HomeMy WebLinkAboutMINUTES - 01102012 - C.122RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf
of the County as follows:
1. Cancellation Agreement #26 938-16 with David H.C. Raphael, M.D., a self-employed
individual, effective on the close of business on December 31, 2011; and
2. Contract #26-938-17 with David H.C. Raphael, M.D., a self-employed individual, in an
amount not to exceed $345,000, for the provision of professional general surgery services
for patients at Contra Costa Regional Medical Center and Contra Costa Health Centers, for
the period from January 1, 2012 through December 31, 2012.
FISCAL IMPACT:
This Contract is funded by Enterprise I Budget. Cost to the County depends upon
utilization. As appropriate, patients and/or third party payors will be billed for services.
Rates for surgical procedures have increased. The surgical procedure rate is being
decreased.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 01/10/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
ABSENT:Gayle B. Uilkema, District II
Supervisor
Contact: David Goldstein, MD,
370-5525
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: January 10, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Demetria Gary
C.122
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:January 10, 2012
Contra
Costa
County
Subject:Cancellation Agreement #26-938-16 and Contract #26-938-17 with David H.C. Raphael, M.D.
BACKGROUND:
On December 14, 2010, the Board of Supervisors approved Contract #26-938-14 (as
amended by #26-938-15) with David H.C. Raphael, M.D., to provide general surgery
services including consultation, training, on-call, medical and/or surgical procedures, for
patients at Contra Costa Regional Medical Center and Contra Costa Health Centers, for the
period from January 1, 2011 through December 31, 2012.
In consideration of Contractor’s agreement to continue providing services, both parties have
agreed to decrease the surgical procedure rate. Therefore, in accordance with General
Conditions, Paragraph 5. (Termination and Cancellation) of the Contract, the Department
and Contractor have agreed to a mutual cancellation of Contract #26-938-14 (as amended
by #26-938-15). Approval of Cancellation Agreement #26-938-16 will accomplish this
termination.
Under Contract #26-938-17, Contractor will provide professional general surgery services,
including, clinic coverage, consultation, training and medical and/or surgical procedures,
through December 31, 2012.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, this physician would continue to be reimbursed at the
higher surgical procedure rate. This rate is being reduced to reflect current industry
compensation and the County’s budgetary requirements.
CHILDREN'S IMPACT STATEMENT:
Not applicable.