HomeMy WebLinkAboutMINUTES - 02132007 - C.58 TO: BOARD OF SUPERVISORS - Contra
FROM: William Walker, M.D.,Health Services Director - Costa
By: Jacqueline Pigg, Contracts Administrator _
DATE: January 31, 2007 ;I COt..int\/
SUBJECT: Approval of Contract#27-647 with Medical Site Reviewers,LLC
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Richard Harrison) to
execute on behalf of the County, Contract #27-647 with Medical Site Reviewers, LLC, a limited
liability company, in an amount not to exceed $276,000, to provide Health Plan Employers Data
Information Set (HEDIS) chart review and data collection services, for the period from December
1, 2006 through November 30, 2009, including mutual indemnification to hold harmless both
parties for any claims arising out of the performance of this contract.
FISCAL IMPACT:
This Contract is funded 100%by Health Plan member premiums.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S):
Contra Costa Health Plan, as a managed care organization, is required by law and by and .for
various accreditation organizations and quality assurance measures to perform various
comprehensive onsite reviews, monitoring services, and chart reviews on its contracted health
care providers and member charts. This is necessary in order to meet State minimum
performance level standards. Last year the Health Plan had approximately 1,300 charts to review.
This year there are approximately 3,500 charts that will need review.
Under Contract #27-647, Contractor will provide HEDIS chart review and data collection
services, including onsite and remote reviews of facilities, care providers, and patient medical
charts, to ensure the Health Plan meets its obligations for HEDIS and successfully meets its audit
goals,through November 30, 2009.
CONTINUED ON ATTACHMENT: YES SIGNATURE: PIS
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE (S):
ACTION OF BOARD /N l D APPROVED AS RECOMMENDED \ OTHER
VOTE OF SUPERVIgORS I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT , AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
Contact Person: Richard Harrison 313-6008 ATTESTED
JOHN CULLEN, CLERK OFLTHE B ARD OF
CC: Health Services Department (Contracts) SUPE VISORS AND COUNTY ADMINISTRATOR
Auditor Controller ,Q�� DEPUTY
Contractor BY ,