Title
Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute Amendment No. 1 to the McKesson Master Agreement MA 135605204 with McKesson Technologies Inc. for Cardio Picture Archiving & Communication System (CPACS) services, adding InterQual software services in the amount of $169,296 for the period May 20, 2014 to June 30, 2019 and increasing the total maximum liability under the Agreement from $954,669 to $1,123,965. (ADDED VIA ADDENDUM)
Report
RECOMMENDATION:
It is recommended the Board of Supervisors authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute Amendment No. 1 to the McKesson Master Agreement MA 135605204 with McKesson Technologies Inc. for Cardio Picture Archiving & Communication System (CPACS) services, adding InterQual software services in the amount of $169,296 for the period May 20, 2014 to June 30, 2019 and increasing the total maximum liability under the Agreement from $954,669 to $1,123,965.
SUMMARY/DISCUSSSION:
Amendment No. 1 to the McKesson Master Agreement MA135605204 for CPACS includes CareEnhance Review Manager Enterprise ("Review Manager") and InterQual Learning Source training services. These services will provide a web-based, stand-alone product for use by the Case Management department as a decision support tool for determination of admission status, level of care, and medical necessity reviews as required by the Federal Government Conditions of Participation for Hospitals. The web-based tool contains content and algorithms based on medical standards of care and backed by evidence-based practices. NMC's current practice has been to apply individual collaborative consideration among physicians and case managers and determine levels of care and/or medical necessity for admission on either inpatient or outpatient with observation services. The subjective nature of the decisions could potentially have a negative impact on the quality of care, assignment of appropriate level...
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