To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #26-758-11 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 #26-758-11, 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 $840,000, 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 of July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this action will result in contractual service expenditures of up to $840,000 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 Contra Costa Health Centers rely 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. Per Administrative Bulletin 600.3, CCRMC Physician services are exempt from solicitation requirements.
On January 16, 2024, the Board of Supervisors approved Contract #26-758-10 with UCSF, in the amount of $480,000 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, 2024 through June 30, 2026, which included mutual indemnification.
The delay in processing this Contract was due to extended negotiations between the County and the Contractor. Approval of Contract #26-758-11 will allow the contractor to continue providing services to CCRMC through June 30, 2029. This contract contains mutual indemnification to hold harmless both parties for any claims arising out of the performance of the 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.