DATE: November 28, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Lab Services Agreement with the County of Madera
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with the County of Madera for Public Health Laboratory Testing Services, effective upon execution through October 10, 2028, total not to exceed $250,000.
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended agreement will facilitate the exchange of services between Fresno County and Madera County Laboratories. This collaborative approach to lab services can result in a more extensive array of accessible tests and services. Partnering enables both jurisdictions to access a wider variety of tests without necessitating the enlargement of their respective facilities. In times of crises, like disease outbreaks or natural calamities, a unified lab service can significantly enhance the response capabilities of both counties by integrating resources and proficiencies. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the Department will need to explore an alternative option to support the Fresno County Laboratory (Lab). It will also delay critical lab results to residents and delay notification of possible outbreaks.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The maximum compensation ($250,000) will be offset with Health Realignment funds and appropriate State grants. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2023-24 Adopted Budget and will be included in subsequent budget requests.
DISCUSSION:
Following a flood incident in October of 2018 that affected the Lab, the Department adopted a strategy of utilizing neighboring county public heal...
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