HomeMy WebLinkAboutMINUTES - 12132011 - C.27RECOMMENDATION(S):
Approve the proposed appropriation adjustments for Contra Costa Regional Medical Center
(Enterprise Fund I) increasing budgeted revenues and appropriations by $25,916,000 to
reflect Delivery System Reform Incentive Pool funding approved by the Federal
government for the EPIC Electronic Medical Records system.
FISCAL IMPACT:
Approval of these adjustments will increase federal Delivery System Reform Incentive Pool
revenues and increase expenditures by $25,916,000.
BACKGROUND:
The Medi-Cal Waiver created a five-year funding opportunity for Public Hospitals that meet
certain performance standards. If the hospital meets the waiver performance standards it
receives enhanced reimbursement from the Delivery System Reform Incentive Pool
(DSRIP). Under the DSRIP, Contra Costa Regional Medical Center must meet annual
benchmarks to fully realize $120 million over the life of the waiver. The cornerstone to
meeting the performance standards is the full implementation of an Electronic Medical
Record (EMR). Year 1 (FY 2010/2011) DSRIP funding combined
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/13/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patrick Godley,
957-5405
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: December 13, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Demetria Gary, George Washnak
C. 27
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 13, 2011
Contra
Costa
County
Subject:Appropriation Adjustment for Contra Costa Regional Medical Center (Enterprise Fund I)
BACKGROUND: (CONT'D)
with specific federal EMR funding is the financing mechanism that will pay for the EMR.
The Year 1 DSRIP payment was received and recorded in FY 2010/2011. Because of
timing issues the majority of the expense for the EMR will occur in FY 2011/2012.
Because of this timing issue, the appropriation adjustment needs to be processed to insure
appropriate matching of expense and revenue. No County General Purpose funds are
involved.
CONSEQUENCE OF NEGATIVE ACTION:
Not applicable.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Appropriation Adjustement Nos. 5026 and 5027