To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract # 77-499-1 with Executive Surgery Center
☒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 #77-499-1 with Executive Surgery Center, a Corporation, in an amount not to exceed $300,000, to provide Ambulatory Surgery Center (ASC) services for Contra Costa Health Plan (CCHP) members, for the period November 1, 2023 through October 31, 2026.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $300,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain Ambulatory Surgery Center (ASC) services for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This contractor has been a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since November 1, 2022. 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 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 ASC services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. There are a total of 14 ASC providers in CCHP’s service area. CCHP is currently contracted with 13 of the 14. This Contract renewal will maintain comprehensive area coverage for the entire CCHP membership and meet the Knox-Keene Act, time and distance mandate required by the State of California Department of Managed Health Care (DMHC) services. This contractor has been approved by the Public Works Department’s Purchasing Division as of September 27, 2023.
On November 1, 2022, the Board of Supervisors approved Contract #77-499 with Executive Surgery Center, in the amount not to exceed $300,000, for the provision of ASC services for the period November 1, 2022 through October 31, 2023.
Approval of Contract #77-499-1 will allow the contractor to continue providing ASC services for CCHP members through October 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, certain specialized ambulatory surgery center services for CCHP members under the terms of their Individual and Group Health Plan membership contract with the county will not be provided by this contractor and ASC services may be delayed for members.