To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-547-10 with Arati Pratap, 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 County Contract #76-547-10 with Arati Pratap, M.D., an individual, in an amount not to exceed $580,000, to provide gastroenterology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period November 1, 2025 through October 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in budgeted expenditures of up to $580,000 over a three-year period and will be funded as budgeted 100% by Hospital Enterprise Fund I revenues.
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 gastroenterology specialty health services to their patients. These services may include: clinic coverage, consultation, training, medical and/or surgical procedures and on-call coverage. CCRMC has contracted with Dr. Pratap, to provide gastroenterology services since September 2016.
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. 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 September 23, 2022, the Board of Supervisors approved Contract #76-547-7 with Arati Pratap, M.D., in an amount not to exceed $270,000, for the provision of gastroenterology services at CCRMC and Contra Costa Health Centers for the period from November 1, 2022 through October 31, 2025.
On June 27, 2023, the Board of Supervisors approved Contract Amendment #76-547-9 with Arati Pratap, M.D., to increase the payment limit by $270,000 to a new payment limit of $540,000 with no change in term of November 1, 2022 through October 31, 2025.
Approval of Contract #76-547-10 will allow the Contractor to continue to provide gastroenterology services through October 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary specialty gastroenterology services needed for patient care will not be available and may create increased wait times due to the limited number of specialty providers available within the community.