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File #: 26-147    Version: 1 Name:
Type: Consent Item Status: Passed
File created: 12/24/2025 In control: BOARD OF SUPERVISORS
On agenda: 1/13/2026 Final action: 1/13/2026
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Janet M. Goldman, M.D., to increase physician administrative hours for maternal fetal medicine services at Contra Costa Regional Medical Center and Health Centers with no change in the payment limit of $735,000 or term ending September 30, 2026. (100% Hospital Enterprise Fund I)
To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #76-706-2 with Janet M. Goldman, 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 Amendment #76-706-2 with Janet M. Goldman, M.D., an individual, effective January 1, 2026, to amend Contract #76-706-1, to increase the number of allowable administrative duty work hours from 10 to a new maximum of 25 per month for maternal fetal medicine services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Center patients, with no change in the payment limit of $735,000 or term ending September 30, 2026.

FISCAL IMPACT:
Approval of this Contract Amendment will not impact the payment limit of $735,000 and is funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)

BACKGROUND:
Due to a limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to their patients. This Contractor has been providing maternal fetal medicine services, including but not limited to clinic coverage, consultation, phone consultation for labor and delivery, procedures, training and administrative duties for CCRMC patients since October 1, 2020.

This Contract is entered into under and subject to the following legal authorities: California Government Code ?? 26227 and 31000; and 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.

On October 3...

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