HomeMy WebLinkAboutManifest MedEx-Implementation of the Plus EMS Portion of the Health Information Exchange_A-20-079.pdfCounty of Fresno
Board of Supervisors
Minute Order
Hall of Records, Room 301
2281 Tulare Street
Fresno, California
93721-2198
Telephone: (559) 600-3529
Toll Free: 1-800-742-1011
www.co.fresno.ca.us
February 25, 2020
Present:Chairman Buddy Mendes, Vice Chairman Steve Brandau, Supervisor Nathan Magsig,
Supervisor Brian Pacheco, and Supervisor Sal Quintero
5 -
Agenda No. 48.Public Health File ID: 20-0002
Approve and Authorize Chairman to execute a Retroactive Revenue Agreement with Manifest MedEx
for implementation of the +EMS Program portion of the Health Information Exchange, effective
December 31, 2019 to September 30, 2021 ($219,900); and adopt Budget Resolution increasing the
Fiscal Year 2019-20 appropriations and estimated revenues for the Department of Public Health Org
5620 in the amount of $109,950 (4/5 vote)
Re:
APPROVED AS RECOMMENDED
Ayes:Mendes, Brandau, Magsig, Pacheco, and Quintero5 -
Agreement No. 20-079, Resolution No. 20-054
Page 52County of Fresno
Board Agenda Item 48
DATE:February 25, 2020
TO:Board of Supervisors
SUBMITTED BY:David Pomaville, Director
Department of Public Health
SUBJECT:Retroactive Revenue Agreement with Manifest MedEx
RECOMMENDED ACTION(S):
1.Approve and Authorize Chairman to execute a Retroactive Revenue Agreement with
Manifest MedEx for implementation of the +EMS Program portion of the Health Information
Exchange, effective December 31, 2019 to September 30, 2021 ($219,900); and
2. Adopt Budget Resolution increasing the Fiscal Year 2019-20 appropriations and estimated
revenues for the Department of Public Health Org 5620 in the amount of $109,950 (4/5 vote).
Approval of the first recommended action will provide for the implementation of health information exchange
between participating emergency ambulance providers and hospitals by allowing immediate and secure
access and sharing of patients’ vital medical information electronically, with no increase in Net County Cost.
The State Emergency Medical Services Authority (EMSA) awarded Manifest MedEx a total of $4.9 Million for
the +EMS grant program to implement “SAFR” project with EMS Agencies, EMS participants, and Hospitals.
Each of the participating agencies, including the County’s Department of Public Health, have a specific
scope of work to complete. The proposed Agreement outlines the scope of work and allocates funding for
reimbursement when specific milestones are achieved. Approval of the second recommended will increase
the Department’s appropriations and estimated revenues for FY 2019-20. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, immediate access and sharing of patient health
information between participating emergency ambulance providers and hospitals would not be implemented
in Fresno County resulting in less efficient and less comprehensive methods continuing.
RETROACTIVE AGREEMENT:
The recommended agreement was received from Manifest MedEx on November 20, 2019 and is retroactive
to December 31, 2019. The Department could not present to your Board sooner due to the time required to
review and process the recommended agreement.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended actions. Funding to Manifest MedEx is
being made through the California Department of Public Health as part of Centers for Medicare / Medicaid
Services (CMS) 90/10 Funding and CARESTAR Foundation matching funds. The State Emergency Medical
Services Authority (EMSA) awarded Manifest MedEx a total of $4.9 Million for the +EMS grant program to
Page 1 County of Fresno File Number: 20-0002
File Number: 20-0002
implement “SAFR” project with EMS Agencies, EMS participants, and Hospitals.
The proposed Agreement allocates $219,900 over the next two years to the County of Fresno, which will be
distributed to participating agencies. Fresno County will receive a total of $97,650 and the remaining
$122,250 will be distributed by the County to the participating ambulance providers and the electronic patient
care reporting system vendor when specific milestones are achieved. Approval of the second
recommended action will increase the FY 2019-20 appropriations and estimated revenues in the amount of
$109,950 in the Department’s Org 5620. The remaining funds ($109,950) will be included in the FY 2020-21
Requested budget.
DISCUSSION:
On January 28, 2019, EMSA issued the Federal +EMS Local Assistance Grant Funding Opportunity
announcement seeking proposals from Regional Health Information Organizations (RHIO) with the support
of a local EMS agency (LEMSA). Manifest MedEx was awarded a grant that includes the participation of six
LEMSAs including the Central California EMS Agency, which is a Division of the Fresno County Department
of Public Health. Fresno County is a partner of the Central Valley Health Information Exchange (CVHIE),
which is a non-profit local affiliate of Manifest MedEx. The Department has worked extensively with Manifest
MedEx on development of our local HIE.
The +EMS project will integrate the pre-hospital systems and EMS into the HIE and allow caregivers to
immediately access ambulance records of a specific patient, when needed, and also allow pre-hospital care
personnel in the field to appropriately access and securely share a patient’s vital medical information
electronically. The objective is to provide access to information that will result in better medical care for the
patient.
By entering into the agreement with Manifest MedEx, Fresno County agrees to implement and onboard
interoperate health information exchange between participating emergency ambulance service providers
(American Ambulance and American Ambulance of Visalia) and hospitals (Community Regional Medical
Center) through use of electronic health records. The goal of the +EMS HIE grant is to integrate pre-hospital
electronic health records (EHRs) into the HIE allowing SEARCH, ALERT, FILE and RECONCILE (SAFR)
functionality.
American Ambulance, American Ambulance of Visalia and Community Regional Medical Center are covered
entities and have electronic patient health information. The transmission of treatment, payment, and
operation information between covered entities, about a specific patient, is allowed under the Health
Information and Portability and Accountability Act (HIPPA) and California Health and Safety Code.
REFERENCE MATERIAL:
BAI # 54 - January 29, 2019
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with Manifest MedEx
On file with Clerk - Resolution (Org 5620)
CAO ANALYST:
Raul Guerra
Page 2 County of Fresno File Number: 20-0002
Feb. 25, 2020Agreement No. 20-079
EMSA MX LEMSA MSA+SOW 10 2019
The undersigned , representing that they are duly authorized , have executed this Agreement on behalf of
the Parties as of the Effective Date given above .
Manifest MedEx
Signature
Print Name
Date
COUNTY Of FRESNO acting as the Central
California EMS Agency
Ernest Buddy Mendes , ~an of the Board of
SupeNisors of the County of Fresno
ATTEST:
Bernice E. Seidel
Clerk of the Boa rd or Supervisors
County of Fresno, State of Cali fornia
10