REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 21, 2024
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Employment Contract with Dr. Ryan Zane for Specialty Physician Services
End
RECOMMENDATION(S)
Recommendation
1. Approve Employment Contract with Dr. Ryan Zane, Public Health Physician, for specialty HIV, tuberculosis and Hepatitis C physician services, for a total annual cost of $359,807 ($257,005 Salary, $102,802 Benefits), for the period of June 9, 2024 through June 30, 2027.
2. Authorize the Chair of the Board of Supervisors, the Chief Executive Officer, or the Director of the Department of Public Health to execute amendments to extend the term of the contract for a maximum of two successive one-year periods on behalf of the County, subject to County Counsel review.
3. Direct the Director of the Department of Public Health to transmit all amendments in relation to the Employment Contract to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Joshua Dugas, Director, 387-9146)
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COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of additional Discretionary General Funding (Net County Cost). The total estimated annual cost of the employment contract is $359,807 and will be fully funded by Medi-Cal, private insurance, private pay, and 1991 Realignment funds. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2023-24 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DPH contracts with physicians to provide direct medical care to patients and serve as subject matter experts in their areas of expertise (such as primary care and reproductive health services). Physician support services include supervision and clinical oversight of mid-level practitioners (nurse practitioners and/or physician assistants), assisting in the development of policies and procedures, helping to establish productivity standards, and assisting DPH with the development of long-term strategic plans. Contracts with physicians are necessary as the work required by DPH programs requires specific expertise in public health-related fields.
Under the recommended contract, Dr. Ryan Zane (Dr. Zane) will provide specialty services for HIV, tuberculosis, and Hepatitis C patients in San Bernardino County. In addition, Dr. Zane will attend DPH Clinic Operations meetings, participate in pertinent trainings, and engage in continual medical education opportunities to maintain core and specialty competencies.
Per the contract, Dr. Zane is required to possess and maintain a medical license in the State of California, which is in good standing with the California Medical Board. In addition, Dr. Zane must maintain credentialing required by the Federally Qualified Health Centers and Drug Enforcement Administration as issued by the United States Department of Justice.
The recommended contract will be effective June 9, 2024, and remain in effect until June 30, 2027, but may be terminated by either party without cause upon a 14-day written notice to the other party.
PROCUREMENT
Due to the upcoming retirement of Dr. Zane at the end of the contract period, DPH is currently drafting a Request for Proposals to procure HIV, tuberculosis, and Hepatitis C specialty services.
REVIEW BY OTHERS
This item has been reviewed by Human Resources (Gina King, Assistant Director, 387-5570) on April 30, 2024; Risk Management (Gregory Ustaszewski, Staff Analyst II, 386-9008) on April 26, 2024; County Counsel (Richard Luczak, Deputy County Counsel, 387-5455) on April 29, 2024; Finance (Carl Lofton, Administrative Analyst, 386-5404) on May 6, 2024; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on May 6, 2024.