REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
August 20, 2019
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Agreement with National Decision Support Company
End
RECOMMENDATION(S)
Recommendation
Approve Agreement with National Decision Support Company, LLC in the amount of $245,000 for the three-year period of August 20, 2019 to August 19, 2022, for CareSelect Subscription, which includes consulting services for diagnosis of advanced diagnostic imaging exams.
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of the recommendation will not result in the use of Discretionary General Funding (Net County Cost) as the total aggregate cost of $245,000 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue is included in the Arrowhead Regional Medical Center's (ARMC) 2019-20 budget and will be included in future recommended budgets.
Year
One-Time Cost
Subscription Cost
Annual Cost|1010|$20,000
$75,000
$95,000|1010|
$75,000
$75,000|1010|
$75,000
$75,000
Total
$20,000
$225,000
$245,000
BACKGROUND INFORMATION
Approval of the recommendation will allow ARMC to become compliant with the federally mandated "Protecting Access to Medicare Act" (PAMA) for advanced diagnostic imaging exams. Effective January 1, 2020, PAMA requires that all physicians ordering advanced imaging exams such as computed tomography, magnetic resonance, nuclear medicine, and positron emission tomography, to consult with an Appropriate Use Criteria (AUC) through a qualified Clinical Decision Support M...
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