HomeMy WebLinkAboutAgreement A-23-127 First Amendment to Agreement with CCS.pdf Agreement No. 23-127
1 AMENDMENT NO. # 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement ("Amendment No.1") is dated
3 March 28, 2023 and is between Care Coordination Systems LLC, a Domestic Limited
4 Liability Company ("Contractor"), and the County of Fresno, a political subdivision of the State of
5 California ("County").
6 Recitals
7 A. On May 17, 2022, the County and the Contractor entered Agreement with Care
8 Coordination Systems, LLC: Community Health Record Integrated Data Sharing Platform, which
9 is County agreement number 22-214 ("Agreement"), for use of the Care Coordination Systems
10 integrated data sharing platform and software training.
11 B. WHEREAS, County requires Sixty (60) additional user licenses for the Community
12 Health Record System provided by Contractor; and
13 C. WHEREAS, each new user requires Community Health Worker Activation Training
14 provided by Contractor; and
15 D. WHEREAS, County requires customization of data collection forms, data mapping,
16 reports, and additional services provided by Contractor; and
17 E. WHEREAS, the annual cost for sixty (60) additional user licenses is Forty-five thousand
18 dollars and 00/100 (45,000.00); and
19 F. WHEREAS, the total cost to train sixty (60) additional users is Ninety thousand dollars
20 and 00/100 (90,000.00); and
21 G. WHEREAS, the total cost to customize data collection forms, data mapping, reports, and
22 additional services is Eight thousand and Five hundred dollars and 00/100 ($8,500.00); and
23 H. WHEREAS, the parties desire to amend the Agreement regarding changes as stated
24 below and restate the Agreement in its entirety.
25 I. The County and the Contractor now desire to amend the Agreement to add sixty (60)
26 additional annual user licenses, one time training for each new user, and customization services
27 as identified in Exhibit A, attached hereto and by this reference incorporated herein; and
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1 J. The County and the Contractor now desire to amend the Agreement to increase the total
2 compensation of the Agreement to account for the additional user licenses, training, and
3 customization services.
4 The parties therefore agree as follows:
5 1. In the Specifications Section of the Community Health Record Software License
6 Agreement located on Page Twenty (20) that the paragraph starting with "Community Health
7 Record" and ending with the word "Agreements." be deleted in its entirety and replaced with the
8 following:
9 "Community Health Record: license for a 5-year term, including up to 164 Licensed Users,
10 including invoicing and agency payout, medication reconciliation, patient activation measure
11 screening, real time advanced reporting, benchmarks, data visualization dashboards,
12 HealthBridge.care integration maintenance, user support, and standard system upgrades. In
13 no event shall services performed under this and all Agreements be in excess of One Million
14 One Hundred and Sixty-Nine Thousand Two Hundred and Fifty Dollars and No/100
15 ($1,169,250.00) during the initial term of these Agreements."
16 2. In the Specifications Section of the Community Health Record Software License
17 Agreement located on Page twenty (20) under the Annual Software License Fee section that the
18 paragraph starting with "The Base Annual Fee" and ending with the Number 104." be deleted in
19 its entirety and replaced with the following:
20 "The Base Annual Fee shall be further increased by $750 per year for each Licensed User
21 in excess of 164."
22 3. Appendix A— Service Deliverable of the Training Services Agreement located at the top
23 of page thirty-one (31) is deleted in its entirety and replaced with the following:
24 "Activation Training for Users and Software for all care coordinators, supervisors,
25 operations, and Health Engagement Team members: 7 sessions of up to 27 students each —
26 164 total.
27 Operations, Reporting, and Invoicing Training for Operations and Staff: one session."
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1 4. In the Training Service Agreement located on Page twenty-eight (28) under Section 12.
2 Miscellaneous subparagraph (a) Entire Agreement that the paragraph starting with "This
3 Agreement" and ending with the word "Agreement." be deleted in its entirety and replaced with
4 the following:
5 "This Agreement is the complete and exclusive statement of the agreement between
6 Customer and CCS as it relates to the Training and other subject matter of this Agreement
7 including all pages one through sixty-four (1-64) of all Agreements, and supersedes any
8 proposal or prior agreement, oral or written, and any other communications between the parties
9 relating to the Training and other subject matter of this Agreement."
