To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Amendment Agreement #76-727-6 with Benjamin Rayikanti, MD, 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 Amendment Agreement #76-727-6 with Benjamin Rayikanti, MD, Inc., a corporation, effective March 1, 2025, to amend Contract #76-727-5, to increase the payment limit by $300,000, from $350,000 to a new payment limit of $650,000, for additional anesthesiology services Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the term of June 1, 2024 through December 31, 2025.
FISCAL IMPACT:
Approval of this Amendment will result in additional contractual service expenditures of up to $300,000 and will be funded as budgeted 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 May 21, 2024, the Board of Supervisors approved Contract #76-727-5 with Benjamin Rayikanti, MD, Inc., in an amount not to exceed $350,000, to provide anesthesiology services at CCRMC and Contra Costa Health Centers including consultation, on-call and clinic coverage, for the period June 1, 2024 through December 31, 2025.
Approval of Contract Amendment Agreement #76-727-6 will allow the Contractor to provide additional anesthesiology services through December 31, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment 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.