RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract Amendment Agreement #26-508-7 with Liam Keating, M.D., an individual, effective January 1, 2017, to amend Contract #26-508-6, to increase the payment limit by $20,000, from $1,140,000 to a new payment limit of $1,160,000, with no change in the original term of March 1, 2014 through February 28, 2017.

FISCAL IMPACT:

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

BACKGROUND:

On April 29, 2014, the Board of Supervisors approved Contract #26-508-6 with Liam Keating, M.D., for the provision of otolaryngology services, including, but not limited to: clinic coverage, consultation, on call coverage, training and medical procedures at Contra Costa Regional Medical and Contra Costa Health Centers (CCRMC), for the period from March 1, 2014 through February 28, 2017. 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 #26-508-7 will allow the Contractor to provide additional otolaryngology clinics at CCRMC through February 28, 2017.