10 5. The "Fresno County Products and Pricing" attachment of the Agreement located at
11 pages sixty-three through sixty-five (63-65) be deleted in its entirety and replaced with "Exhibit
12 A" which includes pages sixty-three through sixty-four (63-64). Exhibit A is attached and
13 incorporated by this reference.
14 6. When both parties have signed this Amendment No. 1, the Agreement, and this
15 Amendment No. 1 together constitute the Agreement.
16 7. The Contractor represents and warrants to the County that:
17 a. The Contractor is duly authorized and empowered to sign and perform its obligations
18 under this Amendment.
19 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
20 to do so and his or her signature on this Amendment legally binds the Contractor to
21 the terms of this Amendment.
22 8. The parties agree that this Amendment may be executed by electronic signature as
23 provided in this section.
24 a. An "electronic signature" means any symbol or process intended by an individual
25 signing this Amendment to represent their signature, including but not limited to (1) a
26 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
27 electronically scanned and transmitted (for example by PDF document) version of an
28 original handwritten signature.
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1 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
2 equivalent to a valid original handwritten signature of the person signing this
3 Amendment for all purposes, including but not limited to evidentiary proof in any
4 administrative or judicial proceeding, and (2) has the same force and effect as the
5 valid original handwritten signature of that person.
6 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
7 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
8 2, Title 2.5, beginning with section 1633.1).
9 d. Each party using a digital signature represents that it has undertaken and satisfied
10 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
11 through (5), and agrees that each other party may rely upon that representation.
12 e. This Amendment is not conditioned upon the parties conducting the transactions
13 under it by electronic means and either party may sign this Amendment with an
14 original handwritten signature.
15 9. This Amendment may be signed in counterparts, each of which is an original, and all of
16 which together constitute this Amendment.
17 10. The Agreement as amended by this Amendment No. 1 is ratified and continued. All
18 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and
19 effect.
20 [SIGNATURE PAGE FOLLOWS]
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DocuSign Envelope ID:9A2872EF-FC63-4821-9081-428E09B5DDB2
1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
3
Care Coordination Systems, LLC COUNTY OF FRESNO
4 DocuSigned by:
OAC289DD59BF413...
6 Robert Harnach, CEO S i ero Chairman of the Board of
7 75 East Market Street SLWrvisbrelof the County of Fresno
Akron, OH 44308 Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
10
By: _
11 Deputy
12 For accounting use only:
13 Org No.: 56201558, 56201019
Account No.:7295
14 Fund No.:0001
Subclass No.:10000
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Fresno County Exhibit A 2/16/23
Products and Pricing
Term 5/17/2022-5/17/27
pr Annual Cost-5 Year Year Year Year Year
Service Description year con"d 5/17/22 5/16/23 5/17/23-5/16/24 5/17/24-5116125 5/17/25-5116126 5117126-5117127 Total
terms
CHR plan--Annual,Five-year term,CCS System platform license includes system,
Intemalhntegmted community resources refe,al via HealthBridge.care,secure Messaging,standard
Community Health r.p.mg,Td.2......pportwith escalation fa technical support,seventy compliance aud'standard $45,000 $45,000 $45,000 $45,000 $45,000 $45,000 $225,000
Record Platform hosting,standard marnt.......backup/restare,and frequent standard system upgrades.
Deakloprportal-annual;In a 5 year contract,10 d,,K p user licenses are includetl with the CHR
pladam,Addltlonal user licenses per contract term,pro-reletl at time of initialization to next license
ontract anniversary tlale,includes Tier 2 user su pWft.Mullin,care rr tl is may be usetl with each
e.Also,only one user license is.sunned for the user to be enabled with Pathways and Healdh
User Licenses Homes(or any other platforms)concurrently User licenses above the pladorm allotment may be atlded $100,500 $115,500 $115,500 $115,500 $115,500 $115,500 $577,500
and removed annually,as necessary.Estimated M 154 additional users @$750 fora total of 164
ors with the 10 includetl users above.
