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HomeMy WebLinkAboutMINUTES - 12132011 - C.71RECOMMENDATION(S): Approve and authorize the Purchasing Agent, on behalf of the Health Services Department, to issue a purchase order with Philips Healthcare, Inc., in the amount of $183,300 (including tax) for the purchase of two Philips Medical iE33 Echocardiograph machines. FISCAL IMPACT: 100% Enterprise I Fund. BACKGROUND: Our existing Philips Echocardiograph machines are seriously outdated, each being over 10 years old. These devices are 3rd and 4th generation machines. At CCRMC, we have an extremely challenging population to image, given marked obesity, a lot of COPD, ICU patients that cannot turn and are ventilated, and inability of patients to lie flat or maneuver due to coexisting illnesses. Poor image quality leads to missed diagnoses and to excess time spent by the Echocardiograph technicians trying to capture better quality images with the old machinery, often to no avail. Echocardiologists are at times not able to provide a confident read of even something as basic as ejection APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 12/13/2011 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Gayle B. Uilkema, District II Supervisor Mary N. Piepho, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor Contact: Anna Roth, 370-5101 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: December 13, 2011 David Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Tasha Scott, Demetria Gary, Margaret Harris C. 71 To:Board of Supervisors From:William Walker, M.D., Health Services Director Date:December 13, 2011 Contra Costa County Subject:Replacement of 2 Echocardiograph Machines in the Cardiopulmonary Department BACKGROUND: (CONT'D) fraction, when asked to do so. We have to use contrast on obese and other patient's studies to enhance image quality, and this is over $100 per patient. We would not have to do this with the better image quality of newer (second generation) machines. Purchasing this equipment direct from Philips will enable us to utilize our Med Asset group purchasing organization discount pricing. CONSEQUENCE OF NEGATIVE ACTION: If this purchase is not approved, the danger of misdiagnosis with regard to Echocardiograph readings will be increased and the time clinicians spend reading and deciphering images will also be increased, ultimately, leading to increased costs for the hospital. CHILDREN'S IMPACT STATEMENT: Not applicable.