Agenda

Return

C.12

To:	Board of Supervisors
From:	Lewis T. Broschard III, Chief, Contra Costa Fire Protection District
Date:	April 24, 2023

Contra

Costa

County

Subject:

Contract for Pre-Employment Medical Exams

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/24/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

Jackie Lorrekovich, Chief of Admin Services, 925-941-3300

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: April 24, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

Acting as the governing board of the Contra Costa County Fire Protection District, APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract with the Permanente Medical Group, Inc., in an amount not to exceed $200,000, for pre-employment medical exams for the period May 1, 2023, through April 30, 2026. (100% CCCFPD General Operating Fund)

FISCAL IMPACT:

100% CCCFPD General Operating Fund

BACKGROUND:

The Contra Costa County Fire Protection District (District) requires a medical provider with an expertise in pre-employment medical exams and the appropriate state licenses. The District’s current vendor ceased providing services at the end of calendar year 2022. The District is seeking a new provider to provide pre-employment medical examinations for positions that follow Peace Officers Standards and Training (P.O.S.T.) and National Fire Prevention Association (NFPA) 1582 guidelines. These positions include but are not limited to: Firefighters, Fire Inspectors, Fire Investigators, Fire Dispatchers, Reserve Firefighters, and Fire Control Workers.

BACKGROUND: (CONT'D)

The services provided include, but may not be limited to:
1. Post-offer/pre-employment medical examinations
2. Department of Motor Vehicles (DMV)/Department of Transportation medical examinations
3. Respirator medical evaluations and respirator fit testing
4. Fitness for duty

Permanente Medical Group, Inc., is one of California’s largest providers of occupational health and safety services, with 29 clinics throughout Northern California. Their clients include employers in a wide variety of industries, including private businesses and public sector organizations such as municipalities and departments of the state and federal government. All of their occupational health and safety services meet or exceed all applicable state and federal regulations. Contractor is uniquely positioned as a totally integrated healthcare system. Using electronic health records, and with proper Health Insurance Portability and Accountability Act (HIPAA) releases, Contractor can access the relevant medical information for a majority of the District’s employees, allowing physicians to potentially identify conditions that could negatively impact the employees’/applicants’ ability to safely perform their jobs. Proper and early identification leads to lower health care costs for the District and potentially minimizes Workers’ Compensation risks and costs, while leading to improved health and productivity of the workforce.

The contract contains modifications to the standard indemnification language which now excludes: (1) liabilities due to the sole negligence or willful misconduct of the County, its officers, agents, employees or volunteers; and (2) any liability arising as a result of an employment-related dispute (including but not limited to a lawsuit by an employee against the County for employment discrimination based on results of Contractor’s services; a lawsuit by an employee against the County alleging breach of an employment statute or regulation; etc.).

CONSEQUENCE OF NEGATIVE ACTION:

The District will not have a contract in place to perform pre-employment medical examinations.