Public Facing HealthBridge.care-A comm m unity resrces and ref-al secure purel for pudic and HUB Client use
Health BYldge.eare eA.e .1t.th,.s,,nth,CHRby thewrew,,d,n,t,,,ncl,d,dw,th API,f.,th,,d-p,rtysyslems.Public
Integrated with the antl HUB clients may seek local We-sources antl send requests to the 3rtl party agencies.Public and
HUB clients may maintain secure user login.for their refenal.antl communications witM1 tM1e agencies.
CHR and enabled for A_ACH Clients be,added benefit as theb community ca -nnatoris also reoeromg the
Tale-Coordinator and information and pathways are tracking outcomes as agencies and client perform.community resource
P¢rsonal Health Record listings are upWdetl by HUB staff and unontarad by agencies through their agency login where thsy $59,000-ONE-TIME
also track antl re nd to refenals, payment in first
Adon.nally,Hest-dig-integrated with the Community Health Record poll pru ing security of w Year wiM 5
ntract
mbormalion,reporting,auto-generation of pann-ya for H UB clients and integrated resources forcers $59,000 $10,000 $10,000 $10,000 $10,000 $99,000
mrtlinators to select and send refenals toe Required fa Tsb,Cdr.c,/Tsla-Coach, Ysar contract,
agencies.Re q $10,000 annual after
Personal Health Record and the new HeallhBddge 2.0 features beingreleased In early 2022, first Year
Commfie un rgity Engagement Strategy for HealthBndge care-How to engage your commundy,community
serve oanisations,providers and government for an integrated ref network.,in n .,inresu h lts and
s.Ld Us assist with step-by-p guide,,online education,and w,bi,,,,to begin using
HwlthBddge.care tons fullest to enable true closed-loop refenals for you.,n,baves Producegrester $10,000-ONE-TIME
AdVI50Yy S¢rVIC¢5 infamatim,bend,tcommunitys ,,agenizahon,,,ddevetopnewrevenueoppodunibesfaywr payment m firstconu $10,000 $10,000
mundy caned yon,
Pathways Community HUB Institute Annual diem...gefm,-PCHlrequiresaveryreasonabledient
usage fee for the access to the medol and learni ng materials Annual;1,000 active clients-$500;2,500
PCHI Client Usage Fees active clients-$1,250;5,000-active dents;Ask a bout other client ranges $1,250 $1,250 $1,250 $1,250 $1,250 $6,250
Medication Reconciliation-Annual;FbaY..term,Ni-reconcile Medication As.......t and
Medicaton Management Pathways with your approvetl Medication Rewawers quickly.integrated with
the CHR platform,a care cvordinater may complete the bu icabon assessment with the,client and
mmediately.antl the sutho,zetl..wavier(,)a secure notification and secure access to the client's
medication assessment.Upon wmplet-by the reviewer of the roc.-In ion,the care couldratu r'.
License notified and the re,,nc,l,d assessmentin doretl seratrelym the client..cord's Documents available to $6,000 $6,000 $6,000 $6,000 $6,000 $6,000 $30,000
the care team.Faster than fe,rg_Secure.Better wll,W t,n with P-debe and ph,bbb...ts.more
balm..,completed successfully.
Interpersonal dynamics of training dams of wmmun,ty health workers m the CHR plaborm features
antl best practices for effect esuperwawm care assurance qualityimprovement,,nfo t,,,gathering
antl sustainabihty Gho,e of virtuelam-person training for all software users,,the HUB.Superw...
antl Community Health Workers must attend entire training session.5 tlays of 2 90-minute virtual
its,3dey of,n-persontra,n,ngw,thaccesstoon-I,nelessons,n Learn,ng Management System
(LMS)for 1 year as well as community HUB speufic 9u,tles,workbwks,videos,workflow processes and
best pradces.Course wdl indutle Pathways Gommumty HUB model framing that fw.ses on HUB'.
