Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment to the Agreement with Cardinal Health Pharmacy Services, LLC to Provide Remote Order Entry Pharmacy Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Cardinal Health Pharmacy Services, LLC for remote order entry pharmacy services, increasing the amount by $100,000, to an amount not to exceed $885,000.
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BACKGROUND:
In July 2011, your Board approved an agreement with Cardinal Health Pharmacy Services, LLC to provide remote order entry pharmacy services. In June 2016, the San Mateo Medical Center’s (SMMC) pharmacy department anticipated publishing a Request for Proposals (RFP) based on the availability of enhanced pharmacy services coming to the market in July 2016. Based on this timeline, the SMMC Chief Executive Officer approved an amendment to extend the term of the agreement through March 31, 2018, with no increase in funding to allow the department time to evaluate these new services and include them in an RFP.
DISCUSSION:
At the time the term was extended, SMMC’s pharmacy department underestimated the number of order entry transactions that would be required through the end of the extended term. As a result, SMMC is requesting your Board approve an increase of $100,000 to fund the agreement through remainder of the term. SMMC will issue an RFP in the first quarter of 2018.
The amendment and Resolution have been reviewed and approved by County Counsel as to form.
This amendment contributes to the Shared Vision 2025 outcome of a Healthy
Community by ensuring that all medication orders are reviewed prior to a patient’s
receipt of a first dose. It is anticipated that 100% of all after-hours medication orders will be reviewed by a pharmacist prior to a patient receiving a first dose.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Percentage of after-hours medication orders reviewed by a pharmacist prior to patient receiving a first dose |
100% 15,305 annually |
100% 16,000 annually |
FISCAL IMPACT:
The term of the revised agreement is July 1, 2011 through March 31, 2018. The amount of the agreement is not to exceed $885,000. The amendment increases the contract amount by $100,000. Funds in the amount of $100,000 are included in the SMMC FY 2017-18 Recommended Budget.
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, and are within the existing annual appropriation.