Title
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute Amendment No. 2 to the agreement with Himagine Solutions, Inc. for remote retrospective abstraction, data collection and entry of trauma patients into NMC's Trauma One Database, adding $250,000 for a revised total agreement amount not to exceed $449,999 with an agreement term of July 1, 2016 through June 30, 2018.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement with Himagine Solutions, Inc. for remote retrospective abstraction, data collection and entry of trauma patients into NMC's Trauma One Database, adding $250,000 for a revised total agreement amount not to exceed $449,999 with an agreement term of July 1, 2016 through June 30, 2018.
SUMMARY/DISCUSSION:
Improvement in trauma care depends on the establishment of functioning trauma care systems, of which a trauma registry is a crucial component. According to the American College of Surgeons (ACS), trauma registries should be concurrent at a minimum, where 80% of cases must be entered within 60 days of discharge as per Centers for Medicare & Medicaid Services Qualified Health Plan (QHP) Application Chapter 16 (CD 16-6). ACS recommends that one full-time dedicated trauma registrar captures the National Trauma Data Standard (NTDS) data set for 500-750 admitted patients annually (CD 15-9).
Natividad Medical Center has surpassed the volume recommendation and requires assistance due to the high volume of patients treated at the trauma center. A total of 1375 trauma patients were seen in 2015 and the volume increased to 1522 patients seen in 2016. Himagine Solutions, Inc. provides experienced, certified registrars to perform retrospective abstracting, data collection and entry of trauma patients into NMC's Trauma One Database, via a secured and remote acce...
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