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File #: 25-4863    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 11/5/2025 In control: BOARD OF SUPERVISORS
On agenda: 11/18/2025 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with iRhythm Technologies, Inc., in an amount not to exceed $800,000 to provide remote cardiac monitoring services for patients at Contra Costa Regional Medical Center and Health Centers for the period November 1, 2025 through October 31, 2027. (100% Hospital Enterprise Fund I)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #76-830-1 with iRhythm Technologies, Inc.
?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 #76-830-1 with iRhythm Technologies, Inc., a corporation, in an amount not to exceed $800,000, to provide remote cardiac monitoring services at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period November 1, 2025 through October 31, 2027.

FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $800,000 over a two-year period and will be funded 100% by Hospital Enterprise Fund I revenues.

BACKGROUND:
Due to the limited number of specialty providers available within the community, CCRMC and Contra Costa Health Centers rely on contractors to provide necessary specialty health services to its patients. The County has been contracting with iRhythm Technologies, Inc. since November 2023 to provide remote cardiac monitoring services at CCRMC and Contra Costa Health Centers. Contractor has the only Food and Drug Administration (FDA) approved artificial intelligence (Al) algorithm across all cardiac arrhythmia classes and is user friendly. The Zio Patch cardiac monitoring device can quickly and accurately read 1.5 million heart beats per patient record, at the same accuracy as a panel of human experts. The Zio patch cardiac monitoring device is the only wearable patch on the market that can be placed on a patient's chest for up to 14 days uninterrupted.

This Contract is entered into under and subject to the following legal authorities: California Government Code ? 26227 and 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 ...

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