Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with SAYAS Alliance Inc, dba Courtemanche & Associates for mock survey for compliance with The Joint Commission (TJC) Hospital accreditation standards at NMC for an amount not to exceed $35,000 with an agreement term May 1, 2025 through April 30, 2027.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with SAYAS Alliance Inc, dba Courtemanche & Associates for mock survey for compliance with The Joint Commission (TJC) Hospital accreditation standards at NMC for an amount not to exceed $35,000 with an agreement term May 1, 2025 through April 30, 2027.
SUMMARY/DISCUSSION:
Courtemanche & Associates will provide comprehensive support to our hospital during a mock TJC (The Joint Commission) survey. Their services will include a detailed review of hospital policies and procedures, a thorough evaluation of compliance with TJC standards, and an in-depth mock survey to simulate the actual TJC accreditation process. They will conduct walkthroughs of hospital departments, provide staff training and education on TJC requirements, and offer guidance on areas for improvement. Additionally, Courtemanche & Associates will assist in the preparation of documentation and ensure that the hospital is fully prepared to meet the standards required for a successful accreditation outcome.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this agreement as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The agreement has also been reviewed and approved by NMC’s Board of Trustees Executive Committee on April 11, 2025.
FINANCING:
The cost for this agreement is $35,000 which is included in the FY 2025-26 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate. Funding will be provided from NMC’s Enterprise Fund 451-9600-6383.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Courtemanche & Associates' mock survey process will provide valuable insights and preparation to help Natividad Medical Center achieve its goal of TJC reaccreditation. This reaccreditation is a critical regulatory requirement, and the mock survey will ensure the hospital is fully prepared for the official TJC survey.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Tammy Perez, Director of Quality, 783-2512
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachments:
SAYAS Alliance Inc, dba Courtemanche & Associates Agreement
Attachments on file with the Clerk of the Board