To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #26-749-15 with Stanford Health Care (dba SHC Reference Laboratory)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract Amendment #26-749-15 with Stanford Health Care (dba SHC Reference Laboratory), a non-profit corporation, effective April 1, 2025, to amend Contract #26-749-14, to include additional specialized testing for outside clinical laboratory testing services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, with no change in the payment limit of $20,000 or term through August 31, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will not impact the original budgeted expenditures of up to $20,000 and is funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
CCRMC and Contra Costa Health Centers have an obligation to provide specialized outside clinical laboratory testing services for tests that are rarely requested and require special equipment which CCRMC does not have onsite. County contracts with outside contractors to provide these specialized services which may include, but is not limited to, the analyses in the areas of clinical chemistry, hematology, serology, microbiology, cytogenetics, immunology, endocrinology, toxicology (non-chain of custody), histology, virology, and cytology.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the contract are upheld. Per Administrative Bulletin 600.3 this Contract is exempt from solicitation requirements.
On July 27, 2021, the Board of Supervisors approved Contract #26-749-14 with Stanford Health Care (dba SHC Reference Laboratory), in an amount not to exceed $20,000 to provide outside clinical laboratory services for CCRMC and Contra Costa Health Centers for the period September 1, 2024 through August 31, 2027.
Approval of Contract Amendment #26-749-15 will allow the Contractor to provide additional services through August 31, 2027. The delay of this Contract Amendment was due to the Contractor’s administrative error of not including certain specialized testing in the original Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCRMC and Contra Costa Health Centers will not have access to Contractor’s additional speciaized tests, which may delay services to patients.