RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract Amendment #26-700-8 with Jaison James, M.D., an individual, effective November 1, 2015, to amend Contract #26-700-7, to increase the payment limit by $220,000, from $660,000 to a new payment limit of $880,000 with no change in the original term of February 1, 2015 through January 31, 2016.

FISCAL IMPACT:

This amendment is funded 100% Hospital Enterprise Fund I. (No rate increase)

BACKGROUND:

On February 10, 2015, the Board of Supervisors approved Contract #26-700-7 with Jaison James, M.D., for the provision of orthopedic services, including but not limited to; consultation, training, on-call coverage and medical/surgical procedures, at Contra Costa Regional Medical and Contra Costa Health Centers (CCRMC), for the period from February 1, 2015 through January 31, 2016. At the time of negotiations, the payment limit was based on target levels of utilization. However, the utilization during the term of the agreement was higher than originally anticipated. Approval of Contract Amendment #26-700-8 will allow the Contractor to provide additional orthopedic services at CCRMC through January 31, 2016.