To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-395-36 with Locumtenens.com LLC
☒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 Amendment #26-395-6 with Locumtenens.com LLC, a limited liability company, effective September 1, 2025, to amend Contract #26-395-35, to include additional temporary physician services during peak loads, temporary absences, vacations and emergency situations where additional physician staffing is required at Contra Costa Regional Medical Center (CCRMC), Contra Costa Health Centers, and Detention Centers, with no change in the payment limit of $3,250,000, and no change in the original term ending December 31, 2025.
FISCAL IMPACT:
Approval of this Contract Amendment will not result in additional expenditures and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
CCRMC has an obligation to provide medical staffing services to patients at CCRMC, Contra Costa Health Centers, and Detention Centers. 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. The County has been using the contractor’s temporary staffing services since January 1, 2001.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.3 CCRMC Physician services are exempt from Solicitation requirements.
On January 21, 2025, the Board of Supervisors approved Contract #26-395-35 with Locumtenens.com LLC, in an amount not to exceed $3,250,000, for the provision of temporary physician services during peak loads, temporary absences, vacations and emergency situations where additional physician staffing is required at CCRMC, Contra Costa Health Centers, and Detention Centers, for the period January 1, 2025 through December 31, 2025.
Approval of Contract Amendment #26-395-36 will allow the Contractor to modify the rates to provide additional locum tenens physicians services through December 31, 2025. This Amendment includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, it will not have the correct rates in order to pay Contractor to provide additional temporary physician coverage during peak loads, temporary absences, vacations and emergency situations when additional physician staffing is required.