Title
a. Authorize the Director of Health to sign Amendment No. 8 to Master System Agreement No. A-11307, with Oregon Community Health Information Network, Inc., to extend the term of Agreement to June 30, 2017;
b. Authorize additional funding for Agreement No. A-11307 in the amount of $529,000 for a revised amount not to exceed $6,664,557;
c. Authorize the Auditor-Controller’s Office to incorporate approved appropriation and estimated revenue modifications to the FY 2014-15 Budget, and the County Administrative Office to reflect these approved changes in the FY 2015-16 Adopted Budget; and
d. Authorize the Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Director of Health to sign Amendment No. 8 to Master System Agreement No. A-11307, with Oregon Community Health Information Network, Inc., to extend the term of Agreement to June 30, 2017;
b. Authorize additional funding for Agreement No. A-11307 in the amount of $529,000 for a revised amount not to exceed $6,664,557;
c. Authorize the Auditor-Controller’s Office to incorporate approved appropriation and estimated revenue modifications to the FY 2014-15 Budget, and the County Administrative Office to reflect these approved changes in the FY 2015-16 Adopted Budget; and
d. Authorize the Director of Health to sign up to three (3) future amendments to this Agreement where the amendments do not significantly change the scope of work.
SUMMARY/DISCUSSION:
Membership in the Oregon Community Health Information Network, Inc. (OCHIN) enables the Monterey County Health Department to utilize Epic’s Practice Management (PM) and Electronic Medical Record (EMR) systems. The Health Department’s Clinic Services Bureau (Clinic Services) implemented the PM system in November, 2007, which has resulted in a significant increase in patient charge capture and decrease in claim resubmissions. From June to August 2010, Clinic Services implemented the EMR system, which facilitated the progression towards a paperless system and meaningful use incentives through the American Recovery and Reinvestment Act (ARRA). Quality of documentation, consistency of care across clinics, ePrescribing, electronic lab orders and tracking of quality of care variables are a sample of contributions from the EMR System.
Through the years, OCHIN has provided valuable support to the Health Department during the course of PM and EMR System implementation and utilization, specifically in facilitating conversation and action between their community and public health clinic members and Epic.
Clinic Services is requesting an additional $529,000 to fund increased visit charges due to increases in capacity at the clinics. Effective July 1, 2015, Laurel Family Practice will be increasing its capacity by 33% at the new location of building 400 on the Natividad Medical Center Campus. In addition, the Laurel Pediatrics Clinic and the Seaside Family Health Center plans to expand its capacity by 100% by FY 2017.
While this work is not directly in support of a Health Department strategic initiative, it is in support of one or more of the ten essential public health services, specifically: Monitor health status to identify and solve community health problems.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and concurs with this recommendation.
FINANCING:
To date, there is approximately $1.2 million remaining on the Agreement, which will be carried over to following fiscal years. Since the OCHIN contract is on a Per-Visit Fee payment schedule, additional funding in the amount of $529,000 is anticipated due to increases in patient visits and a per visit charge rate increase of 2.5%. Funding for this Amendment is included in the Health Department’s Clinic Services Bureau FY 2015-16 Recommended Budget. There is no increase in General Fund contributions created by the approval of this Agreement as it is funded by a combination of Medi-Cal and Medicare revenues.
Prepared by: Sheena Morales, Management Analyst, 1393
Approved by: Ray Bullick, Director of Health, 4526
Attachment:
Amendment No. 8 is on file with the Clerk of the Board
Amendment No. 7 is on file with the Clerk of the Board
Amendment No. 6 is on file with the Clerk of the Board
Amendment No. 5 is on file with the Clerk of the Board
Amendment No. 4 is on file with the Clerk of the Board
Amendment No. 3 is on file with the Clerk of the Board
Amendment No. 2 is on file with the Clerk of the Board
Amendment No. 1 is on file with the Clerk of the Board
Agreement is on file with the Clerk of the Board