To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #76-863 with John Gainey, M.D.
☒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 #76-863 with John Gainey, M.D., an individual, in an amount not to exceed $350,000, to provide anesthesiology services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period May 1, 2024 through November 30, 2025.
FISCAL IMPACT:
Approval of this contract will result in annual expenditures of up to $350,000 and will be funded as budgeted, 100% by Hospital Enterprise Fund I revenues.
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 specialty anesthesiology health services to its patients. Dr. Gainey’s anesthesiology services will include, but are not limited to: clinic coverage, consultation, training, medical procedures, and on-call coverage. 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. Per Administrative Bulletin 600.3 CCRMC Physician Services are exempt from solicitation requirements.
Under new Contract #76-863, this contractor will provide anesthesiology services at CCRMC and Contra Costa Health Centers for the period May 1, 2024 through November 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the necessary specialty anesthesiology 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.