To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #76-796-2 with Karen Weinbaum, M.D.
☒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 #76-796-2 with Karen Weinbaum, M.D., an individual, effective June 1, 2025, to amend Contract #76-796-1, to increase the payment limit by $170,000, from $450,000 to a new payment limit of $620,000 to provide additional emergency medicine physician services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the original term ending September 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $170,000 and will be funded as budgeted 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers relies on contractors to provide necessary emergency medicine specialty health services to its patients. CCRMC has contracted with Dr. Weinbaum for emergency medicine services since October 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. Per Administrative Bulletin 600.3 CCRMC Physician services are exempt from Solicitation requirements.
On October 3, 2023, the Board of Supervisors approved Contract #76-796-1 with Karen Weinbaum, M.D., in an amount not to exceed $450,000, for the provision of emergency medicine physician services at CCRMC and Contra Costa Health Centers, for the period October 1, 2023 through September 30, 2026.
Approval of Contract Amendment #76-796-2 will allow the Contractor to provide additional emergency medicine physician services through September 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the necessary emergency medicine physician services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.