Agenda

Return

C.50

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	November 3, 2009

Contra

Costa

County

Subject:

Amendment #26-881-14 with Craig Nielsen, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/03/2009

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Gayle B. Uilkema, District II Supervisor
Mary N. Piepho, District III Supervisor
Susan A. Bonilla, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Steven Tremain, 370-5122
cc:	Tasha Scott Barbara Borbon

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: November 3, 2009
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract Amendment Agreement #26-881-14 with Craig Nielsen, M.D., a self employed individual, effective August 1, 2009, to amend Contract #26-881-13 to decrease the payment limit by $340,000, from $900,000 to a new payment limit of $560,000, with no change in the original term of October 1, 2007 through September 30, 2010.

FISCAL IMPACT:

This Contract is funded 100% by Enterprise Fund I.

BACKGROUND:

On December 18, 2007, the Board of Supervisors approved Contract #26-881-13 with Craig Nielsen, M.D. for the period from October 1, 2007 through September 30, 2010, for the provision of anesthesiology services including consultation, training, medical procedures, on-call and clinical coverage.

BACKGROUND: (CONT'D)

At the time of negotiations the Payment Limit was based on target levels of utilization. The decrease in this Contract will be used to compensate other anesthesiologist contracts to allow for additional hours of service. Approval of Contract Amendment Agreement #26-881-14 will allow the Contractor to continue to provide anesthesiology services at Contra Costa Regional Medical Center and Contra Costa Health Centers, through September 30, 2010.