To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #77-163-3 with Shadelands Advanced Endoscopy Institute, 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 #77-163-3 with Shadelands Advanced Endoscopy Institute, Inc., a corporation, in an amount not to exceed $270,000, to provide ambulatory surgery center (ASC) services for Contra Costa Health Plan (CCHP) members and County recipients, for the period July 1, 2025 through June 30, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $270,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized medical specialty services including but not limited to: ASC services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. An ASC is defined as an outpatient facility that operates exclusively for supplying outpatient surgical services to patients who do not require overnight hospital stays. 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. This Contractor has been part of CCHP Provider Network providing ASC services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since July 2018.
Contractor currently cooperates with and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care, 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. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements.
On July 12, 2022, the Board of Supervisors approved Contract #77-163-2 with Shadelands Advanced Endoscopy Institute, Inc., in an amount not to exceed $450,000, for the provision of ASC services for CCHP members and County recipients for the period July 1, 2022 through June 30, 2025.
Approval of Contract #77-163-3, will allow the Contractor to continue providing ASC services for CCHP members and County recipients through June 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized ASC specialty health care services for CCHP members under the terms of their Individual and Group Health Plan membership Contract with the County will not be provided and services may be delayed.