REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 15, 2022
FROM
William L. Gilbert, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Master Agreement with CareFusion, LLC for Automated Dispensing Cabinets for the Fontana Family Health Clinic
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to Master Agreement No. 20-1071 with CareFusion Solutions, LLC, for automated dispensing cabinets for the Fontana Family Health Clinic, increasing the total amount by $22,560, from $3,201,230 to $3,223,790, plus applicable tax with no change to the original five-year period beginning on the first day of the month following the date of the County’s acceptance of the system.
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The additional cost of $22,560 plus applicable taxes are funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2021-22 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Approval of this amendment will provide for two automated dispensing cabinets (Pyxis) from CareFusion Solutions, LLC (CareFusion) for ARMC’s Fontana Family Health Clinic. ARMC uses Pyxis in multiple areas within the hospital, Emergency Department, and Behavioral Health Units, and other off-site Family Health Centers, dispensing more than 2 million doses per year. This amendment will provide the dispensing equipment that will facilitate the management of controlled drugs, and allows the nursing, pharmacy and anesthesia staff to access and stock medications in an efficient and timely manner.
On October 27, 2020 (Item No. 18), the Board of Supervisors (Board) approved a Master Agreement with CareFusion for the purchase of automated pharmaceutical dispensing equipment, disposables, software licenses, accessories, and other products, and related services, in the amount of $3,190,681.55, for the five-year period beginning on the first day of the month following the date of the County’s acceptance of the system.
On February 9, 2021 (Item No. 23), the Board ratified Amendment No. 1 to the Agreement with CareFusion that was initially signed by the County Chief Executive Officer on January 12, 2021, to increase the total contract amount by $4,548, from $3,190,681.55 to $3,195,229.55, for the emergency short-term lease for additional automated dispensing cabinets to use for treatment of novel coronavirus patients.
On July 13, 2021 (Item No. 10), the Board approved Amendment No. 2 with CareFusion for SecureLink software for remote server access, increasing the contract amount by $6,000, from $3,195,229.55 to $3,201,229.55 with no change to the original contract term that is the five-year period beginning on the first day of the month following the date of the County’s acceptance of the system.
ARMC recommends approval of this amendment for the purchase of the Pyxis cabinets to ensure the appropriate access to and stock of medications at the Fontana Family Health Center for the nursing and pharmacy staff to dispense patient medications in an efficient and timely manner.
PROCUREMENT
Purchasing approves this recommendation based on the competitive solicitation, Request for Proposal (RFP) No. ARMC120-ARMC-3606.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Bonnie Uphold, County Counsel, 387-5455) on January 21, 2022; Purchasing Department (Ariel Gill, Buyer, 777-0722) on January 31, 2022; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on February 18, 2022; and County Finance and Administration (Diana Atkeson, Deputy Executive Officer, 387-5423) on February 18, 2022.