To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #26-306-39 with Per Diem Staffing Systems, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #26-306-39 with Per Diem Staffing Systems, Inc., a corporation, in an amount not to exceed $1,500,000, to provide temporary nursing and other medical staffing classifications to provide medical health care services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $1,500,000 and will be funded as budgeted by the Department in FY 2025-26 by Hospital Enterprise Fund I.
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide medical staffing services to patients. Therefore, the County contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations and emergency situations where additional staffing is required. County has been using the Contractor’s temporary staffing services since July 1, 1997.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. CCRMC and Contra Costa Health Center’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. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On May 14, 2024, the Board of Supervisors approved Contract #26-306-37 with Per Diem Staffing Systems, Inc., in an amount not to exceed $1,500,000 for the provision of temporary nursing and other medical health care classifications to provide these services during peak loads, temporary absences, vacations and emergency situations where additional staffing is required for the period July 1, 2024 through June 30, 2025.
Approval of Contract #26-306-39 will allow the Contractor to continue providing nurses and other medical staffing classifications at CCRMC and Contra Costa Health Centers through June 30, 2026. This Contract includes services provided by represented non-Teamster classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, patients requiring medical staffing services at CCRMC and Contra Costa Health Centers will not have access to Contractor’s services.