iint"nws.Practice b the Gommumty Health Record(CHR)with real-Ida case study examples.Separate
Supervisor trammg p,.,d.d for free b those aOend,ng Activation Training.Supervisor break-out training
includes managing c-d-inters,best practices for signing Documents and monitoring casabad.via
Software Activation r,p,n,,g Wull.Add,bonal support week after training w,If include l hour open office-hour ssss,ons for $210,000 $210,000
Training oordm.0 ,supervisors and HUB staff to ask for refreshers nor guidance a problem solve current
es.Activation training to be held no earlier than 2 weeks before-launch unto the field.Pricing.
$1,500 per attend,: -6 Cohorts@$30,000 per whorl.Hl Ns as to training date,over contract tens.
Team of CCS data experts-coach HUB staff on all rapoling features Real-time remrt,ng UNaad for
benchmarks,challenges and overall program performance.Create customized reports and dashboards
to meet all fund.regmraments Spacmhzed remmng views and drill-down dashboards for mdmduals,
agencies,partners and boards 41-hour sessions past launch of HUB 1st session wtll ba free with
Reporting Training for purchase of refron,ng bundle and must take place before Activation Training and should ba done in $1,500 $1.500
Staff tangent with TA suppial-an creating pchc,es and procedures Price fa 3sess,ms-$1,500,Addict-al
scans-$500/hour
Learnt,createsustam Iity through,nvo,an9 burning.CCS w,ll tram HUB staff with role d-Onstion
including,nvoic,ng access;best practices in policy&proceoi es arcybding cycles and repcq,ng.
Great.bradi funding waterfall toincorporate all fund-and ensure co unity based coortl,nation
Invoicing Training for workn-ta,nable.Access mgu,tles antl wtlece with mgang free suppalfa,rst6 months. Training $1,500 $1,500
Staff Price.$1,500,added ill support 1 hour:$500
Sub-Total: $449,750 $177,750 $177,750 $177,750 $177,750 $1,160,750
Ongoing Services(as needed)
Data Mapping Pro/ect Managert.Completedets mapping of FCDPHdsta,Htls,ito CCSdnW dructure(16 hwrsx$250/hr) $4,000.00
Cu5tUn11Ze CCS data Projed Man to Customize CCS data collection forms Including:Client Profile,lni6al&Follow-up checklists Event Tracker
(4 hours x$250/hr) $1,000.00
collection Forms
Data Mapping&Form Projed Manager to work with Fresno County Dapedmant of Pudic Health to ooadinate data mapping and form validatlon(2
Validation boas x$250/hr) $500.00
Custom Reports Assess need fa custom reports based on data collectlon dosing,direct Impl...nlatim and been practices(2 hours x$250Ihr)
$500.00
Assesment
Ri D-1,lbar to dosing custom reports If needed is hours x$250/hr)
Design Custom Reports $2,000.00
Confirm report validation through direct inbini enlefor,best predlcea,and coordinsaw with Fresno County Department of
Report Validate on Public Health(2 hours x$2s0lhr) $500,00
Sub-Total: $8,500.00
Agreement Total: $1,169,250
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Fresno County Exhibit A 2/16/23
Products and Pricing
Term 5/17/2022-5/17/27
Service Descriptions
Description Standard Costs Annual Cost-5 year
contractterms
5 year contract terms
CHR Platform-Annual,Five-year term,CCS System platform license includes system,a terndiduagrated community resources referral ova HealthBmdge.care,secure Messaging,
Community Health Record standard reporting,Ter 2 user support with escalation for technical support,security compliance audit,standard hcsfing,standard maintenance,backup/restore,and frequent $55,000 $45,000
Platform standard system upgrades.
Base User Licenses-Annual,10 d.ktap/padal user licenses.
