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AI- 44654

Health Care Foundation

Meeting Date:	04/02/2018
Amended Contract with Oxford Immunotec for Tuberculosis Lab Testing Called T-spot to Reduce Pricing from $45.00 to $36.00 per Test
Submitted For:	Candy Blair	Submitted By:	Sophia Vilca
Department:	Health Care
Request Type:	CONSENT

Information

Department Action

Attached for approval is a lab charge amendment to the customer agreement with Oxford Immunotec to provide lab services for tuberculosis (TB) prevention and control.

TB is a communicable disease caused by Mycobacterium tuberculosis. TB is spread from person to person through the air. When a person with pulmonary or laryngeal TB coughs, sneezes, speaks, or sings, droplet nuclei containing M. tuberculosis are expelled into the air. Depending on the environment, these tiny particles (1-5microns in diameter) can remain suspended in the air for several hours. If another person inhales air containing droplet nuclei, transmission may occur.

The best way to stop transmission is to isolate patients with infectious TB immediately and start effective TB therapy. Infectiousness declines rapidly after adequate therapy is started, as long as the patient adheres to the prescribed regimen.

The overall goals for treatment of tuberculosis are (1) to cure the individual patient, and (2) to minimize the transmission of TB to other persons. Thus, successful treatment of tuberculosis has benefits both for the individual patient and the community in which the patient resides.

In following with state mandates, Collin County Health Care Services (CCHCS) provides testing for Tuberculosis (TB) for our community and our high risk employees.

T-Spot rules out people who have a positive skin test due to Bacillus Calmette-Guerin vaccine (BCG) and non MTB variants; eliminating the need for an additional chest x-rays and the potential treatment of 6-9 months by the county health department.

I respectfully request the approval to amend the Oxford Immunotec Agreement (T-Spot) for providing tuberculosis testing services for CCHCS. Please note the price has been reduced from $45.00 per test to $36.00 per test to match the State of Texas negotiated pricing. This specialized lab has been a budgeted line item for health care services since 2010.

Purchasing Department Action

Request Collin County Health Care Foundation approval of Amendment No. 1 to agreement with Oxford Immunotec, Inc. (Contract 2017-277) to reduce the cost from $45 to $36 per test for Tuberculosis Lab Testing called "T-Spot" (Collin County Health Care Foundation Sole Source per 2010-2139-10-11) and authorize Collin County Health Care Foundation President to execute same. sh

HR and/or IT Action

Budget Department Action

Amendment No. 1 to the agreement with Oxford Immunotec, Inc. (Contract No. 2017-277). Amendment to reduce the cost for the Tuberculosis Lab Testing (T-Spot) from $45 to $36 per test. All other terms and conditions set forth in the original agreement to remain unchanged. (040) Healthcare Foundation and (505) Employee Insurance Fund.

Auditor's Office Action

Funds available in the Healthcare Foundation and Employee Insurance Funds.

Commissioners Court

Amendment No. 1 to the agreement with Oxford Immunotec, Inc. (Contract No. 2017-277) to reduce the cost for the Tuberculosis Lab Testing (T-Spot) from $45 to $36 per test, Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

$50,000

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:	040-6001-720.64-23
2:	505-6020-882.64-23

Fund Transfers

Remarks:

FY 2018 budgeted funds:
040-6001-720.64-23: $70,000 included in Base Budget
505-6020-882.64-23: $35,000 included in Base Budget

Base budgets remain the same, the only difference in the amendment is in pricing per lab test of $ -9.00.

Remarks:

Attachments
Court Order
Memo
Amendment
Chapter 2270
Chapter 2252
Original Court Order
Original Agreement