To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #26-492-22 with Cardinal Health Pharmacy Services, LLC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #26-492-22 containing mutual indemnification with Cardinal Health Pharmacy Services, LLC, a limited liability company, in an amount not to exceed $1,370,000, to provide after-hours physician medication ordering services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period June 1, 2024 through May 31, 2026.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $1,370,000 over a two-year period and will be funded 100% by Hospital Enterprise Fund I. (Rate increase)
BACKGROUND:
CCRMC has an obligation to provide review of physician medication ordering services for pharmacy review and order input of prescription medications. This contractor has been providing pharmacy review and order entry services at CCRMC since June 1, 2007. This contractor is a wholesaler for medications from where the Pharmacy Department purchases the bulk of medications used for patient care at CCRMC and Contra Costa Health Centers. They have qualified, licensed pharmacists who take prescription order verification after hours and answer nursing and provider questions if needed. CCRMC Pharmacy Department is not open 24 hours a day and therefore, contractor provides needed and continued services for patient care needs.
This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. This contractor was approved by the Public Works Department’s Purchasing Division on January 17, 2024. 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 contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
On June 7, 2022, the Board of Supervisors approved Contract #26-492-21, in an amount not to exceed $1,370,000, to provide after-hours physician medication ordering services for CCRMC and Contra Costa Health Centers for the period June 1, 2022 through May 31, 2024.
Approval of Contract #26-492-22 will allow the contractor to continue providing remote entry of physician medication orders through May 31, 2026. This contract contains mutual indemnification.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, patients requiring after-hours medication orders at CCRMC will not have access to the contractor’s services.