To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-549-10 with Yana R. Wirengard, 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 #76-549-10 with Yana R. Wirengard, M.D., an individual, in an amount not to exceed $1,872,000, to provide general surgery services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center patients, for the period February 1, 2026 through January 31, 2029.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $1,872,000 over a three-year period 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 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 July 2016. 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 in December 2023. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from Solicitation requirements.
On February 6, 2024, the Board of Supervisors approved Contract #76-549-9 with Yana R. Wirengard, M.D., in an amount not to exceed $1,100,000, for the provision of general surgery services for CCRMC and Health Center patients, for the period February 7, 2024 through January 31, 2026.
Under Contract #76-549-10 contractor will provide general surgery services through January 31, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If the contract is not approved, certain specialized general surgery services for CCRMC patients will not be provided and may cause a delay is services required for patient care.