To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-849-2 with Usha Murphy, M.D. Inc
☒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 #76-849-2 with Usha Murphy, M.D. Inc, a professional corporation, effective January 1, 2026, to amend Contract #76-849, to increase the payment limit by $300,000, from $1,900,000 to a new payment limit of $2,200,000, to provide additional radiology services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center patients, with no change in the term ending December 31, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $300,000 funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Health Centers rely on Contractors to provide necessary radiology specialty health services to their patients. Contractor has provided radiology services, including but not limited to: clinic coverage, consultation, and on-call coverage for CCRMC since January 2024. 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. 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 January 16, 2024, the Board of Supervisors approved Contract #76-849 with Usha Murphy, M.D., in an amount not to exceed $1,900,000, for the provision of radiology services for CCRMC and Contra Costa Health Center patients, for the period January 1, 2024 through December 31, 2026.
Approval of Contract Amendment #76-849-2 will allow the Contractor to provide additional radiology services at CCRMC and Contra Costa Health Centers through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, certain specialized radiology services for CCRMC and Contra Costa Health Center patients will not be provided and may cause a delay.