To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #26-758-10 with the Regents of the University of California, on behalf of the University of California, San Francisco Medical Center
☒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 #26-758-10, containing mutual indemnification, with the Regents of the University of California, on behalf of the University of California, San Francisco (UCSF), School of Medicine, a California Constitutional corporation, in an amount not to exceed $480,000, to provide remote neurology and neurovascular consultation services for patients at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period January 1, 2024 through June 30, 2026.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $480,000 over a thirty-month 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 Contra Costa Health Centers relies on contractors to provide necessary specialty health services to its patients. The UCSF Neurology Department has provided remote teleneurology on-call and consultation services for CCRMC and Health Centers since January 2014. Health Services Personnel approved this Contract to ensure no conflicts with labor relations in December 2023. Per Administrative Bulletin 600.3, CCRMC Physician and educational services are exempt from Solicitation requirements.
On December 8, 2020, the Board of Supervisors approved Contract #26-758-7 with UCSF, for the provision of twenty-four hour a day, remote neurology and neurovascular consultation services for patients being treated in the Emergency Department or Inpatient Units at CCRMC, for the period January 1, 2021 through December 31, 2023, which included mutual indemnification.
On April 27, 2021, the Board of Supervisors approved Amendment Agreement #26-758-8 with UCSF, for additional physicians to provide twenty-four hour a day, remote neurology and neurovascular consultation services for patients being treated in the Emergency Department or Inpatient Units at CCRMC, with no change in the payment limit of $510,000 and no change in the original term of January 1, 2021 through December 31, 2023.
Approval of Contract #26-758-10 will allow the contractor to continue providing services to CCRMC through June 30, 2026. This contract contains mutual indemnification to hold harmless both parties for any claims arising out of the performance of this contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, safety and effectiveness of emergency stroke care in the CCRMC Emergency Department or Inpatient Units will not be available.