10 user licenses included in yoor 5 year
User Licenses CHR contract',As of 2022.no user $0
hcanses are m.ludi with licenses
Desktopfimnal-annual;In a 5 year contract,10 desktop user hcenaas are inclutled with the CHR platform;Additional user licenses per contract term;prorated at time of
mmatizaton to next license contract anniversary date;includes Tiar 2 user support.Multiple care models may be used with each homes.Also,only one user license is required fa $750-5 year contract;
the user to be enabled with Pathways and Health Homes(or any other platforms)concurrently.User hcenssa above the plaaam allotment maybe added and removed annualy,
User Licenses as necessary Easement at 154 additional users @$7W fora total of 164 users with the 10 included users above. $1-Le-3 year contract; $105,500
$1,500-Less than 3 year contract
Public Facing HealthBridge.care HealthBridge.care-A community resources and referral secure portal for public and HUB client use external to the use,the CHR by the care coordinator included with APIs for
Integrated with the CHR and third-padysyslems.Public and HUB clients mayseak local natural sources and send requests to the 3M party agencies Public and HUB clients may maintso secure user login
n.bedfor Tele-Coordinamrand for their referrals and communications with the agencies.HUB/ACH clients have atldad benefit as their cornmunity care coordmalmis also racemng the lnformatlon antl pathways
Personal Health Record are tracking eummes ee agencies and client perform Community,resource listings are uploaded by H U B staff and mainerad!by agencies through their agency legue where they $59,000-ONE-TIME $59,000 One-Time;$10,000
Is,track and respond to referrals.Additionally HealthBridge,,integrated with the Community Health Record platform powdingsecurity ofinforromar,reporting,autogenemhon paymeorm first contract year,$30,000 annually with your 5 year
of pathways for HUB clients,and integrated resources for care coommatme to select and send referrals in agencies.Required for Tel"oordlnator/rel"oaeh,Personal annual after first year contract
Health Record,and the new HealthBddge 2.0 features being released In early 2022.
Community Health Record with Integrated HealthBridge.care-mlarnal/ntegrated community resources referalwa HealthBridge.care(non-pubbcfacmgwebaker).Uses the available clinical and community
HealthBridge.care Integrated as of the Community HUB to streamline the refeal process for care ceadinaas With a community engagement strategy supplietl by as,you may develop an optimum
referral network for yourinitiawfeaturingmultipl,dmumentetlmnversatmsintberefeal Pathways,ndreeultsmetricsfromatruecicaad-lagsystem Highlymnovahvewith included in your CHR Platform $0
patents pending.
Invoicing-Annual;Multiple performance-based contracts fa outcomes;Braided-funding waterfall determmes the appropriate pays for the outcome fa the client Specalized
Invoicing and Agency Payout reportng for Invoicing and financing operabms including Payer contract terms management,ssourammong transmission to Payers,and invoicing and reporting support(up tot Included in CHR contract,or $0
hour per month fa that 4..the with 5 year contact). $18,000 annually
Data visualization-Access ywr SDOH and clinical,formation for data wsudeation with our advanced Tableau dashboards.Presentatmn quality and access for download,We
Tableau Data Visualiza0on car ,Me dechboardsfor your teams tousa to mentor best practices and key performance indicators Included in the 5 year contact Included
Community Engagement Strategy for HealthBridge.eare-How to engage your community,community service ogmizations,providers and government for an Integrated
referral network with results and measures.Let us assist with step-by-step guides,online education,and webinars to begin using HealthBndge cam to its fullest to enable true
Advisory Services .1harcli overrate for yourmilares.Produce greater Information,benefit community earn,,o,gmizabons and develop new revenue Nincrunitiee for your community $10,000 On.time $10,o00
