Agenda

Return

C. 37

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	January 12, 2016

Contra

Costa

County

Subject:

Amendment #26-789-2 with Hugo E. Altamirano, M.D., Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/12/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Samir Shah, M.D., 925-370-5475
cc:	K Cyr M Wilhelm

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: January 12, 2016
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 #26-789-2 with Hugo E. Altamirano, M.D., Inc., a corporation, effective December 1, 2015, to amend Contract #26-789 (as amended by Amendment Agreement #26-789-1), to increase the payment limit by $70,000, from $475,000 to a new payment limit of $545,000, with no change in the original term of January 19, 2015 through January 31, 2016.

FISCAL IMPACT:

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

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, patients requiring anesthesiology services at CCRMC will not have access to Contractor’s services.

BACKGROUND:

On February 3, 2015, the Board of Supervisors approved Contract #26-789 (as amended by Amendment Agreement #26-789-1) with Hugo E. Altamirano, M.D., Inc. for the provision of anesthesiology services including, but not limited to: clinic coverage, consultation, on-call coverage, training and medical procedures at Contra Costa Regional Medical Center and Health Centers (CCRMC), for the period from January 19, 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 Agreement #26-789-2 will allow the Contractor to provide additional anesthesiology clinic services through January 31, 2016.

CHILDREN'S IMPACT STATEMENT:

Not applicable.