File #: A 19-336    Name: Center for Improvement in Healthcare Quality Agreement
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 9/5/2019 In control: Board of Supervisors
On agenda: 9/17/2019 Final action: 9/17/2019
Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute an agreement with Center for Improvement in Healthcare Quality (CIHQ) for on site, Joint Commission mock survey services at NMC for an amount not to exceed $20,000 with an agreement term September 20, 2019 through September 19, 2022. b. Approve the NMC Chief Executive Officer's recommendation to accept non-standard insurance and limitations on damages provisions within the agreement.
Attachments: 1. Board Report, 2. Center for Improvement in Healthcare Quality Agreement.pdf, 3. Completed Board Order Item No. 17
Related files: A 23-008
Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute an agreement with Center for Improvement in Healthcare Quality (CIHQ) for on site, Joint Commission mock survey services at NMC for an amount not to exceed $20,000 with an agreement term September 20, 2019 through September 19, 2022.
b. Approve the NMC Chief Executive Officer's recommendation to accept non-standard insurance and limitations on damages provisions within the agreement.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute an agreement with Center for Improvement in Healthcare Quality (CIHQ) for on site, Joint Commission mock survey services at NMC for an amount not to exceed $20,000 with an agreement term September 20, 2019 through September 19, 2022.
b. Approve the NMC Chief Executive Officer's recommendation to accept non-standard insurance and limitations on damages provisions within the agreement.

SUMMARY/DISCUSSION:

CIHQ is an accreditation organization that provides on-site consulting services to hospitals for the purpose of regulatory survey readiness assessment and preparation. CIHQ is a comprehensive program that is designed to ensure a successful Joint Commission accreditation survey which is anticipated to occur at Natividad in June or July of 2020.

The first CIHQ mock survey will be conducted on October 29-30 in 2019. This survey will focus on the Environment of Care standards that include Life Safety, Emergency Preparedness, and Building Safety.

The second CIHQ mock survey will be conducted on January 29-31 in 2020. This survey will focus on the clinical aspects of a Joint Commission survey. This is a more extensive survey that will encompass Provision of Care, National Patient Safety Goals, Infection Prevention, Medication Management, Waived Testing, Performance Improvement, Information Management, and...

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