Introduced by the Human Services Committee of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

WHEREAS, the Health Department issued a Request For Proposals for physician services in the Women= s Health Clinic; and

WHEREAS, the Women= s Health Clinic provides family planning services to about 4,500 women each year, prenatal care to about 600 women a year, Breast and Cervical Cancer Program services to 850 women and the Clinic is responsible for providing and/or arranging this care and other non- OB-GYN specialty services; and

WHEREAS, the Request for Proposals was developed in consultation with the Women= s Health Coordinator and the County Purchasing and Properties Department and sent to the two vendors who had expressed interest in bidding for the services and also published in the newspaper; and

WHEREAS, two coverage proposals were received, one from Sparrow Health System and one from Ingham Regional Medical Center; and

WHEREAS, in considering how to evaluate the proposals, the Department invited two physicians from outside the Department to participate in a review: Dr. Ruth Hoppe from Michigan State University and Dr. Oliver Hayes from Michigan State University; and

WHEREAS, three meetings were held with the two outside physicians and with Quess Derman, Women= s Health Clinic Coordinator, Dean G. Sienko, MD, Health Department Medical Director and Bruce Miller, MPH, Director of Community Services; and

WHEREAS, outside reviewers felt the two proposals had unique strengths and weaknesses and either was fundable; and

WHEREAS, Dr. Sienko, Mr. Miller and Ms. Derman concurred either proposal was fundable and would serve the interests of our patient population but in the end had to make a recommendation; and

WHEREAS, Dr. Sienko, Mr. Miller and Ms. Derman are recommending a three year contract be awarded to Ingham Regional in the amount of $50,400 each year; and

WHEREAS, Ingham Regional has indicated it will accept both the term of the contract and the amount; and

WHEREAS, the reasons they are recommending Ingham Regional= s proposal are as follows: 1) the IRMC proposal was very professionally developed and presented; 2) the IRMC providers are OB-GYN specialists and Women= s Health is an OB-GYN unit; 3) staffing the unit with OB-GYN specialists will eliminate the need to transfer care of high risk women to a separate OB-GYN service; 4) avoiding the transfer of care will improve continuity of care and help the Department provide supportive services to women who need extra help; and

WHEREAS, the difference in price of the IRMC proposal will result in a three year savings to the county of at least $44,700.

THEREFORE BE IT RESOLVED, that the Health Department is authorized to enter into a three year contract with Ingham Regional Medical Center for physician services in Women= s Health.

BE IT FURTHER RESOLVED, that services shall include: 1) 20 hours of physician coverage for clinics held at Women= s Health Services; 2) physician back-up for prenatal care services provided by nurse practitioners in centers other than Women= s Health Services to include physician visits, chart review, and labor and delivery services for prenatal patients of the Ingham Community Health Centers in Leslie, Stockbridge, Saint Lawrence, and Willow Plaza Adolescent Health Center; 3) labor and delivery for all ICHD prenatal patients; 4) 24 hour/365 day after hours call and hospital services for all ICHD OB-GYN patients; 5) After hours call and hospital services for primary care patients of the Women= s Health Center; 6) Consultation, chart review and educational support for the nurse practitioners of the Women= s Health Center; 7) four hours per week of physician time to serve as the on-site Medical Director for Women= s Health Services; 8) a designated physician who serves as medical director for the Health Department in the absence of the Department= s Medical Director.

BE IT FURTHER RESOLVED, that the annual payment will be $50,400 a year for three years starting January 1, 2001 through December 31, 2003, this agreement will be contingent upon written assurances by IRMC that their offer satisfies the requirements of federal law, and that they will fully cooperate with MSU Medical School= s residency programs.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Women= s Health Physician Services Agreement after review by the County Attorney.

HUMAN SERVICES: Yeas: Czarnecki, Smiley, Grebner, Schmidt, Severino Nays: None

Absent: None Approved 11/20.00

ADMINISTRATIVE SERVICES/PERSONNEL: Yeas: Pratt, Severino

Nays: McDonald, Lynch, Minter Absent: None Resolution Failed: 11/21/00

FINANCE: The Finance Committee tabled this resolution: 11/21/00