Agenda

Return

C. 86

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 4, 2023

Contra

Costa

County

Subject:

Cancellation Agreement #76-555-6 and Contract #76-555-7 with Initha R. Elangovan, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/04/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor

ABSENT:

Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Samir Shah, MD, 925-370-5525
cc:	Noel Garcia Marcy 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: April 4, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, as follows: (1) Cancelation Agreement #76-555-6 with Initha R. Elangovan, M.D., an individual, effective at the end of business on April 4, 2023; and (2) Contract #76-555-7 with Initha R. Elangovan, M.D., an individual, in an amount not to exceed $1,750,000, to provide pulmonary services at Contra Costa Regional Medical Center (CCRMC) and Health Centers, for the period April 5, 2023 through March 31, 2026.

FISCAL IMPACT:

This contract will result in contractual service expenditures of up to $1,750,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I revenues. (Rate increase)

BACKGROUND:

Due to the limited number of specialty providers available within the community, CCRMC and Health Centers rely on contractors to provide necessary specialty health services to their patients. This contractor has been providing pulmonary services, including but not limited to: on-call and clinic coverage, consultation, critical care, bronchoscopies procedures, and staffing services in the Critical Care Unit since September 1, 2016.

On September 7, 2021, the Board of Supervisors approved Contract #76-555-5 with Initha R. Elangovan, M.D., in an amount not to exceed $1,400,000 for the provision of pulmonology services at CCRMC and Health Centers, for the period September 1, 2021 through August 31, 2024.

In consideration of the expected utilization of this contractor’s services, the recent increase in clinic rates, and the agreement to continue providing such services, the Department and the contractor have agreed to (1) mutual cancelation of the current contract in accordance with the General Conditions Paragraph 5 (Termination), of the contract (Cancelation Agreement #76-555-6), and (2) establish a new contract with the correct terms and conditions for the next three years.

Under Contract #76-555-7, this contractor will continue to provide pulmonary services with a new contract term of April 5, 2023 through March 31, 2026.

CONSEQUENCE OF NEGATIVE ACTION:

If the cancelation agreement is not approved, this contractor will not be compensated accurately for the services being provided. If the new contract is not approved, certain specialized pulmonary services for CCRMC patients will not be provided by this contractor and may result in longer waiting periods for client scheduling these specialized services.