To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-827-1 with FirstLocum Inc. (dba DirectShifts)
☒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 #76-827-1 with FirstLocum Inc. (dba DirectShifts), a corporation, in an amount not to exceed $1,110,000, to provide temporary medical staffing services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers for the period May 1, 2026 through April 30, 2029.
FISCAL IMPACT:
Approval of this contract will result in contractual expenditures of up to $1,110,000 over a three-year period and will be funded as budgeted by the Department by 100% Hospital Enterprise Fund I allocations.
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide medical staffing services to patients. 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.
This Contract is entered into under and subject to legal authorities, California Government Code § 31000. CCRMC’s Quality Management, Utilization Management, and Contract Monitor Staff meet regularly to en-sure 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. These contracted medical services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On August 1, 2023, the Board of Supervisors approved Contract #76-827 with FirstLocum Inc. (dba DirectShifts) in an amount not to exceed $1,500,000 to provide temporary medical staffing services at Contra Costa Regional Medical Center and Health Centers for the period May 1, 2023 through April 30, 2026.
Approval of Contract #76-827-1 will allow the Contractor to continue to provide temporary medical staffing services for coverage of employee sick leaves, vacations and workers compensation leaves at CCRMC and Contra Costa Health Centers through April 30, 2029. This Contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s). This Contract is late due to a delay in obtaining approval by labor partner(s).
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County will not have access to Contractor’s temporary medical staffing services which may cause delays in healthcare to patients.