One-time Activation Fee:Pomades user access to PCHI Licensed Materials In the CHR(Visit Form,Progress Form,21 Pathways,PCHI Learning Modules);2 hours HUB Staff
training on Pathways 2 0 Motel and world ow processes,Imbal bulk upload of HUB Payer Terms,1-week open ice houre-ma hour per day fa HUB Staff,CHI and
Supervisors to ask any questions related to Pathways 2.0 transition or PCHI Licensed Materials,Anticipated to increase upon PCHI certification of the Community Health Recall
Pathways 2.0 Activation Fee PlsOorm.Waived fee with new 5-year contract or additional 5-year extension to current contract $15,000 One time Included
Pathways Community HUB Institute Annual client usage fees-PCHI requires a very reasonable client usage fee for the access to the model and learning materials.Annual; Estimatetl el 1000.2500 clients m the
PCHI Client Usage Fees 1,000 active clients-$500;2,500 active clients-$1,250.5,000-active clients',Ask about other client ranges. fist year $1,250
Medication Reconciliation-Annual;Flve-Veartemri Now reconcile Medlcatch Assessment and Medication Management Pathways with your approval Medlcatch Reviewers Secure,streemlmad commumcabm
quickly.Integrated with the CHR platform,a care coordinator may complete the medication assessment with their client and immediately send the outharized owassa(s)a secure with external reconciliation partners for
naiccation and secure access to the client's metlicalim assessment.Upon completion bythe reviewer,the raconciliallm,the care coordinator Is noticed and the re:mciled greater Pathways completion and
License mantis stored securely In the client records Documents,available to the care teem Faster than faxing Secure Better collaboration with prowdshe and pharmacists.More important machcaben recmciliatim- $6,000
pathways completed successfully. $6,000
PAM License Patient Activation Measure(PAM)-license per eltblescreened$flli per year.Includes first screening and multiple additional screenings per year.Screening Packages of $4,500 Included
200,500,1000,and 2000 annual clients.Clients screened in excess of subscription without upgrading subscription am$25/client annually Upgrades maybe amanged st anytime. $9,000
Invoiced monthly. Individual ligenses to HUBS are 5x10x more expensive.We are able to share a license across all of the Community HUBS.
$12,500
$17,500
Advisory CHR Platform-Initial Setup and implementation-setup and implementation including,We review with one each EHR,211 and HIE fa integration with the Community Health
Record.Deliverables include the launch of CHR platform and the protect plans and budget for the integration of 211 and HIE. $15,000 Included
Service Description Standard Costs Annual Cost-5 year
contract terms
Intamersonal dynamics of training earns of community health workers in the CHR platform features and best practices for effective supervision,care assurance quality
improvement Information gathering antl sustainability Chace of,diod a in-person training for all software users in the HUB.Supmakhrs and Community Health Workers most
attend entire tracing sassim 5 days of 2 90-mmute virtual sessions,3 days of rs in-peon trainin g with access.--line lessors in L (L eaning Management System MS)for 1 year
s well as community HUB specific guides,workbooks,videos,workrow processes and best practices Course will include Pathways Community HUB model training that focuses
on HUB's imbagves Practice in the Community Hea cord CHR)lth Rai with rei c me study examples Separate ern Supsar training prowded for free to those attendingxi
Minimum -
Software Activation Tralnln Actuation Training.Supma-break-out tremngincludes managing cmrdinalors,best practices for signing Documents and monitoring caseloads wit reporting tool.Addri $30,000 for 27 CHI trainees,Expect 6 $180,ow
support week after training will include l hour Nor office-hour sessions fa coordinators,supervisors and HUB staff to ask for refreshers guidmca and/or problem adve curenl cohorts
ses.Activation training to be held no earlier than 2 weeks before live launch Into the field.Pricing:$1,500 per attendee -6 Cohorts @$30,000 per cohort.Flexible
as to training dates over contract term.
