county of san mateo inter-departmental correspondence … · 1/10/2012 · the term of the...
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COUNTY OF SAN MATEO
Inter-Departmental Correspondence Health System
DATE: November 15, 2011
BOARD MEETING DATE: January 10, 2012 SPECIAL NOTICE/HEARING: None
VOTE REQUIRED: Majority TO:
Honorable Board of Supervisors
FROM:
Jean S. Fraser, Chief, Health System Susan Ehrlich, MD, MPP, Chief Executive Officer San Mateo Medical Center
SUBJECT:
Amendment to Agreement with MedAssets, LLC (SOW 5 Workforce Management Consulting)
RECOMMENDATION: Adopt a Resolution authorizing the: A) President of the Board to execute an Amendment to the Agreement with
MedAssets Supply Chain Systems, LLC to provide Workforce Management Consulting services for the term of January 1, 2012 through January 31, 2016, with two optional one-year extensions, in an amount not to exceed $800,000; and
B) Chief of the Health System or designee to execute contract amendments which
modify the County’s maximum fiscal obligation under this specific Amendment (SOW For Workforce Management Consulting) by no more than $25,000 (in aggregate), and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.
BACKGROUND: On January 25, 2011, your Board approved Resolution 071231, authorizing an Agreement with MedAssets Supply Chain Systems, LLC to provide a group purchasing organization program (GPO) for the County of San Mateo and San Mateo Medical Center (SMMC). On April 26, 2011, your Board approved Resolution 071364, authorizing an amendment to add the Broadlane Group, Inc. as an affiliate and to extend the term through January 31, 2016. On June 7, 2011, your Board approved Resolution 071451, authorizing an amendment to include professional registry services. On June 21, 2011, your Board approved Resolution 071480, authorizing an amendment to include Contract Manager/Contract Manager Pro/Rapid Reserves services as an effective way to compare the individual patient charges being reimbursed to the contracted amount. On September 21, 2011, the Chief of the Health System approved an amendment to include Broadlink Software, which links
the SMMC Materials Management Inventory System with the MedAssets Agreements to compare the negotiated prices in the Agreements to vendor invoiced prices. DISCUSSION: In July 2011 a Request for Proposals (RFP) was issued for Staffing Productivity and Needs Assessment with Implementation, which would compare hospital volume and competitive benchmarks and organizational structure for size of operation. MedAssets Workforce Management Consulting (MedAssets) was elevated because of their tools for data and analytics, use of LEAN methods, and ability to analyze staffing demand, to analyze capacity, and to optimize staffing. MedAssets will provide comprehensive data analysis, program observation, structured interviews and qualitative analysis, presentation of assessment results, and staffing effectiveness. County Counsel has reviewed and approved the Amendment and Resolution as to form. The Contractor’s insurance has been reviewed and approved by Risk Management. MedAssets has assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits. The County Manager has previously approved a waiver of the three-year limit on contracts. This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by improving SMMC’s cost report preparation process to ensure that accurate information is being recorded on submissions to the Medicare Program. It is anticipated that SMMC’s cost per patient day will increase from $900 to $920. Performance Measure:
Measure FY 2010-11 Actual
FY 2011-12 Projected
SMMC cost per adjusted patient day $900 $920* *Due to increase in operating costs FISCAL IMPACT: The term of the Agreement remains February 1, 2011 through January 31, 2016, with two optional one-year extensions regarding the entire Agreement. The maximum fiscal obligation of this Amendment is $800,000. Funds in the amount of $440,000 are included in the SMMC Adopted FY 2011-12 Budget. Funds in the amount of $310,000 will be included in the SMMC FY 2012-13 Recommended Budget. An annual update fee of $10,000 will be included in future budget years. Expense savings and revenue enhancements have a targeted savings of a minimum of $ 5 million dollars. Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care are covered by the County’s General Fund contribution to SMMC.
