Agenda

Return

C.122

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	July 13, 2021

Contra

Costa

County

Subject:

Amendment #26-968-18 with Thomas N. Paige, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/13/2021

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
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Samir Shah, M.D., 925-370-5525
cc:	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: July 13, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #26-968-18 with Thomas N. Paige, M.D., an individual, effective July 1, 2021, to amend Contract #26-968-17 to increase the payment limit by $60,000, from $390,000 to a new payment limit of $450,000, with no change in the original term of October 1, 2019 through September 30, 2022.

FISCAL IMPACT:

This contract amendment will result in additional contractual service expenditures of $60,000 for FY 2021/2022 ($30,000) and FY 2022/2023 ($30,000) and will be funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)

BACKGROUND:

Due to the limited number of specialty providers available within the community, Contra Costa Regional Medical Center (CCRMC), and Contra Costa Health Centers relies on contracts to provide necessary specialty health services to its patients. CCRMC has contracted with Thomas N. Paige, M.D. for dermatology services since October 1, 1999.

BACKGROUND: (CONT'D)

On October 22, 2019, the Board of Supervisors approved Contract #26-968-17 with Thomas N. Paige, M.D. in an amount not to exceed $390,000 for the provision of dermatology services including but not limited to clinic coverage, consultation, training and medical procedures at CCRMC and Health Centers, for the period from October 1, 2019 through September 30, 2022.

At the time of negotiations, the payment limit was based on target levels of utilization. However, the utilization due to leave of another dermatologist was higher than originally anticipated.

Approval of Contract Amendment Agreement #26-968-18 will allow this contractor to provide additional hours of dermatology services at CCRMC and remotely, through September 30, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, patients requiring dermatology services will not have access to this contractor’s services.