Title
Authorize the Chief Executive Officer for Natividad or his designee to execute renewal and amendment No. 1 to the agreement (A-14503) with Center for Improvement in Healthcare Quality for on site, Joint Commission mock survey services, extending the agreement an additional one (1) year period (September 20, 2022 through September 19, 2023) for a revised full agreement term of September 20, 2019 through September 19, 2023, and adding $24,000 for a revised total agreement amount not to exceed $44,000.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer for Natividad or his designee to execute renewal and amendment No. 1 to the agreement (A-14503) with Center for Improvement in Healthcare Quality for on site, Joint Commission mock survey services, extending the agreement an additional one (1) year period (September 20, 2022 through September 19, 2023) for a revised full agreement term of September 20, 2019 through September 19, 2023, and adding $24,000 for a revised total agreement amount not to exceed $44,000.
SUMMARY/DISCUSSION:
Center for Improvement in Healthcare Quality (“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 2023.
The CIHQ mock survey will focus on the Environment of Care standards that include Life Safety, Emergency Preparedness, and Building Safety. In addition, the mock 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 Medical Staff standards. The mock survey will be conducted on June 13-15, 2023.
OTHER AGENCY INVOLVEMENT:
The Office of County Counsel has reviewed and approved this renewal and amendment No. 1 as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The renewal and amendment No. 1 has also been reviewed and approved by Natividad’s Finance Committee and by its Board of Trustees on January 13, 2023.
FINANCING:
The cost for this renewal and amendment No. 1 is $24,000 which is included in the FY2022-23 Adopted Budget. Amounts for remaining years of the agreement will be included in those budgets as appropriate.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Maintaining The Joint Commission accreditation is vital to Natividad. Many of our professional and insurance contracts require Joint Commission accreditation. The Joint Commission is recognized world-wide as a symbol of quality which reflects our commitment to ensure that evidence-based quality and safety standards are followed.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Tammy Perez, Director of Quality, 831-783-2512
Approved by: Charles R. Harris, Chief Executive Officer, 783-2553
Attachments:
Center for Improvement in Healthcare Quality Renewal and Amendment 1
Center for Improvement in Healthcare Quality Agreement
Attachments on file with the Clerk of the Board