Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Renewal and Amendment No. 2 to the non-standard agreement (A-14980) with Quality Assurance Services, Inc., for radiation physics and performance testing of radiology equipment services at NMC, extending the agreement for an additional two (2) year period (January 1, 2026 through December 31, 2027) for a revised full agreement term of January 1, 2021 through December 31, 2027, and adding $70,841 for a revised total agreement amount not to exceed $254,393.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute Renewal and Amendment No. 2 to the non-standard agreement (A-14980) with Quality Assurance Services, Inc., for radiation physics and performance testing of radiology equipment services at NMC, extending the agreement for an additional two (2) year period (January 1, 2026 through December 31, 2027) for a revised full agreement term of January 1, 2021 through December 31, 2027, and adding $70,841 for a revised total agreement amount not to exceed $254,393.
SUMMARY:
Quality Assurance Services, Inc. (QAS) is a company that provides board certified Medical Diagnostic Physicists that perform evaluations and testing of equipment found in the Radiology department. Natividad Medical Center’s Radiology Department is required per Joint Commission and CDPH to have at least annually performance testing evaluations on radiographic, magnetic resonance imaging equipment (MRI), computed tomography (CT) equipment, ultrasound and nuclear medicine equipment by a qualified medical physicist who is board certified by the American Board of Radiology in the field of Medical Diagnostic Physics. The performance testing evaluation shall include the required elements identified by Joint Commission and American College of Radiology.
DISCUSSION:
Natividad Medical Center has two CT scanners, one MRI scanner, one Fluoroscopy, four x-ray machines, four x-ray portables, three radiographic fluoroscopic c-arms, one mini c-arm radiographic, one bone scanning machine, one nuclear medicine gamma camera, one Mammography x-ray unit, and four ultrasound units requiring annual testing by the physicist. In addition, the nuclear medicine and ultrasound units are required to be tested twice a year.
Any new equipment, relocation of equipment, or major repairs of equipment need performance testing evaluations completed prior to using on patients. It is a requirement for us to meet regulatory standards, in order to continue services.
Natividad Medical Center Radiology does monitor QAS for contract deliverables on the following items.
• Certification of the Physicist
• Annual and Bi-Annual testing
• Completion of performance evaluation report and corrective actions included in the report
• Inclusion of Joint Commission Standards, and ACR standards that are required elements in the performance evaluation testing report.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this renewal and amendment No. 2 as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The renewal and amendment No. 2 has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on February 6, 2026.
FINANCING:
The cost for this renewal and amendment No. 2 is $70,841 of which $35,421 is included in the FY 2025-26 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate. There is no impact on the General Fund with this action.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS SECTION:
To protect patients and staff and to ensure full compliance with state regulations and accreditation requirements, the hospital utilizes a qualified third-party medical physics company to perform state-regulated medical physics services. These specialized experts independently test and verify the safety, accuracy, and performance of medical imaging and radiation therapy equipment through required inspections, measurements, and quality assurance evaluations. This independent oversight ensures radiation is delivered only as intended, minimizes institutional risk, and supports the hospital’s commitment to the highest standards of safety, quality, and trust in patient care.
Well-Being and Quality of Life
__ Sustainable Infrastructure for Present and Future
X Safe and Resilient Communities
__Diverse and Thriving Economy
__ Administrative
Prepared by: Eric Estrada, Director of Diagnostic Imaging, 772-7616
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachment(s):
Board Report
Quality Assurance Services, Inc. Renewal and Amendment No. 2
Quality Assurance Services, Inc. Renewal and Amendment No. 1
Quality Assurance Services, Inc. Agreement
Attachments on file with the Clerk of the Board