To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #26-749-12 with Stanford Health Care (dba SHC Reference Laboratory)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute Contract Amendment Agreement #26-749-12 with Stanford Health Center (dba SHC Reference Laboratory), a non-profit corporation, effective May 1, 2024, to amend Contract #26-749-11, to include new transfusion services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the payment limit of $5,000 or term July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
There is no change in the payment limit of $5,000 funded 100% by Hospital Enterprise Fund I. (Additional rates)
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 contractor has been providing outside clinical laboratory testing for CCRMC and Contra Costa Health Centers since July 1, 2015.
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 18, 2023, the Board of Supervisors approved Contract #26-749-11 with Stanford Health Care (dba SHC Reference Laboratory) in the amount not to exceed $5,000 to provide outside laboratory services at CCRMC and Contra Costa Health Centers for the period July 1, 2023 through June 30, 2024. This contract included mutual indemnification to hold harmless both parties for any claims arising out of the performance of this Contract.
Approval of Amendment Agreement #26-749-12 will allow the contractor to provide new transfusion services for CCRMC and Contra Costa Health Centers through June 30, 2024. This amendment is late due to the urgency to add transfusion services to minimize patient care delays since another contractor decreased their operating hours.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, CCRMC and Contra Costa Health Centers will not have access to transfusion services putting patients’ health at risk.