To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #27-944-5 with Teodoro P. Nissen, M.D., Inc. (dba Bay Area Orthopedic Surgery and Sports Medicine)
☒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 #27-944-5 with Teodoro P. Nissen, M.D., Inc. (dba Bay Area Orthopedic Surgery and Sports Medicine), a corporation, in an amount not to exceed $300,000, to provide orthopedic surgery services for Contra Costa Health Plan (CCHP) members and County recipients for the period August 1, 2025 through July 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $300,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain orthopedic services including but not limited to: performing a number of diagnostic and therapeutic procedures according to the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor has been part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations, mission, values, and long-term objectives since August 1, 2014.
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. CCHP’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 CCHP Physician services are exempt from solicitation requirements.
In August 2023, the County Administrator approved and the Purchasing Services Manager executed Contract #27-944-4 with Teodoro P. Nissen, M.D., Inc. (dba Bay Area Orthopedic Surgery and Sports Medicine), in an amount not to exceed $150,000 for the provision of orthopedic surgery services for CCHP members and County recipients for the period August 1, 2022 through July 31, 2025.
Approval of Contract #27-944-5 will allow the Contractor to continue to provide orthopedic surgery services for CCHP members and County recipients through July 31, 2028. This Contract is delayed due to the Division not receiving the required contract documents from the Contractor in a timely manner.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain orthopedic surgery services for CCHP members under the terms of their Individual and Group Health Plan membership contract with the County will not be provided.