Title
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Renewed, Amended and Consolidated Agreement with Truven Health Analytics Inc. for Meaningful Use Quality Manager (A-12282) and Care Discovery Transform Tool (A-12063) Services at NMC, for the period October 8, 2013 through June 30, 2016 and adding $313,845 (over three years) for a revised total Agreement amount not to exceed $902,155 in the aggregate.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Renewed, Amended and Consolidated Agreement with Truven Health Analytics Inc. for Meaningful Use Quality Manager (A-12282) and Care Discovery Transform Tool (A-12063) Services at NMC, for the period October 8, 2013 through June 30, 2016 and adding $313,845 (over three years) for a revised total Agreement amount not to exceed $902,155 in the aggregate.
SUMMARY/DISCUSSION:
Truven Health Analytics Inc. offers a number of products under their Care Discovery Solutions platform: 1) Care Discovery Clinical Suite, 2) Care Discovery Quality Measures, and 3) Meaningful Use Quality Manager.
The Care Discovery Clinical Suite is a database and reporting system that provides Natividad Medical Center with a dashboard of critical benchmarks and objective, fact-based information needed to make quick, confident decisions in support of the hospital's quality improvement initiatives. The database and reporting system allows Natividad Medical Center to: evaluate our performance as compared to peer hospitals; and evaluate our outcomes including the Agency for Healthcare Research and Quality (AHRQ) national indicators, complications, and risk-adjusted mortality and resource metrics. It provides NMC with the capability to drill into transaction-level details to identify specific opportunities for improving the process of care. The database and reporting system allows NMC to compare patient-care patterns among physicians and compare expected results to observed results. The database is used to run many required reports for Joint Commission accreditation. NMC has been using the database for over two years.
The Care Discovery Quality Measures database and reporting system provides NMC with the tools to comply with the Joint Commission and Centers for Medicare and Medicaid Services (CMS) requirement for quarterly reporting of clinical quality measures also known as Core Measures. NMC has been using this product for over five years.
The Meaningful Use Quality Manager product is assisting NMC pursue meaningful use objectives linked to incentive payments for developing a complete Electronic Health Record (EHR) provided by CMS. One of the objectives for meaningful use is the reporting of clinical quality measures. As per the current regulations, providers are responsible for submitting the clinical quality measure results to CMS through attestation using the CMS web site. The Meaningful Use Quality Manager product generates reports that provide the information needed for reporting the clinical quality measures to CMS. NMC has been using this product for one year.
The Renewed, Amended and Consolidated Agreement fully consolidates amends, supersedes and replaces the Original Professional Services Agreements as of the Effective Date. Increases to both of the existing agreements reflect an extension of the current term dates for an additional three years. This Renewed, Amended and Consolidated Agreement will achieve the same term end date for both existing contracts.
From a practical standpoint, having multiple contracts with the same vendor caused accounting errors as invoices for services were paid from incorrect purchase orders assigned to each contract. In order to resolve this issue, the two contracts have been merged. Payment for services will be made from one purchase order with separate line items for each service.
Business Automobile Insurance Exemption
Business Automobile Liability Insurance requirements are waived for this vendor under this Agreement. There is no risk or exposure regarding vehicles.
Contractor does not travel onto County property with vehicles.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Renewed, Amended and Consolidated Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Renewed, Amended and Consolidated Agreement as to fiscal provisions. The Renewed, Amended and Consolidated Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The cost for this Renewed, Amended and Consolidated Agreement is $313,845 over three years. $101,138 is included in the Fiscal Year 2013/2014 Adopted Budget. Amounts for remaining years of the Agreement will be included in those budgets as appropriate. There is no impact to the General Fund.
Prepared by: Jane Finney, Quality/Compliance Administrator, 783-6297
Approved by: Harry Weis, Chief Executive Officer, 783-2553
Attachments: Renewed, Amended and Consolidated Agreement, Truven Cost Sheet, Combined Spend Sheet
Attachments are on file with the Clerk to the Boards Office.