To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Commitment and Rebate Program with Becton Dickinson and Company
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to execute on behalf of the Health Services Director, a Commitment and Rebate Program with Becton Dickinson and Company (BD) in an amount not to exceed $275,000 to purchase non-dedicated infusion disposable sets at a rebate for Contra Costa Regional Medical Center (CCRMC) effective upon signature and for five years thereafter.
FISCAL IMPACT:
Approval of this action will result in expenditures of up to $275,000 and will be funded by Hospital Enterprise Fund I revenues.
BACKGROUND:
CCRMC has utilized BD as a supplier for intravenous (IV) pumps, tubing, and solutions. In terms of IV tubing, BD offers both dedicated and non-dedicated sets. Non-dedicated infusion disposable sets are IV administration sets that are not restricted to a specific infusion pump. They are considered open architecture, meaning they can be used with different types of infusion pumps or for gravity infusion. These sets typically include standard tubing, drip chambers, spikes, filters, and injection ports, and they provide hospitals with greater flexibility because they are not tied to one manufacturer’s system. This is different from dedicated sets, which are proprietary and designed to work only with a specific brand of pump.
Earlier this year, CCRMC transitioned from BD IV pumps and tubing to Intensive Care Unit (ICU) medical pumps and tubing. During this transition, CCRMC identified that the BD contract remains active and binding until April 29, 2027. The contract includes obligations for both dedicated infusion disposable sets (designed for use exclusively with BD pumps) and non-dedicated infusion disposable sets (which can be used independently of the pump). Since the transition to ICU medical, CCRMC has ceased using BD’s dedicated sets, affecting CCRMC’s ability to meet the original commitment levels. CCRMC and BD were able negotiate a resolution that allows CCRMC to continue purchasing non-dedicated sets, and those sets will be considered fulfillment of the original dedicated set commitment. Consequently, no additional payments are required, provided CCRMC maintains ongoing use of the non-dedicated sets.
BD is a supplier of the Vizient Group Purchasing Organization (GPO), which means that CCRMC, a Vizient member, is eligible to receive substantial rebates and access lower pricing. This purchase is governed by the Vizient Supplier Agreement entered into between Vizient Supply, LLC and Becton Dickinson and Company on January 1, 2025 (Agreement No. IV0153).
On April 28, 2025 the Board of Supervisors approved agenda item C.50 to execute purchase order #32624 with Medline Industries, LP in an amount not to exceed $49,800,000 for medical and cleaning supplies, low unit of measure (LUM) fees, and miscellaneous minor equipment for CCRMC for the period from July 1, 2025 through June 30, 2028. At present, CCRMC is using this purchase order to acquire non-dedicated disposable infusion sets from BD. All sales are reported directly to BD through Vizient, and these purchases will be applied toward fulfilling the Commitment and Rebate Program agreement with BD.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, there will be lack of safe and effective medication storage and distribution system which could result in unsafe medication practices, potential costly regulatory citations or patient harm.