Request for Proposals Matrix 1. General Description of RFP Provider of Staffing Productivity and Needs
Assessment and Process Improvement Implementation
2. List key evaluation criteria Firm qualifications and experience Vendors proposed approach Cost to SMMC for Primary Services and
implementation 3. Where advertised San Mateo Medical Center Website 4. In addition to any
advertisement, list others to whom RFP was sent
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
5. Total number sent to prospective proposers
13
6. Number of proposals received
5
7. Who evaluated the proposals
Bradford Lew, Manager DSS James Hughey, CFO John Thomas, COO Linda Franco, Deputy Director Ambulatory Services Margarita Harrington, CNA Representative Maxine da Roza, Director of Materials Management and Contracting Meriam Nguyen, Deputy Director Acute Care Services Nadia Bledsoe, AFSME Rhonda Alvarez, Deputy Director Long Term Care Services Rita Kavanaugh, Deputy Director Clinical Ancillary Services Sonya Siebe, SMMC Human Resources Manager
8. In alphabetical order, names of proposers (or finalists, if applicable) and location
The Camden Group HFS Consultants Health Management Associates (HMA) MedAssets PricewaterhouseCoopers, LLP (pwc)
RESOLUTION NO. _____________
BOARD OF SUPERVISORS, COUNTY OF SAN MATEO, STATE OF CALIFORNIA
* * * * * * RESOLUTION AUTHORIZING THE: A) PRESIDENT OF THE BOARD TO EXECUTE
AN AMENDMENT TO THE AGREEMENT WITH MEDASSETS SUPPLY CHAIN SYSTEMS, LLC TO PROVIDE WORKFORCE MANAGEMENT CONSULTING
SERVICES FOR THE TERM OF JANUARY 1, 2012 THROUGH JANUARY 31, 2016, WITH TWO OPTIONAL ONE-YEAR EXTENSIONS, IN AN AMOUNT NOT TO
EXCEED $800,000; AND B) CHIEF OF THE HEALTH SYSTEM OR DESIGNEE TO EXECUTE CONTRACT AMENDMENTS WHICH MODIFY THE COUNTY’S MAXIMUM
FISCAL OBLIGATION UNDER THIS SPECIFIC AMENDMENT (SOW FOR WORKFORCE MANAGEMENT CONSULTING) BY NO MORE THAN $25,000 (IN
AGGREGATE), AND/OR MODIFY THE CONTRACT TERM AND/OR SERVICES SO LONG AS THE MODIFIED TERM OR SERVICES IS/ARE WITHIN THE CURRENT OR
REVISED FISCAL PROVISIONS ______________________________________________________________
RESOLVED, by the Board of Supervisors of the County of San Mateo, State of
California, that
WHEREAS, On January 25, 2011, the Board of Supervisors approved an
Agreement with MedAssets Supply Chain Systems, LLC (MedAssets) for the purpose of
providing a group purchasing program for the County of San Mateo for the term January
1, 2011, through December 31, 2015, with two optional one-year extensions, at no cost
to the County of San Mateo; and
WHEREAS, on April 26, 2011, the Board of Supervisors approved an
Amendment to the Agreement with MedAssets in order to add an affiliate, the Broadlane
Group, Inc., to provide additional purchasing options to the County and to extend the
term of the Agreement to January 31, 2016; and
WHEREAS, the Agreement was subsequently amended three additional times
to include professional registry staffing services, to include a Contract Manager/Contract
Manager Pro/Rapid Reserves services, and to purchase Broadlink Software; and
WHEREAS, In July 2011 a Request for Proposals (RFP) was issued for Staffing
Productivity and Needs Assessment with Implementation, which would compare
hospital volume and competitive benchmarks and organizational structure for size of
operation; and
WHEREAS, MedAssets Workforce Management Consulting (MedAssets) was
elevated because of their tools for data and analytics, use of LEAN methods, and ability
to analyze staffing demand, to analyze capacity, and to optimize staffing; and
WHEREAS, MedAssets will provide comprehensive data analysis, program
observation, structured interviews and qualitative analysis, presentation of assessment
results, and staffing effectiveness implementation; and
WHEREAS, this Board has been presented with a form of such Amendment
(the “SOW For Workforce Management Consulting”), has examined and approved it as
to both form and content, and desires to enter into it.
NOW, THEREFORE, IT IS HEREBY DETERMINED AND ORDERED that the
President of this Board of Supervisors be and is hereby authorized and directed to
execute said Amendment for and on behalf of the County of San Mateo, and the Clerk
of the Board shall attest the President’s signature thereto.
BE IT FURTHER RESOLVED that the Chief of the Health System or designee
is authorized to execute contract amendments which modify the County’s maximum
fiscal obligation under this specific Amendment (SOW For Workforce Management
Consulting) by no more than $25,000 (in aggregate), and/or modify the contract term
and/or services so long as the modified term or services is/are within the current or
revised fiscal provisions.
* * * * * *
