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C. 78
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: December  8, 2020
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Contract with Change Healthcare Technologies, LLC for InterQual Software Licensing and Support

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   12/08/2020
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Patrick Wilson, 925-335-8700
cc: F Carroll     M Wilhelm    
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  8, 2020
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County (1) a Master Agreement and (2) Order Forms 35544 and 35535 with Change Healthcare Technologies, LLC, in an amount not to exceed $878,803 for InterQual software for the period from January 22, 2020 through January 21, 2023.

FISCAL IMPACT:

This contract is funded 100% by Hospital Enterprise Fund I.

BACKGROUND:

Change Healthcare Technologies, LLC licenses InterQual software, an evidence-based clinical decision support solution to help payers, providers, and government agencies make clinically appropriate medical utilization decisions. Contra Costa Regional Medical Center (CCRMC) uses the InterQual software and clinical content for performing medical necessity reviews. This software also helps determine appropriateness and level of admission, approximate length of stay, and determination of continued stay. The Contra Costa Health Plan (CCHP) has used InterQual to ensure appropriate utilization of resources and for medical necessity criteria.  



BACKGROUND: (CONT'D)
  
Approval of Contract #23-652 will allow the CCHP and CCRMC to use InterQual through January 21, 2023. The Master Agreement requires the County to indemnify the Change Healthcare for claims arising from the County’s use or inability to use the software.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, CCRMC and CCHP will continue to be out of compliance.   

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