Legislation Details

File #: 26-3080    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 4/28/2026 In control: BOARD OF SUPERVISORS
On agenda: 7/14/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with FirstLocum Inc. (dba DirectShifts), in an amount not to exceed $1,110,000 to provide temporary medical staffing services at Contra Costa Regional Medical Center and Health Centers for the period May 1, 2026 through April 30, 2029. (100% Hospital Enterprise Fund I)
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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 He...

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