Agenda

Return

C. 44

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	May 23, 2023

Contra

Costa

County

Subject:

Cancelation Agreement #26-785-5 and Renewal Contract #26-785-6 with Urmila Bajpai-Pillai, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 05/23/2023

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 B. Shah, 925-370-5100
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: May 23, 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 #26-785-5 with Urmila Bajpai-Pillai, M.D., an individual, effective at the end of business on May 31, 2023; and (2) Contract #26-785-6 with Urmila Bajpai-Pillai, M.D., an individual, in an amount not to exceed $1,020,000, to provide rheumatology services at Contra Costa Regional Medical Center (CCRMC) and Health Centers, for the period June 1, 2023 through May 31, 2026.

FISCAL IMPACT:

Approval of the cancellation agreement will result in higher rates than previously negotiated for the remaining term of June 1, 2023 through October 31, 2024. Approval of the new contract will result in contractual service expenditures of up to $1,020,000 over a three-year period and includes a rate increase. The contract will be funded 100% by Hospital Enterprise Fund I revenues.

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 rheumatology specialty services, including but not limited to: clinic coverage, consultation, training, medical and surgical procedures, and administrative support services since November 2014.

On November 16, 2021, the Board of Supervisors approved Contract #26-785-4 with Urmila Bajpai-Pillai, M.D., in an amount not to exceed $756,000, for the provision of rheumatology services at CCRMC and health centers, for the period November 1, 2021 through October 31, 2024.

In consideration of the contractor’s services expected to be utilized, the recent increase in clinic rates, and the agreement between the Department and the contractor for the continuation of providing the aforementioned services, an agreement has been reached to: (1) mutual cancelation of the current contract in accordance with the General Conditions Paragraph 5 (Termination), of the contract (Cancelation Agreement #26-785-5), and (2) establishment of a new contract with the correct terms and conditions for the next three years.

Under Contract #26-785-6, the contractor will continue to provide rheumatology services with revised rates and a new contract term of June 1, 2023 through May 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 rheumatology services for CCRMC patients will not be provided by this contractor.