To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #76-658-12 with ECG Management Consultants, LLC
☒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 #76-658-12 with ECG Management Consultants, LLC, a limited liability company, effective March 1, 2025, to amend Contract #76-658-10 (as amended by Contract Amendment #76-658-11), to increase the payment limit by $792,000, from $408,500 to a new payment limit of $1,200,500, for additional consultation and technical assistance services with no change in the term through June 14, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $792,000 and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Contractor has provided consultation and technical assistance with regard to best practices for clinical operations ambulatory clinics, appointment unit, materials management, benefits, productivity levels and performance for physicians at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, since June 15, 2019.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. 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. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. This Contractor was approved by the Public Works Department’s Purchasing Division on February 5, 2024.
On March 19, 2024, the Board of Supervisors approved Contract #76-658-10 with ECG Management Consultants, LLC, in an amount of $275,000, for the provision of consultation and technical assistance with regard to reviewing compensation, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers, for the period June 15, 2024 through June 14, 2027.
On October 22, 2024, the Board of Supervisors approved Contract Amendment #76-658-11 with ECG Management Consultants, LLC, effective October 1, 2024, to increase the payment limit by $133,500, to a new payment limit of $408,500, for additional consultation and technical assistance services with no change in the term.
Contractor continues to assist CCRMC and Contra Costa Health Centers with ongoing improvements and operational initiatives. Due to a recent unexpected retirement of the Appointment Unit supervisor, Contractor will provide additional management expertise to ensure recent improvement projects continue on the current trajectory.
Approval of Contract Amendment #76-658-12 will allow the Contractor to provide additional management consulting services through June 14, 2027. The delay of this Amendment was due to ongoing negotiations with the Contractor regarding the additional services being provided.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCRMC will not have access to Contractor’s services including consultation and technical assistance with regard to best practices for clinical operations ambulatory clinics, appointment unit, materials management, benefits, productivity levels and performance for physicians at CCRMC and Contra Costa Health Centers.