For many years, the County and VANCHCS have maintained a mutual sharing agreement, which has made available to the County specialized medical services not otherwise available due to lack of resources, equipment, and personnel. These services have included specialized laboratory testing, radiology services, nuclear medicine studies, computerized tomography (CT) scans, magnetic resonance imaging (MRI), dermatology, gastroenterology, urology, audiology and speech, and ophthalmology services. The County provides Emergency Room treatment and inpatient care, including certain ancillary services, for VANCHCS referred patients. VANCHCS has been providing nuclear medicine services to the County since August 1998.
On March 27, 2018, the Board of Supervisors approved Agreement #26-346-21 with VANCHCS to provide a full range of Nuclear Medicine Services to County's patients at the VANCHCS Outpatient Clinic in Martinez and CCRMC’s Nuclear Medicine Department, in an amount not to exceed $474,000 for the period April 1, 2018 through March 31, 2019.
On July 24, 2018, the Board of Supervisors approved Amendment Agreement #26-346-22 with VANCHCS to modify the Rate Schedule, with no change in the original contract payment limit of $474,000, and no change in the original term of April 1, 2018 through March 31, 2019.
On April 9, 2019, the Board of Supervisors approved Amendment Agreement #26-346-23 with VANCHCS to increase the payment limit by $515,737 to a new payment limit of $989,737, and to extend the term through March 31, 2020.
On January 7, 2020, the Board of Supervisors approved Amendment Agreement #26-346-24 with VANCHCS to increase the payment limit by $594,640 to a new payment limit of $1,584,377, with no change in the term of April 1, 2018 through March 31, 2020.
On March 31, 2020, the Board of Supervisors approved Amendment Agreement #26-346-25 with VANCHCS to increase the payment limit by $710,000 to a new payment limit of $2,294,377, and to extend term through March 31, 2021.
On April 27, 2021, the Board of Supervisors approved Amendment Agreement #26-346-26 with VANCHCS to extend the termination date from March 31, 2021 March 31, 2022 with no change in the payment limit of $2,294,377.
On March 8, 2022, the Board of Supervisors approved Amendment Agreement #26-346-27 with VANCHCS to increase the payment limit by $680,000 to a new payment limit not to exceed $2,974,377 and extend the termination date from March 31, 2022 to March 31, 2023.
Approval of Agreement #26-346-28 will allow contractor to continue to provide nuclear medicine services through March 31, 2028. This contract includes mutual indemnification language to hold harmless both parties for any claims arising out of the performance of this agreement.
If this agreement is not approved, VANCHCS will not be able to continue to provide nuclear medicine services to CCRMC patients.