Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute Renewal and amendment No. 1 to the agreement (A-13152) with Stericycle, Inc. for Hazardous Waste Disposal Services, extending the agreement an additional two (2) year period (retroactive to July 1, 2019 through June 30, 2021) for a revised full agreement term of July 1, 2016 through June 30, 2021 and adding $450,000 for a revised total agreement amount not to exceed $1,080,000.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute Renewal and amendment No. 1 to the agreement (A-13152) with Stericycle, Inc. for Hazardous Waste Disposal Services, extending the agreement an additional two (2) year period (retroactive to July 1, 2019 through June 30, 2021) for a revised full agreement term of July 1, 2016 through June 30, 2021 and adding $450,000 for a revised total agreement amount not to exceed $1,080,000.
SUMMARY/DISCUSSION:
NMC used Stericycle for Regulated Medical Waste Services prior to this Agreement and has a proven track record of being reliable and capable of meeting NMC’s Medical Waste Removal needs. As medical procedures are performed throughout the facility, waste is generated and separated into several types of waste streams. The types of waste streams generated under this banner are: red bag (blood or blood product), sharps waste (scalpel blades, broken glass vails, needles, syringes,), pathological waste, trace chemotherapy, bulk chemotherapy, pharmaceutical waste, and RCRA (Resource Conservation and Recovery Act) hazardous medical waste. On average, NMC generates 18,000 pounds of the waste mentioned above, per month.
Medical waste removal services are required by various regulating agencies. NMC’s Waste Compliance seeks to achieve and maintain Environmental Protection Agency (EPA), Department of Transportation (DOT) and Joint Commission (TJC) compliance, while reducing risks associated with handling compounds. State regulations require medical waste removal to be done only by a licensed hauler. This Agreement allows NMC to maintain compliance with all regulating agencies.
This Agreement’s services include:
• Bio Hazardous Waste: transportation and processing according to waste stream. Either sterilize and dispose or incinerate waste
• Pathological Waste
• Sharps Management Program
• Resource Conservation and Recovery Act (RCRA) Hazardous Pharmaceutical Waste
• Universal (Pharmaceutical) Waste
This Amendment would have been completed in June before the expiration, however, Stericycle submitted very late rate changes and term requirements causing a delay in completing the amendment.
OTHER AGENCY INVOLVEMENT:
County Counsel reviewed and approved this Renewal and amendment No. 1 as to legal, and the Auditor-Controller has reviewed and approved as to payment provisions. This amendment No. 1 has also been reviewed and approved by NMC’s Finance Committee on August 22, 2019 and by its Board of Trustees on September 6, 2019.
FINANCING:
The cost for this Renewal and amendment No. 1 is $450,000 of which $225,000 is included in the Fiscal Year 2019-20 Adopted Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs to provide reliable and quality patient care, thereby improving the health and quality of life for patients and their families.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Andrea Rosenberg, Assistant Administrator, 783-2562
Approved by: Gary R. Gray, DO, Chief Executive Officer, 783-2504
Attachments on file with Clerk of the Board:
Stericycle, Inc. Renewal and Amendment No. 1
Stericycle, Inc. Agreement