HomeMy WebLinkAboutMINUTES - 08081995 - C57 TO: BOARD OF SUPERVISORS
FROM: . Mark Finucane, Health Services Director Contra
Costa
DATE: idly 25, 1995 County
SUBJECT: Approval of Contract Amendment Agreement #26-282-2 with
Integrated Clinical Data, Inc.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) 8c BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Frank Puglisi) , to execute on behalf of the County, Contract
Amendment Agreement #26-282-2 with Integrated Clinical Data, Inc. ,
effective July 1, 1995, to amend Short Form Service Contract #26-282
(as amended by Contract Amendment Agreement #26-282-1) , for medical
record coding/DRG review audit services for Merrithew Memorial
Hospital. This amendment increases the Contract Payment Limit by
$50, 000, from $25, 000 to a new total Payment Limit of $75, 000.
II. FINANCIAL IMPACT:
This Contract is included in the Health Services Department's
Enterprise I budget.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
In May, 1995, the County Administrator's Office approved and the
Purchasing Services Manager executed Short Form Service Contract #26-
282 (for the period from April 1, 1995 through March 31, 1996) with
Integrated Cl}nical Data, Inc. , to provide medical record coding/DRG
review audit services for Merrithew Memorial Hospital. A subsequent
Contract Amendment Agreement #26-282-1 expanded the Contractor's
services to include temporary coding/abstracting services, and
consultation and technical assistance with regard to the Department' s
State-mandated MR 191 Project, with no change in the original Contract
payment limit.
Approval of Contract Amendment Agreement #26-282-2 will increase the
Contract payment limit to allow the Contractor to continue to provide
these essential services through March 31, 1996.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED
OTHER
VOTE OF 'SUPERVISORS
A— UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Frank Puglisi (370-5100) OF SUPERVISORS ON THE DATE SHOWN.
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Cc:- Health Services (Contracts) ATTESTED
Risk Management Phil Batehe ,Cierk of the Board of
Auditor-Controller SUPe 'stirs and CcuntyAdmiris!rator
Contractor
v
M382/7-e3 BY _ DEPUTY
Contra Costa County Standard "Form• 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services)
Number 26-282-2
Fund/Org # 6516
Account # 2310
Other #
1. Identification of Contract to be Amended.
Number: 26-282 (as amended by Contract Amendment Agreement #26-282-1)
Effective Date: April 1, 1995
Department: Health Services - Hospital and Clinics
Subject: Medical Record Coding/DRG Review Audit Services for
Merrithew Memorial Hospital
2 . Parties. The County o Contra Costa, California (County) , for its
Department named above, an `'--the following named Contractor mutually
agree and promise as follows:
Contractor: INTEGRATED CLINICAL DAT .YY+1.C.
Capacity: California Corporation " d' axpayer ID # 94-2946241
Address: 1001 Galaxy Way, Suite 208, Concord, ^California 94520
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is July 1, 1995 .
tions. The Contract identified above is hereby
4 . Amendment SipeM�3
amended as set forth nn be "Amendment Specifications" attached hereto
which are incorporated her4�pby reference.
5. Signatures. These signatures atm st the parties' agreement hereto:
ti
COUNTY OF CONTRA COSTA';. CALIFORNIA
ATTEST: Phil Batchelor, Clerk of
BOARD OF SUPERVISORS the Board of Supervisors and County
Administrator
By
Chairman/Designee Deputy
CONTRACTOR
By By
(Designate business capacity A) (Designate business capacity B)
Note to Contractor: For corporations (profit or nonprofit) , the contract must be signed by
two officers. Signature A must be that of the president or vice-president and Signature B
must be that of the secretary or assistant secretary (Civil Code Section 1190 and
Corporations Code Section 313) . All signatures must be acknowledged as set forth on page
two.
Contra Costa County Standard Forth(Rev. 1/95)
APPRO V ALS/ACKNOWLEDGMENT
.Number 26-282-2
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
COUNTY COUNSEL
By By
Designee Deputy
APPROVED: COUNTY ADMINISTRATOR
By:
Designee
ACKNOWLEDGMENT
STATE OF CALIFORNIA )
ss.
COUNTY OF CONTRA COSTA )
On , before me,
(insert name and title of the officer), personally appeared
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS MY HAND AND OFFICIAL SEAL.
(Seat)
Signature
ACKNOWLEDGMENT(by Corpontioo,Parmerobip,or h dividud)
(Civil Code 11189)
• 'r
AMENDMENT SPECIFICATIONS
Number•-2 6-282-2
In consideration for Contractor's availability to provide
additional services under the Contract identified herein (as
amended by Contract Amendment Agreement #26-282-1) , County and
Contractor agree to amend said Contract as specified below, while
all other parts of the Contract remain unchanged and in full force
and effect:
Payment Limit Increase. The payment limit specified in
Paragraph 4. (Payment Limit) is hereby increased by $50, 000
from $25, 000 to a new total payment limit of $75,000.
Initials:
Contractor County Dept.