Agenda

Return

C. 44

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	April 21, 2015

Contra

Costa

County

Subject:

Amendment #26-769-1 with Bryan Ristow, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/21/2015

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

ABSENT:

Federal D. Glover, District V Supervisor

Contact:	David Goldstein. M.D., 925-370-5525
cc:	K Cyr C Rucker

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: April 21, 2015
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 #26-769-1 with Bryan Ristow, M.D., a self-employed individual, effective April 1, 2015, to amend Contract #26-769, to increase the payment limit by $50,000, from $1,455,000 to a new payment limit of $1,505,000, with no change in the original term of June 1, 2014 through May 31, 2017.

FISCAL IMPACT:

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

BACKGROUND:

On June 3, 2014, the Board of Supervisors approved Contract #26-769 with Bryan Ristow, M.D. for the provision of cardiology services at Contra Costa Regional Medical Center and Contra Costa Health Centers (CCRMC), for the period from June 1, 2014 through May 31, 2017. At the time of negotiations, the payment limit was based on target levels of utilization. However, the utili-zation during the term of the agreement has been higher than originally anticipated. County requested and Contractor agreed to increase his level of services due to staff reduction in the Cardiology Unit. Approval of Contract Amendment Agreement #26-769-1 will allow the Contractor to provide additional cardiology services at CCRMC through May 31, 2017.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, patients requiring cardiology services will not have access to Contractor’s services, which may result in a reduction in the overall levels of service to the community.

CHILDREN'S IMPACT STATEMENT:

Not applicable.