Agenda

Return

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)

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
cc:	Tasha Scott Demetria Gary George Washnak

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,

BY:	, Deputy

RECOMMENDATION(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 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.