REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 24, 2022
FROM
SHANNON D. DICUS, Sheriff/Coroner/Public Administrator
SUBJECT
Title
Revenue Contract with OneLegacy for Tissue and Organ Procurement Services
End
RECOMMENDATION(S)
Recommendation
Terminate Revenue Contract No. 17-94 and approve new Revenue Contract with OneLegacy to perform tissue and organ procurement services, with the Sheriff/Coroner/Public Administrator receiving annual compensation of not less than $60,000 effective June 1, 2022 through May 31, 2027.
(Presenter: John Ades, Deputy Chief, 387-3760)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
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 additional Discretionary General Funding (Net County Cost). This contract will result in revenue of at least $60,000 per year for the Sheriff/Coroner/Public Administrator (Department) and will reimburse all costs associated with OneLegacy’s use of the Coroner’s facility for tissue and organ procurement services, including any overtime, call-back and on-call costs incurred by Department staff (including any administrative overhead) for the provision of services by OneLegacy. The $60,000 amount is based on actual revenue received by the Department in 2020-21 and so far in 2021-22.
BACKGROUND INFORMATION
Organ and tissue procurement agencies have been established to promote and facilitate donation of organs and tissues in a manner beneficial to donor’s families, donor recipients, healthcare providers and the public. The Coroner’s Office has had an association with multiple organ and tissue procurement agencies for the past 38 years.
In 1984, the United States Congress passed the National Organ Transplant Act (NOTA), allowing the Department of Health and Human Services to establish the Organ Procurement and Transplantation Network (OPTN), which is a public-private partnership that links all professionals involved in the Country’s organ donation and transplantation system. The OPTN is designed to make available more life-saving organs for transplant. The OPTN has identified four Organ Procurement Organizations (OPOs) in the State of California, each with its own designated Donation Service Area (DSA). OneLegacy’s DSA includes the following counties: Kern, Los Angeles, Orange, Riverside, San Bernardino, Santa Barbara and Ventura. OneLegacy is the only designated OPO for San Bernardino County, with headquarters in Los Angeles and a local office in Redlands.
The Board of Supervisors (Board) has approved contracts with OneLegacy since 2012, with the latest being on February 14, 2017 (Item No. 70, Agreement No. 17-94) that allowed organ and tissue procurement from April 1, 2017 through March 31, 2022. Subsequently, on March 29, 2022 (Item No. 52), the Board approved a three-month extension to the contract through June 30, 2022, to allow for completion of negotiations for a new contract.
The recommended new contract allows for the continuation of tissue and organ recovery from decedents within the County’s jurisdiction upon consent of the next of kin for the purpose of transplantation to donor recipients. The recommended five-year contract provides for on- and off-site tissue and organ procurement services by OneLegacy and includes a provision to terminate the agreement upon 60-days advance written notice by either party.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Richard D. Luczak, Deputy County Counsel, 387-5455) on May 2, 2022; Finance (Tom Forster, Administrative Analyst, 387-5285) on May 3, 2022; and County Finance and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on May 4, 2022.