mental Health Clinics, for the period June 1, 2025 through May 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $55,600,000 over a two-year period and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
This Contractor has provided staffing and medical staff leadership of the Inpatient Psychiatric and Crisis and Stabilization Units, George and Cynthia Miller Wellness Center at CCRMC and Contra Costa Health Centers, the Main Detention Facilities and Mental Health Clinics including, but not limited to, providing the required number of psychiatrists necessary for clinical coverage of patients twenty-four hours a day, seven days a week, a lead psychiatrist to direct administrative and clinical supervision and supervision of all non-clinical areas related to the medical staff of the Department of Psychiatry, since 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. CCRMC’s Quality Management, Utilization Management, and monitoring staff meet regularly 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 June 27, 2023, the Board of Supervisors approved Contract #26-602-19 with Traditions Psychology Group, P.C. (dba Traditions Behavioral Health), formally known as Traditions Psychology Group, Inc. (dba Traditions Behavioral Health), in an amount not to exceed $39,500,000, to provide physician management and psychiatric staffing for the Inpatient Psychiatric Crisis Stabilization Unit at CCRMC, the County’s Main Detention Facilities and Mental Health Clinics for the period June 1, 2023 through May 31, 2025.
On March 25, 2025, the Board of Supervisors approved Contract Amendment #26-602-21 with Traditions Psychology Group, P.C. (dba Traditions Behavioral Health), effective October 28, 2024, to amend Contract #26-602-19, to increase the payment limit by $3,100,000, to a new payment limit of $42,600,000, for additional inpatient psychiatric services at County’s Youth Crisis Stabilization Unit (CSU) with no change in the term through May 31, 2025.
Approval of Contract #26-602-22 will allow the Contractor to continue providing physician management and psychiatric staffing services through May 31, 2027. This Contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s). This Contract delay was due to extended negotiations between County and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, CCRMC will not have adequate psychiatric coverage and quality and performance compliance in the County’s Inpatient Psychiatric and Crisis Stabilization Units at CCRMC and Health Centers, the County’s Main Detention Facilities and Mental Health Clinics.