Title
Authorize the Director of Health or Assistant Director of Health to sign a one (1) year Amendment No. 10 to Master System Agreement No. A-11307 with Oregon Community Health Information Network, Inc. for utilization of Epic’s Practice Management and Electronic Medical Record systems, extending the term of the Agreement to June 30, 2018, and adding $800,000 for fiscal year 2017-18, for a revised amount not to exceed $7,464,557.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Director of Health or Assistant Director of Health to sign a one (1) year Amendment No. 10 to Master System Agreement No. A-11307 with Oregon Community Health Information Network, Inc. for utilization of Epic’s Practice Management and Electronic Medical Record systems, extending the term of the Agreement to June 30, 2018, and adding $800,000 for fiscal year 2017-18, for a revised amount not to exceed $7,464,557.
SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates nine community clinic sites designated as Federally Qualified Health Center Look-Alikes. Under the direction of the County and governance of the Community Health Center Board, the clinics provide preventative, primary, and specialty medical care services. 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. In 2007, Clinic Services implemented the PM system, which has resulted in a significant increase in patient charge capture and decrease in claim resubmissions. In 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.
Approval of the recommended action will allow Clinic Services to utilize the additional $800,000 to account for the increase in patient visit costs due to growing capacity in the clinics. The increase is primarily due to the recent clinic expansions of the Laurel Internal Medicine clinic and Laurel Pediatric clinic, and the upcoming Seaside Family Health Center expansion, which expects to double its capacity, effective July 1, 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, Auditor/Controller and Contracts/Purchasing have reviewed Amendment No. 10 and concur with this recommendation.
FINANCING: Sufficient appropriations are included in FY 2017-18 Proposed Budget of Clinic Services Bureau, Health Department (4000-HEA007) to cover the increase in the Amendment No. 10. The Agreement is funded by revenues from Medi-Cal and Medicare. There is no financial impact to the General Fund resulting from approval of this Amendment No. 10.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Sheena Morales, Management Analyst III, x1393
Approved by: Elsa Jimenez, Director of Health, x4526
Attachments:
Amendment No. 10 is on file with the Clerk of the Board
Amendment No. 9 is on file with the Clerk of the Board
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 Clerk of the Board