Agenda

Return

C.49

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	March 31, 2009

Contra

Costa

County

Subject:

Contract Amendment Agreement #76-521-6 with Nanda K. Sinha, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/31/2009

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:	Jeff Smith, M.D., 370-5113
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: March 31, 2009
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee (Jeff Smith, M.D.), to execute on behalf of the County, Contract Amendment Agreement #76-521-6 with Nanda K. Sinha, M.D., effective December 1, 2008 to amend Contract #76-521-3 (as amended by Contract Amendment Agreements #76-521-4 and #76-521-5), to increase the total payment limit by $105,000 from $730,000 to a new total payment of $835,000, with no change in the original term of April 1, 2006 through March 31, 2009.

FISCAL IMPACT:

100% Enterprise Fund I.

BACKGROUND:

On April 25, 2006, the Board of Supervisors approved Contract #76-521-3 (as amended by Contract Amendment Agreement #76-521-4 and #76-521-5) with Nanda K. Sinha, M.D., for the period from April 1, 2006 through March 31, 2009, to provide orthopedic surgery services for patients at Contra Costa Regional Medical Center and Contra Costa Health Centers including, but not limited to, acting on behalf of the County as Chief of Orthopedic, providing clinical coverage and consultation.

BACKGROUND: (CONT'D)

Due to an increase in utilization of orthopedic surgeries, the levels of utilization were actually higher than originally anticipated. Approval of Contract Amendment Agreement #76-521-6 will allow the Contractor to provide additional orthopedic services at Contra Costa Regional Medical Center and Contra Costa Health Centers, through March 31, 2009.