To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-234-2 with California Spine Center, A Professional Medical Corporation
☒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 #77-234-2 with California Spine Center, A Professional Medical Corporation, in an amount not to exceed $360,000, to provide pain management services for Contra Costa Health Plan (CCHP) members and County recipients for the period August 1, 2024 through July 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $360,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain medical specialty health care services including but not limited to pain management services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Pain management is an aspect of medicine health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Contractor specializes in treating medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. Contractor’s proven track record and established reputation within the medical community mitigates potential risks associated with CCHP’s success and patient well-being. This Contractor has been a part of the CCHP Provider Network providing pain management services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since August 1, 2019.
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. Contractor currently cooperates with and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. The nature of the pain management services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements.
In August 2019, the County Administrator approved and the Purchasing Services Manager executed Contract #77-234-1, in an amount not to exceed $120,000, for the provision of pain management services to CCHP members and County recipients for the period August 1, 2021 through July 31, 2024.
Approval of Contract #77-234-2 will allow the Contractor to continue to provide pain management services to CCHP members and County recipients through July 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved certain medical specialized pain management services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay in services to CCHP members.