To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-515-25 with Virtual Radiologic Professionals of California, P.A.
☒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 #26-515-25 with Virtual Radiologic Professionals of California, P.A., a corporation, effective December 1, 2025, to amend Contract #26-515-23 (as amended by Contract Amendment #26-515-24), to include out-of-coverage rates for additional teleradiology services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the payment limit of $2,025,000 or term ending January 16, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of up to $2,025,000 funded 100% by Hospital Enterprise Fund I. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC relies on contractors to provide necessary specialty health services for their patients. Contractor meets all qualifications and capabilities required to read diagnostic imaging sources through contractor’s teleradiology equipment to provide both preliminary and final reading results after hours for CCRMC and Emergency Departments. Contractors continually provide quality results which makes them a reliable choice for continuing safe and high-quality radiology services for acute care patients. Contractor has developed proprietary medical technologies that are critical to the success of quality of care outcomes for patients. Contractor has invested in integration, technology, and operational workflows that have developed a successful and sustainable care model during the continued long-term relationship with the County. CCRMC has been contracting with Virtual Radiologic Professionals of California, P.A. since March 2005.
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. This Contractor has been approved by the Public Works Department’s Purchasing Division on August 22, 2023.
On January 16, 2024, the Board of Supervisors approved Contract #26-515-23 with Virtual Radiologic Professionals of California, P.A., in an amount not to exceed $2,025,000, for the provision of after-hours teleradiology services for CCRMC and Contra Costa Health Centers for the period from January 17, 2024 through January 16, 2027.
On January 21, 2025, the Board of Supervisors approved Contract Amendment #26-515-24 with Virtual Radiologic Professionals of California, P.A., to include additional credentialing requirements for physicians providing teleradiology services for CCRMC and Contra Costa Health Centers with no change in the payment limit or term ending January 16, 2027.
Approval of Contract Amendment #26-515-25 will allow the Contractor to provide additional services through January 16, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCRMC and Contra Costa Health Centers will not have access to Contractor’s teleradiology services which may delay services to patients.