HomeMy WebLinkAboutMINUTES - 01082013 - C.122RECOMMENDATION(S):
Approve and authorize the Purchasing Agent, on behalf of the Health Services Department, to execute a change order
to purchase order #F26646 with Polymedco to add $150,000 to a new total of $544,358, for the period from
December 1, 2009 through November 30, 2013, for reagents and supplies to perform immunochemical fecal occult
blood testing.
FISCAL IMPACT:
The total cost of $544,358 is funded by Enterprise Fund I.
BACKGROUND:
Polymedco’s OC-Auto Micro 80 Analyzer with FOBT-CHECKOC Reagents is an automated immunochemical fecal
occult blood testing system that detects human red cells only with no interferences from red meat, turnips, melons,
aspirin, anti-inflammatory drugs and Vitamin C. This improvement directs many more of the “right” patients to
colonoscopy leading to the earlier detection of polyps and colorectal cancer. Other advantages include: 1) The
collection kit is simpler to use than the guaic card. 2) This methodology requires only one sample compared to 3
samples of guaic, resulting in a higher patient compliance rate. 3) There are no dietary restrictions
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 01/08/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, 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: January 8, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: J Pigg, Margaret Harris, D Gary
C.122
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:January 8, 2013
Contra
Costa
County
Subject:CHANGE ORDER TO PURCHASE ORDER WITH POLYMEDCO
BACKGROUND: (CONT'D)
as this is specific for human hemoglobin.
The U.S. Preventive Services Task Force recommends that adults age 50 to 75 be screened for colorectal cancer using
annual high-sensitivity fecal occult blood testing, sigmoidoscopy every 5 years with fecal occult testing between
sigmoidoscopic exams, or colonoscopy every 10 years. Recently, the American Cancer Society and Multisociety
Task Force on Colorectal Cancer also endorsed Fecal Occult Blood Testing by immunohistochemical methods for
colon cancer screening. The CCRMC gastrointestinal specialists, internal medicine physicians as well as utilization
review and PCPC Committees Strongly endorse this test. Fecal Occult Blood testing has become the community
standard as both Kaiser and John Muir systems have converted to Polymedco’s OC-Auto Micro 80 testing.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, The CCRMC Clinical Laboratory will not be able to perform patient testing for
colorectal cancer.
CHILDREN'S IMPACT STATEMENT:
No impact.