To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #76-727-5 with Benjamin Rayikanti, MD, Inc.
☒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 #76-727-5 with Benjamin Rayikanti, MD, Inc., a corporation, in an amount not to exceed $350,000, to provide anesthesiology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period June 1, 2024 through December 31, 2025.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $350,000 over an 18-month period and will be funded 100% by Hospital Enterprise Fund I revenues. (No 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 county has been contracting with Benjamin Rayikanti, MD, Inc., since April 2021 to provide anesthesiology services including, but not limited to: anesthesiology clinic services, inpatient consultation, training, medical/surgical procedures and on-call services. 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 June 21, 2022, the Board of Supervisors approved Contract #76-727-3 with Benjamin Rayikanti, MD, Inc., in an amount not to exceed $400,000, for the provision of anesthesiology services at CCRMC and Contra Costa Health Centers, for the period June 1, 2022 through May 31, 2024.
In July 2023, the County Administrator approved and the Purchasing Services Manager executed Administrative Amendment Agreement #76-727-4 to make necessary technical adjustments listed in the Payment Provisions, effective June 1, 2023, with no change in the original payment limit of $400,000, and no change in the original term of June 1, 2022 through May 31, 2024.
Approval of Contract #76-727-5 will allow the contractor to continue providing anesthesiology services through December 31, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the necessary specialty anesthesiology services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.