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File #: 22-143    Version: 1 Name:
Type: Resolution Status: Passed
File created: 1/19/2022 Departments: HEALTH
On agenda: 2/22/2022 Final action: 2/22/2022
Title: Adopt a resolution authorizing an agreement with Total Renal Care, Inc. to provide acute care dialysis, continuous ambulatory peritoneal dialysis, and clinical apheresis services for the term of March 1, 2022 through February 28, 2025, in an amount not to exceed $3,000,000.
Attachments: 1. 20220222_att_Total Renal Care, Inc., 2. 20220222_r_Total Renal Care, Inc., 3. 20220222_a_Total Renal Care, Inc.
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with Total Renal Care, Inc. to Provide Acute Care Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Clinical Apheresis Services

RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Total Renal Care, Inc. to provide acute care dialysis, continuous ambulatory peritoneal dialysis, and clinical apheresis services for the term of March 1, 2022 through February 28, 2025, in an amount not to exceed $3,000,000.

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BACKGROUND:
San Mateo County is responsible for providing medical care to its medically indigent adult population, including acute inpatient dialysis treatment at San Mateo Medical Center (SMMC). Due to the costs associated with necessary equipment and the need for specialized staffing, it is more economical to contract for this service with a third-party vendor than to perform the services at SMMC. A Request for Proposals was completed for these services in August of 2021.

DISCUSSION:
Total Renal Care, Inc., formerly known as Davita, Inc., has been providing SMMC with high quality dialysis care since 1999 and was elevated again due to their price, quality, and ability to provide a local team to cater positive patient experience through their services.

County Counsel has reviewed and approved the resolution and agreement as to form.

The resolution contains the County's standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).

It is anticipated that fulfillment of physician orders by the contractor will be 95% of greater.




PERFORMANCE MEASURE:
Measure
FY 2021-22 Actual
FY 2022-23 Projected
Fulfillment of physician orders by contractor
95%
= 95%

FISCAL IMPACT:
The term of the agreement is March 1, 2022 th...

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