Agenda

Return

C. 67

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	May 9, 2023

Contra

Costa

County

Subject:

Cancelation Agreement #76-662-7 and Contract #76-662-8 with FirstLocum Inc. (dba DirectShifts)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 05/09/2023

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

Contact:	Samir Shah, M.D., 925-370-5525
cc:	L Walker 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: May 9, 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 Contract #76-662-7 with FirstLocum Inc. (dba DirectShifts), a corporation, effective at the end of business on May 9, 2023; and (2) Contract #76-662-8 with FirstLocum Inc. (dba DirectShifts), a corporation, in an amount not to exceed $3,800,000, to provide temporary physician services and recruitment services for the Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers for the period May 10, 2023 through April 30, 2025.

FISCAL IMPACT:

Approval of this contract will result in contractual service expenditures of up to $3,800,000 over a two-year period and will be funded as budgeted by the Department by 100% Hospital Enterprise Fund I allocations. This contract request does not include a rate increase.

BACKGROUND:

Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers have an obligation to provide medical staffing services to patients. Therefore, the County contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations and emergency situations where additional staffing is required. The County has been using the contractor’s temporary staffing services since July 1, 2019.

On October 11, 2022, the Board of Supervisors approved Contract #76-662-6 with FirstLocum Inc. (dba DirectShifts), in an amount not to exceed $4,250,000, for the provision of temporary physician staffing services to ensure patient care is provided during peak loads, temporary absences, vacations and emergency situations, and for the provision of recruitment services for the period August 1, 2022 through July 31, 2024.

Cancelation of the previous contract and approval of a renewal contract will remove the Teamsters Local Union 856 represented classifications from the rate sheet. The Department and 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 #76-662-7), and (2) establish a new contract with the correct terms, conditions, and classifications for the next two years.

Approval of Contract #76-662-8 will allow the contractor to continue providing temporary specialty physicians when additional staffing is required at CCRMC and Contra Costa Health Centers through April 30, 2025. This contract includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, the County will not have access to this contractor’s temporary physician staffing services, which will impact medical services and available clinics when absences and emergency situations arise.