Title
Approve additional funding for Agreement No. A-11307, with Oregon Community Health Information Network, Inc., in the amount of $71,379 for FY 2012-13, $102,686 for FY 2013-14 and $169,434 for FY 2014-15 for a revised total amount $5,925,257.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve additional funding for Agreement No. A-11307, with Oregon Community Health Information Network, Inc., in the amount of $71,379 for FY 2012-13, $102,686 for FY 2013-14 and $169,434 for FY 2014-15 for a revised total amount $5,925,257.
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 allowed Clinic Services to frequently achieve a 99 percent error free claims submission rate. Significant increases in quality of documentation, consistency of care across all clinics and tracking of quality of care variables have been noted because of the implementation of the EMR System. For example, since implementation, Clinic Services has received over $2 million dollars from a previous $200,000 in quality assurance based incentives because of data captured. Clinic Services then implemented the EMR System from June to August 2010, facilitating Clinic Services' progression towards a paperless system and meaningful use incentives through the American Recovery and Reinvestment Act (ARRA).
On November 1, 2011, the Board approved to extend the term of the Agreement No. A-11307 to June 30, 2015 and approved additional funding for the Agreement in the amount of $601,424 for FY 2011-12, $661,521 for FY 2012-13, $686,521 for FY 2013-14 and $711,521 for FY 2014-15 for a total contract amount not to exceed $5,581,758.
Since the OCHIN contract is based on the number of patients who visit each clinic, and it is anticipated that approximately 20,000 new patients will visit the clinics in the next two fiscal years, Clinic Services is requesting an additional $343,499 [for FY 2012-13, FY 2013-14 and FY 2014-15] to fund increased visit charges due to projected growth in Clinic Services visits plus a reoccurring cost of public health case and disease management.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel, Budget and Analysis Division and Contracts/Purchasing have reviewed and concur with this recommendation. The Agreement and Amendments No. 1, No. 2, No. 3 and No. 4 are on file with the Clerk of the Board.
FINANCING:
There are sufficient appropriations and revenues available in FY 2012-13 Health Department, Clinic Services Bureau's Appropriation Unit HEA007 to cover the requested funding. The Clinic Services Bureau operates at a zero net county cost. Agreement is funded by a combination of Medi-Cal and Medicare revenues. Approval of this item will not affect the Health Department's General Fund Contribution in current and future fiscal years.
Prepared by: Sheena Morales, Management Analyst III, 769-1393
Approved by: Ray Bullick, Director of Health, 4526