Team of CCS data experts-coach HUB staff an all reposing features.Real-time reporting utun a l fa benchmarks,challenges and ocerall program performance.Creole
customized repots and dashboards to meet all funds,
requirements.Specialized reponing Wens and drill-dawn dashboards for indraduals,agencies,pane it boards.41-
hour
seeslons post launch of HUB.let session will be free with purchase of recording bundle and must take place betas Activatlon Training and should be done In tangent with $1,500;Can Include Fresno County
Reporting Training for Ste TA support when creating policies and procedures.Pric..,3 see,
ions-$1,500,Additional sessions- and HUB personnel for greater $1,500
$soommur
egmomy
Learn to create suslainabllity through invacing training CCS will train HUB staff with role designation including invoicing access,best practices m policy S procedures,agency
billing cycles and reporting.Create braided funding waterfall to lnourporate all fundam and ensure community based coordination wank is sustainable.Access to guides andvdeos $1500;Can Include Fresno HUB
Invoicing Training for Staff with ongoing free support fa flan months.Training Price:$1,500,additional support 1 hour:$500 personnel for greater economy $1,500
Includes HealthBridge.care resources,public facing interface,and search.All of HealthBridge-he-Registered client access for their health information and $60,OWW for first 1,000 chants;
ii'ciaxx
to communicate securely with Care Team,Care Coordinators,and Coaches remotely.Medication Lists and integration with CHR documents for aarmorial packages of 1,000 clients-
Coordinalors and Call Centers.Integrated with HealthBridge search and all documents integrated to the CHR platform and attached to client chart. Annual 1,000 $36,MD annually,Choose this if you
HealthBridge 2.0 client subscription$60,000 per year.Additional clients in subscription package of 1,000 clients-$36,000 want a client portal and extended To be launched in Of 2022
ccommourfasturee
Care Transition Interventions Care Transition Interventions-Transition Coaches-Evidence-based and highly acknoMedged breakthrough training to rest hospitalresdmieam"(20-50%+)and improve Group-Virtual or OnsRe or individual
-Transition Coaches Patients'health end self-activation Onsitefacilitsled training with organizalbmal readiness assessment,mlinw preparation and continuing education and learning best practices Transition Coach Twining Contact
through the mm(hly Leaming Natwak webinars. Michelle@ccspathways com for
dateenimee and informal-
Care Transition Interne Organizational Readiness Assessment for Tmnsltlon Coaching -An organization needs the tads and mindset to support CTI ThemNm Coaches to achieve the
Organizational Readines it umented successes with Care Transition lnterrentims and Transition Coaches.Weekly meetings prior to your Transitions Coach candidates recaNrg training are reeuied for
Assessment your organization.The hourly meetings will be canducled As individual organization scheduled webinas over 2 months or as needed.A key outcome will be whether your
organization is ready to implement Transition Coaching and achieve significantly reduced 30-180 day hospital reedmissim rates while improving patient sag a tit adim and health Contact l0knelle@ccspathways corn
IndMdualcendidateefortwiningarealsorequiredtohavetheirorganizalion',weedinessassessmentpriorwo firmationofatrainiWdaleandplsce Grouptrainingsessionsof for information
up to 36 Transition Coach candidates ee also required to be supported bytheir organizations weediness.Vdual cohorts fa 25 trainee couches
Community health-deer professional development including Pathways and CHR system handson case studies.Especiallysuked for care ccoolini,,ring their
cl
ents/palimis in the cammundy seNng.Licensed professional as supers as to CH W s are inN[e0 to gran understanding arms CHW experience and also the Pathways
utillzabmdunnglhefiretthreadays.ACHWanmdsthefirstweekintensiveintheclassrmen PmcticumwaeksfollowwithwJ,needucalimmdsupenwsedobservalionsinthe Cmosct Shern
CHI Training/CDC 2109 communnyeafficlambi.Final weak indudac the Human Health segment and experiential Teaming basetl on best practices in the field.A CHW is mabled to start serving clients Ohly@cospathways corm Pow
after the first weak intensive. ,him malim on spacial CDC 2109
Pricing
Evaluators-annual;user licenses and Tier 2 support for mdiabve ew himon team with up to 3 evaluators per mhiabte Includee"paling access to ew himan reporting
Additional User License $5,000
Payer access-annual;up to 10 usm Iicrosss and Tier 2 support fa full access or reach ly access to wihora rd client chats and records including secure canmunicabon with
are coordinators,supervisor,and HUB staff to work in a team approach.Reporting access to authorized client Information and progress.State wtddmulti-hub licensing available
Additional User Licenses for mmanical teem building wth corann ity-based care coordination across a state or region $10,01D0
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