Title
a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-14108) with Pamela K. Ishimoto for Consulting with Trauma Department on the National Trauma Data Bank and Trauma Quality Improvement at NMC, adding $247,500 for a revised total agreement amount not to exceed $922,500, with no change to the term of agreement October 16, 2017 through October 15, 2022.
b. Authorize the Interim Chief Executive Officer for NMC or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than ten percent (10%) ($10,000) of the original cost of the agreement.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 2 to the agreement (A-14108) with Pamela K. Ishimoto for Consulting with Trauma Department on the National Trauma Data Bank and Trauma Quality Improvement at NMC, adding $247,500 for a revised total agreement amount not to exceed $922,500, with no change to the term of agreement October 16, 2017 through October 15, 2022.
b. Authorize the Interim Chief Executive Officer for NMC or his designee to execute up to three (3) future amendments to the agreement which do not significantly alter the scope of work and do not cause an increase of more than ten percent (10%) ($10,000) of the original cost of the agreement.
SUMMARY/DISCUSSION:
Pam Ishimoto is a Trauma Data Analyst contracted to provided accuracy and validity of trauma data registry and reports required for National Trauma Data Bank (NTDB) and Trauma Quality Improvement Program (TQIP) for American College of Surgeons (ACS). There are five NTDB and TQIP submission periods throughout the year. There are an additional quarterly data submission period requirement for the California Emergency Medical Services Authority (CEMSA).
The Data Analyst reviews data frequency tables of the field values for each data element within the trauma registry and creates registry reports to validate each data element submitted to TQIP. This is used to ensure the data from NMC Trauma registry are mapped according to the NTDB Data Dictionary rules. Data fields within the trauma registry need to be mapped appropriately so the receiving entities are able to accept Natividad’s trauma data; i.e. NTDB/TQIP and CEMSA and Monterey County. The Trauma Data Analyst is the primary liaison with registry vendor and remedies any mapping issue identified.
This vendor prepares reports and provides data for ACS for preparation for site visits for Adult Level II Trauma Center verification. This vendor also provides performance measures reports to benchmark best practices and to monitor the trauma system for meeting ACS verification criteria. Vendor updates the trauma registry to reflect all 2019 NTDB/TQIP updates. This requires new fields to be added, picklists to be updated, pages to be redesigned, fields to be retired and mapping to be updated. This will also involve all registrars to be trained on updates and data collection.
The cost increase in this amendment reflects the increase in vendor charges and the increased demand for services for fiscal year 2021/2022. This period includes the ACS verification period for the Level II trauma center verification visit in 2022. The preparation during this period will require additional resources from the vendor.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this amendment No. 2 as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The amendment No. 2 has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on November 12, 2021.
FINANCING:
The cost for this amendment No. 2 is $247,500 of which $214,500 is included in the Fiscal Year 2021-22 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs to be able to provide reliable and quality patient care which improves the health and quality of life for patients and their families as well as supporting the on-going quality of trauma care at Natividad.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Julie Ramirez, Trauma Program Manager, 387-8104
Approved by: Charles R. Harris, Interim Chief Executive Officer, 783-2504
Attachments:
Pamela K. Ishimoto Amendment 2
Pamela K. Ishimoto Amendment 1
Pamela K. Ishimoto Agreement
Attachments on file with the Clerk of the Board