Title
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Agreement No. A-14649 with the County of Santa Clara to provide confirmatory testing for specimens being tested for HIV, syphilis, blood lead levels, and other diseases or conditions, increasing the funds by $30,000 for a new Agreement amount of $60,000 extending the term an additional three years for a new term of July 1, 2019 through June 30, 2028; and
b. Authorize the Contracts and Purchasing Officer or designee to sign future amendments to the Agreement provided that these amendments do not substantially change the Scope of Services, and the total amount of the amendments does not exceed the Contracts and Purchasing Officer’s signing authority amount of $200,000, with the approval from the Office of the County Counsel.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Agreement No. A-14649 with the County of Santa Clara to provide confirmatory testing for specimens being tested for HIV, syphilis, blood lead levels, and other diseases or conditions, increasing the funds by $30,000 for a new Agreement amount of $60,000 extending the term an additional three years for a new term of July 1, 2019 through June 30, 2028; and
b. Authorize the Contracts and Purchasing Officer or designee to sign future amendments to the Agreement provided that these amendments do not substantially change the Scope of Services, and the total amount of the amendments does not exceed the Contracts and Purchasing Officer’s signing authority amount of $200,000, with the approval from the Office of the County Counsel.
SUMMARY DISCUSSION:
The County of Monterey Health Department’s Public Health Laboratory (PH Lab) provides clinical and environmental testing to support the programs of the Health Department as well as hospitals, clinics, health care providers, private businesses, citizens, and local, state and federal authorities. The PH Lab also serves as the area’s Regional Laboratory for Monterey and San Benito counties. The laboratory performs testing to prevent and control communicable disease, rule out bioterrorism agents and identify contaminants in food and water, rabies virus in animals and rare and novel diseases, new strains of influenza and SARS-CoV-2 using lab tests that are not available in the private sector. The PH Lab also serves as the local infectious disease reference laboratory for local hospital laboratories. An Agreement with County of Santa Clara is necessary to provide confirmatory testing services for a small number of procedures that are not performed in the County of Monterey’s PH Lab. This Amendment extends the existing Agreement for an additional three years in order to sustain supportive services.
This work supports the County of Monterey Health Department 2025-2028 Strategic Plan Goals:
1) Build community power and partners’ capacity to increase equity and improve health; and
2) Provide exceptional person-centered care through accessible, community-focused health services. It also supports three of the ten essential public health services, specifically: 2) Investigate, diagnose, and address health problems and hazards affecting the population; and 8) Build and support a diverse and skilled public health workforce; and 9) Improve and innovate public health functions through ongoing evaluation, research, and continuous quality improvement.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel has reviewed and approved this Agreement as to legal form. Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions.
FINANCING:
This agreement is funded 58% with Health Realignment and 42% with Health Realignment. There are sufficient appropriations in the Health Department’s (001-4000-8124-HEA003) FY 2024-25 Adopted Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services, promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Patricia Velarde, Management Analyst II, 796-1377
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Amendment No. 1
Agreement, Board Order and Report