Title
Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of a Hospital Participation Agreement with American College of Surgeons (A-16042) for participation in the National Surgical Quality Improvement Program, for an amount not to exceed $70,000 with an agreement term October 1, 2022 through September 30, 2027.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of a Hospital Participation Agreement with American College of Surgeons (A-16042) for participation in the National Surgical Quality Improvement Program, for an amount not to exceed $70,000 with an agreement term October 1, 2022 through September 30, 2027.
SUMMARY/DISCUSSION:
The American College of Surgeons National Surgical Quality Improvement Program is a database and reporting system providing NMC with fact-based information needed to make quick, confident decisions supporting the hospital’s quality improvement initiatives. The database and reporting system allow NMC to evaluate performance compared to peer hospitals; and evaluate outcomes, complications, and risk-adjusted mortality. In addition, the database and reporting system enables NMC to compare patient-care patterns among physicians and compare expected and observed results. Participation in the American College of Surgeons National Surgical Quality Improvement Program satisfies the Centers for Medicare and Medicaid Services surgical quality measure requirement (NQF #0493), “Participation in a Systematic Clinical Database Registry for General Surgery.”
On September 27, 2022, the Board of Supervisors approved execution by the NMC CEO or his designee of the agreement for the participation in the National Surgical Quality Improvement Program for a total agreement amount of $14,000 and a term of October 1, 2022, through September 30, 2023. The Board Report submitted did not accurately reflect the agreement however in that it requested a one-year term for $14,000 only. The original agreement draft was written for one year with an auto-renew clause. It was later renegotiated to a set five-year term thereby requiring a higher total amount, but the Board Report submitted for the September 27 Board of Supervisors meeting was never updated. This request corrects the errors from that original Board Report and accurately reflects the agreement. The intended term of both parties for the agreement is five years for a total agreement amount of $70,000.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this request, and the Auditor-Controller has reviewed and approved. This request has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on June 9, 2023.
FINANCING:
The revised cost for this agreement is $70,000 of which $14,000 was included in the FY 2022-23 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
American College of Surgeons National Surgical Quality Improvement Program is the leading nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care in the private and public sector. American College of Surgeons National Surgical Quality Improvement Program provides participating hospitals with tools, analyses, and reports to make informed decisions about improving quality of care. Further, peer-reviewed studies have shown that American College of Surgeons National Surgical Quality Improvement Program is effective in improving the quality of surgical care while also reducing complications and costs.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Wally Sayles, Director of Surgical Services, 772-7771
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachments:
American College of Surgeons Hospital Participation Agreement for NSQIP
Attachments on file with the Clerk of the Board