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File #: 19-1307    Version: 1 Name:
Type: Resolution Status: Passed
File created: 12/17/2019 Departments: HEALTH
On agenda: 1/28/2020 Final action: 1/28/2020
Title: Adopt a resolution authorizing an amendment to the agreement with Picis Clinical Solutions, Inc. to provide an injection and infusion software program, increasing the amount by $90,000 to an amount not to exceed $960,000.
Attachments: 1. 20200128_r_Picis_Clinical_Solutions, Inc., 2. 20200128_a_Picis Clinical Solutions, Inc.
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment to the Agreement with Picis Clinical Solutions, Inc. to Provide an Injection and Infusion Software Program

RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Picis Clinical Solutions, Inc. to provide an injection and infusion software program, increasing the amount by $90,000 to an amount not to exceed $960,000.

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BACKGROUND:
In June 2014, the Board approved an agreement with Optum Clinical Solutions, for ongoing support of the emergency department's information system known as PulseCheck. The agreement has been amended multiple times and in April 2016, the agreement was reassigned to Picis Clinical Solutions, Inc.

DISCUSSION:
This amendment will add PulseCheck Injection and Infusion Services software application to capture charges for all medication infusions by assigning Common Procedural Terminology (CPT) codes. It is estimated that the San Mateo Medical Center (SMMC) coding department spends approximately 33 hours per month correcting claims with CPT errors. In addition, SMMC's patient financial services department reports that over the past four months they have experienced a loss of approximately $34,000 in revenue ($101,000 on an annualized basis), as a result of CPT errors. The PulseCheck software is expected to minimize these CPT errors.
The amendment and resolution have been reviewed and approved by County Counsel as to form.

The resolution contains the County's standard provisions allowing amendment of the County's fiscal obligations by a maximum of $25,000 (in aggregate).

It is anticipated that there will be a 100% increase in revenue collection with improved CPT documentation.

PERFORMANCE MEASURE:
Measure
FY 2018-19 Actual
FY 2019-20 Esti...

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