To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #26-724-15 with National Research Corporation (dba NRC Health)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of County Contract Amendment #26-724-15 with National Research Corporation (dba NRC Health), a corporation, effective December 1, 2025, to amend Contract #26-724-14 to provide additional patient satisfaction survey services, as required by the California Department of Public Health, for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the payment limit of $600,000 or term ending June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will not impact the payment limit of $600,000 and is funded 100% by Hospital Enterprise Fund I revenues. (No rate increase)
BACKGROUND:
The County has been contracting with National Research Corporation (dba NRC Health) since July 2011 to provide patient experience survey services as required by the State of California Medicaid 1115 Waiver Program at CCRMC. Services include mail surveys for inpatient, outpatient clinics and emergency departments, with additional email and phone surveys for outpatient providers only, with the intent to survey 100% of patient visits for up to 125 providers, including physicians and nurse practitioners.
This Contract is entered into under and subject to the following legal authorities: California Government Code §31000. This Contract was approved by Health Services Personnel to ensure there is no conflict 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. This Contractor was approved by the Public Works Department’s Purchasing Division on March 27, 2024.
On July 23, 2024, the Board of Supervisors approved Contract #26-724-14 with National Research Corporation (dba NRC Health), in an amount not to exceed $600,000, for the provision of consulting and technical assistance on patient satisfaction through measurement and improvement surveys for CCRMC and Contra Costa Health Centers for the period July 1, 2024 through June 30, 2027.
Approval of Contract Amendment #26-724-15 will allow the Contractor to provide additional patient satisfaction survey services through June 30, 2027, as required by the California Department of Public Health (CDPH). This Contract Amendment was delayed due to prolonged negotiations between the Division and Contractor regarding the implementation of the new requirements by the CDPH.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCRMC and Contra Costa Health Centers will not have access to additional survey services required by CDPH.