Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with Jane Finney, CLS, MBA, CPHQ, CPPS for on-site and off-site professional consulting services regarding the Delivery System Incentive Program at NMC for an amount not to exceed $150,000 with an agreement term of one (1) year (November 9, 2020 through November 8, 2021).
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. . Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute an agreement with Jane Finney, CLS, MBA, CPHQ, CPPS for on-site and off-site professional consulting services regarding the Delivery System Incentive Program at NMC for an amount not to exceed $150,000 with an agreement term of one (1) year (November 9, 2020 through November 8, 2021).
SUMMARY/DISCUSSION:
The Federal Center for Medicaid and Medicare Services (CMS) approved a five-year renewal of California's Section 1115 Medicaid Waiver on December 30, 2015. The Waiver provided California with over $6.2 billion in new federal funding for programs that shifted the focus away from hospital-based and inpatient care towards outpatient, primary, and preventive care, thus shifting the focus from volume to value.
The Public Hospital Redesign and Incentives in Medi-Cal (PRIME) is a pay-for-performance delivery system transformation and alignment program. NMC engaged the services of Jane Finney in November of 2015 for consulting and project management services specific to the PRIME program.
In July of 2017, the California Department of Public Health implemented the Quality Incentive Program (QIP). QIP payments are tied to performance on designated performance metrics in four strategic categories: primary care, specialty care, inpatient care, and resource utilization. When fully implemented QIP will incorporate current PRIME metrics and will require ongoing performance improvement work and data reportin...
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