DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Approve Third Amendment to Agreement with Pinnacle Training System, LLC
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Third Amendment to Agreement with Pinnacle Training System, LLC, to extend the term of the existing Agreement for the provision of COVID-19 and Flu vaccination services by six months from July 1, 2022 to December 31, 2022 with no change to the compensation maximum of $1,459,500.
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action will execute a third amendment with Pinnacle Training System, LLC (PTS) to continue providing on-call COVID-19 and Flu vaccine administration services. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board choose to not approve the recommended action, PTS will no longer be able to serve as one of Fresno County’s on-call COVID-19 and Flu vaccine administration vendors effective on July 1, 2022, reducing the capacity to support vaccine administration services and events within Fresno County.
FISCAL IMPACT:
There is no Net County Cost associated with this recommended action. This agreement was funded by the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act funding through June 30, 2021. The remaining term is and will be funded by the Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Enhancing Detection Expansion funds and the Immunization Cooperative Agreement funding. The compensation rates for billing will remain the same. Sufficient appropriations were included in the Department’s Organization 5620 FY 2021-22 Adopted Budget and is included in the Department’s Organization 5620 FY 2022-23 Recommended Budget.
DISCUSSION:
On March 9, 2021, your Board made a finding that it was in the best interest of the County to suspend the competitive bidding process in an emergency when goods or services are immediately necessary for the preservation of public health, welfare, safety, or the protection of County property, consistent with Administrative Policy No. 34, for urgent and necessary COVID-19 vaccination services for Fresno County employees. At that time, your Board executed a retroactive agreement (No. A-21-067) with PTS for COVID-19 vaccination services to County of Fresno employees. On July 13, 2021, your Board approved the First Amendment to the Agreement with PTS to expand vaccination portability to the entire community (general public) by allowing PTS to provide services to clinics held through community medical clinic/vaccination events or through employers. On November 2, 2021, your Board approved the Second Amendment to the Agreement to add the provision of flu vaccination services, extended the length of the agreement, and increased the total compensation to accommodate the provision of new and existing services through June 30, 2022.
PTS, the Regents of the University of California, San Francisco (UCSF), and United Health Center of the San Joaquin Valley (UHC) are the only contractors that remain under contract with Fresno County to provide on-call vaccine administration services. As COVID-19 cases continues to be present in our community, vaccine administration teams are still needed and should be readily available to provide vaccine services to Fresno County residents should the need arise. PTS remains designated as an approved vendor of COVID-19 vaccination services by DPH and still possess the mobilization capability enabling them to be highly effective and utilized. Since March 9, 2021, PTS has participated in over 134 clinics organized by the Department of Public Health (DPH) and administered over 5,802 doses of COVID-19 vaccines to the community, with 115 COVID-19 vaccines administered to children ages 5 years old to 11 years old beginning January 2022.
Approval of the recommended action will allow PTS to continue to serve as one of Fresno County’s contractors to provide vaccine administration services through December 31, 2022, with no increase in additional funding. The County and PTS will continue to work together to assure the maximization of resources and meeting expected goals.
REFERENCE MATERIAL:
BAI #31 March 9, 2021
BAI #41 July 13, 2021
BAI #37 November 2, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Third Amendment to Agreement with Pinnacle Training System, LLC
CAO ANALYST:
Ron Alexander